Ambulatory Care Pharmacy

University of Michigan Residency Programs have decided to not participate in ASHP Midyear or ACCP Residency Showcase. The PGY2 Ambulatory Care program will be providing the following virtual alternatives to learn and connect with our program: 

• Residency overview session for PGY2 Ambulatory Care
  • Tuesday, December 1^st from 7-8pm Eastern Time
  • Thursday, December 3rd from 7-8 PM Eastern Time
  • Sign up via Calendly app: https://calendly.com/michiganmedicineamcarepgy2/pgy2-ambulatory-care-residency-overview-session-1?month=2020-12
• 30-minute pre-application PGY2 Ambulatory Care interviews
  • After attending one of the informational sessions, candidates may schedule a 1-on-1 interview with the RPD and RPC of the program. You must attend an information session first and you must send your CV directly to kkippes@med.umich.edu (link sends e-mail) and eashjian@med.umich.edu(link sends e-mail).
  • Sign-ups are available in 30-minute intervals
    • Tuesday, December 8^th from 8am-330pm Eastern Time
    • Thursday, December from 8am-330pm Eastern Time
    • Friday, December 11^th from 1-4pm Eastern Time
  • Sign up via Calendly app: https://calendly.com/michiganmedicineamcarepgy2/30min-pps-interview

Rotation Experiences are tailored according to resident interests in conjunction with the residency program director and coordinator in July. 

Required Rotations (Longitudinal rotations unless otherwise noted)

• Orientation (July)
• Research/Writing (December)
• Independent Patient Centered Medical Home (PCMH)
• Primary Care – PCMH Clinic (Internal Medicine and Family Medicine options; 2 longitudinal rotations)
• Anticoagulation
• Clinical Administration
• Medication Optimization
• Psychiatry
• Transitions of Care Clinic

Elective Rotations (3-4 months; 1/2 day per week)

• Chronic Kidney Disease 
• Cystic Fibrosis
• Hematology/oncology
• Oral chemotherapy
• Palliative Care
• Pain clinic
• Solid organ transplant
• Specialty pharmacy
• Transitions of care

• Research project (longitudinal)
• Writing project (longitudinal)
• ACPE-Accredited 1-hour CE Presentation
• Teaching at College of Pharmacy
• Professional and/or institutional committee involvement
• Michigan Medicine Residency Committee involvement
• Attendance at pharmacy meeting (poster presentation)
• Attendance at specialty meeting (not required, but highly encouraged)
• Topic discussions (monthly)
• Journal Club (every other month)
• Student Run Free Clinic (3-4 sessions)

• Teaching certificate program (optional)
• Online journal club through the American College of Clinical Pharmacy (ACCP)

Residents will staff in the outpatient Taubman pharmacy approximately every 3^rd weekend, including 1 minor holiday and one major holiday block.

The resident will participate in the development and completion of a mentored longitudinal residency research project. Experience in protocol writing, IRB submission, data collection and analysis, manuscript preparation, and publication will be provided.

Opportunities for development of writing and presentation skills are also available through completion of a writing project suitable for publication, a major pharmacotherapy continuing education presentation on a topic of the resident’s choosing, and presentation opportunities at local, regional, and national meetings.

The resident has the potential to produce at least two manuscripts suitable for peer-reviewed publication by the completion of the residency. There may be additional opportunities depending on resident interest.

Four major oral presentations:

• Research protocol
• Writing project (CE lecture)
• Research project results at Great Lakes residency conference
• Research project results to pharmacy department

A multitude of teaching opportunities are available to the resident, who will receive a faculty appointment as an Adjunct Clinical Instructor at the University of Michigan College of Pharmacy. Resident teaching opportunities include, but are not limited to, the following:

• Teaching in our Pharmacy Practice Skills III Course, which focuses on management of chronic disease states in the ambulatory setting
• Precepting second year Introductory Pharmacy Practice Experience (IPPE) students and fourth-year Advanced Pharmacy Practice (APPE) students on clinical rotations
• Facilitating small group discussions (topic discussions, journal clubs, and case presentations) for APPE students
• Didactic and Team-Based Learning teaching paradigms
• Participating in a teaching series and teaching certificate program
• Providing interdisciplinary presentations and in-services
• Teaching in courses for other health sciences disciplines (Medicine, Nursing, etc.)
• Precepting extracurricular activities in the community for our College of Pharmacy students

Johengen EK, Ward KM, Coe AB, Pasternak AL. Assessing the knowledge, perceptions, and practices of primary care clinicians toward pharmacogenetics. J Am Coll Clin Pharm. 2020 [epub ahead of print].

Cho KH, Ashjian EJ, Smith MA, Pai AB. Approaches to medication management in patients with kidney failure opting for conservative management. Nephrol Nurs J. 2020;47(4):319-71.

Aldrich SA, Ashjian EJ. Use of GLP-1 receptor agonists in patients with Type 2 Diabetes Mellitus and Chronic Kidney Disease. Nurse Pract 2019;44(3):20-28.

Farhat NM, Vordenberg SE, Marshall VD, Suh TT, Remington TL. Evaluation of interdisciplinary geriatric transitions of care on readmission rates. Am J Manag Care. 2019;25(7):e219-e223.

Farhat NM, Farris KB, Patel MR, Cornish L, Choe HM. Comprehensive medication reviews: Optimal delivery setting and recommendations for quality assessment. J Am Pharm Assoc 2019;59(5):642-645.

Fennelly JE, Coe AB, Kippes KA, Remington TL, Choe HM. Evaluation of clinical pharmacist services in a transitions of care program provided to patients at highest risk for readmission. J Pharm Pract. 2020;33(3):314-320.

Lindell, VA, Stencel DL, Ives RC, Ward KM, Fluent T, Choe HM, Bostwick JR. A pilot evaluating clinical pharmacy services in an ambulatory psychiatry setting. Psychopharmacol Bull. 2018;48(2):18-28.

Ashjian EJ, Kurtz B, Renner E, Yeshe R, Barnes GD. Evaluation of a Pharmacist-Led Direct Oral Anticoagulant Service. Am J Health-Syst Pharm 2017;74(7):483-89.

Ashjian EJ, Tingen JM. SGLT2 inhibitors: Expanding oral treatment options for type 2 diabetes mellitus. Nurse Pract 2017;42(4): 8-15.

Funk KA, Hudson S, TIngen JM. Use of clinical pharmacists to perform depression screening. Qual Prim Care. 2014;22(5):249-50.

Stranges PM, Marshall VD, Walker PC, Hall KE, Griffith DK, Remington T. A multidisciplinary intervention for reducing readmissions among older adults in a patient-centered medical home. Am J Manag Care. 2015;21(2):106-13.

Stranges PM, Tingen JM. End of the road: Diabetes care when insulin may not be an option. Clin Diabetes. 2014;32(2):87-9.

• Emily Ashjian, PharmD, BCPS, BCACP, CDCES
• Heidi Diez, PharmD, BCACP
• Jessica Fennelly, PharmD, BCACP, BC-ADM
• Lianne Granata, PharmD
• Nghi Ha, PharmD, MPH, BCPS, CACP
• Marcy Holler, PharmD, BCPS
• Kellie Kippes, PharmD, BCPS, BCACP
• Frank Pawlicki, RPh
• Elizabeth Renner, PharmD, BCPS, BCACP, CACP
• Nicole Rockey, PharmD, BCACP
• Amy Thompson, PharmD, BCACP
• Anne Yoo, PharmD, BCPS
• Kristen Ward, PharmD
• Trisha Wells, PharmD

Kellie Kippes, PharmD, BCPS, BCACP
Clinical Pharmacist Specialist in Ambulatory Care
Adjunct Clinical Assistant Professor
2500 Green Rd, Suite 100 Room 1117
Ann Arbor, MI 48105
Office: 734-615-8244
Email: kkippes@med.umich.edu

Emily Ashjian, PharmD, BCPS, BCACP, CDCES
Program Coordinator & Ambulatory Care Clinical Pharmacist Specialist
Michigan Medicine

Clinical Assistant Professor
University of Michigan College of Pharmacy
428 Church Street
Ann Arbor, MI
Email: eashjian@med.umich.edu