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  • Learn from national thought leaders in ambulatory care pharmacy practice who provide patient-centered care for patients in physician practices.
  • Immerse yourself in practice in the city that created internationally recognized models for medication management.
  • Collaborate with ambulatory care pharmacy residents through a mentoring program.
  • Advocate for practice advancement at the state and national level.
  • Differentiate yourself by developing the necessary skills to develop new outpatient clinical pharmacy services.

Background

The ambulatory care pharmacist optimizes medications by providing clinical services for patients in the outpatient setting. The ambulatory care pharmacist practices on interprofessional teams that include physicians, nurses, care managers, nutritionists, and mental health professionals. Common practice sites include physician offices, Federally Qualified Health Centers, Rural Health Clinics, hospital-based clinics, employer wellness programs, the Indian Health Service, community pharmacy settings, and VA clinics.

Ambulatory care is a growing area of practice, as evidenced by the fact that PGY2 Ambulatory Care Pharmacy Residency Programs are the fasting growing residency program in the U.S. This Certificate Program will accelerate learning about ambulatory care pharmacy practice and differentiate our students.

To learn more about the important role that ambulatory care pharmacists play on the healthcare team, view the ASHP Career Tool.


Ambulatory Care Certificate Program

The Ambulatory Care Certificate Program was established to create a workforce of pharmacy leaders in outpatient pharmacy practice with exceptional skills in creating and expanding ambulatory care services.

Pharmacists in Asheville created innovative models for medication management as part of The Asheville Project® in the 1990s and served as some of the first Clinical Pharmacist Practitioners in North Carolina.

Because of the longstanding history of excellence in ambulatory care pharmacy practice in Western North Carolina, the Ambulatory Care Certificate Program is uniquely offered for students on the Asheville Campus.

  • Student Selection
    Students will be selected through a competitive application process.  Evaluation criteria for acceptance include 1) career interests in outpatient pharmacy practice; 2) commitment to service to patients and community; 3) desire to advance the profession of pharmacy; and 4) communication skills.
  • Program Components
    The Ambulatory Care Certificate Program at UNC Eshelman School of Pharmacy Asheville Campus provides a unique opportunity for student pharmacists to accelerate their learning about ambulatory care pharmacy practice.
    Key components of the Ambulatory Care Certificate Program include a seminar series, a mentoring program, and interprofessional education. Additional credit hours beyond those required in the Doctor of Pharmacy curriculum are required.

Are You Interested in Learning More?

To learn more about this focused path of study, please contact:

Karen Hughes

Associate Director of Student Affairs
kfhughes@unc.edu

The Rural Pharmacy Health Certificate program is a Graduate Certificate with a focused program of study that prepares student pharmacists for collaborative, interprofessional practice environments.

Practice environments serve the health care needs of those living in rural and small communities, and those often underserved by the healthcare system. This concentration within the Doctor of Pharmacy (Pharm.D.) degree is ideal for individuals who want to live and practice in rural areas, smaller towns, and have a heart of service.

The UNC Eshelman School of Pharmacy offers this on both the Asheville and Chapel Hill campuses as part of the School’s commitment to developing and supporting pharmacists practicing in rural communities, and addressing the social determinants of health associated with medication access and equitable care.

Students may apply to become a Rural Pharmacy Health Scholar during the fall semester of their first year of the Pharm.D. program.

Why Rural?

The demand for pharmacists is often higher in rural communities where access to medical services may be limited by geography, distance, and economic challenges. The Rural Pharmacy Health Certificate prepares individuals who enjoy small-town life for a satisfying, service-oriented pharmacy career. The Rural Pharmacy Health faculty offer mentoring and practice experiences that support students in their personal skill development and professional pathway. The courses offered in the Certificate include focused study on:

  • Population Health Management
  • Cultural Responsiveness in Healthcare
  • Introduction to the Role of Pharmacists in Public Health
  • Health Disparities and Equitable Care
  • Impact of Social Determinants of Health in Overall Patient Outcomes

While providing community service and outreach, scholars build relationships with local government, non-profits, safety-net organizations, and public health providers.

Practice in a Community You Love

Making an impact on the health of a community does not just happen within the walls of a medical practice or pharmacy. Impact happens when committed people come together and make a difference in the life of a community overall.

Rural pharmacists are vital, well respected members of not only the healthcare team, but also the town, school and business communities they serve. Scholars who successfully complete the Rural Pharmacy Health Certificate emerge as leaders in their local communities. Our Rural Scholars graduate positioned to truly make a difference in the lives of their patients.


Are You Interested in Learning More?

To learn more about this focused path of study, please contact:

Karen Hughes

Associate Director of Student Affairs
kfhughes@unc.edu

Meet Some of Our Alums

Claire Austin

Claire_Austin

Hometown: Siler City, NC

Graduation date/degree earned: Pharm.D., 2016

Current place of employment/job role: MAHEC Family Health Center and MAHEC OB/Gyn, clinical pharmacist faculty specializing in women’s health in Asheville, N.C.

Why did you choose to study pharmacy in Asheville: Honestly, I didn’t. I had just finished undergrad at UNC Chapel Hill and wanted to stay there for pharmacy school. I got placed on the Asheville campus which was my second choice. At first, I was sad to be leaving Chapel Hill and wasn’t sure how I felt about being on the satellite campus. Lucky for me it was the best thing that could have happened to me. I had a fantastic experience on the Asheville campus and fell in love with Asheville. The fact that I decided not to leave and still stay involved with the school should be testament to my love for this program.

How did the Asheville program prepare you for your current job: Asheville is a great place to learn about and get experience with ambulatory care (outpatient) pharmacy. I was able to meet, shadow and intern with pharmacists in the field that eventually led to my residency and career. Being on the smaller campus I felt more comfortable getting involved and serving in leadership roles. I think this allowed me to standout when it came time to apply for residency and jobs.

What makes the Asheville program so special: The simple answer is that the Asheville campus felt like a little family to me. I was able to get the same UNC education while forming close relationships with the faculty and other students. I always felt supported and I got more involved with organizations and clubs than I ever would have on a bigger campus. I can’t say enough about how special my experience was, just that I am thankful I ended up there!


Benjamin Lee

Ben_LeeHometown: Morganton, NC

Graduation date/degree earned: Pharm.D., 2020

Current place of employment/job role: H. Lee Moffitt Cancer Center, PGY1 Pharmacy Resident

Why did you choose to study pharmacy in Asheville: I chose to study pharmacy in Asheville because of the tight knit culture of the Asheville campus. I also am a fan of the mountains and was always able to do something on the weekends when I was not studying or working on projects such as hiking, kayaking, fishing or just being able to socialize with my class. Overall, I chose to study pharmacy in Asheville because of the cohort size, setting/environment and city. Asheville is a beautiful city that has something for everyone to enjoy and attach themselves to.

How did the Asheville program prepare you for your current job: During my time as a pharmacy student, I was able to take advantage of the many opportunities the Asheville Campus had available. Whether it be through leadership roles by being AEC Chair; the extracurricular patient care experiences through the ABCCM free clinic, my internship at the Cancer Center, flu clinics; or the incredibly rewarding IPPE and APPE rotations that allowed me to grow as a future pharmacist and many more. All of these elements combined to make me who I am and allowed me to really become an asset at my current role. I have been able to really take ownership of patients during my first rotations as a resident and collaborate effectively as a member of a multidisciplinary patient care team. I think most importantly was the amount of exposure I had with patient counseling and really being able to interact with patients daily on every single rotation. That exposure has made me comfortable with being able to counsel patients effectively with empathy and help the team with complex decision making and really doing what is right for the patient.

What makes the Asheville program so special: I think what makes the Asheville program so special is the word “Pharmily.” This word can be described and applied to other campuses, but I think it is a truly special connection on the Asheville Campus. I was able to establish close relationships with many of the PY2s-PY4s as a PY1 and their experience and advice definitely helped guide me to where I am. The idea of “paying it forward” runs through the spirit and actions of every single individual on the Asheville Campus. No matter who I was with, I always felt welcome.


Ally Jarvi

Ally_JarviHometown: Duluth, Minnesota

Graduation Date/degree earned: Pharm.D., 2019

Current place of employment/job role: Atrium Health Cabarrus, clinical staff pharmacist in emergency medicine

Why did you choose to study pharmacy in Asheville: I knew I would receive an outstanding education by attending the UNC Eshelman School of Pharmacy. It was clear to me that the Asheville campus had so many added benefits. The small class size was an important aspect of the campus that I knew would optimize my learning experience. Additionally, Asheville reminded me of my hometown with the beautiful views and strong emphasis on local business.

How did the Asheville program prepare you for your current job: The Asheville program provided me valuable leadership experiences and enhanced my communication skills. These skills have been crucial during residency training and in my current job, especially as it relates to starting new services.

What makes the Asheville program so special: What makes the Asheville program so special is the unmatched support I received from faculty/staff and the lifelong friendships I developed. It takes a great deal of hard work and dedication to successfully complete pharmacy school which can be difficult in a new city away from friends and family. The Asheville campus felt like my second family which provided the support needed to exceed my own expectations.


Franklin Rodriguez

Franklin_RodriguezHometown: Asheville, NC

Graduation date/degree earned: Pharm.D., 2017

Current place of employment/job role: Asheville Compounding Pharmacy

Why did you choose to study pharmacy in Asheville: A small city with a community feel, full of art and culture with a beautiful landscape for hiking and activities.

How did the Asheville program prepare you for your current job: A solid educational program with plenty of exposure to various aspects of pharmacy, such as compounding.

What makes the Asheville program so special: The small class size and the comfortable learning environment. My experience in a higher education program was perfect here in Asheville, NC. There are plenty of amazing distractions when I needed them, and I was able to find some of the greatest places to study.


Chandler Combs

Chandler_CombsHometown: Chapel Hill, NC

Graduation date/degree earned: Pharm.D., 2016

Current place of employment/job role: PGY1 Community-based Resident at Wake Forest Baptist Health, previously an independent community pharmacist at Crossroads Pharmacy

Why did you choose to study pharmacy in Asheville: What drew me to Asheville was the perfect mixture of the same education you’d get on the Chapel Hill campus combined with the opportunities that you could only find on the Asheville campus. Being the second class on the Asheville campus, we had an incredible amount of unique learning experiences as well as opportunities to build organizations and provide services to the Asheville community.

How did the Asheville program prepare you for your current job: Seeing a wide array of unique ambulatory care and community sites during my PY4 year helped me tremendously when starting my first independent pharmacy job out of school and is still helping me now that I’m a resident. I also was able to use faculty connections I had made on the Asheville campus when I decided to go back to do a residency and all of their advice and support was incredibly helpful.

What makes the Asheville program so special: Working and learning in a smaller group was very helpful for me as a student and I loved the connection that I was able to make with both the professors and my fellow students on the Asheville campus. Additionally, the wide array of experiences offered, especially in ambulatory care and community.


Kelsy Combs

Kelsy_CombsHometown: Crumpler, NC

Graduation date/degree earned: Pharm.D., 2016

Current place of employment/job role: Clinical Pharmacist Practitioner at Greensboro Medical Associates

Why did you choose to study pharmacy in Asheville: The opportunity to receive the same great degree from UNC while being part of a smaller class size in Asheville and the opportunity to help start something new being the second Asheville class at the time.

How did the Asheville program prepare you for your current job: I went into pharmacy school having no idea what ambulatory care pharmacy even was, but the strong inpatient, community, and ambulatory care opportunities in Asheville helped me to choose which path in pharmacy I wanted to take. The faculty/preceptors in Asheville are great mentors that have provided support and advice even to this day.

What makes the Asheville program so special: The smaller class size makes going to class almost feel like you’re part of a big family. You are able to have a close connection with the other students as well as the awesome faculty which help guide you through even the most difficult parts of pharmacy.


Kristen Mahler

Kristen_MahlerHometown: Tempe, Arizona

Graduation date/degree earned: Pharm.D., 2018

Current place of employment/job role: Credena Health Pharmacy Centralia, pharmacy manager

Why did you choose to study pharmacy in Asheville:  During my interview with the School of Pharmacy in Asheville, I could tell that the faculty really cared about my pharmacy school experience. They took the time to really explain distance learning and I felt that even though it was a smaller campus, it seemed to provide as many, if not more opportunities to its students.

How did the Asheville program prepare you for your current job: While in Asheville, I had unique experiences caring for rural populations. I was able to secure a leadership role within the biggest club on campus which helped me build confidence in my leadership skills. I was also a peer mentor as well as a TA for first year lab which helped me realize my passion for teaching. I currently manage a small retail pharmacy located in a rural hospital in Washington state and precept students from UW, WSU and Pacific University.

What makes the Asheville program so special: In Asheville, the classmates and faculty become your family. Especially for someone like me who came from out of state, I immediately felt at home in Asheville due to the friends I made in the Asheville program.

How did the Asheville program prepare you for your current job: I went into pharmacy school having no idea what ambulatory care pharmacy even was, but the strong inpatient, community, and ambulatory care opportunities in Asheville helped me to choose which path in pharmacy I wanted to take. The faculty/preceptors in Asheville are great mentors that have provided support and advice even to this day.

What makes the Asheville program so special: The smaller class size makes going to class almost feel like you’re part of a big family. You are able to have a close connection with the other students as well as the awesome faculty which help guide you through even the most difficult parts of pharmacy.


Trish Mashburn

Trish_MashburnHometown: Franklin, NC

Graduation date/degree earned: Pharm.D., 2015

Current place of employment/job role: Postdoctoral Research Associate, UNC Eshelman School of Pharmacy

Why did you choose to study pharmacy in Asheville: I wanted to remain close to home (Western NC)

How did the Asheville program prepare you for your current job: Both my current job and my previous job were directly related to my time on the Asheville campus. For my previous job as a Director of Clinical Services and community pharmacist at an independent pharmacy, I had the opportunity to have rotated there as a student during my fourth year of pharmacy school. The owner, seeing my interest and skills in Medication Therapy Management (MTM), later hired me to focus on the pharmacy’s clinical services. Thus practice experiences through the Asheville program, can lead to connections and job opportunities in Asheville and the surrounding areas. After four years in that position and seeking a career change, I reached out to Dr. Mollie Scott, the regional associate dean at Asheville, as a mentor and advisor. While meeting with her, she encouraged me and also happened to mention a postdoctoral research fellowship position opening on the Asheville campus with Dr. Lesha Carpenter. Dr. Carpenter’s research focuses on rural pharmacy practice as well as the opioid epidemic, both areas with which I had experience and professional interest. When pursuing this 2-year position, I had the support of Asheville faculty who wrote recommendation letters on my behalf. So again, experiences and relationships with the Asheville program continued beyond graduation and connected me to great job opportunities.

What makes the Asheville program so special: Firstly, you cannot live in Asheville and not be changed by it. The Asheville area is stunning and the food and culture is immensely fun. Secondly, Asheville has a history of progressive and innovative pharmacy practice and as such, has a wealth of insight and opportunities for student pharmacists. Lastly, as a member of the first class on the Asheville campus, I can attest that the Asheville faculty and staff are indeed exceptional. They were handpicked to establish the campus in Asheville and they each devoted all of the love and hard work one would expect to help something beautiful grow. Because the Asheville campus is uniquely small, it is close knit and it is strong. You cannot get this experience anywhere else and you most certainly won’t forget it!

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Mountain Area Health Education Center

Mountain Area Health Education Center (MAHEC) is based in Asheville and is the largest Area Health Education Center (AHEC) in the North Carolina system. All MAHEC clinics use the embedded pharmacist model where pharmacists are credentialed as Clinical Pharmacist Practitioners to initiate and adjust medications under North Carolina’s Collaborative Practice Act. Pharmacists provide direct patient care in the following areas: comprehensive medication management, annual wellness visits, anticoagulation management, diabetes and gestational diabetes, osteoporosis, Hepatitis C, and medication assisted treatment for substance use disorder.

Learn More Download the Brochure

 


 

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Mission Health

Mission Health operates operates six hospitals; numerous outpatient and surgery centers; a post-acute care provider, CarePartners; a long-term acute care provider, Asheville Specialty Hospital; and the region’s only dedicated Level II trauma center. And with more than 10,500 dedicated colleagues, Mission Health is capable and committed to improving the health and wellness of the people of Western North Carolina. Mission Health is based in Asheville, N.C., and is the state’s sixth largest health system. For six of the past eight years, Mission Health has been named one of the nation’s Top 15 Health Systems by IBM Watson Health—and we’re the only health system in North Carolina to achieve this recognition.

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Charles George VA Medical Center

The Charles George VA Medical Center honors Veterans by providing exceptional health care that improves their health and well-being. This care will be delivered by engaged, collaborative teams in an integrated environment that supports learning, discovery and continuous improvement. It will emphasize prevention and population health and contribute to the nation’s well-being through education, research and service in National emergencies. In addition to the main facility in Asheville, NC, services are offered at community-based outpatient clinics in the region.

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Asheville Buncombe Community Christian Ministry

The Asheville Buncombe Community Christian Ministry (ABCCM) provides urgent care, medication assistance, and crisis dental care to nearly 4,000 Buncombe County adults between 18-65. Those patients—many of whom are working two or more jobs to make ends meet—are deeply grateful for these services. Students and faculty from Pharmacy, Nursing and Medicine join together to staff the monthly “Team Night” free clinic and afterwards share a meal to socialize and reflect on the experience.

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Learn more about Living in Asheville:

Advancing Medicine for Life in the Blue Ridge Mountains and Beyond

The Asheville Campus is located in the beautiful Blue Ridge Mountains of Western North Carolina. UNC Eshelman School of Pharmacy, UNC School of Medicine, UNC Gillings School of Public Health, and UNC Adams School of Dentistry have regional campuses in Asheville that emphasize care for the underserved, place-based learning, and interprofessional education and practice.

Our Asheville Campus is home to a maximum of 30 student pharmacists per class in order to foster strong relationships with peers, faculty, preceptors and community. Asheville is also home to world-class faculty members in the Division of Practice Advancement and Clinical Education as well as the Division of Pharmaceutical Outcomes and Policy, and dedicated, student-centered staff members in administration and educational technology. We partner with MAHEC to offer PGY2 residency programs in Ambulatory Care and Geriatrics, and with Mission Health to offer PGY2 residencies in Ambulatory Care, Emergency Department, and Administration.

Asheville serves as a Transformative, Pharmacy Practice Hub for UNC Eshelman School of Pharmacy. Emphasis is placed on patient-centered care, community engagement, and student engagement. 

At UNC, everything we do begins and ends with a patient in mind. In Asheville, pharmacists provide patient-centered care across practice settings including real-life hospital practice, interprofessional ambulatory care clinics, and innovative community pharmacy settings. Asheville-based students can participate in the Rural Pharmacy Health Certificate Program or the Ambulatory Care Certificate Program in order to further differentiate themselves in these areas of pharmacy practice.

Health care professionals in Asheville are committed to giving back to Western North Carolina through community engagement. Our students can frequently be seen working in a community garden, volunteering at a free clinic, and participating in community-wide emergency preparedness exercises. We foster relationships with pharmacists and providers across care settings and seek to improve the health of rural and underserved members of our community.

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The Asheville Campus values the importance of relationships. Our students enjoy the small, close-knit learning community and the close mentoring relationships with faculty, and the opportunities to learn about, with, and from other health professional students through UNC Health Sciences at MAHEC. A high level of student engagement contributes to the relationship-centered culture of Asheville.

Note: The Asheville Campus will move to the UNC Health Sciences at MAHEC campus in 2025 in order to foster advanced opportunities for our students and faculty in interprofessional education and practice.


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