IHS PGY-1 Pharmacy Residency Programs

Alaska Native Medical Center

Director of Pharmacy
CDR Kara King, PharmD, MPH, NCPS

Residency Program Director
CDR John Carothers, PharmD, BCPS, NCPS

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
Alaska Native Medical Center (ANMC) is a non-profit health care center based in Anchorage, Alaska, which provides medical services to around 138,000 Alaska Native and American Indian people. The 167-bed facility opened in May 1997 and is the largest hospital in the Indian Health Service.

ANMC is a level II trauma center, the highest level that can be achieved in Alaska. ANMC is the specialty care and referral hospital for every region of the Alaska Tribal Health System. We are staffed by over 50 pharmacists and over 250 physicians. Hospital data shows that 63,036 patients visited the hospital's emergency room. The hospital had a total of 8,549 admissions. Its physicians performed 14,277 inpatient and 4,989 outpatient surgeries.

ANMC is jointly owned and managed by the Alaska Native Tribal Health Consortium and Southcentral Foundation as well as tribal governments, and their regional health organizations.

ANMC maintains Magnet Status for nursing excellence, a designation achieved by only about 7 percent of all hospitals nationwide. It is the only tribally operated hospital with Magnet Status in the United States.

Rotational Experience Opportunities
Our residency program has a blend of ambulatory and acute care rotations. We have several required rotations including: Internal Medicine, Critical Care or Inpatient Pediatrics, Management, Ambulatory Diabetes or Oncology, Orientation, Staffing, and Drug Information. We offer elective rotations with the Centers for Disease Control Arctic Investigation Program, Quality Improvement, Emergency Medicine, Cardiology, Psych/Mediset, Medication Use Safety, Transitions of Care, and Infectious Disease. There is potential to establish other rotations in your particular area of interest.

Special Features
Alaska's natural beauty and outdoor recreation opportunities are legendary. Enjoy the many miles of lit urban trails perfect for running and biking in the summer and cross country skiing in the winter. Be vigilant for views of the aurora borealis as they light up the sky on a regular basis during the fall and winter months. Summers bring over 19 hours of daylight and are ideal for the outdoor enthusiast. Anchorage's population is approaching 300,000 and offers most amenities of a large city, while maintaining its small town feel. Anchorage is home to a busy international airport and is a rich cultural hub of activity. Come experience our Big Wild Life!

Southcentral Foundation Primary Care Center

Residency Program Director
CDR Mike Beiergrohslein PharmD, NCPS, BCPS

Type of Training Site
PGY1 Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
As part of Southcentral Foundation’s Nuka System of Care, clinical pharmacy services range from full service ambulatory care and village pharmacy to integrated pharmacists within multidisciplinary care teams. These clinical pharmacy services are incorporated within a relationship-based health care delivery system offering a wide range of programs to address physical, mental, emotional, and spiritual wellness for about 60,000 Alaska Native and American Indian people. The geographic service area spans some 100,000 square miles, and includes Anchorage, the Matanuska-Susitna Valley and remote villages accessible only by boat or airplane.

Southcentral Foundation Exit Disclaimer: You Are Leaving www.ihs.gov  is the proud recipient of the 2011 Malcolm Baldrige National Quality Award Exit Disclaimer: You Are Leaving www.ihs.gov , which is the nation’s highest Presidential honor for performance excellence through innovation, improvement and visionary leadership.

The SCF Telepharmacy Program is the proud recipient of ASHP's Excellence in Medication-Use Safety Award Exit Disclaimer: You Are Leaving www.ihs.gov .

Rotational Experience Opportunities
Ambulatory required/elective rotations: Integrated Care at Anchorage Native Primary Care Center and Benteh Nuutah Valley Native Primary Care Center, Anticoagulation, Drug Information, Infectious Disease, Informatics, Internal Medicine, Practice Management, Psychiatry, Research, Staffing, and Village/Telepharmacy with possible travel to remote site. Teaching opportunities: diabetes/tobacco groups, pharmacy students, journal club.

Special Features
Alaska's natural beauty and outdoors recreation opportunities are legendary. Enjoy the many miles of lit urban trails perfect for cross country skiing in the winter. Be on the lookout for views of the aurora borealis. Summers bring over 19 hours of daylight and are ideal for the outdoor enthusiast. Anchorage's population is approaching 300,000 and offers most amenities of a large city, while maintaining its small town feel. Anchorage is home to a busy international airport and is a rich cultural hub of activity. As the saying goes, "Anchorage is the closest city to Alaska". Come experience our Big Wild Life!

Norton Sound Regional Hospital

Director of Pharmacy
Heather Lefebvre, PharmD, MSCR, MBA

Residency Program Director
Kylea Goff, PharmD

Type of Training Site
Ambulatory Care, Acute Care, Long-term Care

Accreditation
Non-accredited (ASHP accreditation pending)

Facility Information
Norton Sound Health Corporation (NSHC) is a tribally owned and operated, independent, non-profit healthcare organization founded in 1970 to meet the health care needs of the Inupiat, Siberian Yup’ik and Yu’pik people of the Being Strait region. NSHC operates the Norton Sound Regional Hospital in Nome and clinics in the 15 villages within the 44,000 square miles that comprise the Bering Strait region. Now residing in a state-of-the-art facility, we receive approximately 57,000 annual visits within the ambulatory care and emergency department, 583 annual visits for inpatient care, and have an 18 suite long-term care facility. Utilizing Pyxis and ScriptPro equipment, the pharmacy department dispenses approximately 400 prescriptions per day.

Norton Sound Health Corporation Pharmacy is the proud recipient of the 2015 IHS Director's Award for the tremendous amount of work required to open a new pharmacy in the remote village of Unalakleet.

NSHC Pharmacy was also the recipient of the 2017 American Pharmacist's Association Immunization Champion Corporation/Institution Award. The pharmacist and pharmacy student traveled to the remote villages and provided flu vaccines to the residents.

Rotational Experience Opportunities
The Norton Sound Health Corporation residency program encompasses a blend of ambulatory care, acute care, long-term care, village health, and an educational/administrative component. Rotations include Outpatient Care, Acute Care, Primary Care, Village Health, Long-Term Care/ Quaynna Care Center, Pharmacy Practice Management, as well as a Leadership focused elective and potential to achieve a training certificate.

Special Features
Voted in the Top 20 Most Beautiful Hospitals in the US for 2017, Norton Sound Health Corporation is unique in providing healthcare to Native Alaskans living in Nome and the 15 surrounding villages. NSHC provides the only retail pharmacy, acute care and long-term care services in the entire region. With Alaska’s natural beauty as the setting, numerous recreational opportunities are limitless. A quick look around the town is all that is needed to see that the area is perfect for hiking, biking, hunting, fishing, cross-country skiing, etc. The summers bring 20+ hours of daylight and the winters bring gorgeous, once in a life time views of the Northern Lights.

Albuquerque Indian Health Center (AIHC)

Director of Pharmacy
CDR Michael Shuster, PharmD, MPA, NCPS

Residency Program Director
LCDR Steven Rodgers, PharmD, NCPS

Type of Training Site
Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
The Albuquerque Service Unit (ASU) consists of the Albuquerque Indian Health Center (AIHC) and field health clinics in Zia Pueblo and Santa Ana Pueblo. Albuquerque has long been a center for education and employment for southwest Native Americans, which has contributed to the diversity of its Tribal representation. The Albuquerque Indian Health Center is an ambulatory care center with approximately 100,000 patient visits per year.

The PGY1 Pharmacy Residency Program at Albuquerque Indian Health Center will provide learning and training environments designed to advance the practice of post-graduate pharmacists and prepare them for direct patient care positions within public health. A graduate of this residency program will be qualified to serve as a clinical pharmacist in ambulatory care and have the opportunity to gain licensure as a Pharmacist Clinician within the state of New Mexico. Graduates of this program will also have a firm grasp of management responsibilities and the pharmacist’s role in public health and the Native American community. The residency program will serve as a strong foundation for career advancement as a pharmacist within the United States Public Health Service and/or Indian Health Service.

Rotational Experience Opportunities
Our program is a 12-month postgraduate curriculum that offers training opportunities in family practice, chronic disease state management, anticoagulation, diabetes care, smoking cessation, pharmacy teaching, administration, controlled substance management, drug information, experiential learning opportunities with licensed Pharmacist Clinicians, antimicrobial stewardship and other elective opportunities in internal medicine and infectious disease. The resident also has the opportunity to complete a Pharmacy Teaching Certificate Program with the University of New Mexico (UNM) and participate in weekly journal clubs with the area VA Medical Center in Albuquerque. Residents will gain the necessary experience and develop critical thinking skills needed to move forward in the ever changing world of pharmacy practice.

Special Features
AIHC is a five minute walking distance from UNM campus and the Health Sciences Center. The resident can enjoy cultural activities within the city at Old Town or in the 19 Pueblos located in New Mexico. Residents are encouraged to attend cultural activites and to be involved within the community. It is a short drive to National Parks, Santa Fe, Taos, ski resorts, hiking, biking, and outdoor activities. Albuquerque is also home of the popular annual International Balloon Fiesta and famous green chili.

Santa Fe Indian Health Service Hospital

Director of Pharmacy
CAPT Keith Adcock

Residency Program Director
LCDR Trey (Dewey) Foutz, PharmD, MBA

Type of Training Site
Primarily Ambulatory Care and Hospital

Accreditation
ASHP accredited residency program

Facility Information
The Santa Fe Service Unit facilities consist of the Santa Fe Indian Hospital and health clinics located in Santa Clara, San Felipe and Cochiti Pueblos. The Service Unit serves nine Pueblos: Cochiti, Nambe, Pojoaque, San Ildefonso, San Felipe, San Juan, Santa Clara, Santo Domingo, and Tesuque. A wide range of ambulatory care services are offered at all facilities through a combination of direct services and contract care providers. In addition to general outpatient care, the Santa Fe Service Unit facilities provide dental services, health education, nutrition services, behavioral health services, public health nursing, community diabetes education, physical therapy, contract care, environmental health services, and sanitation services. Specialty clinics focus on women's health, diabetes, pediatrics, and wellness. Additionally, each facility works closely with tribal governments and other programs in community outreach efforts focusing on health promotion and disease prevention.

Rotational Experience Opportunities
Ambulatory care, hospital pharmacy practice, internal medicine, drug information, pharmacy practice management, diabetes management, health promotion/disease prevention, project management, pediatrics, informatics, epidemiology, and opportunities to independently manage patients in anticoagulation, tobacco cessation, and hepatitis C clinic.

Special Features
Santa Fe is located 55 miles north of Albuquerque and Kirtland Air Force Base. Situated in the foothills of the southern Rocky Mountains, it is known as "the City Different" with its Indian-Spanish architecture, narrow winding streets, world renowned galleries and museums, opera house, boutiques, restaurants, and cultural activities. To the north of Santa Fe are the Pueblos of San Juan, San Ildefonso, Nambe, Pojoaque, Tesuque, and Santa Clara. Located to the south of the city are the Pueblos of Cochiti, Santo Domingo, and San Felipe. The landscape encircling these communities is spectacularly beautiful, offering breath-taking views of the Sangre de Cristo and Jemez Mountains. Santa Fe is known for its ideal climate and sunny days, which average 300 per year. Ski Santa Fe opens from Thanksgiving through Easter and there is hiking and biking year round, nearby fly fishing and natural hot springs, as well as various other outdoor activities in the area.

Cass Lake Indian Health Service Hospital

Director of Pharmacy
CDR Joanna Ferraro, PharmD, BCACP

Residency Program Director
LCDR Rachel Washburn, PharmD, BCPS, NCPS

Type of Training Site
Ambulatory Care

Positions
1

Accreditation
Applying for ASHP pre-candidate status, first resident anticipated July 2019

Facility Information
The Cass Lake Indian Health Service Hospital is a Federal Public Health Service facility operating as a Critical Access Hospital and Outpatient Ambulatory Care Clinic. The facility delivers many outpatient services to over 12,000 individuals including medical, dental, pharmacy, laboratory, radiology, physical therapy, audiology, podiatry, and optometry. Cass Lake IHS also provides patients with 24/7 access to emergency department care. In addition, Cass Lake IHS collaborates with several Leech Lake Band of Ojibwe tribal programs including behavioral health, substance abuse, diabetes program, public health nursing, and community based clinics on the reservation.

Rotational Experience Opportunities
The Cass Lake PGY-1 Residency Program will have a primary focus in ambulatory care. Residents will have the opportunity to become fully credentialed and privileged members of the medical staff. Rotational experiences may include disease state management in anticoagulation, asthma/COPD, nicotine cessation, and Hepatitis C. Other experiences will also include administration, information technology, hospital, and community outreach.

Special Features
The Cass Lake IHS is located 15 miles south of Bemidji, MN and 4 hours north of Minneapolis/St. Paul, MN. There are many year-round opportunities to stay active, especially if you love the outdoors. Summertime highlights include fishing, boating, biking, camping, hiking and wintertime brings cross country skiing, downhill skiing, snowmobiling, snowshoeing, curling, etc. The area also provides unique art, entertainment, and cultural events. You will find yourself captivated by the beauty of what Northern Minnesota has to offer.

Red Lake Hospital

Director of Pharmacy
CAPT Cynthia Gunderson, PharmD

Residency Program Director
CDR Kailee Fretland, PharmD, BCPS, NCPS

Type of Training Site
Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
The Red Lake Indian Health Service Hospital is a Federal and Tribal health center providing high quality health care including outpatient services, emergency department, hospital, and long-term care on the Red Lake Nation in Northern Minnesota. The pharmacists are fully credentialed and privileged as Hospital Medical Staff members.

https://www.facebook.com/RedLakeIHS/

Rotational Experience Opportunities
The Red Lake PGY-1 Residency Program is focused on ambulatory pharmacy practice. The Red Lake Pharmacy has a robust pharmacy primary care model under which privileged clinical pharmacists practice at the top of their licensure providing disease state management for several chronic conditions including diabetes, hypertension, hyperlipidemia, hypothyroidism, nicotine cessation, asthma/COPD, anticoagulation, hepatitis C, and behavioral health. Residents will be trained and privileged as a clinical pharmacist and have required learning experiences in pharmacy primary care and anticoagulation.



Additional experiences will include longitudinal public health initiatives to expose the resident to health disparities, community collaborations and population health. The resident will also have experiences in patient care (OTC, immunizations, harm reduction with naloxone, spirometry, diabetes education, and medication counseling), administration, staffing, and precepting. Elective learning experiences will be tailored to the resident's interests and may include infectious disease, antibiotic stewardship, palliative/end of life care and long-term care, pain management, behavioral health, and medication assisted treatment.

Special Features
The Red Lake Nation is located 35 miles north of Bemidji, MN and 4 hours north of Minneapolis/St. Paul, MN. If you are looking for outdoor activities, you have found the right location with beautiful lakes for fishing and recreation, and abundant trails for biking, hiking, and skiing. Bemidji is the first city on the Mississippi, is home to a diverse community including Bemidji State University and Northwest Technical College, and was recently named Minnesota Monthly's "Best Minnesota Town."

Quentin N. Burdick Memorial Health Care Facility

Director of Pharmacy
LCDR Tyler Lannoye, PharmD

Residency Program Director
LT Ken Knutson, PharmD

Type of Training Site
Ambulatory Care

Positions
1

Accreditation
Inaugural residency year; ASHP accreditation is pending

Facility Information
The Quentin N. Burdick Memorial Health Care Facility is located in Belcourt, ND, and serves the Turtle Mountain Band of Chippewa Indians, a tribe with over 30,000 enrolled members and approximately 16,500 of those members living on or near reservation lands. Hospital services include women’s health, pediatric care, general surgery, behavioral health, podiatry, physical therapy, respiratory therapy, and public health nursing. We also have a dental clinic, eye clinic, and Trinity-run dialysis unit on site, as well as same day clinic services and an active emergency department. The inpatient ward has 25 full-admit beds.

The pharmacy processes 700+ prescriptions daily and has implemented the centralized mail-order pharmacy (CMOP) program in conjunction with the VA. Our pharmacy-run clinics include immunizations, anticoagulation, diabetes, hepatitis C, tobacco cessation, and asthma. We also have one full-time pharmacist in our primary care clinic to perform drug information, counseling, and medication reconciliation services.

Rotational Experience Opportunities
The resident will spend a considerable amount of time working in the various pharmacy-run clinics, collaborating with providers in the primary care clinic, and providing services as a member of the multidisciplinary inpatient care team. Unique opportunities to work with public health nursing and the dialysis center in the community will also be afforded to the resident. The resident will gain knowledge in pharmacy operations, administration, and informatics fields. When the opportunity arises, residents will be able to mentor pharmacy students rotating through our site.

Special Features
Belcourt is 83 miles from Devils Lake, ND, home to world-class fishing, abundant wildlife, and ample other outdoor activities; 30 miles from the International Peace Gardens; 42 miles from the Lake Metigoshe State Park; 45 miles from Rugby, ND, the Geographical Center of North America; and a day’s drive to major cities such as Minneapolis, MN, (482 miles) and Rapid City, SD, (508 miles).

Cherokee Indian Hospital

Director of Pharmacy
CDR Jason White, PharmD, BCACP

Residency Program Director
LCDR Christopher McKnight, PharmD, BCPS, NCPS

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
Cherokee Indian Hospital is a family practice based hospital and clinic located on the Cherokee Indian Reservation in western North Carolina. It serves approximately 14,000 Native Americans across a five county area through a variety of programs funded and operated through both the Indian Health Service and the Tribal Health Delivery System.

Rotational Experience Opportunities
Cherokee Indian Hospital is a tier three Patient Centered Medical Home. The resident gains considerable experience in the ambulatory care realm by working as an integral member of an interdisciplinary health care team in the primary care clinics. The resident also rotates through the pharmacy-based anticoagulation clinic, as well as serves as a case manager for the chronic pain program. In addition, the resident will develop a solid foundation in acute care pharmacotherapy with inpatient and emergency medicine experience, and will gain knowledge in pharmacy operations. Rounding out the experience are the development of skills in information technology, the chance to grow as a leader and mentor pharmacy students from dozens of schools across the US, and the chance to contribute to the mission of the Indian Health Service and Cherokee Indian hospital through the development and implementation of an impactful residency project.

Special Features
Cherokee is located approximately 2-3 hours from Atlanta, GA, Knoxville, TN, and Greenville, SC. The facility is located next to the Great Smoky Mountains National Park. The park’s 55,000 acres and surrounding areas of forest and rivers offer a multitude of outdoor activities including hiking, camping, mountain biking, horseback riding, boating, tubing, kayaking, and fishing. Pigeon Forge and Gatlinburg TN are located 30 miles from Cherokee and offer a wide variety of activities such as outlet mall shopping, amusement parks, professional shows, and comedy clubs. Asheville is located 45 minutes from Cherokee and is a rich cultural center, full of wonderful music, history, and shopping. Cherokee, NC is located in one of the most scenic areas of the country.

Crownpoint Healthcare Facility

Director of Pharmacy
CDR Jefferson Fredy, PharmD, BCPS

Residency Program Director
LCDR Keith Warshany, PharmD, PhC, BCPS, NCPS-PP

Type of Training Site
Hospital and Ambulatory Care

Positions
1-2

Accreditation
ASHP accredited residency program

Facility Information
Crownpoint Healthcare Facility is a 32-bed CMS-accredited facility providing ambulatory and inpatient services for over 20,000 Navajo people. The average daily inpatient census is six. The facility receives approximately 55,000 outpatient visits, 6000 emergency visits, and 300 obstetric visits annually. Outpatient services are also provided at two satellite clinics, Pueblo Pintado Clinic, located 45 miles to the east, and Thoreau Clinic, 25 miles to the south.

Rotational Experience Opportunities
The resident will provide clinical services in pharmacy-managed diabetes, pain, and anticoagulation clinics. The resident will gain experiences in pharmacy administration, pharmacy informatics, infectious disease, nephrology, diabetes education, disease prevention/health promotion, and emergency medicine. Experiences also include drug utilization review, P&T committee involvement, policy writing, performance improvement projects, drug information, and kinetics. The resident will prepare and present community-based, educational lectures to advance the health of the Navajo people.

During rotational, extended, and longitudinal practice experiences, the pharmacy resident will provide proficient patient care through direct interaction with interdisciplinary teams to achieve optimal drug therapy outcomes. The resident will be responsible for promoting safe and effective drug usage by educating other healthcare professionals through disease state and treatment guideline reviews. The resident will demonstrate maturity by developing a personal philosophy of practice and exhibiting commitment to the profession. The resident will have also have opportunities to precept pharmacy students from Temple University, University of the Sciences in Philadelphia, and Rutgers University.

A unique elective opportunity of our residency program is the Pharmacist Clinician practice experience, in which the resident will become a certified Pharmacist Clinician. Time will be allotted for the pharmacy resident to participate in and complete the Physical Assessment for the Pharmacist Clinician course at the University of New Mexico College of Pharmacy. The pharmacy resident will have ample time to work closely with physicians to successfully fulfill the requirement of a 150 hour, 300 patient contact preceptorship.

Special Features
Pharmacists at Crownpoint Healthcare facility enjoy unmatched camaraderie with other members of the health care team. This results in a true multi-disciplinary environment where pharmacists work very closely with physicians, nurses, and allied health professionals who are also passionate about providing the best patient care possible. Our patients are a humble and gracious people who are appreciative and receptive to the services offered by pharmacists. Opportunities for professional development and making patient care improvements are limited only by an individual’s own energy and motivation. Working at Crownpoint is very challenging, but also highly rewarding. While the work environment can be demanding and fast-paced, the small community of Crownpoint (population 3,000) is peaceful and quiet. Staff at Crownpoint organize activities such as potluck dinners, community service activities, yoga, and soccer.

In this high-desert climate, opportunities for outdoor activities and fitness abound. Many locations within Crownpoint are suitable for bicycling, hiking, and jogging, and are within walking distance of employee housing. Photography, pets, and skiing are popular hobbies. While Crownpoint does not receive much snow in the winter, many ski areas are accessible for day trips or weekend trips. History and archaeology buffs will delight in the mysteries of Chaco Canyon National Historical Park and Mesa Verde National Park.

Fort Defiance Indian Hospital

Director of Pharmacy
Brenda J. Benally, DPh

Residency Program Director
LCDR Tabitha Dillinger, PharmD, BCPS, BC-ADM

Associate Residency Director
Lo-An (Thu) Tran, PharmD

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP-Accredited PGY-1 Residency

Facility Information
Fort Defiance Indian Hospital is located on the Navajo Reservation in northern Arizona, 15 minutes north of Window Rock, Arizona (the capitol of the Navajo Nation). Fort Defiance Indian Hospital is licensed for 56 inpatient beds including: an Intensive Care Unit, Medical-Surgical Unit, OB/GYN Ward and an inpatient Adolescent Psychiatric Care Unit. The 65-exam room Ambulatory Care Center and Dental Clinic accumulates over 235,000 Outpatient visits yearly. FDIH has a 24/7 Level 2 Emergency Room. The hospital is a 245,000 square foot facility which opened in 2002.

Residents completing this program will have developed the necessary skills to become a proficient pharmacotherapy generalist in both inpatient and outpatient settings.

Rotational Experience Opportunities
Clinical Pharmacy services including pharmacy-based anticoagulation, diabetes, tobacco cessation, and asthma clinics. Decentralized pharmacy in pediatrics, emergency medicine, and primary care. Other clinical rotations include inpatient care, antimicrobial stewardship, drug information and administration, and informatics. If the resident is interested, additional experience in medication tray fill for a special education/ long term care facility, and medication reconciliation with dialysis patients are available.

Special Features
Fort Defiance is located in northeastern Arizona in a high-desert climate. It is ideal for many outdoor activities including hiking and biking. Many ski areas are located within a day’s drive of Fort Defiance including areas in New Mexico, Colorado and Utah. In addition, Fort Defiance is within driving distance of the metropolitan areas of Phoenix, Flagstaff, and Albuquerque.

Gallup Indian Medical Center

Director of Pharmacy
Vicky Chavez, PharmD, BCPS

Residency Program Director
CDR Ray Branson, PharmD, BCPS, NCPS

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
GIMC serves as a referral center for all hospitals on the Navajo Nation, as well as, primary and acute care services for the Indian population of the Gallup service area serving an eligible area population in excess of 200,000.

Rotational Experience Opportunities
Pharmacists completing this residency will be accountable for achieving optimal drug therapy outcomes as members of the health care team. These pharmacists will exercise skill in educating other health care professionals, patients, and the community on drug-related topics. They will demonstrate professional maturity by following a personal philosophy of practice, monitoring their own performance, exhibiting commitment to the profession, and exercising leadership in managing the medication-use system.

The residency provides interdisciplinary opportunities in pharmacist-managed clinics in anticoagulation, pain, compliance (HIV), diabetes, asthma, and nephrology clinics. Inpatient and outpatient clinical pharmacy services are provided for internal medicine, surgery, family medicine, orthopedics, ENT, intensive care, pediatrics and ob-gyn. Drug information and administrative activities include Pharmacy and Therapeutics committee, ADRs, formulary management, medication usage evaluation and budget management. Formal presentations, in-services and a major project are also required.

Special Features
Situated at an altitude of 6500 feet, the high desert climate allows for the enjoyment of many outdoor recreational opportunities.

Northern Navajo Medical Center

Director of Pharmacy
Thad Koppenhafer, PharmD

Residency Program Director
CDR Kevin McDermott, PharmD, NCPS-PP, BCPS, BCACP

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
The Northern Navajo Medical Center (NNMC), a 75-bed hospital, provides comprehensive inpatient and outpatient care services. The medical center is designated a level II trauma center with a five bed intensive care unit. NNMC serves as a referral center for reservation-based hospitals and clinics in New Mexico, Arizona, Colorado and Utah.

Rotational Experience Opportunities
Inpatient

This experience will provide the residents with opportunities to train in the Medical/Surgical ward, Pediatric ward, and ICU. While on this rotation, residents will attend medical rounds and provide recommendations on patient care. Additionally, residents shall monitor all admitted patients and make recommendations regarding therapy to the attending physician based on lab values, test results, and patient history. Residents shall be taught to initiate and monitor medications requested by providers including but not limited to vancomycin, gentamicin, and warfarin. Residents will be trained and expected to attend all codes (adult and pediatric) throughout the hospital. ACLS training shall be provided as part of this rotation.

Outpatient

Resident experiences include patient counseling, practicing in a medical home model setting, and adjusting medications based on renal/hepatic function per clinical judgment. Significant opportunities exist during this rotation to positively intervene and make recommendations on acute and chronic disease management.

Ambulatory Care Clinic

The residents shall train in the Ambulatory Care clinics as part of a longitudinal rotation. Core clinic experiences include adult asthma, seizure, anticoagulation, urgent care, and chronic disease management. Other opportunities include HIV/Hepatitis C Clinic and psychiatry. All core clinics include full prescriptive authority, ordering and interpreting all labs and tests required for treatment, and performing pertinent physical examinations. Physical examinations taught include pulmonary, cardiac, neurological, HEENT, abdominal, and musculoskeletal systems. Residents shall gain experience in managing diseases including but not limited to diabetes, hypertension, hyperlipidemia, hyper/hypothyroidism, asthma, heart failure, pain, HIV/Hep C, GERD, seasonal allergies, and epilepsy.



Intensive Rotations

Four to six week intensive care blocks of training in the following areas: infectious disease, diabetes, and elective rotations.

Longitudinal Rotations

Year-long training experiences in ambulatory care, managed care, student program, inpatient, and outpatient.

Other Training

Residents shall be sent to Officer Basic Course (if Commissioned Corps), Indian Health Service Pharmacy Practice Training Program, and ASHP mid-year meeting. As funding permits, residents shall be sent to the New Mexico Pharmacist Clinician physical assessment training program.

Special Features
Surrounded by a land of immense natural beauty marked by towering mesas and bordered by scenic mountains, the community of Shiprock is situated on the banks of the San Juan river. Many world-class attractions are within 90 miles of Shiprock including the mountain bike meccas of Moab, Utah and Durango, Colorado. Winter sports destinations include the Rocky Mountain ski areas of Purgatory, Telluride, and Wolf Creek.

Tuba City Regional Health Care Corporation

Director of Pharmacy
James Brant Young, RPh

Residency Program Director
CAPT Mary Byrne, PharmD, BCPS

Type of Training Site
Hospital and Ambulatory

Accreditation
ASHP accredited PGY-1 residency

Facility Information
Tuba City Regional Health Care Corporation is a 65-bed regional hospital with two satellite outpatient clinics serving the needs of 35,000 Hopi, Navajo, and Paiute Tribal Members.

Rotational Experience Opportunities
Internal medicine, family medicine, ambulatory care, intensive care, pediatrics, OB/GYN, optometry/ophthalmology, mental health services, pharmacy administration, and pharmacy informatics. The resident will be involved in Pharmacy and Therapeutics Committee meetings, with emphasis placed on drug policy development, formulary management and medication use evaluation.

The pharmacy resident will provide proficient patient care through direct interaction with interdisciplinary teams to achieve optimal drug therapy outcomes. He/She will be responsible for promoting safe and effective drug usage by educating other healthcare professionals, patients, and the community on drug therapy-related topics. He/She will demonstrate maturity by developing a personal philosophy of practice and exhibiting commitment to the profession.

The resident will be involved in performing rotational, extended, and longitudinal care. In addition to the clinical aspects of pharmacy, the program will also give experience to the administrative side which includes P&T involvement and performance improvement projects. The resident will also be trained in diabetes education, immunization provision, anticoagulation, and geriatric clinic services.

Special Features
Tuba City is located on the western part of the Navajo Reservation approximately 70 miles north of Flagstaff, Arizona. It is a small town of 8,000 people. Tuba City is a small town but with many opportunities for outdoor recreation, cultural experiences and friendship with fascinating and adventurous people. Camping, hiking, downhill and cross-country skiing, white water rafting and kayaking are all available and very popular among Tuba City employees. The geologic wonders of the Colorado plateau nearby include the Grand Canyon, Bryce and Zion National Parks, and Lake Powell.

Chickasaw Nation Medical Center

Director of Pharmacy
Travis Freeze PharmD, MBA, NCPS

Residency Program Director
Stacy Gee, PharmD, BCACP

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP-accredited PGY-1 residency program

Facility Information
The Chickasaw Nation Division of Health is made up of Chickasaw Nation Medical Center located in Ada and four outlying clinics in Purcell, Tishomingo, and Ardmore. The Chickasaw Division of Health provides services to over 40,000 Native Americans in south central Oklahoma. The Chickasaw Nation Medical Center is a 370,000 square-foot state-of-the-art health care facility. Features include a 72-bed hospital, level 3 emergency department, ambulatory care facility, diabetes care center, dental clinic, diagnostic imaging center, women's health center, administrative offices, and tribal health programs. In Fiscal Year 2014, there were 574,000 outpatient visits across all facilities, 3,655 inpatient visits, and 2,394 pharmacy therapeutic visits.

Rotational Experience Opportunities
Pharmacy-based anticoagulation and lipid clinics, diabetes education, pharmacokinetics, drug information, hypertension, journal club, community pharmacy, and administration.

Special Features
Ada is located 81 miles from Oklahoma City and 133 miles from Dallas, Texas, so it provides the advantages of small town life, but big-city amenities are just a short drive away. Ada is home to Wintersmith park for year round enjoyment. Ada also has a country club for golf and tennis fans.

This is a tribal program that has a separate personnel system and application process. Contact the program for further information.

CHICKASAW IS A TRIBAL LOCATION AND UTILIZES AN ALTERNATE HIRING/APPLICATION PROCESS FOR RESIDENCY THAN THE OTHER I.H.S. SITES. CHICKASAW IS PARTICIPATING IN THE ASHP MATCH Exit Disclaimer: You Are Leaving www.ihs.gov .

Cherokee Nation W.W. Hastings Hostipal

Director of Pharmacy
Jeff Sanders, DPh

Residency Program Director
CAPT Kari Barrett, PharmD, MBA, BCPS

Associate Residency Director
LCDR Sarah Watkins, PharmD, BCPS

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
Cherokee Nation W.W. Hastings Hospital is the largest tribal facility in Oklahoma and is one of the largest in the Indian Health Service system with over 310,000 outpatient visits and 3400 admissions per year.

Rotational Experience Opportunities
Emphasis in ambulatory care, also includes nutritional support, pharmacokinetics, drug information, internal medicine, antimicrobial stewardship, pediatrics and administration.

Special Features
Cherokee Nation W.W. Hastings Hospital's residency program has been established longer than any other in the IHS. Located in the foothills of the Ozarks, surrounded by lakes, trees, and scenic rivers, Tahlequah, Oklahoma is the capital of the Cherokee Nation and was voted one of the Top 100 Best Small Towns in America. It features the great combination of rural living with easy access to metropolitan areas only one hour away.

Choctaw Nation Health Care Center

Director of Pharmacy
CAPT Clint Bullock, DPh

Residency Program Director
LCDR Ashlee Harden, PharmD

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
The Choctaw Nation Health Care Center is a 145,000 square foot health facility with 37 hospital beds and 52 outpatient exam rooms. There are over 250,000 outpatient visits each year. The Center provides health care services for 10.5 counties of southeastern Oklahoma. There are six outpatient clinics and a diabetes center.

Rotational Experience Opportunities
Nutritional support, pharmacokinetics, drug information, anticoagulation, hypertension, tobacco cessation clinic, medication therapy management, diabetes education, internal medicine, drug information and administration. Focus on the provision of pharmaceutical care in the Indian Health Service.

Special Features
The Choctaw Nation Health Care Center has state-of-the-art equipment and furnishings. The facility has affiliations with both state colleges of pharmacy.

Choctaw Nation Web Site

http://www.choctawnation.com/index.cfm?fuseaction=home

Claremore Indian Health Care Facility

Director of Pharmacy
CAPT Michael Lee, PharmD, NCPS, BCPS

Residency Program Director
CAPT Timothy Murray, PharmD, BCPS-AQ Cardiology, NCPS

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited residency program

Facility Information
Claremore Comprehensive Indian Health Care Facility provides health services to 90, 000 Native Americans in northeast Oklahoma. Health Services include outpatient and inpatient services.

Rotational Experience Opportunities
Pharmacy-based anticoagulation clinic, cardiovascular risk reduction clinic, Congestive Heart Failure Clinic, Smoking Cessation Clinic, Pharmacokinetic service, Nutrition service, Diabetes clinic, pharmacy Internal Medicine service, drug information, journal club and pharmacy administration.

Special Features
Claremore Indian Hospital is located 30 miles northeast of Tulsa, OK providing the resident opportunities to enjoy many cultural and historical activities, shopping, amusement parks and outdoor activities. The facility has affiliations with both of Oklahoma's Colleges of Pharmacy.

Lawton Indian Hospital

Director of Pharmacy
CDR Natalie Robertson, DPh

Residency Program Director
LCDR Jessica Steinert, PharmD

Type of Training Site
Hospital and Ambulatory Care

Accreditation
Applying for ASHP pre-candidate status, first resident anticipated July 2016

Facility Information
Lawton Indian Hospital is a full service hospital that provides inpatient care for general surgery, gynecology, internal medicine, and pediatrics. The hospital also provides outpatient care in medicine, dentistry, nursing, pharmacy, radiology, laboratory, physical therapy, optometry, wound care, podiatry, and audiology. In addition to inpatient and outpatient pharmacy practice, the pharmacy department at LIH offers patients ambulatory care services in anticoagulation, tobacco cessation, and chronic hepatitis C.

Rotational Experience Opportunities
The LIH residency will provide the resident with rotational experiences in a variety of areas including: pharmacy-based anticoagulation, smoking cessation, and hepatitis C clinics, inpatient, preceptorship, pharmacy billing, medication therapy management, and leadership.

Special Features
Lawton is Oklahoma’s third largest metropolitan area with a population of roughly 100,000 people. The city of Lawton is located 85 miles from Oklahoma City and 190 miles from Tulsa, OK. These prime locations are great for shopping, entertainment, and big city amenities. Southwest Oklahoma offers beautiful scenery with easy access to the Wichita Mountain Wildlife refuge and lakes for outdoor activities (hiking, kayaking, fishing etc).

Phoenix Indian Medical Center

Director of Pharmacy
CAPT Lisa Olson, PharmD, BCPS

Residency Program Director
CDR Kimberly Langley, PharmD, MBA, BCPS

Type of Training Site
Hospital and Ambulatory Care

Accreditation
ASHP accredited PGY-1 residency program

Facility Information
Phoenix Indian Medical Center (PIMC) serves as a referral center for reservation-based hospitals and clinics in Arizona, Nevada and Utah as well as primary and acute care services for the urban Indian population of the Phoenix metropolitan area.

Rotational Experience Opportunities
For the 2018-2019 residency training year there will be 2 positions available: a 1-year traditional resident and a 2-year non-traditional resident. Approximately 2/3 of this program is ambulatory care, drug information & informatics, and pharmacy administration / management, with the remaining 1/3 spent on inpatient learning experiences (inpatient medicine, surgery, obstetrics, newborn nursery and critical care). There are many outpatient pharmacy-based clinics where pharmacists serve as the primary provider, including anticoagulation, tobacco cessation, immunizations, latent tuberculosis treatment services, cardiovascular risk reduction, and naloxone clinics. Residents are also oriented to oncology, HIV/AIDS, Hepatitis C, Antimicrobial Stewardship, diabetes, rheumatology, dermatology, endocrinology, and neurology specialty providers. During the year-long administrative portion of the program, residents can expect to participate in adverse reaction tracking, Pharmacy & Therapeutics Committee activities, drug utilization reviews, performance improvement projects, drug policy development, personnel management and leadership training. Residents are also given the opportunity to complete an elective rotation of their choice to further their residency learning experience. A major, longitudinal residency research project will be required to complete the program, including poster presentation at the ASHP Midyear Clinical Meeting. The residents will be provided the opportunity to complete a longitudinal teaching certification through a university affiliate.

Special Features
Residents of the “Valley of the Sun” enjoy mild winters and year-round recreational opportunities. Abundant nightlife, theater, and professional sporting events can occasionally be engaged in during the busy residency year.

Whiteriver Indian Health Service Hospital

Director of Pharmacy
CAPT Elizabeth Helm, PharmD, BCPS, NCPS

Residency Program Director
LCDR Amy Nguyen, PharmD, Ph.C., BCPS, NCPS

Type of Training Site
Hospital and Ambulatory Care

Positions
1

Accreditation
ASHP accredited residency program

Facility Information
Whiteriver Indian Health Hospital provides services to over 20,000 Native Americans throughout the beautiful White Mountains of Arizona. The facility receives over 120,000 ambulatory visits and 2,000 admissions annually. The hospital has fully implemented Computer Physician Order Entry (CPOE) and Electronic Health Record (EHR) throughout the facility and have implemented Bar Code Medication Administration (BCMA) in the inpatient care areas.

Rotational Experience Opportunities
Our program is a 12 month Post Graduate Year 1 Training at the Whiteriver Indian Health Hospital. The goal of the residency program is to develop the residents to provide comprehensive direct patient care as a member of the health care team. The resident will provide services in a variety of pharmacy based clinics such as anticoagulation, erythropoietin for chronic kidney disease, immunization clinic, pain management and chronic disease therapy management. The resident will also have experience in administration, antimicrobial stewardship, internal medicine, improvements of patient care (IPC) clinic and emergency medicine. Throughout the 12 month experience, the resident will be involved in direct patient care, leading P&T topic discussions, medication use evaluation, providing continuing education to both the public and health care professionals, and precepting pharmacy students. In addition, the resident will initiate and implement a residency project as one of the longitudinal experiences, and is required to write a manuscript prior to the completion of the residency program.

Special Features
Since 1989, Whiteriver Indian Health Hospital has had an established ASHP accredited residency program. We are located in the northern area of Arizona surrounded by lakes and pine trees. During the summer months, many people come for the cool weather to fish, hike, camp and bike; and during the winter, people come to for the wonderful skiing/snowboarding opportunities at the Sunrise Ski Resort to name a few of the activities.

Warm Springs Health and Wellness Center

Director of Pharmacy
CAPT Chi Duong, PharmD, BCPS, NCPS

Residency Program Director
LCDR Jessie Casberg, PharmD, BCPS

Type of Training Site
Ambulatory Care

Accreditation
ASHP accredited residency program AAAHC accredited facility

Facility Information
Warm Springs Health and Wellness Center was built in 1991 and is a busy ambulatory care center with over 72,000 patient visits each year. We primarily serve the Warm Springs, Wasco, and Paiute tribes of central Oregon. The medical staff is very stable and a very amiable relationship exists between the medical and pharmacy staff. The clinic takes a multi- disciplinary approach to patient care and the Electronic Health Record is fully implemented at our site.

Rotational Experience Opportunities
The Warm Springs Pharmacy Practice Residency Program is designed to prepare the Resident to succeed in a career with the Indian Health Service. The opportunities for pharmacists in the Indian Health Service are diverse and include, but are not limited to: clinical pharmacy, administrative pharmacy, inpatient therapy, ambulatory care, medical informatics, formulary/ budgetary management, and program oversight. This Pharmacy Practice Residency is predominately an Ambulatory Pharmacy based program, but does incorporate a hospital rotation at a rural hospital located in Madras, OR. The Resident will have the opportunity to practice in expanded roles through participation in pharmacy-run clinics with limited prescribing privileges (standing orders). Current pharmacy-run clinics include anticoagulation, hypertension, tobacco cessation, Alcohol abstinence as well as Adult Immunizations. The multi-disciplinary approach to patient care affords the Resident an opportunity to work closely with providers, nurses, laboratory technicians, dentists, an optometrist, public health nurses, community health representatives, quality improvement/risk management, IT professionals, etc. This site is for the Resident who wants to experience a comprehensive approach to health care in a supportive, multi-disciplinary environment.

Special Features
Warm Springs has a very stable pharmacy staff and a great working relationship with the medical staff. Several pharmacy-run clinics are well established and more are being developed. Pharmacy students from a variety of Schools of Pharmacy come to Warm Springs for 4 to 6 week rotations throughout the year. Drug information resources and computer support are readily available. Warm Springs served as a beta test site for the Electronic Health Record and it is fully implemented throughout the facility. Warm Springs is located in the high desert of central Oregon just east of the Cascade mountain range with less than 12 inches of precipitation and 300 days of sunshine each year. The location is excellent with many outdoor activities at your backdoor – skiing, snowshoeing, hiking, biking, camping, rock climbing, etc.

Yakama Indian Health Center

Director of Pharmacy
CDR Mark M. Iseri, RPh, MPA

Residency Program Director
LCDR Scott Wiegand, PharmD, BCPS

Type of Training Site
Ambulatory Care

Positions
1

Accreditation
Inaugural residency year; ASHP accreditation is pending

Facility Information
The Yakama Indian Health Center, located on the Yakama Indian Reservation in Toppenish Washington, is a primary care clinic serving a population of approximately 14,000 American Indians and Alaskan Natives. The Accreditation Association for Ambulatory Health Care (AAAHC) accredited facility opened in 1990 and houses tribal and IHS operated programs offering a full range of ambulatory primary care services.



The pharmacy department has 6 pharmacy-based clinic services in which pharmacists are granted authority to prescribe medications, order and interpret laboratory tests, perform limited patient assessment and provide immunizations under a collaborative practice agreement. These clinics include the Healthy Heart Program (comprising the diabetes, hypertension, and dyslipidemia clinics), anticoagulation, asthma, and tobacco cessation. In 2009, the Healthy Heart Program received the Indian Health Service National Director’s Award and in 2011 was awarded the American Diabetes Association’s Native American Initiatives John Pipe Voices for Change Award. More recently, the Healthy Heart Program was featured by the Centers for Disease Control (CDC) in their Public Health Practice Stories from the Field series in 2015.

Rotational Experience Opportunities
Our program is a 12-month post-graduate curriculum that offers training opportunities in chronic disease state management, diabetes care, hypertension, hyperlipidemia, asthma, anticoagulation, pharmacy informatics, tobacco cessation, adult immunizations, pharmacy practice, administration, formulary management, and drug information/research design. Residents will gain the necessary experience and develop critical thinking skills needed to become an independent clinician and move forward in the ever changing world of pharmacy practice.

Special Features
Toppenish is located in the heart of central Washington within the Yakima Valley. This area of Washington features excellent weather with an average of 201 days of sunshine and four distinct seasons including snowy winters and warm summers. As the agricultural center of the Pacific Northwest, there is an abundance of local wineries, breweries, and farmers markets to enjoy. Close to both Snoqualmie Pass and White Pass, the Yakima Valley area offers great winter sports opportunities. There are also many State and National parks within 1 to 2 hours to enjoy the outdoor summer activities for hiking, fishing, and hunting. The Seattle metro area, located approximately 2.5 hours away, offers the opportunity to visit the legendary Seattle Space Needle, Pikes Place Market, EMP music museum, and many more attractions.

Tohono O'odham Nation (TON) Sells Hospital

Director of Pharmacy
LCDR Kelly Pak, PharmD, MBA, CDE

Residency Program Director
LCDR Laura Botkins, PharmD, BCACP

Type of Training Site
Hospital and Ambulatory Care

Positions
1

Accreditation
ASHP accredited PGY-1 residency

Facility Information
TON Sells Hospital is a tribally ran 14-bed Joint Commission-accredited facility providing ambulatory, inpatient services, and emergency room (ER) services for over 24,000 Tohono O’dham people. The average daily inpatient census is five. The facility receives approximately 60,000 outpatient visits and 9,000 emergency visits annually. The hospital provides general medical and primary care in an inpatient and outpatient basis and 24 hour ER services. The hospital is affiliated with three TON Healthcare satellite facilities which are all within 60 miles of the hospital; the San Xavier Health Center, a large outpatient facility on the outskirts of Tucson, the Santa Rosa Clinic, a small outpatient facility located in the very rural setting of the north-central sector of the Tohono O'odham Reservation, and the San Simon Health Center located 30 miles east of Ajo Arizona.

Rotational Experience Opportunities
Provide clinical services in pharmacy managed anticoagulation, dyslipidemia, hypertension, diabetes, reactive airway disease, immunization, and improving patient care clinic (IPC). The resident will also have experiences in pharmacy administration, pharmacy informatics, antibiotics stewardship program, infectious disease, diabetes education, disease prevention/health promotion, and emergency medicine. Experiences also include drug utilization review, P&T committee involvement, policy writing, performance improvement projects, drug information, and pharmacokinetics. Each year approximately 24 pharmacy students complete clerkship rotations at our site offering the resident the potential for student and preceptor opportunities. Availability pending, the resident may participate in a teaching certificate rotation in conjunction with the University of Arizona and other Tucson-area residents. The resident will also be introduced to the practices of the other facilities within the Tucson area: San Xavier, Santa Rosa, and San Simon.

Special Features
TON Sells Hospital is located off of SR Hwy 86, 60 miles west of Tucson in the Sells District. In this desert climate surrounded by mountains, opportunities for outdoors activities and fitness abound, such as bicycling, hiking, and jogging. The University of Arizona is located in the city of Tucson and it offers several educational programs and sporting events. The residents will enjoy mild winters and year-round recreational opportunities.