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​PGY2 Psychiatric Pharmacy Residency

Postgraduate Year 2

The PGY-2 Psychiatric Pharmacy Residency is offered by Riverside University Health System (RUHS) Medical Center Department of Pharmacy in cooperation with RUHS Behavioral Health and University of California Riverside (UCR) School of Medicine's Department of Psychiatry.

The purpose of the PGY2 psychiatric pharmacy residency program is to build on Doctor of Pharmacy (Pharm.D.) education and outcomes to prepare pharmacist clinicians for pharmaceutical care of patients affected by mental illness with a wide range of acuity and disease states. Upon completion of the RUHS PGY2 Psychiatric Pharmacy Residency Program, residents will be prepared to function as clinical pharmacist in a health-systems setting and eligible for board certification in Psychiatric Pharmacy (BCPP). Additionally, residents will be prepared for adjunct faculty appointments.

Applicants must have completed an accredited PGY-1 residency and obtain California Pharmacist licensure prior to beginning the PGY-2. Applications can be submitted via the PhORCAS System.

Practice Site

The majority of residency experiences will take place at RUHS Arlington Campus which includes a 77-bed Inpatient Mental Health Hospital and a Psychiatric Emergency Department. Units include a 9 bed psychiatric ICU, two 28 bed adult units, a 12 bed adolescent unit, as well as adult and a pediatric/adolescent emergency departments. Additionally, there is an outpatient mental health pharmacy servicing this hospital (discharges) and the surrounding community (i.e. urgent care, rehabilitation placement, private walk-ins, etc.).

RUHS Psychiatric Pharmacists are responsible for providing both operational and clinical services to this campus. Psychiatric Pharmacists work under P&T approved protocol allowing for monitoring and ordering of appropriate lab work for clozapine, anticoagulation, and metabolic monitoring. Psychiatric Pharmacists conduct daily screening and documentation for Joint Commission Core Measure HBIPS, Long Acting Injectable (antipsychotics and naltrexone), movement disorder screening, and treatment team participation.

RUHS Arlington serves as a main training site for UCR Medical School's Psychiatry Residency and Child & Adolescent Psychiatry Fellowship programs. As such, there will be extensive collaboration with these trainees. Psychiatric pharmacy staff train student pharmacists attending University of the Pacific, University of Southern California, Keck Graduate Institute, Loma Linda University, University of Colorado, and University of St. Joseph. The resident will gain ample exposure to preceptorship and hone these skills.

RUHS Psychiatric Pharmacy Faculty

Melissa Mitchell, PharmD BCPP BCPS BCGP – Residency Program Director
Andy Williams, PharmD BCPP BCGP – Residency Program Coordinator
Jamie Kneebusch, PharmD BCPP BCPS
Dalea Kandela, PharmD
Additional pharmacy and medicine faculty provide selective learning experiences

Required Rotations

  • Orientation
  • Adult Inpatient Psychiatry
  • Advanced Inpatient Psychiatry (Supervisory Role)
  • Adolescent Psychiatry
  • Emergency Psychiatry
  • Consult and Liaison Psychiatry
  • Outpatient Psychiatry (Longitudinal)
  • Psychiatric Pharmacy Operations (Longitudinal)
  • Attend weekly didactic lectures with UCR medical residents

Offered Elective Rotations

  • Academia Psychiatry/Neurology
  • Developmental Disabilities Clinic
  • Detention/Forensic Psychiatry
  • Geriatrics            
  • Long Term Care Psychiatry
  • Transitions of Care Psychiatry/Mobile Psychiatric Services
  • Extension of any required experience

Outpatient Psychiatry Experience

The resident is given provider privileges under a collaborative practice agreement between RUHS Internal Medicine clinics and psychiatric pharmacy. The resident will be responsible for providing comprehensive medication management to a caseload of patients with mental illness, including initiating and adjusting medications and ordering necessary lab work. The resident will work closely with the RUHS Internal Medicine Behavioral Health team and variety of internal medicine subspecialists such as Rheumatologists and Infectious Disease medical teams. This is a longitudinal experience in which the resident will staff the clinic every Friday.

Research

The resident will complete a research project suitable for presentation at the annual meeting of the College of Psychiatric and Neurologic Pharmacists (CPNP). The goal of the research experience is to develop a research protocol or new service that is suitable for publication. A completed manuscript is to be submitted to a journal at the end of the residency year.

Teaching

The resident will have the opportunity to provide didactic lectures within CNS modules to pharmacy students at Loma Linda University School of Pharmacy and Keck Graduate Institute School of Pharmacy. The resident will also provide lectures, along with their preceptors, to the UCR psychiatry residents and to consumers at National Alliance on Mental Illness (NAMI) Western Riverside and Temecula Valley local association meetings. Furthermore, the resident will gain experience precepting, including serving as the primary preceptor for one APPE student block. 

Contact

Melissa Mitchell, PharmD BCPP BCGP BCPS
Senior Clinical Pharmacist, Arlington and Neighborhood Pharmacies
PGY2 Psychiatric Pharmacy Residency Program Director
RUHS- Medical Center Arlington Campus
9990 County Farm Rd
Riverside, CA 92503
T: 951-358-4746 F: 951-358-4626
m.mitchell@ruhealth.org
 

Andy Williams, PharmD BCPP BCGP
Clinical Pharmacist, Psychiatry
PGY2 Psychiatric Pharmacy Residency Program Coordinator
RUHS- Medical Center Arlington Campus
9990 County Farm Rd
Riverside, CA 92503
T: 951-358-6551 F: 951-358-4626
andrew.williams@ruhealth.org