Ambulatory Care Pharmacy

A list of 2025 recruitment events will be added late summer. Please check back around that time for updates or contact the Residency Program Director with questions. 

Learning experiences are tailored according to resident interests in conjunction with the residency program director. 

Required Experiences  

• Orientation (July) (month long block)
• Independent Patient Centered Medical Home (PCMH) Clinic (11 months, ½ day per week)
• Primary PCMH Clinic (10 months, ½ day per week)
• Secondary PCHM Clinic (10 months, ½ day per week)
• Anticoagulation (4 months, ½ day per week) 
• Administration (4 months, ½ day per week)
• Medication Optimization (5.5-months; ½ day per week)
• Psychiatry (3 months, ½ day per week)
• Transitions of Care – Ypsilanti Health Center (5.5 months, ½ day per week)
• Transitions of Care – Central (4 months, ½ day per week)
• Staffing (13-14 weekends per year)
• Research (11 months, longitudinal)
• Writing Project (11 months, longitudinal)
• Teaching (4 months, ½ day per week)

Elective Experiences (3 months, ½ day per week) 

• Chronic Kidney Disease
• Cystic Fibrosis
• Hematology/Oncology
• Hypertension
• Infectious Disease Stewardship
• Oral Chemotherapy
• Palliative Care
• Pharmacogenetics
• Solid Organ Transplant
• Specialty Pharmacy
• Transitions of Care – Geriatrics
• Transitions of Care – Heart Failure/Cardiology 

Please see the PGY2 Ambulatory Care Graduation Requirements Checklist & Program Deliverables for a list of all program completion requirements.   

Residents will participate in outpatient pharmacy staffing approximately 13-14 weekends per year (inclusive of one training weekend during July orientation), including one 3-day minor holiday block (Labor Day or Memorial Day) and one 5-day major holiday block (Thanksgiving, Christmas, or New Year’s). Saturday shifts are 7am-5pm and Sunday shifts are 8am-4pm. The residents will also staff 2 "gap days" between Christmas and New Year's - one as a staffing day, and one as a project day. Residents will serve as the backup (on-call pharmacist) for a minimum of nine Sunday shifts (10am-4pm). Residents receive all minor and major holiday blocks off that they are not scheduled to staff. Resident feedback forms are not required to evaluate staffing. 

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. 

Three major oral presentations: 

• 1 hour ACPE-accredited CE presentation 
• Research project results at Great Lakes Pharmacy Resident Conference (GLPRC)
• 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
• Co-precepting second year Introductory Pharmacy Practice Experience (IPPE) students and fourth-year Advanced Pharmacy Practice (APPE) students on clinical learning experiences
• 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
• Teaching certificate program (optional)

We have a dedicated committee focused on resident wellness which consists of both residents and preceptors. Residents receive 5 wellness days to focus on a residency-class identified area of wellness, such as emotional, social, financial, etc. The resident class has the opportunity to participate in a group wellness activity during their wellness day, such as a hike, yoga class, or open discussion groups, but also have the ability to focus on themselves.  

• Salary: $52,000 annually paid once monthly with medical benefits
• Up to 15 days of paid time off to be used for vacation/personal/interview/illness
• Business days for presentations at national and local conferences
• Access to free workplace counseling 
• Remote work for some rotations and research month, at discretion of preceptors
• Leave of absence policies in the event a resident requires longer time away
• Dedicated office desk space with a personal laptop computer
• Embroidered white coat
• Access to MPerks through University of Michigan (additional savings using your badge)  

• Roa PA, Bostwick JR, Patel PD et al. An interdisciplinary intervention for detection of sexual dysfunction associated with antidepressants: A pilot study. Ment Health Clin 2024;14(4): 236-241. 
• Xu J, Ashjian EJ. Treatment of hypertriglyceridemia: A review of therapies in the pipeline. J Pharm Pract 2023;36(3):650-661.
• Xu-Stettner J, Thompson AN, Fitzgerald LJ, et al. Comparison of transplant pharmacist treatment decisions between telehealth and clinic visits. Prog Transplant 2023;33(2):156-161.
• Elder MJ, Ashjian EJ. Pharmacotherapy for Type 2 Diabetes Mellitus: What’s up and coming in the Glucagon-Like Peptide-1 (GLP-1) pipeline? J Pharm Pract 2023;36(2):418-428.
• Dualeh SHA, McMurry K, Herman AE, Maryan S, Pacurar LA, Waits SA, Tishcer S. Evaluation of an opioid restrictive pain management initiative in adult kidney transplant recipients. Clin Transplant 2021;35(7):e14313.
• 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 Miretti, PharmD, BCPS, BCACP, CDCES
• Jennifer Baldridge, PharmD, BCACP
• Nick Dillman, PharmD
• Heidi Diez, PharmD, BCACP
• Jessica Fennelly, PharmD, BCACP, BC-ADM
• Lianne Granata, PharmD
• Nghi Ha, PharmD, MPH, BCPS, CACP
• Jennifer Hagopian, PharmD, BCPS, BCTXP
• Marcy Holler, PharmD
• Madison Irwin, PharmD, BCPS
• Kellie Kippes, PharmD, BCPS, BCACP
• Kristin Klein, PharmD, BCPPS
• Lan Le, PharmD, BCACP
• Valerie Lindell, PharmD, BCACP
• Amy Pasternak, PharmD, BCPS
• Elizabeth Renner, PharmD, BCPS, BCACP, CACP
• Hiral Satishchandran, PharmD
• Denise Sutter-Long, PharmD, BCPS
• Amy Thompson, PharmD, BCACP
• Kristen Ward, PharmD, BCPP
• Trisha Wells, PharmD

Emily Miretti, PharmD, BCPS, BCACP, CDCES
Program Director & Ambulatory Care Clinical Pharmacist Specialist
Michigan Medicine
Clinical Associate Professor
University of Michigan College of Pharmacy
428 Church Street
Ann Arbor, MI
Email: [email protected]