PGY-1 Pharmacy - Green Bay - Milwaukee VA Medical Center
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Milwaukee VA Medical Center

 

PGY-1 Pharmacy - Green Bay

The Milo C. Huempfner Veterans Affairs (VA) Health Care Center (HCC) is located in Green Bay, Wisconsin, approximately 120 miles north of Milwaukee, Wisconsin.  There are about 250,000 residents of Green Bay and its surrounding areas in Brown County.    There are many activities and events throughout the year in this 'small-town' setting.  In the fall and winter, NFL fans are happy to have the champion Green Bay Packers in their backyard. There is also the Green Bay Gamblers hockey team in the USHL, and UW-Green Bay men's and women's basketball.  In the spring and summer, there are robust farmers markets to enjoy, outdoor activities, Green Bay Bullfrogs baseball in the independent Northwoods League, as well as the Packers' training camps, which are open to the public.  Throughout the year, there are shows at the Weidner Center on the UW-Green Bay campus, and a variety of restaurants, parks, trails and museums. 

The Green Bay VA HCC is a regional outpatient clinic associated with the Clement J. Zablocki VA in Milwaukee.  The Zablocki VA is part of VA Integrated Services Network 12 (VISN 12), which includes facilities in Iron Mountain, Michigan, Tomah and Madison, Wisconsin, and North Chicago, Hines, and Chicago, Illinois.  Additional community based outpatient clinics (CBOCs) in Wisconsin associated with the Milwaukee VA include Appleton, Cleveland, and Union Grove.

The Milo C. Huempfner VA Health Care Center offers an accredited postgraduate year one (PGY1) pharmacy residency by the American Society of Health Systems Pharmacists (ASHP) with anticipated accreditation evaluation before Spring 2017.   The program offers a well-balanced pharmacy experience in primary care and specialty clinic settings which prepares residents for many aspects of ambulatory pharmacy practice. The program is flexible to meet the career goals of each resident.

During the residency year, residents will learn skills to effectively outline and perform medication use evaluations. Residents will also further develop drug information, administrative, time management and organizational skills to aid in the practice of pharmacy. Verbal and written communication skills will be enhanced. In addition, residents will be required to design, conduct, and complete a research project throughout their residency year. This research project should be suitable for publishing. Residents present their preliminary results at a poster session at the ASHP midyear clinical meeting in December. Final results are then presented at regional pharmacy resident conference in the spring.

The Green Bay VA Health Care Center offers a wide variety of ambulatory care services.  Having opened in August 2013, we currently have primary care clinics, behavioral health, orthopedics, rheumatology, cardiology, nephrology/dialysis, oncology/ambulatory infusion, same day surgery, GI, podiatry, audiology, and eye clinics. The clinic has the capacity to serve up to 20,000 veterans.

The VA is a pioneer in telemedicine. Patients from long distances may be seen by physician specialists via videoconferencing equipment. Specialty clinics that utilize telemedicine provide care to patients who may not otherwise be able to travel to Milwaukee.

The Home Based Primary Care Program also utilizes telemedicine to allow health care professionals to virtually visit patients in their homes. Other patients use technology to log symptoms of specific disease states daily. These responses are then transmitted to the Medical Center and based on the responses, patients will receive triage or additional interventions.

Program Goal

To foster development of knowledge, skills, and values in preparation for patient-oriented pharmacy practice.

Philosophy

The philosophy of the Green Bay VA HCC Residency Program is to meet the personal and professional goals of the residents while providing pharmaceutical care to the patients.

Clinical Training

Required Rotations
  • Primary Care
  • Anticoagulation
  • Home Base Primary Care
  • Rural Health and Special Populations
  • Outpatient Hematology/Oncology
  • Outpatient pharmacy practice
  • Mental Health
Elective Rotations

As the VA Health Care Center expands, elective rotations can be tailored to resident interests and site availability. Currently scheduling allows for required block rotations for the first half of the year, and an individualized longitudinal experience for the second half of the year.

Training for each activity takes place with a clinical pharmacist during the orientation period.

Longitudinal Responsibilities

  • Pharmacy Administration: Throughout the residency program, the resident will be exposed to pharmacy administration and drug use policy issues.  These are incorporated into the residency throughout the year along with leadership training and discussion.
  • Anticoagulation: Residents will receive a panel of anticoagulation patients whom they will monitor and make recommendations for their care.
  • Community Living Center (CLC) chart reviews: Residents will review the charts of one to two patients monthly residing in the CLC.  Chart reviews are completed to assure appropriate medication therapy based on indication and evidenced-based medicine. 
  • Drug information: Throughout the year residents are resources for drug information for providers, pharmacists and other staff.

Hospital Committee Involvement

Residents routinely participate in a variety of Medical Center Councils and Committees. A sampling of these groups provides a wide overview of activities while participating in other groups all year, such as the Pharmacy, Nutrition, and Therapeutics (PNT) Council, and allows residents to observe the process from start to finish. The resident will also participate in the Drug Safety Subcommittee and will participate in patient safety initiatives throughout the year.

Teaching Responsibilities

University of Wisconsin School of Pharmacy Responsibilities:  Appleton, WI is a regional hub for the University of Wisconsin (UW) pharmacy clerkship students.  Milo C. Huempfner VA HCC has coordinated with this hub to assist with the grading of drug inquiries, project presentations, and assisting with the facilitation of weekly seminar sessions for a defined student block of six-weeks.  During the latter part of the residency year, residents have opportunities to help precept students. Residents receive training by UW and VA staff on all aspects of these UW responsibilities.  An optional teaching certificate program is available through UW or UIC. In addition to working with UW pharmacy students, residents also have opportunities to interact with students from other schools of pharmacy.

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    For More Information:

    Shannon Pace, PharmD
    Associate Chief of Pharmacy NEWAC PGY - 1 Residency Director
    Phone: (920) 431-2500 ext. 72585
    shannon.pace@va.gov