VA Portland Health Care System - Pharmacy Residency Program 2020-2021
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VA Portland Health Care System
Pharmacy Residency Program
2020-2021
Page 1 of 17
Message from the Chief
I want to sincerely thank you for considering joining our VA Portland
Health Care System (VAPORHCS) Pharmacy Residency Program.
VAPORHCS serves more than 95,000 unique Veterans and 950,000
outpatient Veteran visits each year in Oregon and Southwest
Washington. VAPORHCS consists of the main tertiary care medical
center overlooking the city of Portland, the Vancouver Campus in
Vancouver, Washington, and 10 outpatient clinics across Central and
Northwest Oregon. VAPORHCS provides a full continuum of inpatient,
outpatient, long-term, and emergent care. We are proud to host 12
national-level Centers of Excellence leading research efforts from
mental illness to Parkinson’s, epilepsy to auditory research, and
others. VAPORHCS is connected to Oregon Health & Science
University (OHSU) both physically and through academic partnerships
training health care professionals.
The VAPORHCS Pharmacy Service is integrated amongst all aspects of care, providing pharmacists
challenging and unique opportunities to practice and improve the lives of our Veterans. With over 170
staff members, our department is dedicated to a Veteran-centric practice model of providing safe,
appropriate, and evidence-based medication management and education. Many of our pharmacists
practice at the top of their license as clinicians with advanced scopes in several disease states. By
training at VAPORHCS, residents can rotate through the acute care setting as well as the ambulatory
care setting at our Community Based Outpatient Clinics (CBOCs). In addition, pharmacy service
offers extended care to the specialty clinics at VAPORHCS which are unique elective opportunities
for trainees.
The VA has been a leader in both advanced clinical practice for pharmacists and education. The
benefits of training in the VA are limitless, but more so quickly grant you access to the Nation’s
largest health care system. This access will open you up to endless professional opportunities across
the country.
Determining the appropriate location to receive your residency training is critical in reaching your
professional goals. I strongly encourage you to look through this brochure to see what residencies
and educational opportunities we offer. Choosing VAPORHCS to train will be one of the best
professional decisions you make!
Jeegisha Patel, PharmD, BCPS
Chief, Pharmacy Services
Page 2 of 17
Unique Benefits of a VA Pharmacy Residency
The VA Pharmacy Residency Program is the largest training program for advanced clinical pharmacy
practice in the country. VA trains several hundred residents annually in over 150 American Society of
Health-System Pharmacists (ASHP) accredited residencies. The VAPORHCS PGY-1 residency
program was first established in 1979 and is one of the first postgraduate pharmacy programs in
Oregon.
The residency includes a variety of practice areas, such as: Pharmacy Practice, Pharmacy Benefits
Management, Pharmacy Administration, and Education. Residents receive an outstanding 12-month
clinical patient care experience serving a challenging and rewarding Veteran population. Throughout
the year, residents learn to coordinate quality primary care and acute care services with other
specialty areas of health care in a stimulating interdisciplinary environment. Additionally, residents
will be involved in exciting research and academic opportunities mentored by experienced
pharmacist preceptors. VAPORHCS is proud to offer excellent residency training programs in
Pharmacy Practice (PGY-1), Psychiatry (PGY-2), Ambulatory Care (PGY-2), and Pain & Palliative
Care (PGY-2).
Page 3 of 17
VA Portland Pharmacy Service
Mission: To provide Veteran-centric pharmaceutical care that improves outcomes through a
commitment to innovation, education, and collaboration.
VAPORHCS pharmacists serve as valuable members of patient care teams in the acute care,
ambulatory care, and long-term care settings. Our department features a decentralized pharmacy
service with barcode medication administration, IV admixture service, automated dispensing
systems, electronic healthcare record, and automated prescription filling.
Our acute care clinical pharmacists provide care to patients on the medical and surgical units,
intensive care unit, step-down units, acute psychiatry unit, operating room, and ambulatory surgery.
Responsibilities include providing drug therapy and dosing recommendations, participating in team
rounds, pain management consultation, anticoagulation management, pharmacokinetic dosing,
medication reconciliation, and discharge patient education. Specialized clinical pharmacy care is
provided in the following areas: Critical Care, Infectious Diseases, Oncology, Palliative Care,
Psychiatry, Transplant, and Operative Care.
Our outpatient clinical pharmacists provide a wide range of pharmaceutical services to our Veterans
in both Portland and Vancouver locations. Our clinical pharmacy specialists in the ambulatory care
section support the Patient Aligned Care Teams (PACTs) in our Community Based Outpatient Clinics
(CBOCs) and several specialty services including: Anticoagulation, Hepatitis C, Mental Health,
Cardiology, Oncology and Pain Management. Additionally, Ambulatory Care Pharmacists perform
thorough medication reconciliation, address drug information questions, consult with physicians and
PACTs, provide medication counseling, and participate in evidence-based medication review on Drug
Utilizations Teams. Pharmacists working in these areas can initiate and modify therapy for selected
disease states under a scope of practice with a supervising provider and act as midlevel
practitioners.
Our management team practices the philosophy of servant leadership and is trained in quality
improvements utilizing the LEAN methodology. In addition, our Pharmacy Benefits Management
(PBM) team continues to maintain consistency with the VA National Formulary and the Veterans
Integrated Services Network (VISN 20) formulary, involving dedicated program managers skilled in
pharmacoeconomics and health system administration. Our health system is continually in the
process of updating and refining our capability to use computers as tools to assist in meeting the
health care needs of our Veterans. Therefore, our pharmacy administration team includes a
pharmacist dedicated to implementing and staying current with computerized information system
changes at the local, regional, and national levels. This informatics pharmacist also assists residents
with data extraction for year-long research projects and medication use evaluations, both required as
longitudinal assignments during the residency year.
Throughout the health system, pharmacists and pharmacy technicians have a strong voice in
process improvement and quality assurance of pharmacy services. Pharmacists and technicians lead
or serve on several committees including Patient Safety, Medical Service Council, Pharmacy and
Therapeutics, Institutional Review Board, Research and Development, Order Menu Workgroup,
Education, Antimicrobial Stewardship, Northwest Pain Committee, Clinical Pharmacy Practice
Councils and many others dedicated to improving patient care.
Page 4 of 17
Our Residency Programs
VAPORHCS offers a Post Graduate Year 1 (PGY-1) Pharmacy Residency program, and Post
Graduate Year 2 (PGY-2) programs in Psychiatry, Ambulatory Care, and Pain & Palliative Care. The
programs allow residents a great deal of self-direction, learning and ability to maximize opportunities
to explore areas of interest. We offer opportunities to gain skills in practicing pharmacy in a health-
system institution focusing on acute care, ambulatory care and specialty care clinical services.
Residents have opportunities to choose from a variety of electives which include, but are not limited
to transplant, oncology, and emergency medicine. Additionally, the proximity of our facility to Oregon
Health & Science University Hospital, Oregon State College of Pharmacy, and Pacific University
gives the residents an opportunity to participate in various educational opportunities including a
teaching certificate program.
Program ASHP Residency Code
PGY-1 Pharmacy Residency (94004)
PGY-2 Psychiatric Pharmacy Residency (94028)
PGY-2 Ambulatory Care Residency Program (94038)
PGY-2 Pain and Palliative Care Residency Program (Program Number Pending)
Page 5 of 17
PGY-1 Pharmacy Residency Program (94004)
(3 positions) Start Date: 07/01/2020
The purpose of this PGY-1 pharmacy residency program is to build on Doctor of Pharmacy
(Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists
responsible for medication-related care of patients with a wide range of conditions, eligible for board
certification, and eligible for postgraduate year two (PGY-2) pharmacy residency training.
The primary goal of the Portland VA PGY-1 is to prepare residents to function as well-rounded,
independent, competent clinical pharmacists in patient care positions in a health care setting.
Learning Experiences (Core Rotations)
• Ambulatory Care: Mental Health Each 5 weeks long
• Ambulatory Care: Primary Care
• Critical Care
• Geriatrics Internal Medicine- Community Living Center
• Internal Medicine
• Orientation (Residency/Inpatient/ Outpatient Operations)
• Pharmacy Administration
Longitudinal Experiences
• Anticoagulation Clinic
• Citywide Residency Conference (monthly meetings)
• Committee & Leadership Series (P&T/leadership series/other committees)
• Formulary Management (MUE/PADRs)
• Major Residency Project
• Management Project – Process Improvement
• Medication Safety
• Pharmacy Administration (Leadership)
• Pharmacy Staffing
• Presentations (formal case/journal club/seminar/CE)
• Resident Education Series & Teaching Certificate
Elective On-Site Experiences
• Academic Detailing Each 4 weeks long
• Clinic Management
• Emergency Medicine
• Hematology/Oncology
• Hospice/Palliative Care **Electives at other institutions may be
• Infectious Diseases available but not guaranteed. (Oregon
• Liver/ Kidney Transplant State Pharmacist license required for
off-site elective. Elective time may be
• Neurology
used for make up or repeat of core
• Pharmacy Informatics
rotations if needed.
• Psychiatry
• Women’s Clinic
Availability of elective learning experiences for the 2021-22 residency year may be affected by the
COVID-19 pandemic and associated guidelines.
Page 6 of 17
PGY-2 Psychiatric Pharmacy Residency Program (94028)
ASHP Accredited Residency
(2 Positions) Start Date: 07/01/2020
Purpose statement:
The PGY-2 psychiatric pharmacy residency program builds on Doctor of Pharmacy (Pharm.D.)
education and PGY-1 pharmacy residency programs to contribute to the development of clinical
pharmacists in advanced or specialized practice. The PGY-2 psychiatric pharmacy residency
provides residents with opportunities to function independently as practitioners by conceptualizing
and integrating accumulated experience and knowledge and incorporating both into the provision of
patient care that improves medication therapy. Residents who successfully complete an accredited
PGY-2 psychiatric pharmacy residency should possess competencies that qualify them for clinical
pharmacist and/or faculty positions and position them to be eligible for attainment of board
certification in psychiatric pharmacy (BCPP).
Program Description:
Our program is a 12-month, PGY-2 psychiatric pharmacy residency accredited by the American
Society of Health System Pharmacists (ASHP). The program is designed to offer well-balanced
training experiences in both the inpatient and outpatient mental health treatment settings, as well as
specialty areas such as substance use disorders, neurology, and geriatric psychiatry. Residents will
participate in a pharmacist-run clozapine clinic as part of their outpatient psychiatry learning
experience as well as gain experiencing managing a panel of complex psychiatric outpatients. During
the inpatient learning experience, residents will collaborate with a multidisciplinary team, which
includes trainees from psychiatry, nursing, and social work. Additionally, elective opportunities are
available to allow residents to explore areas such as academic detailing, pain management, and
consult/liaison psychiatry. This program is tailored to each resident to suit his/her unique past
experiences and goals, as well as strengths and areas for improvement. Additionally, residents will
be given clinical privileges under a mental health scope of practice and will use such to order
medications, labs, and consults. Residents will be expected to develop critical self-evaluation and
leadership skills throughout the residency year that will enable them to be successful psychiatric
pharmacy practitioners regardless of practice setting.
Learning Experience (Blocked Rotations) Duration
• Orientation 1-4 weeks*
• Inpatient Psychiatry 12 weeks
• Outpatient Psychiatry 12 weeks
• Primary Care Mental Health Integration 4 weeks
• Neurology 4 weeks
*Duration will depend on where resident completed his/her PGY-1 residency
Learning Experience (Longitudinal Rotations)
• Substance Use Disorders
• Formulary Management
• Geriatric Psychiatry
• Major Residency Project
• Mental Health Administration
• Teaching and Education
• Staffing
Page 7 of 17
Learning Experience (Blocked Rotations)** Duration
• Consult Liaison Psychiatry 4-5 weeks
• Academic Detailing (VISN 20) 4-5 weeks
• Pain Management 4-5 weeks
• Mental Health Intensive Case Management MHICM) 4-5 weeks
**Availability of elective learning experiences for the 2021-22 residency
year may be affected by the COVID-19 pandemic and associated guidelines.
Page 8 of 17
PGY-2 Ambulatory Care Residency Program (94038)
(1 Position) Start Date: 07/01/2020
PGY-2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY-1
pharmacy residency programs to contribute to the development of clinical pharmacists in specialized
areas of practice. PGY-2 residencies provide residents with opportunities to function independently
as practitioners by conceptualizing and integrating accumulated experience and knowledge and
incorporating both into the provision of patient care or other advanced practice settings. Residents
who successfully complete an accredited PGY-2 pharmacy residency are prepared for advanced
patient care, academic, or other specialized positions, along with board certification, if available.
Required Learning Experiences (Core Rotations) Program Structure
• Orientation (Residency/Pharmacy Operations) 4 weeks
• Anticoagulation 12 weeks
• Cardiology/Heart Failure 12 weeks
• Academic Detailing 12 weeks
• Population Health Management 12 weeks
• Primary Care – Vancouver Clinic 18 weeks
• Primary Care – Resident Clinic 18 weeks
• Formulary Management (MUE/formulary) Longitudinal (52 weeks)
• Major Residency Project Longitudinal (52 weeks)
• Pharmacy and Primary Care Administration Longitudinal (52 weeks)
• Teaching and Education Longitudinal (52 weeks)
Elective On-Site Learning Experiences (Choice of Two) Program Structure
• Hematology/Oncology 4 weeks
• Hepatology 4 weeks
• Liver/Kidney Transplant 4 weeks
• Mental Health 4 weeks
• Neurology 4 weeks
• Women’s Health 4 weeks
Elective rotations are available at VAPORHCS in a variety of patient care settings. This program will be flexible
to accommodate each resident’s area of interest. Electives at other institutions may be available but are not
guaranteed (Oregon State pharmacy license required for off-site electives). Elective time may be used for
making up or repeating core rotations.
Special Features
Prescriptive authority
Residents have prescriptive authority to order medications, laboratory and diagnostic tests, and
consults to other services within their scope of practice.
Education series
Residents present journal clubs, patient cases, and disease state reviews to residents and
preceptors
Page 9 of 17
Chief Resident
PGY-2 ambulatory care residents serve as mentors to PGY-1 residents with the possibility of being
Chief Resident for the residency programs.
Interdisciplinary collaboration
Clinical Pharmacy Specialists and residents are core members of the Patient-Aligned Care Team
(PACT) and provide disease state management. PACTs consist of a primary care provider,
pharmacist, nurse, social worker, dietician, and a mental health provider. Additionally, the resident
will practice in the medical residents’ clinic fostering an interdisciplinary learning environment for the
latter half of the year.
Innovation
VA Portland HCS is the home base for the Northwest Innovation Center. The resident will have the
opportunity to be involved in clinical application management and implementation of population
management resources to provide efficient medication management to our veterans.
***Availability of elective learning experiences for the 2021-22 residency year may be affected by the
COVID-19 pandemic and associated guidelines.
Page 10 of 17PGY-2 Pain and Palliative Care Residency Program (Program Number Pending)
(1 Position) Start Date: 07/01/2020
PGY-2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY-1
pharmacy residency programs to contribute to the development of clinical pharmacists in specialized
areas of practice. PGY-2 residencies provide residents with opportunities to function independently
as practitioners by conceptualizing and integrating accumulated experience and knowledge and
incorporating both into the provision of patient care or other advanced practice settings. Residents
who successfully complete an accredited PGY-2 pharmacy residency are prepared for advanced
patient care, academic, or other specialized positions, along with board certification, if available.
Required Learning Experiences (Core Rotations) Program Structure
• Orientation (Residency/Pharmacy Operations) 4 weeks
• Inpatient Patient-Controlled Analgesia Consult Service 8 weeks
• Community Living Center - Palliative Care 8 weeks
• Substance Use Disorder Management - Rural Health Focus Longitudinal (31 weeks)
• Center for Integrative Pain Care Longitudinal (31 weeks)
• Formulary Management (MUE/formulary) Longitudinal (52 weeks)
• Major Residency Project Longitudinal (52 weeks)
• Pharmacy Administration Longitudinal (52 weeks)
• Teaching and Education Longitudinal (52 weeks)
Elective On-Site Learning Experiences (Choice of Two) Program Structure
• Academic Detailing 4 weeks
• Emergency Department 4 weeks
• Neurology 4 weeks
• Psychiatry 4 weeks
Elective rotations are available at VAPORHCS in a variety of patient care settings. This program will be flexible
to accommodate each resident’s area of interest. Electives at other institutions may be available but are not
guaranteed (Oregon State pharmacy license required for off-site electives). Elective time may be used for
making up or repeating core rotations.
Special Features
Prescriptive authority
Residents have prescriptive authority to order medications, laboratory and diagnostic tests, and
consults to other services within their scope of practice.
Education series
Residents present journal clubs, patient cases, and disease state reviews to residents and
preceptors
Chief Resident
PGY-2 Pain and Palliative Care residents serve as mentors to PGY-1 residents with the possibility of
being Chief Resident for the residency programs.
Page 11 of 17Interdisciplinary collaboration
Clinical Pharmacy Specialists and residents are core members of the interdisciplinary pain and
substance use disorder teams and provide disease state management. Teams consist medical
providers, pharmacists, nurses, social workers, and psychologists.
Innovation
VA Portland HCS is the home base for the Northwest Innovation Center. The resident will have the
opportunity to be involved in clinical application management and implementation of population
management resources to provide efficient medication management to our veterans.
***Availability of elective learning experiences for the 2021-22 residency year may be affected by the
COVID-19 pandemic and associated guidelines.
Page 12 of 17Residency Program Directors and Coordinators
Dr. Amar Patel, PharmD
PGY-1 Pharmacy Practice Residency Program Director
[email protected]
Dr. Jeanne Peterson, PharmD, BCPP
PGY-2 Psychiatry Residency Program Director
[email protected]
Dr. Scott Ganger, PharmD, BCACP
PGY-2 Ambulatory Care Residency Program Director
[email protected]
Dr. Antoine Zogbi, PharmD, BCACP
PGY-2 Ambulatory Care Residency Program Coordinator
[email protected]
Dr. Randall Udouj, PharmD, BCPS
PGY-2 Pain and Palliative Care Program Director
[email protected]
Page 13 of 17Preceptors
VAPORHCS preceptors are a highlight and strength of our program. Our preceptors hale from across
the United States and bring a plethora of unique clinical and educational experiences to the table.
Our preceptors have earned their pharmacy degrees from a wide variety of pharmacy schools and
have completed their PGY-1 residency training in various sites across the country. A majority of
these residency sites were VA PGY-1 residency programs.
Multiple preceptors have nationally recognized accomplishments, which include: Board Certification
in Pharmacotherapy, Critical Care, Oncology, Ambulatory Care, Geriatrics, Anticoagulation, and/or
Psychiatry as well as Certified Diabetes Educator status. Additionally, our preceptors have been
recognized and selected for awards such as Lecturer of the Year at Oregon State University,
Preceptor of the Year at Oregon State University and Pacific University, Pharmacist of the Year from
the Oregon Society of Health-System Pharmacists, Fellow of the Oregon Society of Health-System
Pharmacists, and APPE Clinical Preceptor of the Year at Oregon State University. Our staff have
also been recognized at the Oregon Health & Sciences University for being excellent preceptors to
our medical residents.
The preceptors stay active with board member participation for state and national pharmacy
organizations. Multiple preceptors have published and presented at various pharmacy conferences
and venues across the country.
Our preceptors serve as valuable members of the health care team, are committed to the profession
of pharmacy, and demonstrate exceptional leadership and mentoring skills while providing optimal
patient-centered care. In their dedication to creating a healthy learning environment, they help foster
the growth and independence of the residents throughout the course of the residency year.
Page 14 of 17Meet the Resident Class of 2020-21
PGY-1 Residents
Pharmacy School: Oregon State University/Oregon Health &
Science University Doctor of Pharmacy Program, Class of 2020;
Master of Science degree from the University of Georgia in Cellular
Biology
Practice Interests: Infectious diseases (pursuing PGY-2 in ID)
Hobbies: I love traveling, eating food and hanging out with my
husband and dog, Frodo.
Chitra Kanchagar, PharmD [email protected]
Pharmacy School: Washington State University College of
Pharmacy and Pharmaceutical Sciences
Practice Interests: Ambulatory Care
Hobbies: Exploring outdoors, watching/participating in motorsports,
and enjoying foods from around the world.
Andre Huang, PharmD [email protected]
Pharmacy School: North Dakota State University, Class of 2020
Practice Interests: Psychiatry, Ambulatory Care
Hobbies: Hiking, coffee-drinking, and petting dogs!
Portland VA Psychiatry Early Commit Resident for 2021-22
Madeleine Grant, PharmD [email protected]
PGY-2 Ambulatory Care Residents
Pharmacy School: University of Nebraska Medical Center -
College of Pharmacy Class of 2019
Practice Interests: Primary care, Cardiology, Hepatology
Hobbies: Hiking/camping, trying the different foods in Portland,
playing golf, salsa dancing (poorly)
Brandon Heuermann, [email protected]
PharmD, BCPS
Page 15 of 17Pharmacy School: Oregon State University/Oregon Health &
Science University, College of Pharmacy
Practice Interests: Ambulatory Care
Hobbies: Traveling, eating, and hanging out with my friends and
family
Rui Wang, PharmD [email protected]
PGY-2 Psychiatry Residents
Pharmacy School: Regis University School of Pharmacy Class of
2019 in Denver, Colorado
PGY-1 Residency: New Mexico VA Health Care System
Practice Interests: Inpatient Psychiatry, Long-Acting Injectable
Antipsychotics, and Geriatric Psychiatry
Hobbies: all things related to reality-TV/pop-culture, eating new
food, hiking, and gardening with my mom
Christine Hagerman, PharmD [email protected]
Pharmacy School: University of California, San Francisco
PGY-1 Residency: VA Puget Sound Health Care System
Practice Interests: Outpatient Specialty Mental Health, Substance
Use Disorder, Population Health, Primary Care
Hobbies: Exploring the PNW, trying new food, watching
documentaries & listening to podcasts, and being a plant mom!
Grace Le, PharmD [email protected]
Page 16 of 17Pharmacy Applicant Qualification and Application Process
Applicant Qualifications
• Doctor of Pharmacy Degree from an Accredited School of Pharmacy
• Certificate of completion of an ASHP accredited PGY-1 pharmacy residency program (for PGY 2
programs)
o Eligible for licensure to practice pharmacy in any state
o United States citizenship
o Participation in the ASHP Resident Matching Program Application Process
o All applicant materials must be submitted through Pharmacy Online Residency Centralized
Application ( PhORCAS) by the second Friday of January
• Official School or College of Pharmacy transcript
** Please submit an official transcript by the due date. If fall/winter APPE rotation grades are not
included in your official transcript, please advise your school advisor, regional coordinator, or
APPE coordinator to address a letter with APPE rotation grades
• Letter of Intent
• Curriculum Vitae
• Three letters of recommendation using the standardized reference template in PhORCAS (for
PGY-2 programs, please make sure one of these letters is from your PGY-1 Residency Program
Director)
• Extracurricular Information
Selected applicants will be invited to a virtual interview in late-January or early-February.
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