Ambulatory Care - VA North Texas Health Care System
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VA North Texas Health Care System

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Ambulatory Care

The PGY-1 Pharmacy Resident will have ample opportunity to provide comprehensive pharmaceutical services for clinic patients.  The outpatient and ambulatory care sections of the pharmacy service includes primary care management of patients with diabetes, hypertension, hyperlipidemia, angina, and heart failure.

Clinical pharmacy specialists in the ambulatory care setting have begun to transition to Patient Aligned Care Teams (PACT), the VA's patient centered medical home model.  With this transition, the resident may be involved in the implementation & development of shared medical visits for our veteran population. 

Upon completion of the ambulatory care rotation, the PGY-1 resident will have:

  • Enhanced knowledge and application of clinical practice guidelines and pharmacologic therapies for the management of chronic disease states (e.g. diabetes mellitus, hypertension, dyslipidemia, etc.) in the ambulatory care setting
  • Designed evidence-based therapeutic regimens and monitoring plans for chronic disease state management in the ambulatory care setting
  • Developed motivational interviewing skills when interacting with patients and caregivers in a variety of ambulatory care settings (e.g. clinic visits, telephone visits, and shared medical visits)
  • Developed writing skills with regards to documentation of direct patient care activities as well as formal and informal presentations (e.g. SOAP notes, journal clubs, drug information questions, etc.)
  • Enhanced communication skills when giving formal and informal presentations (e.g. patient cases, journal clubs, drug information questions, in-services, etc.)
  • Provided effective medication and practice-related education to patients, caregivers, and other health care professionals
  • Developed patient assessment skills critical for evaluation and managing chronic disease states(e.g. blood pressure, pulse, diabetic foot exam, etc)
  • Enhanced management skills for outpatient services by assisting with non-formulary consults, scheduling of patients, and other administrative services as they come up
  •  Assisted with education of pharmacy students, including but not limited to precepting