United States Department of Veterans Affairs

Tennessee Valley Healthcare System

PGY2 Resident Rotations

Residents gather together to review information on a patient and learn what goes into determining factors such as dosage or drug selection.

Ambulatory Care PGY2 Residency

Core rotations consist of two month-long experiences in pharmacotherapy clinics that manage diabetes, lipid, and hypertension, anticoagulation, high-risk diabetes group clinic, home-based primary care, lipid clinic, and outpatient chronic pain management. In addition to the experiences available in these established clinics, the resident will also be able to develop, implement, and run their own pharmacotherapy clinic (diabetes, lipid, and hypertensive management), and outpatient chronic pain management clinic throughout the entire residency year. Other required core components are entirely longitudinal and encompass a variety of areas such as research project management, non-formulary medication review, and clinical teaching.

Additionally, each resident has several months of selective and elective rotations.  The selective months will include additional experience in primary care, acute medicine, cardiology, and home-based primary care. Upon completion of the selective rotations, a resident will then have about three additional elective months where they may choose a different rotation, including geriatrics, pharmacoeconomics, acute psychiatry, acute medicine, cardiology critical care, practice management, heart failure clinic, hepatitis C clinic, and dementia clinic or choose to have an additional month of a core or selective rotation as described above.

REQUIRED CORE ROTATIONS 

Primary Care (also a Selective Rotation)

Residents will see scheduled patients in a clinic setting and have the opportunity to develop, implement, and redesign pharmacotherapeutic plans.  The resident will document in computerized progress notes all clinical activities.  Residents will also develop the physical examination skills that are necessary to be an effective clinician in the primary care setting.  Residents will additionally see anticoagulation patients once a week for four hours throughout the month.

Anticoagulation

High-Risk Diabetes Group Clinic

Home Based Primary Care (also a Selective Rotation)

Residents will gain experience performing initial and quarterly chart reviews, participating in interdisciplinary treatment team meetings, visiting veterans in veterans’ homes if desired, completing telephone follow-up calls, acting as the drug expert for HBPC team, and assisting with performance improvement projects as requested.

Lipid Clinic

Outpatient Chronic Pain Management

LONGITUDINAL EXPERIENCE

  • Project Management/Research
  • Anticoagulation
  • Primary Care
  • Non-Formulary Review
  • Teaching
  • High Risk Diabetes Group Clinic
  • Nashville Lipid Clinic
  • Pharmacy Administration
  • Outpatient Chronic Pain Management

ELECTIVE AND SELECTIVE EXPERIENCES

  • Acute Medicine (selective and elective)
  • Cardiology (selective and elective)
  • Pharmacoeconomics/Bone Marrow Transplant
  • Acute Psychiatry
  • Practice Management

Psychiatry PGY2 Residency

To be determined.

This is a new program with the first resident starting in the 2013-2014 class.



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