School of Pharmacy UNIVERSITY OF WISCONSIN - MADISON Meet Our Residents Ahamed Ahamed, Resident at Beaver Dam Hometown Pharmacy University of Iowa College of Pharmacy – PharmD 2019 Residency Project: I am completing a Quality Assurance project of implementing a Med Sync program. Medication synchronization programs facilitate patient medication pick-up as they sync the refills of all medications to a single day. To evaluate the quality of the program and appropriateness of the workflow, time stamps of the workflow (i.e. time to fill an Rx before and after med sync) will be evaluated. Other outcomes of this evaluation include number of people enrolled, change in pharmacist time for clinical services, number of phone calls to the pharmacy for refill requests, patient and pharmacist satisfaction with the program. Career Goals: I am very interested in independent ownership and would like to hopefully one day open my own pharmacy. Ideally, it would be a pharmacy focused on offering clinical services with an appointment-based model. Factors I considered when choosing a residency program: I was looking for programs that aligned with my short-term and long-term interests, with their own vision and goals. I knew that after graduating pharmacy school, I wanted to become a stronger clinician, and learn the ins and outs of independent pharmacy practice. Also, I wanted to learn more about different clinical services pharmacies can offer. Why I chose this program: After talking to my primary site preceptor, Dr. Abbi Linde, I knew that this would be a perfect fit. As an independent pharmacy owner, health coach, and someone with strong interests in expanding their scope of practice, her enthusiasm was contagious and really drew me in to this site. All the excitement we shared regarding all the different project ideas she had for an incoming resident immediately gave me the feel of “the best fit”. Throughout my time thus far at Beaver Dam Hometown, I can say my experience has been nothing short of amazing. Advice for future residents: Make sure to seek that “best fit” feeling that you probably heard other residents, or preceptors talk about. The matching process is very stressful, long, and tedious, but know that there is a wonderful light at the end of tunnel. Be patient and know everything is going to fall in the right place. Ryan Fan, Resident at Boscobel Pharmacy Northeastern University – PharmD 2018 Residency Project: I will be working on a quality improvement project looking to compare and contrast multiple eCare Plan capable platforms for their strengths and limitations when creating eCare Plans for integration into the daily workflow at Boscobel Pharmacy. Each platform will be assessed for ease of creating an eCare Plan via interviews with pharmacists in addition to other metrics such as pharmacist time required for documenting eCare Plans, documentation capabilities, cost, and efficiency in Boscobel Pharmacy workflow integration and the resulting time saved for pharmacists to perform other patient care tasks. Career Goals: My hope for the future is to specialize in diabetes care through direct patient care and medication management as well as through personalized counseling and possibly educational classes focusing on lifestyle changes. Currently Boscobel Pharmacy provides many services involving chronic disease management and lifestyle counseling through WeightWatchers and I would like to become more involved with these services throughout the rest of my residency. Factors I considered when choosing a residency program: I wanted to choose a residency program that would allow me to take care of patients longitudinally through personal face-to-face encounters as I feel it is much more rewarding to follow a patient’s health improvement over time. My goal is to one day specialize in diabetes care, so I applied for residency programs that would allow me to practice my interpersonal skills with patients in these one-on-one settings when managing their chronic illnesses. Why I chose this program: Boscobel Pharmacy has a close relationship with many of its patients by providing services including comprehensive medication reviews and being closely involved with the surrounding community and healthcare providers. Many of the patients in this community seek our advice and are very eager to meet with us about their medications and health. I have found the surrounding area and the people very charming and am impressed with the scope of services provided here. Advice for future residents: Be aware of the financial costs of going into a residency program. Depending on where you are currently at, you may have to make some substantial sacrifices in order to make ends meet. Be prepared for rejection letters and stay open for opportunities. There is a chance that you may not find the perfect residency program, but that does not mean that you still cannot find a great residency program. If there are aspects of a residency program that do not fit to your goals, or a lack of aspects, it is possible to personalize your residency experience to what you want to do and how you want to develop yourself. Matthew Huppert, Resident at Southwest Health Pharmacy, Platteville University of Wisconsin – Madison School of Pharmacy – PharmD 2019 University of Wisconsin – Madison, BS Chemistry, 2015 Residency Project: I will be designing workflow for a chronic care management clinic run by nurses and pharmacists in an effort to improve clinical outcomes for patients who are battling diabetes and obesity. This type of clinic has been highly sought after in rural areas recently. Nurses and pharmacists can meet with patients for 20 minutes each month to provide important information to patients while being reimbursed for their time and expertise. Career Goals: As I finish out residency, I plan to look for a full-time job working as a community pharmacist. I would like to work with an organization that is interested in implementing pharmacists’ services such as chronic care management, anticoagulation clinic. My ideal workplace would encourage pharmacists to work directly with patients. Moreover, I see myself staying actively involved with the Pharmacy Society of Wisconsin as I continue through my career as a pharmacist. Staying involved and collaborating with other pharmacists is part of the reason I am in my residency program today. Factors I considered when choosing a residency program: I wanted to match with a community pharmacy residency program. There are not many in the nation, limiting my choices. With this in mind, I wanted to pick a community pharmacy that is focusing on ambulatory care in an effort to improve patient health and wellness. Why I chose this program: First, I based my residency selection on my current career goals. I would like to work as a community pharmacist with a plan to implement ambulatory care services wherever I end up working. Southwest Health is the perfect place for this. I can staff in the community pharmacy and the anticoagulation clinic during my staffing days. Then, during my project days, I am able to think critically about how to implement chronic care to improve population health in Platteville. Second, I based my consideration for this residency program around work-life balance. I feel that I can work and stay involved by attending national and state meetings while having time to spend with my family and friends. Advice for future residents: Take it one day at a time. Every experience you have is a learning experience. Attempt to make great relationships with your patients. Tyler Luu, Resident at Hayat Pharmacy, Milwaukee University of Wisconsin – Madison School of Pharmacy – PharmD 2019 University of Wisconsin – Madison School of Pharmacy, BS Pharmaceutical Sciences, 2017 Residency Project: My residency project will be focusing on evaluation of different adherence techniques and services that a pharmacy/pharmacist can provide for patients living with HIV. Milwaukee county has the highest rate of new HIV cases from 2018. While people living with HIV are more likely to be treated for HIV, there are some patients that fall through the cracks or don’t understand the importance of their medications. This can lead to poor adherence for these patients and could be remedied with MTM/CMR and adherence services provided by Hayat Pharmacy. Career Goals: My future career goals including being a health care provider for my community. As a pharmacist, I will be able to provide unique insight to a patient regarding their medications, but what they may not know is some of their medications may impact their nutrition. I believe that being knowledgeable on both will further reduce gaps in health for different patient populations. Factors I considered when choosing a residency program: While choosing a residency program there were a few things that I kept in mind. First, was being able to help teach students. I believe that having the experience to help teach students as a resident will prepare me well when I precept students in the future and help them reach their full potential. I tried to find a program that will align with my personal and professional goals easily. This makes the transition from student to resident easier and everyone is excited about each other’s interests. Finally, location and the patient population were deciding factors for me. Why I chose this program: I chose this residency program at Hayat Pharmacy because its goals were well aligned with my own. I knew that I wanted to work in the community setting and to make more of an impact than just staffing at a pharmacy. I believe this residency will allow me to grow my clinical and ambulatory skills in an outpatient setting. Something unique to Hayat Pharmacy is the ability to perform home visits for patients for CMR services. These home visits have allowed me to further understand my patients beyond what I could normally. Advice for future residents: Be flexible with what you want from a residency while trying to find a program that aligns itself with your own goals and interests. Make sure to find time for yourself during residency and keep doing things that bring you joy outside of pharmacy. Andrea Szabados, Resident at Streu’s Pharmacy Bay Natural, Green Bay Concordia University Wisconsin School of Pharmacy – PharmD 2019 Residency Project: My residency project is focused on the implementation of asthma and COPD clinical management programs within a community pharmacy to improve asthma and COPD patients’ medication adherence and reduce overuse of as needed short-acting beta 2 agonist (SABA) inhalers. The goal of the project is to meet one-on-one with asthma/COPD patients and provide disease state education, correct inhaler technique education, and lifestyle modification recommendations in order to help improve their quality of life and decrease emergency room visits due to asthma attacks and COPD exacerbations. Career Goals: My goal is to practice pharmacy in a setting that allows me to work directly with patients and develop long-term relationships with them in order to better manage their disease states. I would like to develop my clinical skills and expand my role as a medication management expert by learning how to evaluate complicated medication regimens, identifying medication related problems, and making recommendations to patients, caregivers, and other healthcare professionals. I am interested in working in a pharmacy that offers opportunities to work in a wide variety of settings: community pharmacy/specialty pharmacy/long-term care pharmacy. I want to make a difference and have an impact on patient care. My long-term goal is to offer a substantial contribution to the improvement of public health and provide long-term chronic disease state management within a community pharmacy. Factors I considered when choosing a residency program: I looked for programs that would allow me to work in a wide variety of pharmacy settings. This is a year where I can spend some time, experiment, and see in which pharmacy setting I would see myself working in. I looked for opportunities to get lots of patient interaction and for opportunities to expand my clinical knowledge by providing CMRs, working in a long-term care pharmacy, and providing non-vaccine injectable services to patients with behavioral health problems. This program will also allow me to develop my leadership skills through teaching opportunities and professional meetings. Why I chose this program: I have chosen this program because I really liked the wide variety of pharmacy services that Streu’s pharmacy offers and that they are very open to growing and expanding upon the community and long-term care pharmacy services. I really admire my preceptor’s and the pharmacy team’s passion for providing quality and caring patient care within the community. I felt right away that this is the best fit for me, because this program would allow me to grow personally and professionally by participating in the creation of new community pharmacy services and being part of this wonderful pharmacy team. Advice for future residents: Be open minded and willing to engage in new learning opportunities. Do not be afraid to get out of your comfort zone. Stay organized, set deadlines for all residency activities, and manage your time well. Residency can be very busy at times, but it is important to maintain a healthy work-life balance, and have fun along the way. Catherine Tolar – Resident at The Medicine Shoppe, Two Rivers University of North Texas Health Science Center College of Pharmacy – PharmD 2019 University of North Texas, BA Spanish, 2014 Residency Project: “Comparison of Efficiency and Workflow Time Requirements of Pharmacist eCare Plans” This will be a collaborative multisite review using time and date stamps to collect pharmacist’s documentation and comparison of eCare plans. We will have community pharmacy residents videotape themselves completing a CMR eCare plan and compare the barriers and efficiencies between different eCare plan documentation such as information duplication and workflow integration. Career Goals: I would like to be working in a setting that expands on my project. Whether that be with CPESN, a state organization, or a CPESN pharmacy focusing on improving pharmacy workflows involving pharmacy documentation. I would also like to continue working with students as a preceptor. Factors I considered when choosing a residency program: When searching for residency programs I considered the history of the program, affiliation with a university, co-residents, preceptors, and tailoring of the program to fit my interests. Why I chose this program: The residency at UW interested me based on the history of the community residency program, the cohort of residents, and the program director. I chose The Medicine Shoppe because I appreciated the ability of this residency to be individualized to my personal interest. Advice for future residents: Don’t be afraid to ask questions during interviews and be yourself. Originally, I was only planning to apply to residencies in Texas. I expanded my search after attending ASHP Midyear. It can be overwhelming applying across the country but identifying your personal goals and “must-haves” for a program with help narrow down your search.