Postgraduate Year Two (PGY2) Ambulatory Care Pharmacy Residency

The PGY2 Ambulatory Care Residency at Nebraska Medicine offers a unique and stimulating learning environment that provides comprehensive clinical training in ambulatory care pharmacy practice. A resident completing this program will be a competent practitioner in the care of ambulatory patients and will be qualified to function as a highly skilled ambulatory care practitioner within a health system or academic setting. The goals and objectives for this program align with ASHP Ambulatory Care PGY2 Accreditation Standards.

The resident will be integrally involved with health-care professionals throughout the continuum of patient care, including patient assessment, education, and therapeutic recommendations. Working with experienced pharmacy clinicians, the resident also will gain experience serving as a preceptor for PGY1 pharmacy residents and pharmacy students. Residents will provide compassionate, evidence-based, progressive medical care. The program allows tailored instruction for the individual based on interest and past experiences.

Benefits

Salary and Paid Time Off (PTO)

  • PGY2 residents will receive a stipend of $50,367.
  • Residents will be given 12 days for vacation and sick time during their 12-month program.

Benefits

  • Comprehensive medical, dental and vision care coverage.
  • Basic life insurance and long term disability coverage.
  • Residents each receive one complimentary lab coat.

Funding for Professional Meetings

  • Financial support will be provided to each resident attending the Fall Resident Retreat, ASHP’s Midyear Clinical Meeting, the Ambulatory Care Conference at ASHP Summer Meetings, and the Midwest Pharmacist Residents Conference. Funding for additional meetings may be provided at the discretion of the director of Pharmaceutical and Nutrition Care.

Educational Leave

The program provides the following days of educational leave which are not deducted from the resident’s PTO allotment.

  • Resident Fall Retreat (two weekdays)
  • ASHP Midyear Clinical Meeting (up to four weekdays)
  • The Ambulatory Care Conference at ASHP Summer Meetings (up to four weekdays)
  • Midwest Pharmacy Residents Conference (two weekdays)

Nebraska Medicine PGY2 Ambulatory Care General Residency Requirements, Duties and Responsibilities

The residency program is a minimum of 12 months in duration and a full-time practice commitment. Residents will be required to perform and participate in a number of activities throughout the year. These activities are designed to ensure compliance as outlined in the ASHP Required Competency Areas, Goals, and Objectives for Postgraduate Year Two (PGY2) Ambulatory Care Pharmacy Residencies; and the ASHP Accreditation Standard for Postgraduate Year Two (PGY2) Ambulatory Care Pharmacy Residency Programs. 

In addition to the expectations outlined in the accreditation standards, residents are expected to: 

  • Uphold and adhere to all standards of the pharmacy profession
  • Uphold and adhere to the iTEACH Values and policies of Nebraska Medicine

The following activities are required for successful PGY2 program completion: 

  • Residents shall complete required residency orientation and training
  • Residents shall complete a minimum of two-thirds of the residency as a pharmacist licensed to practice pharmacy in the state of Nebraska 
  • Residents shall complete BLS certification
  • Residents shall complete service commitment required duties (including staffing)
  • Residents shall participate and complete patient required activities (e.g., documentation, counseling, management, etc.)
  • Residents shall complete evaluations in PharmAcademic, quarterly development plans and other evaluations as assigned in a timely manner
  • Residents shall complete rotational requirements (required, longitudinal and elective)
  • Residents shall attend assigned residency, departmental and Nebraska Medicine meetings
  • Residents shall present and participate in the Residency Leadership Development Series (at discretion of the program director)
  • Residents shall present and participate in journal clubs
  • Residents shall present and attend Pharmacy Grand Rounds (PGR) seminars
  • Residents shall attend PGY2 program specific seminars and topic discussions
  • Residents shall attend and participate at the annual Residency Fall Retreat
  • Residents shall attend and participate at the ASHP Midyear Clinical Meeting (at discretion of the program director)
  • Residents shall participate in all residency recruitment activities, including residency interviews (at discretion of the program director)
  • Residents shall participate in the teaching of P4 pharmacy students on clinical rotations
  • Residents shall participate in teaching activities at the UNMC College of Pharmacy
  • Residents shall complete a research project designed to improve the services of the department and/or contribute knowledge to the pharmacy profession
  • Residents shall complete a medication use evaluation (MUE) and disseminate the results to the appropriate audience
  • Residents shall complete a service development project
  • Residents shall, at the discretion of the program director, shall present their research project (poster or podium) at a RAC approved venue determined on a yearly basis
  • Residents shall complete a research project manuscript
  • Residents shall complete a teaching certification program (at the discretion of the program director)
  • Residents shall create or update their teaching portfolio (includes teaching philosophy statement)
  • Residents shall complete 8 of 15 available patient care experiences per ASHP. Two of these eight may be case-based application if a direct patient care experience is not available
  • Residents shall complete an electronic portfolio by the end of residency

Staffing

PGY2 residents are required to fulfill the service commitment (staffing) designed to ensure that residents gain experience and can function as competent clinical practitioners. Each resident will train with preceptors and basic training will take place during the first half of the residency year. At the conclusion of the basic training period, the designated preceptors and the resident will mutually determine if the resident is ready to function independently as a pharmacist.

As part of the service commitment for PGY2 residents, the following staffing requirements apply:

  • PGY2 Ambulatory care resident will staff at least 1 day per week January through June during normal rotation hours
  • Staffing will occur primarily with the Patient-Centered Medical Home Primary Care Clinics; however, staffing may occur within other clinics as determined by the program director
    • Staffing will include shifts providing coverage as an ambulatory care resident

Leadership Development Series

Residents are encouraged to participate in the leadership development series if not already completed as a PGY1. Throughout the year, each resident leads a discussion of selected articles focusing on leadership philosophies and principles ranging from politics, military, history, coaching, to pharmacy and medicine. All residents are required to contribute their insight on each article. Residents are expected to contemplate and explain how they plan to incorporate leadership philosophy, practices and principles as a pharmacist in various future settings (e.g., as part of a multidisciplinary team taking care of patients at the bedside, future coordinator, residency program director, manager, director, or chief pharmacy officer). This strategy is used to assist residents in  the development and enhancement of their own leadership skills.

To broaden resident’s exposure  to people from all walks of life, residents will read selected "Letters to a Young Pharmacist" and  view various TED Talks and commencement addresses. They will discuss characteristics and aspects of peoples' stories that most resonated with them. Residents will be expected to read at least one book throughout the year, and  participate in a discussion (similar to book club). At the end of the residency year, each resident will write and present their own insight and wisdom in the form of a "Letter to a Young Resident" that they will hand off to the incoming residency class, the next generation of leaders. 

Residents will attend the residency fall retreat, where they will complete a StrengthsFinder®, communication styles, and conflict mode resolution assessments. Residents will also gain an understanding of the principles of a systematic approach to staff development and the process of establishing a residency program from a practitioner surveyor’s point of view and experience.

Fall Retreat

For over 20 years, the annual residency fall retreat continues to be one of the many highlights of the residency year. The two-day retreat occurs each October at the Lied Lodge in Nebraska City, NE. The Lodge is nestled on picturesque grounds once owned by J. Sterling Morton, founder of Arbor Day. The retreat focuses on the development of effective team building skills by uniting residents, building trust, addressing areas of improvement and highlighting strengths in order to provide exceptional patient care. The retreat is a venue for residents to learn more about each other and gain knowledge on topics not generally covered in a traditional residency curriculum. Experts from various fields are invited to speak on the following topics: pharmacy leadership, StrengthsFinder® assessment, the power of constructive criticism, ethical issues in pharmacy, crucial conversations, resident personal finance 101, generations in the work force, and crew resource management.

Residents attending the retreat participate in a half-day ropes-based challenge course that enhances their trust in each other as they complete the physically demanding course. Through the challenge course, residents learn how to utilize their strengths (physical and mental), facilitate communication skills, develop an increased self-awareness, and work together to evolve into a cohesive group. Residents are encouraged to understand more about their strengths and utilize them throughout the residency year in order to achieve program objectives and personal goals.

Research Project

Residents are required to design and complete a year-long research project.  Residents will select a research topic based on their clinical interests . Faculty and clinical staff will present project ideas during orientation. A preceptor will be selected to guide and supervise the resident throughout the year. Following approval of the research topic and preceptor by the Residency Advisory Committee (RAC) Research subcommittee, residents will develop a formal research proposal. If necessary, the resident will submit the proposal for IRB approval. For successful completion of this longitudinal experience, the following requirements must be met: completed research project form, formal proposal, completed IRB (if required), an oral presentation (poster or podium)at a RAC-approved venue (at the discretion of the RPD), and final written manuscript.

Pharmacy Grand Rounds (PGRs)

PGR presentations consist of Category One CME approved continuing education provided to pharmacy faculty staff, and students along with physicians, physician assistants, advance registered nurse practitioners, and nurses. PGRs are scheduled between August and June (excluding portions of December through February). The goal of each PGR is to improve the resident's communication skills, literature evaluation techniques, and gain an understanding of the continuing education process.  The topic will be selected by the resident with guidance from at least one pharmacist or faculty member and be presented in the Fall.

Teaching Certificate Program

The Teaching Certificate Program is voluntary for PGY2 residents, but strongly encouraged if the resident did not complete a certificate course as a PGY1. This  program will allow the resident to participate in a wide variety of activities related to pharmacy education and explore the external forces that impact the educational process. The focus is to introduce pharmacy residents to the various components involved in teaching including both didactic and clinical instruction. Residents will gain a broad understanding of pharmacy education on an institutional and national level.  Throughout the program, residents will work with their teaching mentor to develop their own teaching portfolio and philosophy.

Participation in Teaching Activities

Resident involvement in various teaching activities fosters the development and refinement of the resident’s communication skills and knowledge base. This experience will enhance the resident’s confidence and promote their effectiveness  as a teacher. Residents are expected to act as role models for future practitioners and will serve as co-preceptors for pharmacy students on clinical rotations. In addition, residents will collaborate with the UNMC College of Pharmacy by participating in didactic lectures, laboratory workshops, case studies and small group discussions throughout the year. In all circumstances, each resident will work under the guidance of a preceptor.

Chief Pharmacy Resident

The chief pharmacy resident is a PGY2 resident who manages and coordinates activities of all concurrent PGY1 and PGY2 residents as needed to support and maintain the residency program and its future development. This individual also provides leadership, support, and encouragement to all residents as a peer in clinical practice. The chief pharmacy resident serves as the secretary on the Residency Advisory Committee (RAC) and works closely with all program directors.

Rotations

Rotational experiences include the following: 

An image describing the variety of rotations

Volunteer Opportunities

Residents have the opportunity to volunteer at the Sharing Clinic,  a student run clinic serving the under-served of the Omaha community.  The clinic operates on Tuesday evenings.  The clinic is staffed by medical, pharmacy, physician assistant, physical therapy, and laboratory technician students, and is overseen by a physician, pharmacist and any other licensed healthcare professionals. Residents electing to participate will serve as the supervising pharmacist and will oversee pharmacy students as they interview and examine patients with the medical students.  Participating residents may use this opportunity to gain additional precepting experience.

Residents will have the opportunity to participate in additional community outreach programs as they become available.

Practice Area

Nebraska Medicine is the clinical partner of the University of Nebraska Medical Center (UNMC), which includes the Colleges of Medicine, Pharmacy, Nursing, Dentistry and Allied Health. UNMC, with an enrollment of more than 4,000 students, is the only public academic health science center in Nebraska and is internationally recognized as a leader in patient care, research and education. The not-for-profit hospital is known for excellence and innovation in medicine.

Nebraska Medicine is licensed for 809 beds and is a Comprehensive Level One trauma center. As the primary teaching hospital for UNMC, Nebraska Medicine is a respected leader in solid organ transplantation, oncology, blood and marrow transplantation, cardiology and neurosciences. Nebraska Medicine operates 15 primary care clinics and is recognized by the National Committee for Quality Assurance (NCQA) as a level three patient-centered medical home.

By combining state-of-the-art research, education and exceptional patient care, we offer the best of both worlds. The working relationship between Nebraska Medicine and the UNMC College of Pharmacy provides a solid foundation for a quality pharmacy residency program. The program provides an excellent mixture of clinical experiences, one-on-one interaction with faculty and clinical preceptors and the flexibility to modify the program to individual needs. In addition, the residency provides many opportunities for educating and precepting students. The end result is pharmacy training that actively involves the resident in patient care, education and research.

Qualifications of Resident Applicants

Qualifications for participation in the Nebraska Medicine PGY2 Ambulatory Residency Program are in accordance with criteria set forth by the American Society of Health-System Pharmacists (ASHP).

  • Resident applicants shall be graduates of an Accreditation Council for Pharmacy Education (ACPE)-accredited Doctor of Pharmacy degree program.
  • Resident applicants must be participating in, or have completed, an ASHP accredited PGY1 pharmacy residency program or one in the ASHP accreditation process (i.e., one with candidate or preliminary accreditation status). 
  • Resident applicants must be licensed or eligible for licensure as a pharmacist in the state of Nebraska. Licensure must be obtained by July 31.
  • Resident applicants shall participate in and adhere to all rules of the ASHP Resident Matching Program.

Application Information

Candidates are required to complete and submit an online electronic application through PhORCAS. No hard-copy applications will be accepted. Please review the application agreement below prior to submitting an application via the PhORCAS website.

Application Deadline: Please refer to PhORCAS for the application deadline.

Required application materials include the following:

Letter of Intent

It is a requirement of applicants to submit a letter of intent addressing the following three questions:

  1. Why are you choosing to complete a pharmacy residency and how do you feel this experience will influence your career?
  2. Why would you like to pursue a residency at Nebraska Medicine?
  3. Describe one situation in which you influenced a patient’s medical therapy.

Curriculum Vitae

Your curriculum vitae should include (if applicable) a minimum of:

  • Work experience
  • Leadership experience
  • Organizational involvement and positions held
  • Philanthropy/community service
  • Presentations
  • Honors/awards
  • Research experience/publications
  • Rotational experiences

PhORCAS Standardized References

  • Three standard references are required through PhORCAS
  • Two of the references must be from clinical preceptors who can attest to your abilities as a pharmacy professional, commenting on your character, personality, dependability, professionalism and clinical abilities

Pharmacy School Transcripts

  • Please submit your pharmacy school transcripts through PhORCAS.

After receipt of all application materials above, applicants will be reviewed and a select number of candidates will be invited for a required interview.

Applicant Agreement

The applicant applying through the Pharmacy Online Residency Application Service (PhORCAS) acknowledges and agrees to the following:

I certify that the information contained in the PhORCAS application is true to the best of my knowledge and belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered.

I grant permission for the authorities of Nebraska Medicine to investigate my work references and release them and any former employer from any and all liability resulting from such investigation. Upon my termination, I authorize the release of reference information on my work.

I agree to submit to a post-offer physical, including drug and/or alcohol screening and recognize employment is contingent upon successfully meeting physical requirements.

I further agree that if I’ve been convicted of a crime, the authorities of Nebraska Medicine may obtain the details of my conviction to determine its relationship to the position I’m applying for as a condition of my employment.

In consideration of my employment, I agree to conform to the rules and regulations of Nebraska Medicine. My employment may be terminated, with or without cause, at any time, at the option of Nebraska Medicine or myself. I certify that the information submitted in this application is complete and correct to the best of my knowledge and belief. I grant Nebraska Medicine permission, if necessary, to request additional information from previous schools and employers concerning my academic record and professional ability.

I understand that I will be required to obtain a Nebraska pharmacy license by July 31 of my residency year. 

Federal law requires evidence of identity and employment eligibility upon hire.

Nebraska Medicine is an EOE/AA Employer

Continue to the PhORCAS website

Contact

Canice Coan, PharmD, BCACP
Ambulatory Care Pharmacist
PGY2 Ambulatory Care Pharmacy Residency Program Director
Clinical Assistant Professor, UNMC College of Pharmacy 
Nebraska Medicine
988025 Nebraska Medical Center
Omaha, NE 68198-8025
Phone: (402) 559-0014
Email: cacoan@nebraskamed.com