PGY2 Ambulatory Care Residency

Providence Medical Group, part of Providence Health & Services, operates more than 30 primary care clinics in the Portland area. PMG’s Clinical Pharmacy Department is among the most progressive in the country, allowing residents to learn the best in team-based, evidence-based care.

The core of this residency is direct patient care on a “real life” schedule. Longitudinal learning helps residents build practice management skills. As a member of the medical home team, residents work closely with providers, support staff, medical residents and community partners. Residents also are involved in research, education, committee work and stewardship activities, which will help develop practice leadership skills.

After completing the program, the resident becomes an ambulatory care clinical pharmacy specialist.

Program strengths:

  • Flexibility allows residents to change schedules throughout the year based on their interests
  • Longitudinal learning provides structure and continuity
  • Face-to-face interaction builds relationships with patients to help affect real change
  • Collaboration allows residents to share knowledge and learn from other health care professionals
  • Working with a team of providers, case managers, medical assistants, behaviorists and others helps to improve patient outcomes

By the end of the program, the resident should be able to:

  • Establish a collaborative, interdisciplinary practice
  • Provide evidence-based, patient-centered treatment for chronic illnesses
  • Demonstrate leadership and practice management skills
  • Promote health improvement, wellness and disease prevention
  • Demonstrate excellence in training and education
  • Serve as an authoritative resource for the best use of medications

Core learning experiences (all longitudinal)

Direct patient care. The resident will provide patient care using collaborative drug therapy management agreements. The resident will be in clinic seeing patients face-to-face two days a week and will spend one day a week providing follow-up on the phone or electronically.

Health education. Ambulatory care pharmacists share their expertise with primary care teams and pharmacy learners (APPE students and PGY1 residents). The goal is to ensure the resident can understand and teach primary literature.

Practice management. Leadership and independence are critical skills for ambulatory care pharmacists. Residents will manage projects, take part in interdisciplinary workgroups and collaborate with care teams.

Drug information. As part of the clinic care team, residents are a resource for clinic providers and patients with general questions about medications. Residents also provide formulary support to the Oregon Region Pharmacy and Therapeutics Committee as needed.

Administration. Residents will work with pharmacy leaders to improve pharmacy services across the health system.

Electives

The resident may complete up to two electives outside the PMG Clinical Pharmacy Department. These may include:

  • Geriatrics
  • Psychiatry
  • Anticoagulation clinic
  • Teaching
  • Administration
  • Managed care

Besides the core and elective learning experiences, residents will participate in other activities to gain knowledge, practice-management skills, presentation and teaching abilities, and professional leadership.