Overview
The PGY1 Community-Based Residency program is committed to creating a valuable post-graduate residency training program that will offer an array of experiences designed to prepare individuals for roles in pharmacy with a focus on community pharmacy. The primary emphasis of the residency program will be the development of the resident's practice skills in various ambulatory care and outpatient settings, as well as further development of teaching skills. Residents will be delegated clinical responsibility under the preceptorship of experienced pharmacists and will be given the opportunity to develop one-on-one teaching skills to specific patient populations. Additionally, residents will be given activities that will further enhance their problem-solving skills and their ability to work with others.
Program Purpose
To build upon the Doctor of Pharmacy (PharmD) education and outcomes to develop community-based pharmacist practitioners with diverse patient care, leadership, and education skills who are eligible to pursue advanced training opportunities including postgraduate year two (PGY2) residencies and professional certifications.
Program Structure
Required Block Rotations (four-week blocks)
- Orientation (6 weeks)
- Public Health (6 weeks)
- Geriatrics II (1 month)
Required Longitudinal Rotations
- Endocrine
- Geriatrics
- Patient Centered Dispensing
- Specialty Pharmacy
- Transitions of Care
- Outpatient Pharmacy Administration
- Research
- Teaching Certificate
Elective Rotations (four-week blocks - resident selects 3)
- Clinic Administration (1 month)
- Coats Family Medical Clinic (1 month)
- Community Infectious Diseases (1 month)
- Endocrine II (1 month)
- Outpatient Cardiology (1 month)
- Outpatient Oncology (1 month)
- Outpatient Administration II (1 month)
- Psychopharmacology and Behavioral Health (Physician Based) (1 month)
- SR-AHEC Family Medicine (1 month)
- Transitions of Care II (1 month)
Staffing and Administration
Each resident will complete one week of outpatient training for patient-centered dispensing at Center Pharmacy during the orientation block. Upon completion of this training, the resident will complete his/her staffing component at Center Pharmacy for one day each week during the longitudinal rotations and one day every other week during block rotations. Additionally, the resident will staff Center Pharmacy every fourth Saturday and once a week during their project month. Residents will gain experience completing various clinical tasks during their staffing commitments.
The pharmacy administration and operations learning experience is an eight-week longitudinal rotation that occurs during December as well as February of the residency year. Residents will meet with various members of the pharmacy leadership team to discuss topics pertaining to pharmacy department planning and improvement. Activities in this learning experience will permit the pharmacy resident to learn what items are assessed during the decision-making process for the department to include: pharmacy operations, financial management, pharmacy regulations and law, policy and procedure development, The Joint Commission and Centers for Medicare and Medicaid Service regulations, and interdepartmental relationships. Another activity of this learning experience will introduce the resident to the process of developing and updating clinical policies and procedures for the department along with implementing and evaluating changes to the clinical practice model.
Each resident will complete an eight-week clinical applications training rotation in the outpatient pharmacy to learn various dispensing and verifying procedures. Upon completion of this training, the resident will complete his/her staffing component at Cape Fear Valley Medical Center outpatient pharmacy every fourth weekend. Additionally, the resident will staff in the outpatient pharmacy one full shift every other week. Residents will have the opportunity to staff in the outpatient pharmacy as well as the discharge foyer.
Residency Alumni
2023-2024
Jennifer Spallina, PharmD
Research Project: Implementation of pharmacist-led hormonal contraceptive program in an urban community pharmacy First Position after Residency:Outpatient Clinical Pharmacist, Womack Army Medical Center, Fayetteville, NC
I was initially attracted to the Community-Based Residency Program at Cape Fear Valley because of the longitudinal rotations offered as well as the opportunity to gain experience in several ambulatory care clinics including Senior Health Services and endocrinology. Cape Fear Valley also offered various teaching opportunities with Campbell University, allowing me to teach and precept students in different environments. Reflecting on this past year, the most valuable aspect of the PGY1 program for me has been building the confidence to make clinical decisions.
My favorite experience as a resident has been precepting students during the Geriatrics block at Senior Health Services. On this rotation, I was the sole preceptor of two Campbell pharmacy students. I was able to recognize the growth and confidence I have gained since the beginning of residency. My introduction into precepting has set me up for success to step into a preceptor role in the future.
One piece of advice that I would give to incoming residents is to explore all the different opportunities that may be presented to you and continue to step out of your comfort zone. Always remember this is your residency and you have one year to make the most of it!
Macy Worley, PharmD
Research Project: Provider identified barriers to utilizing a clinical pharmacist in the management of type 2 diabetes First Position after Residency:Clinical Pharmacist, Realo Discount Drugs, Smithfield, NC
I was initially attracted to the program at Cape Fear Valley, due to its diverse outpatient pharmacy experiences as well as its presence within the community through the CARE Clinic, CCMAP, and Better Health to provide appropriate outreach to those of the surrounding areas. Additionally, the support provided to all residents throughout the year was also another attractive component of the program, as it showed our success and growth is valued. I chose CFV because I was able to see growth in both myself and the students I interacted with from start to graduation. This was very fulfilling as I was eager to expand upon my teaching and ambulatory care experiences.
The most valuable thing I will take away is the increased confidence I have in myself. I grew in my ability to self-evaluate and progress in my ability as a new and learning pharmacist. My favorite experience was being a part of the endocrine clinic. As I worked with new and experienced diabetes patients, I was able to reassure and encourage them in reaching their diabetes goals. My advice for new residents would be to take each day as a new learning opportunity. As residents we get only one year, so we must use every day to better ourselves.
2022-2023
Sarah McGrath, PharmD, MCSR
Research Project: Evaluation of appropriate antithrombotic prescribing in patients with primary ASCVD in a community hospital
First Position after Residency:
I was initially attracted to the Community-Based Residency Program at Cape Fear Valley because of the family-like environment and the community outreach opportunities. All of the preceptors are welcoming and available for support. The most valuable aspect of the PGY1 program for myself has been the opportunity for growth, both personally and professionally. My biggest takeaway from the year is that the bad days happen to help us grow.
My favorite experience as a resident has been the genuine patient appreciation from each learning experience. Being able to hear the positive remarks not only from our preceptors, but also the patients make all of our hard work and efforts throughout the year worth it.
One piece of advice that I would give to the incoming residents would be to regularly write down the positive things that happen each week, such as the patient comments, impactful interventions, or the encouraging words from your preceptors. It is very easy to solely focus on a negative situation or experience rather than looking at our overall positive impact.
2021-2022
Amy Wangerin, PharmD
Research Project: Impact of pharmacist-completed discharge follow up phone calls on 30-day readmission rates in Medicare patients
First Position after Residency: PGY-2 Ambulatory Care Residency, Fayetteville VA Medical Center, Fayetteville, N.C
I was originally attracted to the Community-Based Residency Program at Cape Fear Valley by the unique rotation opportunities. These included the outpatient areas of transitions of care and ambulatory care. Cape Fear Valley also offered various teaching opportunities with Campbell University, allowing me to tailor my teaching approach for a variety of audiences.
I had several memorable moments throughout the year. These included being able to work alongside great preceptors and co-residents, through which I developed great mentors. Furthermore, giving didactic lectures to variety of health care professionals including medical students, residents and pharmacy students developed my confidence and teaching ability, which has set me up for success in my future PGY-2. The program at Cape Fear Valley pushed me outside of my comfort zone on all rotations and developed me as a clinical pharmacist during each of these experiences.
One piece of advice I would give to incoming residents is to keep an open mind in every learning experience and take advantage of each opportunity to learn this year.
Halee Simpson Parham, PharmD
Research Project: Impact of an outpatient pharmacist-led discharge medication optimization program in a community hospital
First Position after Residency: Clinical Pharmacist in Diabetes and Endocrinology, Cape Fear Valley Health System, Fayetteville, NC
I was originally attracted to the Community-Based Residency Program at Cape Fear Valley because of the numerous community service opportunities such as volunteering at The Care Clinic and teaching “Take Charge of Diabetes” classes at Better Health. I am from Fayetteville, NC and I was very interested in finding ways to serve my hometown community through my profession. I was also very excited about the opportunity to earn a teaching certificate through Campbell University, and co-precept pharmacy students.
I am so grateful for the mentorship and opportunities I have received from this experience. One of the most memorable moments of my residency year was teaching a lecture on Heartburn/Dyspepsia to first year pharmacy students in the same room I once listened to that lecture as a pharmacy student at Campbell University. Another memorable experience of my residency year was learning how to educate patients on multiple insulin pump delivery systems and becoming a certified trainer. I discovered my passion for diabetes and endocrinology through my residency learning experiences, and I am so blessed to continue my career at Cape Fear Valley Diabetes and Endocrine Center.
My preceptors encouraged and challenged me to achieve all my goals, and I am thankful for all their guidance throughout this residency year.
2020-2021
Paige Greene, PharmD
Research Project:Identifying barriers to utilization of a medication access program among referred patients surveyed after discharge from an acute care hospital
First Position after Residency: Clinical Pharmacist in Medical Oncology, Cape Fear Valley Health System, Fayetteville, N.C.
I was originally attracted to the Community-Based Residency Program at Cape Fear Valley because of the welcoming environment at my interview. All of the preceptors genuinely cared about seeing their residents succeed and were dedicated to ensuring I achieved my career goals.
The most memorable and rewarding experience of my PGY1 residency year was being part of developing and implementing the COVID vaccine clinics. It was incredible to see how much the health system relied on outpatient pharmacy residents to coordinate and facilitate vaccination clinics throughout the region. We were provided with a lot of responsibility to help protect the community. Another memorable moment was getting the opportunity to teach my first lecture on OTC medications to first year pharmacy students at Campbell University. It was rewarding to transition from a recent graduate to a pharmacy school professor. I feel my greatest accomplishment this year was developing the confidence to make clinical decisions independently by balancing what I know versus how to solve what I do not know. I feel like this skill will allow me to be successfully in any area of pharmacy practice.
Cape Fear Valley is a growing health system, which promotes the scope of pharmacy to grow as well. The health system works very hard to integrate pharmacists as part of the healthcare team, giving residents a multitude of opportunities to determine areas of practice they enjoy. I am looking forward to continuing my passion for working with underserved populations in Fayetteville as the Clinical Pharmacist in Medical Oncology at Cape Fear Valley Health System!
Tiffany Kahl, PharmD
Research Project:Impact of outpatient transitions of care pharmacy program on interventions for discharge patients in a community hospital
First Position after Residency: Staff Pharmacist Valley Pharmacy, Cape Fear Valley Health System, Fayetteville, N.C.
I was originally attracted to the Community-Based Residency Program at Cape Fear Valley because of the numerous rotation opportunities in community pharmacy as well as ambulatory care. I had the opportunity to participate in various practice settings, from Infectious Disease to Family Medicine. The unique rotation experiences set have helped me develop into a well-rounded clinical pharmacist.
One of the most memorable things from my residency year was developing strong relationships with my preceptors and residency leadership. This residency program offers a welcoming and encouraging environment. The pharmacy staff has created a wonderful learning experience and I am so grateful to be able to continue to work alongside them as I begin my first post-residency position at Cape Fear Valley! This year I grew through each of my rotations and teaching opportunities that pushed me outside of my comfort zone. I have become more comfortable when facing new challenges and now feel prepared to transition into a clinical pharmacist role. One piece of advice I would give to incoming residents is to keep an open mind throughout the residency year to gain the most from each learning opportunity!
2019-2020
Taylor Wells, PharmD, MBA
Research Project:Feasibility of implementing point-of-care influenza testing and protocol driven oseltamivir dispensing by outpatient health system pharmacists
First Position after Residency: Transitions of Care Pharmacist, Cape Fear Valley Health System,Fayetteville, N.C.
I was originally attracted to the Community-Based Residency Program at Cape Fear Valley because of the unique opportunities within the health system, including the partnership with Campbell University. I knew these opportunities would provide the Ambulatory Care experiences that I was hoping for and allow me to earn a teaching certificate in the process. Working in areas of Community Pharmacy beyond the standard retail experience is really what sets this program apart.
I had several memorable experiences throughout the year: I witnessed an open-heart bypass surgery,served patients at the local health department, and gave didactic lectures to a variety of healthcare professionals. However, my most memorable experience was working alongside my Residency Program Director to create a new Transitions of Care Pharmacist position at the hospital. Through this residency program, I found a true passion for Transitions of Care and I am so excited to continue my career at Cape Fear Valley by serving in this role. During this next year, I would encourage the incoming residents to seek out opportunities you are interested in. The preceptors at Cape Fear Valley are absolutely supportive and want to help you achieve your goals!
Facing the COVID-19 pandemic posed a unique learning experience during my residency year. I was challenged to prove my adaptability through the many changes the health system faced. I was able to provide an extra set of hands for my patients, my co-workers, and other members of my healthcare team. It was inspiring to see the need for pharmacists during this time and it made me especially grateful to have chosen a career in pharmacy.
Application Information
The deadline for receiving application material is no later than January 2. After review, qualified applicants will be notified so they can arrange an on-site interview.
The Community-Based Residency has two positions available. Candidates may choose to apply to either elective focus of the PGY1 Pharmacy Residency Program in addition to the Community-Based Residency.
To apply for the residency, submission of the following is required:
- Letter of Intent
- At a minimum, the letter of intent must address all of the following:
- Short-term goals
- Long-term goals
- What the candidate can bring to the pharmacy residency program
- How the program can help the candidate achieve his/her goals
- Plans after completing the PGY1 residency program
- At a minimum, the letter of intent must address all of the following:
- Curriculum Vitae
- Completed PhORCAS application
- Pharmacy college transcripts
- At least three letters of recommendation
- At least two recommendations must be written by APPE preceptors
- At a minimum, references should provide comments in the PhORCAS narrative comments section and on the following characteristics:
- Oral communication skills
- Ability to organize and manage time
- Clinical problem-solving skills