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SPECIALTY PRACTICE RESIDENCY IN PSYCHIATRY
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SPECIALTY PRACTICE RESIDENCY IN PSYCHIATRY
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Length of Residency:
One year after PGY1 / Two years
concurrent with Masters of
Science
Start Date: July 1
Residency Program Director:
Stephen R. Saklad, Pharm.D., BCPP
San Antonio Psychiatric Pharmacy Residency Director
University of Texas Health Science Center at San Antonio
Pharmacotherapy Education and Research Center, MSC 6220
7703 Floyd Curl Drive
San Antonio, TX 78229-3900
Voice (210) 567-8355
FAX (210) 567-8414
Saklad@uthscsa.edu
Overview and
Program Philosophy:
The University of Texas Psychiatric
Pharmacy Practice Program is
located at
several sites throughout Texas. This document describes the accredited
specialty
residency program based in San Antonio at The University of Texas
Health
Science Center at San Antonio (UTHSCSA); Laurel
Ridge Treatment Center; and San
Antonio State Hospital (SASH).
The faculty strongly encourage prospective residents to consider our two-year MS Pharm / concurrent PGY2 Residency option. We will continue to offer the one-year specialty residency program (PGY2), but only to those that are finishing their PGY1 Residency, in compliance with ASHP Accreditation Standards. We believe that for those Pharm.D. candidates that know that their goal is excellence in Psychiatric Pharmacy, our MS Pharm / concurrent PGY2 Residency program offers the prospective resident greater rewards than two separate residency years (PGY1 & PGY2), probably in different cities.
The number of positions that we fill for 2009-10 will depend upon many factors, including the excellence of the applicant pool. The psychiatric pharmacy program in San Antonio has five Pharm.D. clinical faculty, and one administrative pharmacist.
Clinical Training Environment:
Our program uses a wide range of
clinical environments to provide
training
in pharmaceutical care, primary care (drug therapy management per Texas'
law), inpatient management, outpatient clinical services (managed
care
and government funded), consultant activities, teaching, and research.
We
believe that the highest levels of clinical competency can only be
achieved by intensive participation in a variety of multidisciplinary
treatment team
environments. These provide the opportunity to participate in the
management
of many different disease states including acutely ill
psychiatric
inpatients, ambulatory patients with mood and anxiety disorders,
psychiatric
patients with medical problems, and developmentally disabled
individuals.
In our outpatient clinics, the resident follows patients over extended
periods
of time to provide a longitudinal perspective on improving the quality
of
life for persons with serious mental illness. Experience at the
outpatient
clinic is integrated into the resident's schedule for the entire year
and
occupies approximately four to six hours per week. Many inpatient and
outpatient
elective rotation opportunities are available in a variety of clinical
settings.
San Antonio State Hospital's objective is to provide pharmaceutical care to all patients. In order to achieve that result we continue to expand the role of staff pharmacists by placing them on clinical units to provide pharmaceutical care. A consult service provides limited pharmaceutical care to those units that do not have full-time clinical pharmacologist or staff pharmacist coverage.
Managed care training opportunities include an elective with psychiatrists at Alamo Mental Health, private outpatient practice. Inpatient consult liaison psychiatry provides an opportunity to integrate medical, neuropsychiatric, and pharmacotherapeutic practice in the care of seriously (and complex) ill patients.
The South Texas Veterans Healthcare System, Audie Murphy Division is our training site for substance abuse and ambulatory care, and is available for electives in inpatient and outpatient psychiatric services, neurology, and primary care (Prime Care VA program).
Participation in an investigational project is a required part of the residency program. This research exposure is not intended to provide the resident with the ability to conduct independent research. Instead, it serves to provide a foundation for the future development of the skills needed to systematically evaluate a clinical intervention, including the basic methods and grantsmanship. The resident will develop a research idea in collaboration with a faculty advisor, review the published background literature, prepare a comprehensive and realistic research proposal, submit this for Institutional Review Board approval, conduct the research, analyse the results, and present and publish the results.
Educational Opportunities:
Like all well-designed comprehensive
educational and training programs,
we
employ a three stage learning model: seeing an example, practicing
yourself,
and teaching someone else. Activities and schedules are intended to
permit
all three stages of learning over the course of your training. This
includes
several didactic and seminar courses on neuroscience, clinical
psychopharmacology,
and psychiatric diseases taught by our faculty. These courses are
taught at
the graduate level throughout the year.
A variety of formal and informal presentations are a required component of the our training program. These presentations employ a variety of teaching techniques, including state of the art classroom technologies. Some presentation are during Journal Club, others are on clinical units at your rotation site. Role model activities on clinical units and laboratory (problem-based learning discussions) sections for Pharm.D. students comprise the majority of teaching responsibilities. Classes for improving your teaching effectiveness including professional evaluations are available. Educational opportunities such as Pharmacotherapy Conference and guest lecturers are an integral aspect of our training programs.
Administrative experience can be gained through direct involvement in the ongoing expansion and continuous quality improvement activities of our clinical programs and by an elective rotation with the Pharmacy Services Director at SASH.
Administrative Arrangements:
The UT Austin College of Pharmacy and
UTHSCSA collectively administer
the residency in psychiatric pharmacy. The Departments of Psychiatry
and the Pharmacotherapy Research and Education Center (PERC) of the
School of Medicine at UTHSCSA provide additional clinical supervision
and
research support. Each resident may select any of the faculty to be
their professional development advisor. However, all of the faculty
actively participate in the training and supervision of each resident.
Besides interviews at the ACCP Annual
Meeting, ASHP MCM, and the
CPNP Annual
Meeting, we may invite you to visit our facilities, interview with a
larger
number of our faculty, and observe our program first-hand. Interviews
in
San Antonio are usually scheduled for late fall through early February
and
last about 1 to 1.5 days (more if you visit the our affiliated programs
based at the South Texas Veterans Health System or in Austin).
Generally,
we will have you arrive Thursday evening, interview on Friday and
depart on
Sunday so that you can visit the area with our current residents and
faculty.
Alternately, arrive on Saturday, interview on Monday and depart late
Monday.
This typically lowers airfare costs that you have to pay. While in San
Antonio,
all of your expenses will be covered by the program.
Training Facilities:
San
Antonio State Hospital and the Texas Center for Infectious
Disease are operated under the auspices of the Texas Department
of State Health Services, and San Antonio State School is operated
under the auspices of the Texas
Department of Aging and Disability Services on the same campus in
southeast San Antonio,
17 miles from UTHSCSA. SASH has 302 inpatient beds certified by JCAHO
and SASS has 335 inpatient beds certified by ACDD and ICF-MR. SASH
patient units include acute adult psychiatry, extended care, adolescent
psychiatry, multiple disabilities, medical-surgical, neurology, day
hospital, transitional living, clinical research, and community
services to 13 surrounding counties. In addition, the county mental
health authority operates a substance abuse unit on the SASH campus.
SASS has a variety of homes that
provide care to the developmental disabled with varying degrees of
functional impairment, many with concomitant medical and/or psychiatric
illnesses. In addition to our pharmacy program, SASH participates in
education and training of healthcare professionals in all major
disciplines.
Recent Former Residents:
2005-06 Jehan Marino, Pharm.D. -
Clinical Assistant Professor @ Nova Southeastern University
2003-05 Douglas Boggs, Pharm.D., BCPP - Clinical Assistant Professor @ University of Maryland and Maryland Psychiatric Research Center
2003-05 Troy Moore, Pharm.D., MS Pharm, BCPP - Clinical Assistant Professor @
UTHSCSA Psychiatry + Clinical Assistant Professor UT
2003-05 Shannon N. Saldana, Pharm.D., MS Pharm, BCPP, Clinical
Specialist, Psychiatry, Division of Pharmacy, Pediatric Pharmacology
Research Unit, Cincinnati Children's Hospital Medical Center
2003-04 Angela Passero, Pharm.D., BCPP - Clinical Pharmacist @
Springfield Hospital Center, MD
2003-04 Christopher J. Wallen, Pharm.D., BCPP - Clinical Pharmacist
Educator @ VA Hudson Valley
2002-03 Kristin B. Case, Pharm.D. - Clinical Pharmacist @ Caremark in
San Antonio
2002-03 Emily E. Lefler, Pharm.D., BCPP, Pharmacy Manager, Sharp
Mesa Vista Hospital, San Diego, CA
2001-03 Cynthia A. Mascarenas, Pharm.D., MS Pharm, BCPP, Clinical
Pharmacist @ South Texas Veterans Health System + Clinical Assistant
Professor UT
2001-02 Joshua Cabalero, Pharm.D., BCPP - Clinical Assistant Professor
@ Nova Southeastern University
2001-02 Jennifer L. Potter, PharmD, BCPP - Clinical Assistant
Professor, Ernest Mario School of Pharmacy, Rutgers, The State
University of New Jersey, Clinical Pharmacist, Psychiatry, University
Medical Center at Princeton
2001-02 Lisa Mican, Pharm.D., BCPP - Clinical Pharmacist @ Austin State
Hospital + Clinical Assistant Professor UT
2000-01 Stacy L. Anderson, Pharm.D., BCPP - Clinical Pharmacist @
Philadelphia VA
2000-01 Breann K. Bruton, Pharm.D. - Clinical Pharmacist @ Excelle Rx
in PA
2000-01 Christine M. Ketchie, Pharm.D. - Clinical Pharmacist @ State
Hospital in South Carolina
2000-01 Elham Tabarsi, Pharm.D. - MSL AstraZeneca
The University of Texas at Austin and its affiliated institutions are an Equal Opportunity/Affirmative Action Employer. Qualified women and minorities are encouraged to apply. Security sensitive; conviction verification conducted on applicant selected.
