PGY1 Managed Care Residency

The OU College of Pharmacy prepares PGY1 managed care residents for entry- or mid-level positions in a Health-System, commercial pharmacy benefit management (PBM), or government payer pharmacy PBM setting.  This program will equip the resident to participate as an interdisciplinary member of the managed health-care team to apply knowledge to direct population-level patient care encounters to grow in their independence and clinical and managed care decision making.  Ultimately, the program allows sufficient flexibility to adapt to the needs and interests of the individual resident while preparing them for a career in managed care.  Unique to this program is a focus on Medicaid pharmacy management which will prepare the resident to work at the state or commercial level caring for the needs of Medicaid covered populations.

The resident will be appointed the academic rank of Clinical Instructor with the University of Oklahoma College of Pharmacy.  In this role, residents are given opportunities for didactic and experiential teaching within the pharmacy curriculum.  Residents are also provided opportunities in rotation practice sites to provide informal and formal presentations to other members of the health-care team.  Participation in the OU College of Pharmacy teaching certificate program (i.e., Foundational Teaching Skills for Residents) is a residency requirement.          



Outcomes

The OU College of Pharmacy Managed Care PGY1 residents are required to achieve a number of goals from the required educational outcomes (See Educational Outcomes section).  Modification to the goals and educational outcomes may be made with specific residents based on their individualized training plans in regards to their previous experiences and practice/research interests.  At the minimum, the resident is expected to complete the following:  

  • Manage and improve the medication-use process at Pharmacy Management Consultants and the Oklahoma Medicaid program
  • Establish collaborative relationships with members of the interdisciplinary healthcare team
  • Demonstrate proficiency in the application of drug information and evidence-based medicine to specific patient encounters
  • Conduct a managed care research project and prepare a manuscript suitable for publication
  • Exhibit professional attitude at all times
  • Communicate effectively to patients, students, healthcare providers, and the public about matters related to appropriate medication use



Practice Sites:

Pharmacy Management Consultants (PMC) is the primary pharmacy benefit management site for the residency.  PMC has served as the pharmacy benefit manager for the Oklahoma Medicaid program for over 20 years.  The Oklahoma Medicaid population is approximately 1 million lives annually.  PMC performs prior authorization, drug utilization review, medication therapy management (MTM), patient review and restriction programs (PRRP), call center, PBM management, and other clinical functions for Oklahoma Medicaid.  Outpatient practice sites include the Family Medicine Center pharmacy which serves Medicaid and commercially insured patients.  



Professional Meetings:

PGY1 Managed Care residents will attend one to two national and one regional meeting during the year.  Residents travel to the ASHP Midyear Clinical Meeting in December to present their research projects as a poster and participate in the Residency Showcase.  In the spring, residents are expected to present their research at the AMCP Expo Poster Session and attend the Residency Showcase.  Residents will also present a platform presentation at the Oklahoma Society for Health-System Pharmacists’ Residency Research Conference.



Residency Learning Experiences:

  • Practice Site Orientation - 1 month

    During the first month of the program, the resident participates in orientation activities at the College of Pharmacy and PMC. This rotation is designed to familiarize the resident with the primary practice site and to prepare the resident to function as a staff pharmacist in the managed care setting. Residents begin training in drug information and medication use evaluation during this month in addition to completing institutional review board requirements for conducting research. 

  • Clinical Staffing Orientation - 1 month

    This rotation will take place over 4-weeks in August and is designed to expose the resident to the roles and responsibilities of the clinical pharmacist in an effort to prepare the resident for their delivery of staffing requirements. 

  • Drug Utilization Review - 1 month

    The rotation in drug utilization review (DUR) is designed to provide the resident with an introduction to the Drug Utilization Review Board (similar to Pharmacy and Therapeutics Committee).  The resident will prepare reports for presentation at the monthly DUR Board meetings. This rotation will prepare the resident for completion of the drug information and medication use evaluation longitudinal rotation.

  • Medication Therapy Management (MTM) and Patient Review and Restriction Program (PRRP) - 1 month

    The MTM portion of this rotation prepares the resident to review patient profiles and assess potential drug or disease related problems for individual patients.  Residents will prepare recommendations to be communicated with prescribers and patients regarding more appropriate therapies.  The PRRP is an important feature of most Medicaid and commercial insurers and reviews patient profiles for potential misuse or abuse of controlled drug substances.  

  • Patient Outreach - 1 month

    This rotation will allow the resident to learn processes which are most effective in reaching out to special populations and acquire skills needed to develop and implement patient outreach programs. 

  • Elective Rotations - 1-2 months

    Elective rotations can be tailored to the resident’s interests. Current offerings include mail order pharmacy and independent community pharmacy practice.  Residents will also have the potential to work with residency preceptors to develop additional learning experiences.

  • Medicaid - 1-2 months

    The resident will work with the Oklahoma Medicaid Pharmacy Director in conjunction with PMC’s Pharmacy Director to learn first-hand the intricacies of running a Medicaid program.  Resident may participate in many activities including multi-state teleconferences, management meetings, auditing, utilization review, and budgeting.

  • Academic Detailing - 1 month

    This month the resident will work with the academic detailer and learn how to effect change at the prescriber level.  The resident will travel with the detailer and visit in-person with physician office staff and prescribers.  The resident will present best practice guidelines to prescribers and explain the current formulary standings.

  • Quality/Regulatory Affairs - 1 month

    During this rotation, the resident will learn about quality metrics used in managed care including HEDIS and PQA measures.  The resident may participate in metric development calls with PQA and discover how pharmacy quality metrics are developed and implemented.  Implementation of metrics within the Medicaid population may also be incorporated. 

  • Outpatient Pharmacy - Longitudinal (10 months)

    The resident will work throughout the residency program within an outpatient pharmacy in the Family Medicine Center.  This site serves a diverse population with a wide range of acute and chronic illness.  The resident will develop direct patient skills and gain an understanding of how the community pharmacy interacts with various managed care organizations. 

  • Pharmacy Benefit Management (PBM) Administration - 1 month and longitudinal

    This one month focus and longitudinal rotation will prepare the resident for the administrative functions of a PBM.  The resident will work with the pharmacy director of both PMC and Oklahoma Medicaid to learn the complicated administration processes, including those of a government payer.  The resident will attend local and state meetings and may be included in national or regional workgroup calls.

  • Research - 1 month and longitudinal

    Residents complete a research curriculum which includes the University of Oklahoma Health Sciences Center Institutional Review Board (IRB) certification for conducting human research and specific research training sessions through Resident Rounds. Each resident designs and executes an original research project under the mentorship of their research committee, which consists of the residency program director, an expert in the practice area in which the research will be conducted, and an expert in study design, data analysis, and statistical methods. Residents present preliminary research findings as a poster at the ASHP Midyear Clinical Meeting and AMCP Expo with final results as a podium presentation at the Oklahoma Society of Health-System Pharmacists’ Residency Research Conference. In accordance with ASHP standards, residents prepare a high-quality manuscript based on their research findings.

  • Teaching and Methodology - Longitudinal (12 months)

    The teaching and methodology rotation consists of both didactic and experiential components designed to promote integration and application of various aspects of teaching and optimize learning through a variety of teaching experiences. The course coordinator and education specialist work closely with each resident to ensure adequate support in each of the teaching opportunities. Resident learning is predicated not only on the responsibilities given, but also on acceptance of personal responsibility and dedication to educational objectives.

  • Drug Information/Medication Use Evaluation - Longitudinal (9 months)

    Since the development of strong drug information skills is essential for pharmacy practitioners, this experience is present throughout the entire residency program. Residents participate in defined drug information activities, such as the completion of one drug information question, preparation of drug monographs for formulary consideration, presentation of an educational seminar for staff pharmacists, and development and presentation of at least one medication use evaluation (MUE) at a DUR Board meeting.

  • Service Commitment:

    As an integral component of the PGY1 Managed Care residency, PGY1 Managed Care residents learn to function independently as a staff pharmacist within PMC (approximately every third weekend rotation). In the Fall semester, the resident will be exposed to and fulfill responsibilities of a staff clinical pharmacist while under supervision.  In the Spring semester, the resident will fulfill the responsibilities of a clinical pharmacist working independently.  In addition, residents participate in educational programs and departmental staff meetings as assigned.


Residency Program Director

Shellie Keast, Pharm.D., Ph.D.
Director of Academic Research, Pharmacy Management Consultants
Assistant Professor, University of Oklahoma College of Pharmacy
Practice Area—Health Care Policy Research



Rotation Preceptors

  • Ashley Teel, Pharm.D.
  • Stephanie Nichols, Pharm.D., BCGP
  • Bethany Holderread, Pharm.D
  • Terry Cothran, R.Ph.
  • Nancy Nesser, Pharm.D., J.D.
  • Melissa S. Medina, Ed.D.


Accreditation

This residency program has an accreditation pre-candidate status with the American Society of Health-System Pharmacists.   https://www.ashp.org/