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IHS PGY-2 Pharmacy Residency Programs

Northern Navajo Medical Center

Northern Navajo Medical Center
PO BOX 160 (N Hwy 491)
Shiprock, NM 87420
Phone: 505-368-7250
FAX: 505-368-7260

Director of Pharmacy
Thad Koppenhafer, PharmD

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

Type of Training Site
Ambulatory Care

Requirements
Applicant must have completed a PGY1 residency program

Positions
1 (start on odd years)

Accreditation
ASHP Candidate Status – accrediation survey pending

Facility Information
The Northern Navajo Medical Center serves as a referral center for reservation-based hospitals and clinics in New Mexico, Arizona, Colorado and Utah. Each year NNMC has roughly 133,000 outpatient clinic visits from 68,000 patients not including pharmacy visits.

Goal
Create a well-rounded, confident, and competent pharmacist provider in the AmCare setting.

Vision
National provider shortage is creating an obstacle to chronic disease care. It is the vision of NNMC to fill this gap with qualified pharmacist providers. These providers must be able to assess and manage many chronic diseases as well as evaluate new complaints as these arise. This program will create a training ground for I.H.S. pharmacists to achieve the National Clinical Pharmacist Specialist – Pharmacist Provider (NCPS-PP) and therefore provide the pharmacist with diagnostic privileges. Pharmacists at this level will then be able to assess and treat chronic and acute conditions of all complexities in the AmCare setting.

Rotational Experience Opportunities
Resident will be trained on physical assessments and will perform appropriate examinations. Additionally, he or she will have full prescriptive authority for treatment of disease states.

Chronic Disease Management Clinic
Clinic generally covers the following disease states and related co-morbid conditions: diabetes, hyperlipidemia, hypertension, asthma, COPD, heart failure, gout, hyper/hypothyroid, epilepsy, headaches.

Asthma Clinic
Disease specific treating asthma and co-morbid conditions including seasonal allergies and GERD.

HIV/Hepatitis C
Specialized clinic involving care of these disease states and appropriation of funds to pay for required medications.

Epilepsy
Specialized clinic for the evaluation and treatment of seizure in all age groups.

Anticoagulation
General clinic for the monitoring and adjustment of warfarin, heparin products, and rivaroxaban.

Urgent Care and Family Medicine Same Day Clinics
After significant time in above clinics, the resident shall begin training in these settings to hone skills in evaluating new and acute complaints. After 500 hours of AmCare training the resident may be eligible to staff these clinics.

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. Additionally, resident will be trained in physical assessment by an I.H.S. approved training program.

Surrounding Area
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.

Whiteriver Indian Health Service Hospital

Whiteriver Indian Health Service Hospital
PO Box 860
Whiteriver, AZ 85941
Phone: 928-338-3502
Fax: 928-338-3510

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

Residency Program Director
CDR Rowdy Atkinson, PharmD, BCACP, NCPS, CDE

Residency Program Assistant Director
CDR Hillary Duvivier, PharmD, BCPS, NCPS

Type of Training Site
Ambulatory Care

Requirements
Applicant must have completed a PGY1 residency program

Positions
1

Accreditation
ASHP Pre-candidate status; first resident will start July 2018

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.

Goal
To develop a confident pharmacist provider in a collaborative ambulatory care practice that can provide efficient, effective, evidence-based, patient-centered treatment for chronic illnesses. The resident will be focused on quality improvement by analysis of program metrics to ensure positive impact on patient outcomes. This includes building relationships with our well-established interdisciplinary health care team and to work towards obtaining IHS National Clinical Pharmacy Specialist (NCPS) certification and/or meeting the qualifications to obtain New Mexico Pharmacist Clinician License (PhC) or similar state credentials.

Rotational Experience Opportunities
This Post-Graduate Year 2 Ambulatory Care program at Whiteriver Indian Hospital is a 12 month program. Residents will be trained to provide physical assessments, and work under a collaborative practice agreement for comprehensive treatment of chronic diseases. The Chronic Disease Therapy Management (CDTM) Clinic focuses on the management of diabetes, hyperlipidemia, hypertension, heart failure, chronic pain, rheumatology, anticoagulation, hypothyroidism, tobacco cessation, and immunizations. The resident will have the opportunity to pursue an elective rotation (HIV, Hepatitis C, and/or Dialysis) in addition to block rotations in informatics, urgent care, administration, and drug information. The resident will also be required to initiate and implement a residency project as a longitudinal experience including a written manuscript.

Other Training
Residents shall be sent to Officer Basic Course (if Commissioned Corps), Indian Health Service Applied Clinical Training Program, New Mexico Physical Assessment Course, Indian Health Service Southwest Regional Pharmacy Continuing Education Meeting (QUAD), Southwest States Residency Conference, and ASHP Midyear meetings.

Special Features
Since 1989, Whiteriver Indian Health Hospital has had an established ASHP-accredited PGY1 residency program. This will be the first year of the PGY2 Ambulatory Care residency. We are located in the northern area of Arizona surrounded by lakes and the largest ponderosa pine forest in the nation. During the summer months, many people come for the cool weather to fish, hike, camp and bike; and during the winter, people come for the wonderful skiing/snowboarding opportunities at the Sunrise Ski Resort just to name a few of the activities.