Pharmacy Residency Program Overview

The Formulary Management learning experience is a required longitudinal rotation at Tallahassee Memorial HealthCare that focuses on key concepts to managing a formulary. This learning experience will focus on building the resident’s foundation in working with physicians, pharmacists, and other healthcare professionals to promote clinical sound, cost-effective medication therapy and positive therapeutic outcomes  

The resident will also work closely with the Assistant Director on completing a medication use evaluation (MUE). The goal of the MUE is to ensure optimization of patient outcomes via ongoing evaluation and improvement of medication utilization. The MUE or drug use evaluation/review (DUE/DUR) will focus on either a specific medication or disease-specific assessment that ensures appropriate medication utilization at the patient level.

The resident will be expected to perform tasks involved with formulary management and drug utilization reviews reporting findings at the appropriate medical staff committee, eg, Pharmacy and Therapeutics Committee.

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Ambulatory Care is a required, six-week learning experience at Tallahassee Memorial HealthCare Transitional Center (TC). On average, there are approximately 100 patient visits at TMH’s TC monthly. Patients with greater than a one-week time frame following up visit with their primary care physician and meet one of the following criteria may be enrolled into the TC: 1) insured with primary care visit greater than 5 days out, 2) insured with no primary care physician assigned or 3) uninsured. At the patient’s consent enrollment into the TC occurs prior to discharge.

The purpose of this rotation is to expose the resident to the utilization of drugs in an ambulatory care practice setting at one of the most critical points in disease state management. This rotation will emphasize appropriate clinical decision making such as changing therapy to meet patient compliance issues, accessibility to healthcare care, monitoring of critical labs, and providing education to patients and staff. The Clinical pharmacist on the team rounds with the physician or nurse practitioner, performs medication reviews to include appropriate therapy changes as indicated by labs, compliance cost, etc, and provide education to patients, caregivers and healthcare professionals.

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Ambulatory Care is a required, six-week learning experience at Tallahassee Memorial HealthCare Transitional Center (TC). On average, there are approximately 100 patient visits at TMH’s TC monthly. Patients with greater than a one-week time frame following up visit with their primary care physician and meet one of the following criteria may be enrolled into the TC: 1) insured with primary care visit greater than 5 days out, 2) insured with no primary care physician assigned or 3) uninsured. At the patient’s consent enrollment into the TC occurs prior to discharge.

The purpose of this rotation is to expose the resident to the utilization of drugs in an ambulatory care practice setting at one of the most critical points in disease state management. This rotation will emphasize appropriate clinical decision making such as changing therapy to meet patient compliance issues, accessibility to healthcare care, monitoring of critical labs, and providing education to patients and staff. The Clinical pharmacist on the team rounds with the physician or nurse practitioner, performs medication reviews to include appropriate therapy changes as indicated by labs, compliance cost, etc, and provide education to patients, caregivers and healthcare professionals.

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Ambulatory Care is a required, six-week learning experience at Tallahassee Memorial HealthCare Transitional Center (TC). On average, there are approximately 100 patient visits at TMH’s TC monthly. Patients with greater than a one-week time frame following up visit with their primary care physician and meet one of the following criteria may be enrolled into the TC: 1) insured with primary care visit greater than 5 days out, 2) insured with no primary care physician assigned or 3) uninsured. At the patient’s consent enrollment into the TC occurs prior to discharge.

The purpose of this rotation is to expose the resident to the utilization of drugs in an ambulatory care practice setting at one of the most critical points in disease state management. This rotation will emphasize appropriate clinical decision making such as changing therapy to meet patient compliance issues, accessibility to healthcare care, monitoring of critical labs, and providing education to patients and staff. The Clinical pharmacist on the team rounds with the physician or nurse practitioner, performs medication reviews to include appropriate therapy changes as indicated by labs, compliance cost, etc, and provide education to patients, caregivers and healthcare professionals.

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Patient Safety is a required, longitudinal learning experience at Tallahassee Memorial Healthcare. The resident will work closely with the Medication Safety Officer throughout the year to identify and resolve safety issues within the facility’s medication-use system. The resident will gain an understanding of and experience in the management of the health system’s medication safety program. This exposure and experience shall include developing relationships between the pharmacy department and other areas in the hospital and providing leadership for implementation of safe medication practices within the Tallahassee Memorial HealthCare system.

The pharmacy resident is responsible for actively participating and facilitating the Medication Safety Subcommittee meeting, as well as presenting pertinent medication safety data at the following meetings: Patient Safety, Pharmacy and Therapeutics, and Continuous Quality Improvement. The Medication Safety Officer will review all medication safety events for opportunities for medication-use system improvements and thereby discuss with residents on a weekly basis. The Medication Safety Officer will also discuss various topics with the residents centered on the causes and prevention of medication errors. The resident is ultimately responsible for staff education, development of strategies to evaluate the safety of the medication use process, and development of strategies to implement new medication safety practices within the system.

By the end of the longitudinal learning experience, the resident should be able to effectively facilitate the Medication Safety Subcommittee meeting, identify process changes needed in the facility’s medication-use system, and implement the steps needed to improve the safety of the medication-use process.

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Practice Management is a required, four to six-week learning experience at Tallahassee Memorial Healthcare with the primary purpose of building a strong, effective leader in the profession of pharmacy. The resident will work closely with the Assistant Director of Pharmacy Services to become introduced to the functions and concepts of pharmacy administration within the hospital setting. The learning experience will afford the resident opportunities in developing problem-solving skills related to operational management, enabling strong administrative judgments, and assuming overall responsibilities of leading and managing a pharmacy department.

The pharmacy resident is responsible for updating pharmacy financials daily and actively participating in clinic inspections. The Assistant Director will provide necessary guidance and instruction on how to complete a schedule via OptiLink Plus software and give pertinent financial data so that the resident can formulate predictions to better manage overtime hours. The preceptor will also provide instruction and afford the opportunity of learning the process of ordering, reconciling, and resolving discrepancies associated with controlled substances. The pharmacy resident will also be responsible for attending monthly pharmacy administration and pharmacy staff meetings.

At the end of the learning experience, the pharmacy resident will gain crucial management expertise and will be able to function as a member of the pharmacy management team.

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Staffing is a required learning experience designed to train the resident in balancing the various distributive and patient care based functions normally encountered by a hospital staff pharmacist. The residency coordinator and preceptor will coordinate initial training in basic elements of staff pharmacist activities. This will include use of Medication Manager Order processing system in Cerner, documentation methods including ad-hoc charting of interventions and clinical notes, Pyxis automated dispensing machine procedures, CII Safe narcotic procedures, intravenous admixture preparation and checking, and outpatient prescription processing. Specialists in the designated functions will provide the training whenever possible.

Following the initial training, the resident will spend 1 week with a pharmacist in a decentralized pharmacy area focusing on sharpening order entry skills. The resident will also provide other clinical intervention activities during this time, under the supervision of the training pharmacist. The preceptor will be a training pharmacist. If there are two residents, another pharmacist may train the other resident at the discretion of the residency coordinator.

During the remaining course of the residency, the resident will work one weekend per month (two 8 hour shifts) in a staffing role. The resident will also work one 3.5-hour staffing shift each week and at least one 8-hour shift on one major holiday (Thanksgiving, Christmas, or New Year’s Day). The preceptor will work along with the resident on the weekend shift. The preceptor will provide instruction, answer questions, supervise activities, and provide any other guidance as needed to assist resident in the development of necessary skills. Pharmacists generally work one weekend a month. Therefore, if there is a second resident, another pharmacist other than the preceptor may also provide the weekend training role at the discretion of the residency coordinator. In addition, other pharmacists will supervise the residents’ activities during the 3.5 hour and holiday shifts.

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Graduated from the University of Florida College of Pharmacy-Jacksonville in 2013. Prior to pharmacy school, she earned a Bachelor of Science in Biological Sciences from Florida State University. In 2013-2014, Dr. Medvid completed a PGY-1 pharmacy practice residency at Tallahassee Memorial HealthCare.  She continued to work there as a Clinical Staff pharmacist for seven months before transitioning to the Northeast Emergency Center. Dr. Medvid currently serves as a preceptor for the Emergency Medicine elective rotation.

Dr. Medvid is a Board-Certified Pharmacotherapy Specialist, and is a member of ASHP.

Joan Hazen is a graduate of Creighton University School of Pharmacy. Upon completion of the doctoral program, Dr. Hazen completed a fellowship in Cardiovascular Research at the Creighton Cardiac Center in Omaha, Nebraska. Following completion of the fellowship, Dr. Hazen worked at the University Medical Center in Jacksonville, FL in a dual capacity as cardiovascular practitioner in the Pharmacy Department and assistant professor at the University of Florida. Before joining the team at TMH, she worked as the clinical liaison in Medical Affairs for Hoffman-LaRoche, Inc. Dr. Hazen currently holds the position of Team Leader for Cardiac Units at Tallahassee Memorial HealthCare.

Dr. Hazen is a member of various professional organizations such as the American Society of Health-System Pharmacists, Florida Society of Health-System Pharmacists, Association of Clinical Research Professionals and the Rho Chi Pharmaceutical Honor Society. She is the current Treasurer of the Capital Society of Health-System Pharmacists. Dr. Hazen has published extensively and conducted numerous presentations on various cardiology topics.

Clarence Herring, Jr. is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences; receiving both a Bachelor of Science degree in Pharmacy and a Doctor of Pharmacy degree. Herring holds regular and Consultant Pharmacy licensure in the states of Florida and Alabama. With over 30 years in pharmacy practice, Dr. Herring has demonstrated progressive advancement from staff pharmacist to a series of key leadership roles at Tallahassee Memorial HealthCare including interim director of Pharmacy Services, assistant director of Pharmacy Services, and assistant director of Inpatient Pharmacy and After-Hours Operations. Presently, Dr. Herring functions in day-to-day operations at TMH as the Assistant Director of Pharmacy Services. He also serves as a consultant pharmacist with the State of Florida Department of Health and an Adjunct Professor with Florida A&M University School of Nursing and College of Pharmacy and Pharmaceutical Sciences.

Dr. Herring is very active in the profession of pharmacy and in his community. He is currently a member of the Florida Society of Health System Pharmacists (House of Delegates and Rules and Regulatory Committee) and the Capital Society of Health System Pharmacists. His community involvements include the Tallahassee Urban League, Kappa Psi Pharmaceutical Fraternity, Omega Psi Phi Fraternity, and Police Athletic League. Dr. Herring has served as a guest speaker at annual recertification programs for Consultant Pharmacists and has delivered numerous presentations on pharmacy practices, legal requirements, and ethics at academic institutions and medical forums. Dr. Herring has been honored with the NAACP Black Achiever Award and named grant recipient through the McKnight Award.

Angie Jones received her Doctor of Pharmacy degree from the University of Florida College of Pharmacy in 2006. Within a year of completing the doctoral program, Dr. Jones joined the TMH Pharmacy Team as a Clinical Staff Pharmacist working in Behavioral Health, Cardiology, Critical Care, Adult Internal Medicine, Emergency Services, Neonates, Pediatrics and Post-Surgical Care. In 2018, she became the first Drug Shortages Coordinator for TMH and in 2020 took on the task of managing the 340B Drug Pricing Program for the institution, while earning a certificate from 340B University. Dr. Jones currently serves ambulatory patients at the Transition Center and enjoys this unique role in direct patient care.

Dr. Jones holds certifications in Medication Therapy Management and Pharmacy Informatics and has been a guest lecturer for the Physician Assistant Program at Florida State University College of Medicine. Dr. Jones has been a member of TMH’s Pharmacy & Therapeutics Committee and Medication Safety Subcommittee.

Outside of TMH, Dr. Jones enjoys spending time with her husband, two daughters and toy poodle puppy.

Natalie Robertson is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences. Upon completion of the doctoral program, Dr. Robertson went on to complete a pharmacy practice residency at Bay Pines Veteran Affairs Medical Center in Bay Pines, Florida. Immediately following her residency, Dr. Robertson joined the pharmacy team at Tallahassee Memorial HealthCare as a staff pharmacist. Over her years of service with TMH, Dr. Robertson transitioned from Staff Pharmacist to clinical pharmacist. Before moving into her current position, Dr. Robertson successfully matriculated through the University of Florida’s Master’s Program in Health Administration. She served as the Residency Program Director from the program’s inception until 2022 where she was instrumental in the ASHP accreditation of the TMH/FAMU Post Graduate Year 1 Pharmacy Practice Residency. Dr. Robertson currently functions in the day-to-day operations as the pharmacy clinical coordinator. In her current capacity, she facilitates and actively participates on the Pharmacy and Therapeutics Committee, Drug Expense Management Committee, Anti-infective Subcommittee, Medication Safety Subcommittee, and Anticoagulation Subcommittee.

Dr. Robertson is very active in her pharmacy practice through membership in various organizations. She is a member of the American College of Clinical Pharmacy, American Society of Health-System Pharmacists, and the Florida Society of Health System Pharmacists. To her credit, Dr. Robertson is published and has presented various topics at both pharmacy and nursing professional forums. In addition to her many other attributes, Dr. Robertson received the State of Florida and Health Unsung Hero Award in 2005.

Kelly Rodrigue graduated from the University of Florida College of Pharmacy-Jacksonville in 2013. Prior to pharmacy school, she earned a Bachelor of Science in Biological Sciences from Florida State University. In 2013-2014, Dr. Rodrigue completed a PGY-1 pharmacy practice residency at Shands/UF Health Jacksonville, and continued to work there as an Internal medicine pharmacist for almost two years... Upon transitioning to TMH in 2016, Dr. Rodrigue began as a clinical staff pharmacist and transitioned to the Lead Pharmacist for Infectious Diseases in 2018. In this role, Dr. Rodrigue co-chairs the Antimicrobial Stewardship Committee, precepts residents on the Infectious Disease elective, and participates in multidisciplinary committees throughout the hospital as an advocate for judicious and appropriate antibiotic use. Dr. Rodrigue enjoys working with pharmacy residents on longitudinal quality improvement projects and serving as a guest lecturer at the FSU College of Medicine. Her areas of interest are resistant gram-negative infectious, pharmacist driven antimicrobial stewardship initiatives, and emerging antimicrobial therapy. In 2022, Dr. Rodrigue assumed the role of Residency Program Director.

Dr. Rodrigue is a Board Certified Infectious Diseases Pharmacist, and is a member of ASHP and FSHP. In 2014 she received the FSHP Research in Pharmacy Practice Award, and in 2019 was awarded the TMH Preceptor of the Year. Dr. Rodrigue is a Tallahassee native and enjoys spending free time with her husband and two children.

Phillip Treadwell is a graduate of the University of Florida College of Pharmacy. Upon receiving his Doctor of Pharmacy degree, Dr. Treadwell completed a pharmacy practice residency at the Tallahassee Memorial Regional Medical Center in 1995. Dr. Treadwell has functioned in multiple clinical roles while at Tallahassee Memorial HealthCare. He was a clinical specialist for the Department of Pharmacy for five years and later transitioned to the position of Associate Director for Clinical Pharmacology with the Family Practice Residency Program. During his tenure with TMH, he has also worked as the Tallahassee Site Coordinator/Remediation Model Coordinator for the Working Professional Doctor of Pharmacy Program with University of Florida College of Pharmacy. To add to his credentials, Dr. Treadwell is a certified HIV Expert through the American Academy of HIV Medicine.

Dr. Treadwell has been honored with numerous awards including Aesculapian Award for Outstanding Clinical Teaching (2006 and 2010), Intern Appreciation Award in 2004, and Roche Preceptor of the Year in a Hospital Setting in 2000. Dr. Treadwell has lectured extensively on topics related to anticoagulation, HIV, MRSA, pharmacokinetics and pneumonia. He has also presented clinical papers at various professional forums and meetings, published peer-reviewed journal articles and co-authored a book entitled, “Herbs as Medicine-What You Should Know.” In addition to Dr. Treadwell’s numerous clinical activities, he has participated in several multicenter clinical trials as either an assistant to the Primary Investigator, Lead Pharmacist or Study Site Coordinator.

Jay Wallace is a graduate of the University of Louisiana at Monroe College of Pharmacy. After receiving his Bachelor of Science degree in Pharmacy, Jay completed a one year general hospital pharmacy residency at the University of Texas Medical Branch in Galveston, Texas. Immediately following completion of his residency, Jay worked as a pharmacist for the University of Texas Medical Branch. He then became the Clinical Pharmacy Manager for Owen Healthcare in Rome, New York. Currently, Jay is the Team Leader for the Tallahassee Memorial HealthCare Behavior Health and Rehabilitation Center. While at TMH, Jay has been very instrumental in initiating the pharmacist warfarin dosing protocol and coordinating the inpatient bedside INR monitoring program. Jay holds both regular and consultant pharmacy licensure in the state of Florida.

Jay is the current president of the Capital Society of Health-System Pharmacists. He also has been honored as the Tallahassee Memorial Behavioral Health Center Employee of the Month (March 2007) and the Physician Service Award Runner-up for 2006 and 2008. In addition to his clinical activities at TMH, Jay has served as guest lecturer to local colleges and universities and has presented at local professional meetings on various psychiatric disorders and related pharmacotherapy.

Cicely Williams is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences. In 2008, Dr. Williams completed a post-graduate pharmacy practice residency program through the joint venture of Tallahassee Memorial HealthCare and Florida A&M University College of Pharmacy. She also holds a Master of Science degree in Biology/Environmental Microbiology from Georgia State University. Upon completion of the residency program, Dr. Williams accepted a staff pharmacist position at TMH. She has advanced in her practice from staff pharmacist to Lead Pharmacist for Surgical Units. Dr. Williams currently functions in the capacity of Lead Pharmacist for Medication Safety and Pharmacoeconomics. In her new role, she serves as the residency preceptor for the Medication Safety learning experience, investigates medication events, evaluates medication utilization, and performs reviews on new formulary additions.

Dr. Williams is published in newsletters and peer-reviewed journals and has lectured on various topics in both nursing and pharmacy forums. She is active in the pharmacy profession by maintaining membership in several pharmacy organizations.