School of Pharmacy UNIVERSITY OF WISCONSIN - MADISON Meet Our Residents Mariam Khan, Resident at Beaver Dam Hometown Pharmacy University of Arkansas for Medical Sciences (UAMS) College of Pharmacy – PharmD 2018 University of Central Arkansas – BS Psychology, 2012 Residency Project: My residency project is to conduct a feasibility and quality control analyses to assess the strengths and weaknesses of the Evolve Rx program at my pharmacy. Evolve Rx is a program to help patients get back in control of their life and health, and to lose weight by changing their lifestyle. Career Goals: I am really enjoying the chance to learn how to grow as a pharmacist and learning how to implement clinical pharmacy into the retail/independent pharmacy setting. Once I complete my first year of residency with UW, I hope to complete a second year residency in ambulatory care or psychiatry. Our program is so unique and I think I will bring a new perspective to the second year residency, if given the chance. Factors I considered when choosing a residency program: When I was searching for a residency program to apply to, there were many different factors that I took into consideration. I wanted to make sure that I was going to get adequate patient interaction, have a in-built mentor for the year, an opportunity to teach, and confirmed success of the past residents from the same program. When I got onto the UW website and read all of the information about the residency program, I instantly knew that I wanted to apply here and that Beaver Dam Hometown was my top choice. Why I chose this program: I chose Beaver Dam Hometown Pharmacy because I loved their mission statement, no matter the problem or patient – we always find a solution. I loved the fact that they are doing Telehealth for psychiatry patients and administering medications like Vivitrol and Abilify. And I also loved that our main focus as pharmacists wasn’t to keep patients on medications, but instead to give them tools to get healthier and to hopefully stay off of medications forever. Advice for future residents: Realize that something will always work out. Never underestimate a rotation or residency site because of location. As current students, get involved with school beyond studying. Volunteer or find a job – those real life interactions with patients is what will help you figure out what you want to do in the future. Be proactive and embrace any opportunity you get to help better the lives of patients. Alan Duvall, Resident at The Medicine Shoppe, Two Rivers Shenandoah University, Bernard J. Dunn School of Pharmacy – PharmD 2018 Residency Project: I am creating a new program at The Medicine Shoppe for onsite flu clinics. The program will provide flu shots to companies at the site of their business. During the project, we will be evaluating the amount of people we are able to get immunized that did not receive a flu shot the previous year. We also plan to continue the project in subsequent years and evaluating how effective the clinics were at preventing the flu and time missed from work. This project will improve immunization rates in the area, helping to protect the community. Career Goals: My goal is to practice pharmacy in a setting that allows me to form long-term relationships with patients and use these relationships to live healthier lifestyles. The next step towards this goal will be a PGY2 in ambulatory care. I believe being flexible and having an open mind is one of the most important aspects of having a successful career, and that is how I plan on approaching my post-residency career. Additionally, I plan on staying involved in ACCP throughout my life. Factors I considered when choosing a residency program: I looked for programs that offered unique experiences. But the most important thing I looked at when evaluating residencies was how I meshed with the people I would be working with. No matter where I ended up, it would be a lot of work and a lot of stress, but if I enjoyed who I worked with, then I could handle the rest. Why I chose this program: I hit it off pretty quickly with my site director, Marv Moore, PharmD, during my interview. By the end of the interview, I felt confident that we would get along over the course of the next year. I was also impressed with Marv’s focus on providing a compassionate environment for the patients and the staff. After my time at the store I can say that I couldn’t be happier at the Medicine Shoppe. Advice for future residents: Start evaluating residency programs early and create a budget that can get you through the scramble. Applying is expensive and it gets more competitive every year. The turnaround for the second round and the scramble is really fast, so it pays to be prepared for it. Be flexible and try to step out of your comfort zone at work and in your free time. Residency is a unique opportunity. You get to spend a year working, learning, and growing in a place that you may not be from and may not stay in at the end of the year. Take advantage of all that you can, but don’t be afraid to say no, if you feel overwhelmed. Brekk Feeley, Resident at Boscobel Pharmacy University of Wisconsin-Madison School of Pharmacy – PharmD 2018 Johns Hopkins University, MA in Museum Studies University of Washington, BA in Culture, Literature and Arts Residency Project: I am completing a Quality Assurance project focusing on the Technician Check Technician program at Boscobel Pharmacy. I will be reviewing how the technicians get certified, as well as how many prescriptions have been checked by technicians since the program began, in summer of 2017. With this in mind, I will then calculate how much pharmacist time has been freed up to do more clinical functions. Included will be the analysis of the number of CMRA’s and other clinical interventions made since the beginning of the program. Career Goals: My career goals are to work in an ambulatory care or community setting offering and expanding pharmacy services. I think the business and personnel side is interesting, so management in a setting like this would be my ultimate goal. Factors I considered when choosing a residency program: When looking at a residency program I looked at location, the flexibility in elective rotations, project and teaching opportunities, as well as residency class size. I wanted to make sure I had the option to do administration/management, as well as ambulatory services. In this residency, I loved the fact that I was going to be the only resident onsite for a more tailored experience but also had to co-residents but also had co-residents in the program for support and resources. Why I chose this program: I liked the flexibility I was offered in a progressive community pharmacy to explore not only the business/management side, but also what services could be offered and expanded on. I am very interested in precepting students, so the teaching certificate was a nice option. I also have the opportunity to precept students at the pharmacy for further involvement. And as mentioned before, being the only resident onsite was appealing. Advice for future residents: Understand what your end goal is and be flexible with how you get to it. When talking to pharmacists about their career journey, they very rarely go straight but instead take more of a twisty turny road. Also, have fun! Residency is a lot of work but it can also be incredibly gratifying. Make sure you take time for self-care and do things that make you smile. Goody Cacal, Resident at Streu’s Pharmacy Bay Natural in Green Bay, WI Daniel K. Inouye College of Pharmacy, University of Hawaii at Hilo – PharmD 2018 Residency Project: Streu’s Pharmacy has recently implemented a Vivitrol service, where patients (referred to by other providers) with a history of alcohol dependence or opioid abuse come in for monthly Vivitrol injections provided by a pharmacist. My project is quality improvement focused on understanding patient and provider perceptions of medication assisted treatment (MAT) being provided in a community pharmacy setting. Career Goals: Once I complete my residency, I hope to practice as a long term care pharmacist in a setting that will allow me to apply the clinical skills I’m learning now. Currently at Streu’s Pharmacy, I switch between staffing the community and long-term pharmacies. The best part are the opportunities to perform Comprehensive Medical Reviews (CMRs) and really getting a chance to meet patients, providers, and apply my clinical knowledge! I also hope to to still be a choreographer and photographer while still being a pharmacist. Factors I considered when choosing a residency program: Born and raised in Hawaii, I knew I wanted to see more of the world so, moving across the country was not a big issue for me. While choosing a residency program, I chose programs that made me excited and could see myself doing – not what someone else saw me doing. I knew I wanted to be in a program that would allow me great flexibility through a longitudinal program in a community/ambulatory care setting. I also wanted a program that would have teaching and precepting opportunities. Why I chose this program: I knew this was the program for me after instantly clicking with the site director during my phone interview. The program spoke to everything I wanted in a residency, which included longitudinal experiences, opportunities to provide ambulatory care in a community setting, a teaching certificate, and a wonderful site director and staff to work with. Advice for future residents: It really is called the “Match” for a reason. A program could have an amazing curriculum but if you can’t see yourself doing that, keep looking. Do something that you’ll be happy about, not something that you think other people want you to do. It’s all about balance. Pharmacy is an important part of my life, but it’s not the only part of my life. Make a conscious effort to do things you love that aren’t related to your work. I still make sure to cook, dance, do photography, and adventure whenever I can. Be flexible in what you want to do. I originally wanted to stay in Hawaii and the west coast, but I’m so happy I jumped from the islands all the way to the Midwest! If I hadn’t, I wouldn’t have found such an amazing program. Crystal Vue, Resident at Hayat Pharmacy in Milwaukee University of Wisconsin-Madison School of Pharmacy – PharmD 2018 University of Wisconsin-Madison, BS in Biology 2014 Residency Project: My residency project will be focused on evaluating different adherence tools or strategies offered by Hayat Pharmacy that can help improve medication adherence of Hmong patients with diabetes. The city of Milwaukee is home to one of the largest Hmong patient populations in Wisconsin and diabetes is a prevalent health condition among the Hmong patients here. Due to language barriers and cultural beliefs, this can cause challenges for Hmong patients and elders to fully understand the diabetes disease state and the purpose of their medications. This in turn can ultimately lead to poor adherence , which is often seen with our Hmong patients at Hayat. By providing MTM/CMR services and implementing adherence strategies for my Hmong patients, I anticipate that the results of this project can help us better understand and identify the more effective strategies to improve adherence for our Hmong patients with diabetes. Career Goals: Looking ahead, career goals that I have for the future include being an accessible health care professional within the community. As a pharmacist, I aspire to develop services that will make an impact in under-served patient populations to help reduce health disparities that these patients may experience. I truly enjoy providing care for patients and having direct patient interactions is important to me, therefore practicing in an outpatient setting would be ideal for me. Factors I considered when choosing a residency program: When choosing a residency program, I considered the variety of unique learning opportunities that would be offered through that program. I wanted a residency program that would allow the chance for me to develop other skills that we as students, did not get a lot of time to develop during our schooling. I considered programs that would also align with my own personal and professional development goals and interests. The patient population that I would get to serve and work with was also another factor I considered when selecting a residency. Why I chose this program: I chose the UW Community Pharmacy Residency Program at Hayat Pharmacy because alongside strengthening my outpatient community pharmacy staffing skills, there are a variety of other interesting opportunities for me to learn and make an impact. Just to name a few, through this program, I am able to complete a teaching certificate program and I get to teach the Pharmacotherapy labs with co-residents to current pharmacy students. This allows for me to further develop my teaching and mentoring skills. Hayat Pharmacy is also a very unique site where I get to make home visits to provide CMR services for patients, work with a diverse patient population in the heart of Milwaukee and get involved with various community health education and outreach events! Advice for future residents: Be true to who you are! There will be so many amazing residency sites but be sure to really evaluate your own interests and goals. That will really help you determine which site will be a good fit for you. Stay open-minded, be adaptable and be enthusiastic to engage in new learning opportunities. Don’t be afraid to challenge yourself when you encounter new situations. You’ll be surprised by the valuable experiences and learning that you will gain!