PGY2 Ambulatory Care

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. Graduates of this program will become a competent practitioner in the care of ambulatory patients and will be qualified to function as a highly skilled ambulatory care pharmacist within a health system or academic setting. The goals and objectives for this program align with ASHP Ambulatory Care PGY2 Accreditation Standards.

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

Ambulatory Care Specific Program Highlights

  • TJC-certified Patient-Centered Medical Home primary care clinics.
  • URAC and ACHA-accredited specialty pharmacy.
  • Preceptors certified through the Board of Pharmacy Specialties® (BCACP or other specialty certification).
  • Opportunities to:
    • Work under a collaborative practice agreement in a variety of clinics.
    • Work closely with all members of the multidisciplinary healthcare team.
    • Precept students from the University of Nebraska Medical Center College of Pharmacy and Nebraska Medicine PGY1 pharmacy residents.
    • Participate in departmental committees based on interest.
    • Engage in quality improvement projects.
    • Participate in a multidisciplinary journal club with the Internal Medicine medical residents.
    • Attend professional conferences.
  • Former residents’ feedback on the program and preceptors:
    • “This program offers the opportunity to work in many different ambulatory care specialties under the direction of highly trained pharmacists, thus providing the resident with a well-rounded ambulatory care experience.” - Natalie Schwenka, PharmD, BCACP, 2021-2022 PGY2 Ambulatory Care Resident
    • “The mentoring offered by preceptors and exposure to a variety of chronic disease states ensures residents are well prepared to excel as ambulatory care pharmacists after this residency program.” - Kyndall Stegman, PharmD, BCACP, 2022-2023 PGY2 Ambulatory Care Resident
    • “Completing my PGY2 in Ambulatory Care at Nebraska Medicine was challenging but extremely rewarding. I am confident that the experiences and mentorship that I received from this program were a key factor in me obtaining my dream position as an ambulatory care pharmacist in primary care!" - Natalie Rushing, PharmD, 2024-2025 PGY2 Ambulatory Care Resident 

Rotations

Rotations are designed to maximize the resident’s exposure to all aspects of ambulatory care – clinical practice, teaching, and research. To meet this goal, residents will complete a combination of month-long and longitudinal required experiences. The resident will also have the opportunity to select elective experiences to enhance their learning.  

Required Rotations (1 month each)

  • Ambulatory Administration.
  • Cardiology.
  • Orientation.
  • Specialty Pharmacy - Dermatology, Gastroenterology, Neurology, Oncology, Pulmonology, Rheumatology.

Required Longitudinal Experiences (52 weeks, July through June)

  • Academia.
  • Medication Use Evaluation.
  • Pharmacy Grand Rounds (3 months).
  • Primary Care - Family Medicine and Internal Medicine (4 months).
  • Research (December and Longitudinal).
  • Service Development.
  • Staffing Continuity Clinic (6 months).

Elective Opportunities (3 rotations, 1 month each)

  • Acute Adult Inpatient Psychiatry.   
  • Bariatrics.
  • Endocrinology.
  • Geriatrics.
  • Interstitial Lung Disease.
  • Leadership Development Series (Longitudinal).  
  • Oncology.
  • Specialty Pharmacy II.
  • Transplant.  

Service Commitment (Staffing) Experience

PGY2 residents are required to fulfill the service commitment (staffing) designed to ensure competence and confidence as ambulatory care practitioners. 

Staffing expectations:

  • Residents train with preceptors during the first half of the residency year across multiple clinical sites, including Family Medicine and Internal Medicine.
  • Throughout this time, the designated preceptors and resident will evaluate the resident’s progression toward independence to ensure the resident is prepared to advance to their staffing rotation.
  • From January through June, residents staff at least one day per week during normal rotation hours.
  • Staffing will occur primarily within the Patient-Centered Medical Home Primary Care clinics; however, staffing may occur within other clinics as determined by the program director.
    • Residents will serve at the assigned clinic(s) primary ambulatory care pharmacist when staffing.
  • Residents may be asked to staff additional hours outside of normal rotation hours (e.g., at-home-call or weekends) to meet the needs of the healthcare system.  

Contact

Current Resident

Canice Coan, PharmD, BCACP, DPLA 
Pharmacy Supervisor, Clinic Embedded Pharmacy Team 
PGY2 Ambulatory Care Pharmacy Residency Program Director  
Nebraska Medicine 
770 N 114th St.  
Omaha, NE 68154 
Phone: 402.559.3214 
Email Canice Coan

Caressa Trueman, PharmD, BCACP, BC-ADM 
Ambulatory Care Pharmacist, Diabetes and Endocrinology Center 
PGY2 Ambulatory Care Pharmacy Assistant Residency Program Director  
Clinical Assistant Professor, UNMC College of Pharmacy 
Nebraska Medicine 
984100 Nebraska Medical Center 
Omaha, NE 68198-4100 
Phone: 402.552.3936 
Email Caressa Trueman

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