PGY1 Pharmacy, Texas Health Harris Methodist Hospital Fort Worth
The PGY1 Pharmacy Residency conducted by Texas Health Harris Methodist Hospital Fort Worth, Texas and TTUHSC Jerry H. Hodge School of Pharmacy, Dallas, Texas is accredited by ASHP.
Purpose
This PGY1 residency program builds upon Doctor of Pharmacy (PharmD) education and outcomes to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives. Residents who successfully complete this PGY1 residency program will be skilled in diverse patient care, practice management, leadership, and education, and be prepared to provide patient care, seek board certification in pharmacotherapy (i.e., BCPS), and pursue advanced education and training opportunities including postgraduate year two (PGY2) residencies.
Description
Texas Health Harris Methodist Hospital Fort Worth is one of two flagship hospital members of Texas Health Resources (THR), one of the largest faith-based, fully integrated, not-for-profit health care systems in the United States.
Since its opening in 1930, Texas Health Harris Methodist Hospital Fort Worth (THFW) has become a respected center of quality health care. THFW is a 851-bed private, non-profit, tertiary care, Level-II trauma center. In addition THFW has >90 adult ICU beds and is designated as an Emergency Center of Excellence, a Primary Heart Attack Center, and a Comprehensive Stroke Center. In 2021 THFW began graduate medical education (GME) with the start of a general surgery residency. In 2022 THFW welcomed its first class of internal medicine resident physicians.
The Department of Pharmacy Services is an established and vital component of patient care at THFW. Clinical pharmacists are an integral part of the health care team and provide core clinical services in renal and pharmacokinetic dosing, TPN management, antibiotic stewardship, and both anticoagulation/procoagulation management. Pharmacists take part in patient care rounds with multidisciplinary teams throughout the hospital and are actively involved in the training of pharmacy students from schools across the state of Texas. The Department of Pharmacy Services has nine clinical pharmacy specialists on staff and they provide care in various areas such as Intensive Care, Neonatology, Cardiology, Infectious Disease, Emergency Medicine, Internal Medicine, and Renal Transplant Clinic.
- Internal Medicine
- Critical Care (Medical ICU)
- Hospital Management
- Emergency Department
- Infectious Disease
- Inpatient Dispensing (Orientation)
Internal Medicine: Internal medicine is a 4-week rotation that takes place in a 38-bed inpatient medical unit. Pharmacy residents are expected to participate in multidisciplinary rounds with attending physicians, resident physicians, bedside nurses, care transition managers, and patients/family. Routine responsibilities include medication verification, completing all clinical consults for the service (TPN, anticoagulation, pharmacokinetics, monitoring, etc.), and providing medication expertise to the teaching team.
Critical Care (Medical ICU): Critical Care rotation is a 4-week clinical practice experience that takes place in 22 bed Medical Intensive Care Unit that supports medical patients requiring intensive care. Routine responsibilities for the resident include, but are not limited to, attending daily rounds with the team, admission medication reconciliation, patient/caregiver education, and all pharmacy specific consults (ex: pharmacokinetics, anticoagulation, nutrition, etc.). Residents will be exposed to such disease states as COVID-19, pneumonia, sepsis, GI bleeds, pancreatitis, and DKA (and more!). The patient population is complex and learning curve is steep. Great time management and desire to learn are must have skills to succeed in this rotation.
Hospital Management: The hospital pharmacy management rotation takes place over 4 weeks and focuses on business planning and accountability, human resources and team culture, quality assurance, and process improvement. Methods utilized will include research, discussion, presentation and projects. Multiple projects will be assigned to address current relevant opportunities in the pharmacy department at the time of the rotation.
Emergency Department: The Emergency Medicine Rotation requires the resident to work directly with the emergency department pharmacists for a 4 week rotation. The ED is a level two trauma center, has 100 beds, and staffed 24/7 with clinical pharmacists. This rotation provides the resident with the opportunity to work directly with ED physicians, nurses, respiratory therapists, social workers, and case managers by providing drug information, pharmacokinetic drug dosing and other consults (such as reversal of anticoagulants and administration of alteplase for ischemic strokes). Additionally, the resident will have the opportunity to interact with patients by performing medication reconciliations and providing patient education.
Infectious Disease: The infectious diseases rotation is a 4-week rotation that allows the resident to round directly with an infectious diseases physician in a 800+ bed hospital. Routine responsibilities for the resident include, but are not limited to, attending daily rounds, pharmacokinetic consultation management, patient/caregiver education, and antimicrobial stewardship evaluations. Residents can expect to become proficient in pharmacokinetics/pharmacodynamics, interpreting microbiology/laboratory results, and identifying key elements to decide optimal antimicrobial therapy for patients.
Inpatient Dispensing (Orientation): The inpatient dispensing rotation is a 6 week introductory experience that will train the resident to work in our inpatient dispensing area and sterile product lab. Residents will gain experience in the dispensing of both oral and IV medications. While in the sterile products lab the resident will focus on preparing, compounding and dispensing IV medications according to TSBP regulations and USP 797/800 standards. Residents will gain experience ensuring accuracy of compounded NICU stock solutions and fluids, various drips, IVBPs, and hazardous drugs. Routine responsibilities for the resident for the inpatient dispensing area include, but are not limited to, performing final sign-off of medications to be delivered, supervising pharmacy technicians, and overseeing multiple areas of central pharmacy. Residents can expect to become proficient in the central pharmacist and supervising pharmacist roles during this rotation.
- Antibiotic Stewardship
- General Cardiology
- Neonatal ICU
- Renal Transplant Clinic
- Neuro Intensive Care
- Trauma Intensive Care
- Cardiovascular Intensive Care
- Oncology
Antibiotic Stewardship: The antimicrobial stewardship rotation is a 4-week rotation that allows the resident additional training and exposure to infectious diseases pharmacy. The resident will be responsible for utilizing the antimicrobial stewardship tool on multiple floors to identify and intervene on several different scenarios (bug-drug mismatches, prolonged duration of therapy, potential de-escalations, etc.). Residents can expect to become proficient in efficiently evaluating a patient’s chart for antimicrobial therapy recommendations, understanding how an antimicrobial stewardship program functions, and educating healthcare professionals on optimal antimicrobial practice.
General Cardiology: The cardiology rotation is a 4-week rotation that takes place on a 25 bed cardiac progressive care unit. Routine responsibilities for the resident include, but are not limited to, attending daily rounds with the team, admission medication reconciliation, patient/caregiver education, and all pharmacy specific consults (ex: pharmacokinetics, anticoagulation, nutrition, etc.). Residents can expect to become proficient in general cardiac patient care, to include congestive heart failure, acute coronary syndrome, atrial fibrillation, etc.
Neonatal ICU: The Neonatal ICU rotation is a 4-week rotation covering our neonatal unit which runs between 45 and 65 patients. As a high risk delivery hospital, our population ranges anywhere from 22 week gestational age preterm infants up to term babies with congenital disease states. Routine responsibilities for the resident include, but are not limited to, TPN verification, daily antibiotic review, weekly weight and medication adjustments, immunization review, and attendance to other weekly meetings. Though the topics covered on rotation will vary based on current population specifics, residents can expect to become proficient in areas including neonatal nutrition, gastroschisis, necrotizing enterocolitis, neonatal sepsis, patent ductus arteriosus, etc.
Renal Transplant Clinic: The renal transplant rotation is a four-week rotation that includes experience caring for renal transplant patients in the outpatient Kidney Transplant Clinic and in the inpatient setting at Texas Health Harris Methodist Hospital Fort Worth (THFW). Residents will be involved in renal transplant care including aspects such as evaluation of potential renal transplant recipients and donors, care and education of new transplant patients, post-transplant care in the outpatient clinic, and any transplant patients admitted as inpatients at THFW. This experience will include involvement with the multidisciplinary team which is comprised of Transplant Coordinators, Nephrologists, Dieticians, Social Workers, Insurance Coordinators, Surgeons, and Pharmacists both in team meetings and in patient care. The resident will provide education to patients (including discharge counseling) and other healthcare professionals on the importance of transplant medications, toxicities and drug-drug interactions. The resident will also be involved in prevention and management of infectious complications as well as other medical issues such as treatment of organ rejection and other co-existing disease states. The resident may also be involved in protocol development, drug monograph presentation, reporting of adverse events, process improvement, and participation with the Kidney Transplant Support Group as opportunities arise.
Neuro Intensive Care: Neuroscience Intensive Care unit rotation is a 4-week clinical practice experience that takes place in 21 bed Neuroscience Intensive Care Unit. Currently 12 beds out of this ICU are allocated to patients diagnosed with COVID-19. The rest of the unit supports patients with neurologic sequelae recurring intensive care. Routine responsibilities for the resident include, but are not limited to, attending daily rounds with the team, admission medication reconciliation, patient/caregiver education, and all pharmacy specific consults (ex: pharmacokinetics, anticoagulation, nutrition, etc). Residents can expect to become proficient in management such disease states as stroke, subarachnoid hemorrhage, and status epilepticus. However, the scope of this unit is rather broad. Residents will be exposed to multiple other disease states that they have not previously encountered. The patient population in this ICU may be complex and learning curve is steep. Great time management and desire to learn are must have skills to succeed in this rotation.
Trauma Intensive Care: The trauma IC rotation is a 4-week elective rotation that takes place on a 20 bed trauma/surgical ICU unit. The resident will be responsible for working up the assigned patient load daily and attend multidisciplinary rounds with the team. The most common disease states encountered will include traumatic brain injury, spinal cord injuries, alcohol withdrawal, ICU delirium, nosocomial infections etc. The resident will also participate in various pharmacy consults such as anticoagulation reversal, parenteral nutrition, seizure pharmacotherapy. The goal is the help the residents become more independent throughout the rotation and ultimately round independently with the multidisciplinary team by the last week of rotation.
Cardiovascular Intensive Care : The cardiovascular intensive care rotation is a 4-week rotation that takes place in a 25 bed CVICU. Routine responsibilities for the resident include, but are not limited to, attending daily rounds with the team, post-op glycemic management, sedation management, and all pharmacy specific consults (ex: pharmacokinetics, anticoagulation, nutrition, etc.). Residents can expect to become proficient in the care of acute coronary syndrome, acute decompensated heart failure, arrhythmias, etc.
Oncology: The oncology rotation is a 4-week rotation that takes place on an inpatient oncology unit. The resident will participate in direct patient care via geographic roundings with the internal medicine service, as well as process chemotherapy and other related orders. The rotation will center on the treatment of hematologic malignancies, as well as supportive care and any other treatment regimens observed during the four-week period. The resident will be expected to develop knowledge through topic discussions and present a patient case and/or journal club.
- Drug Information
- Education
- Research
- Longitudinal Service Commitment/Staffing
- Code Blue Response
- Nutrition
Drug Information: The Drug Information (DI) rotation is a longitudinal learning experience lasting the entire residency year. During this time residents will build upon their literature evaluation and professional writing skills. The residents will complete one evidence-based drug information question and one journal club each quarter. Other required activities include: medication use evaluation, drug class review, monograph development, policy and/or protocol development, treatment guideline development, and management of drug shortages.
Education: During the course of this longitudinal rotation it is expected that residents will obtain preceptor license and precept a least one student from TTUHSC Jerry H. Hodge School of Pharmacy. Additionally, the resident is expected to complete one ACPE accredited CE, a minimum of 2 case presentations, and a minimum of 4 drug safety stories/educations to the pharmacy staff.
Research: The research experience is a longitudinal experience lasting the entire residency year. The resident will work with his/her mentor to develop a research question, implement the research project, and prepare a manuscript related to a research question suitable for publication. The resident is also required to present his/her project in both poster form and by platform presentation during the residency year. Residents meet with the Residency Research Advisory Committee quarterly to help maintain deadlines and provide feedback.
Longitudinal Service Commitment/Staffing: During this longitudinal rotation, residents are required to staff every 3rd weekend, one evening shift per month, and one major holiday (a two day commitment). Weekend staffing shifts are in our inpatient dispensing area or our sterile products lab. As the year progresses, residents have the opportunity to work decentralized clinical shifts on their once monthly staffing shift.
Code Blue Response and Consults: Throughout the course of the year residents will be assigned blocks of time that they are to respond to code blue emergencies house wide. The schedule is developed based on the rotation schedules of all PGY1 residents. The resident will be responsible for responding to code blue emergencies in conjunction with the multidisciplinary team. Activities may include, but are not limited to, preparing medication drips and syringes, labeling of prepared medications, dosing calculations, and providing additional support to the team as needed. Residents are expected to become ACLS certified at the beginning of the residency program. Additionally, residents are expected to participate longitudinally in the anti-eptileptic pharmacy consults service.
Nutrition: Throughout the Nutrition Support Rotation the resident Pharmacist is responsible for comprehensive nutrition care of the patient who is unable to tolerate enteral nutrition delivery. The Nutrition Support Team is composed of Pharmacists, Physicians, Dietitians and Nurses where help to evaluate each patient for appropriateness of parenteral nutrition support, caloric requirement estimation, and monitoring the patient for signs and symptoms of malnutrition. The Pharmacist is directly responsible for designing the parenteral nutrition support regimen for the patient. This responsibility includes but is not limited to appropriate dosing of macronutrients, micronutrients, multivitamins, trace elements, fluid requirements, glycemic management, acid-base management, assessing for nutrition related medication issues, monitoring dietary intake, reviewing parenteral access and compatibility information, assessing for ongoing appropriateness of parenteral nutrition support, maintaining and monitoring the patient’s nutrition status, ensuring admixture stability, composing daily progress notes, providing patient education, performing bedside patient assessments, and working with other healthcare team members.
- Complete a practice based research project
- Present a poster at ASHP Midyear Clinical Meeting
- Present a platform presentation at the Alcalde Southwest Leadership Conference
- Create and deliver an ACPE-accredited CE presentation
- Complete one MUE
- Provide clinical pharmacy services to diverse patient populations across the hospital
- Precept one pharmacy student from Texas Tech University Health Sciences Center Jerry H. Hodge School of Pharmacy
- Present a minimum of 4 journal clubs and 2 case presentations over the course of the residency year
Optional: Teaching certificate program offered through Texas Tech University Health Sciences Center Jerry H. Hodge School of Pharmacy.
David Adams, Pharm.D., BCIDP
Title: Clinical Pharmacy Specialist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Training: PGY1 Pharmacy and PGY2 Infectious Diseases Pharmacy Residency at Abington
Hospital-Jefferson Health
Practice Areas: Infectious Diseases, Antimicrobial Stewardship
Hobbies: Any sport, hiking, biking, computers
Eric Bauer, RPh, MBA
Title: Pharmacy Director
Education: Purdue University College of Pharmacy
Practice Area: Management
Hobbies: hiking, camping, car racing
Kristi Carter Pharm.D., BCPS, BCCCP
Title: Clinical Staff Pharmacist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Practice Area: Neurology, Emergency Department, Investigational Drugs
Hobbies: Biking, playing with my dogs, traveling
Allison Clarke, Pharm.D., BCPS
Title: Emergency Medicine Clinical Pharmacy Specialist
Education: University of Houston College of Pharmacy
Training: PGY1 Pharmacy Practice Residency at Vanderbilt University Medical Center;
PGY2 Critical Care Pharmacy Residency at Mayo Clinic
Practice areas: Emergency Medicine
Hobbies: traveling, collecting wine, H-E-B shopping trips with my kids, listening
to audio books
Kaysey Cloud, Pharm.D., BCPS
Title: Residency Program Director, Clinical Pharmacy Specialist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Training: PGY-1 Pharmacy Residency at The University of Oklahoma College of Pharmacy
and PGY-2 Internal Medicine/Critical Care at Texas Health Harris Methodist Hospital
Fort Worth
Practice area: Cardiology, Internal Medicine
Hobbies: Reading, kids sporting events, spending time with family, traveling
Melanie Horne, Pharm.D., BCPS
Title: Clinical Pharmacy Specialist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Practice Area: Neonatal ICU, Mother-Baby, and Women’s services
Hobbies: Hanging out with my kids, traveling, arts and crafts, reading, shooting hoops
Satwinder Sony Kaur, Pharm.D.
Title: Infectious Disease Clinical Pharmacy Specialist
Education: University of the Incarnate Word-Feik School of Pharmacy
Training: PGY1 Pharmacy-Texas Health Harris Methodist Fort Worth and PGY2 Infectious
Diseases-Memorial Hermann Texas Medical Center
Practice Areas: Infectious Diseases, Antimicrobial Stewardship
Hobbies: traveling, binging shows, reading books, planting, trying new foods, hiking.
Jonathan Krahl, Pharm.D., BCNSP
Title: Clinical Staff Pharmacist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Practice Area: Nutrition, Oncology
Hobbies: family, outdoors, reading, traveling, motorcycles
Kally Lafitte Patel, MBA, Pharm.D.
Title: Lead Pharmacist - Inpatient Dispensing
Education: Texas Tech University Health Sciences Center School of Pharmacy
Training:
Practice Areas: Pharmacy Operations, Oncology, Cardiology
Hobbies: Traveling and Raising Kids
Vicky Lewis, RPh, BCOP, BCTXB
Title: Clinical Pharmacy Specialist
Education: Southwestern Oklahoma State University College of Pharmacy
Practice Area: Renal Transplant, Oncology
Hobbies: Reading, Painting, Gardening
Randy Martin, Pharm.D., BCCCP, BCSCP, CPPS
Title: Lead Pharmacist – Sterile Products Lab
Education: Texas Tech University Health Sciences Center School of Pharmacy
Practice Areas: Sterile compounding
Hobbies: Traveling, cooking, photography, backpacking
Kristen Maxvill, Pharm.D., BCPS, BCCCP
Title: Clinical Pharmacy Manager
Education: University Of Texas College of Pharmacy
Training: PGY1 Pharmacy Residency and PGY2 Critical Care Residency at Baylor University
Medical Center, Dallas
Practice Area: Manager for Clinical Pharmacy Services, Experience in ICU and ED Pharmacy
Practice
Hobbies: Traveling, researching and trying new restaurants, fostering dogs with local
rescue organizations, listening to podcasts, volunteering with the Jewish Community
Center and Leukemia and Lymphoma Society’s Team in Training
Michael Olmos, Pharm.D., BCPS, BCCCP
Title: Clinical Staff Pharmacist
Education: Bachelor of Business Administration, Texas Tech University; Texas Tech
University Health Sciences Center School of Pharmacy
Practice Area: Emergency Medicine, Trauma
Hobbies: Golf, traveling, hiking, cycling
Brittany Parker, Pharm.D., BCPS
Title: Clinical Staff Pharmacist
Education: University of Louisiana at Monroe College of Pharmacy
Training: PGY-1 Pharmacy Residency at Texas Health Harris Methodist Hospital Fort
Worth
Practice Area: Critical Care, Med/Surg
Hobbies: Being with family, friends, and my three dogs, traveling, sand volleyball,
running, and baking
Sandra Rumyantsev, Pharm.D., BCCCP
Title: Critical Care Clinical Pharmacy Specialist
Education: Massachusetts College of Pharmacy and Health Sciences- Boston
Training: PGY1 Reading Hospital and PGY2 Critical Care Pharmacy Residency at Carilion
Roanoke Memorial Hospital
Practice Areas: Surgical Trauma Intensive Care Unit
Hobbies: Traveling, checking out new restaurants, documentaries
Margarita Taburyanskaya, Pharm.D., BCPS
Title: Clinical Pharmacy Specialist
Education: Medical University of South Carolina College of Pharmacy
Training: PGY1 Pharmacy Residency and PGY2 Critical Care Residency at Medical University
of South Carolina Health
Practice Area: Critical Care (Medical ICU)
Hobbies: Working out, traveling, being with friends and family, being outdoors
Ryan Schuller, Pharm.D., BCOP
Title: Clinical Pharmacy Pharmacist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Practice Areas: Inpatient Oncology
Hobbies: family, reading, running, trying new restaurants, wine tasting
Lizzie Zelazny, Pharm.D., BCPS
Title: Clinical Pharmacy Specialist
Education: Texas Tech University Health Sciences Center School of Pharmacy
Training: PGY-1 Pharmacy Residency and PGY-2 Internal Medicine/Critical Care at Texas
Health Harris Methodist Hospital Fort Worth
Practice Area: Neonatology
Hobbies: Outdoor activities with my family; music
Resident positions available: 3
Application deadline: January 1
NMS Code: 244613
Starting Date: July 1, 2023
Program length: 12 months
Estimated annual salary: $48,000
Benefits:
Health insurance coverage, dental coverage (additional fee) and retirement benefits. 12 days of vacation leave, 10 days of professional leave and 12 days of sick leave. Travel funds or compensation for Professional Meetings.
Requirements:
Applicants must be a graduate of an ACPE-accredited college of pharmacy or otherwise be eligible for licensure in Texas.
How to apply:
All Texas Tech University Health Sciences Center Jerry H. Hodge School of Pharmacy affiliated residency programs are participating in the Pharmacy Online Residency Centralized Application Service (PhORCAS). More information on PhORCAS can be found on the ASHP-PhORCAS webpage.
The components of the application include:
- Curriculum Vitae (CV)
- Letter of intent (describe your interest in the residency program and your professional goals and objectives)
- Three (3) letters of recommendation forms (located in PhORCAS)
- Official transcripts from all pharmacy education
- One short video clip (<1min) answering the question "Why Texas Health Fort Worth"?
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Nayle Ibragimova, Pharm.D. PGY1 Pharmacy Resident Email: NayleIbragimova@texashealth.org Residency Program: About Nayle: Professional interests: Personal interests outside of the residency program: Resident Research Project |
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Patricia Runyon, Pharm.D. PGY1 Pharmacy Resident Email: PatriciaRunyon@texashealth.org Residency Program: About Patricia: Professional interests: Personal interests outside of the residency program: Resident Research Project |
2021 - 2022
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Katy MuilenburgKaty was born and raised in Houston, Texas and attended The University of Texas at Arlington for undergraduate studies in Spanish before matriculating into UNTHSC College of Pharmacy. She received her Doctor of Pharmacy degree in 2021. Katy is currently a member of the American Pharmacists Association, American Society of Health-System Pharmacists (ASHP), Phi Delta Chi Professional Pharmacy Fraternity, and Phi Lambda Sigma Pharmacy Leadership Society. |
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Annmarie Vallomthail, Pharm.D.Annmarie was born and raised in South Georgia. She attended the University of Georgia for both undergraduate studies and pharmacy school. She received her Doctor of Pharmacy degree in 2021. Annmarie is currently a member of American College of Clinical Pharmacy (ACCP). |
2020 - 2021
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Katie Calkins, Pharm.D.Katie was born and raised in Chattanooga, Tennessee and attended The University of Tennessee, Knoxville for undergraduate studies then worked in a pharmacy for a year before attending The University of Tennessee Health Science Center College of Pharmacy. She received her Doctor of Pharmacy degree in 2019 and after worked as a Medication Therapy Management pharmacist before starting residency. Katie is currently a member of the American Society of Health-System Pharmacists (ASHP), Tennessee Pharmacists Association, Phi Lambda Sigma (PLS), Kappa Psi, and the American Pharmacists Association. Resident Research Project: |
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Satwinder Sony Kaur, Pharm.D.Sony was born in New York City but raised in Texas. She attended University of Houston-Main Campus where she received her bachelor’s degree in nutrition before matriculating into University of the Incarnate Word-Feik School of Pharmacy. She received her Doctor of Pharmacy degree in 2020. Sony is currently a member of the American Society of Health-System Pharmacists (ASHP). Resident Research Project: |
2019 - 2020
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Samantha Baylor, Pharm.D.Samantha Baylor received her Doctor of Pharmacy degree at the University of Mississippi School of Pharmacy. Current practice interests include critical care, nutrition, and emergency medicine. Resident Research Project: |
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Whittney Cunningham, Pharm.D., M.B.A.Whittney Cunningham received her Bachelor of Science degree at Texas Tech University before pursuing a dual PharmD/MBA degree from TTUHSC Jerry H. Hodge School of Pharmacy. Current practice interests include critical care and emergency department medicine. Resident Research Project: |
Kaysey Cloud, Pharm.D., BCPS
Residency Program Director
Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Ave
Fort Worth, Texas 76104
Phone: 817-250-3410
Email: KayseyCloud@TexasHealth.org