Ambulatory Care Without Residency

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clarkbar

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Is ambulatory care a residency only proposition for people wanting to break-in? How many years of experience would one need to negate a residency requirement?
 
4 years practice in an ambulatory care environment. Community pharmacy practice would allow a pharmacist to sit the BCACP exam. If you are board certified, you will likely be a competitive candidate for the places that you are applying.
http://www.bpsweb.org/bps-specialties/ambulatory-care/

Edit: You may also want to consider practice in smaller towns. There are some great opportunities out there if you are willing to pursue them.
 
As an intern at Kaiser, they are already pushing me to prep to do a residency with them before they would consider to hire me to their AmCare team, or any of their specialties for that matter. I work with this team on a daily basis yet 3-4 years of experience I will accumulate will still not replace a residency for them. Every clinical pharmacist I have spoken to is a PGY-1 or higher. Heck, one dispensing pharmacist was a PGY-1 as well, but she is being shifted into a clinical role due to her PGY-1.
 
ASHP views 4 years practice as slightly superior to a single year of residency. If you complete a PGY1, you are not eligible to sit the BCACP exam until you have also completed one year of practice.
Clinical Pharmacist jobs that I've seen for Kaiser require completion of a PGY1 or 3 years practice in that field. Jobs with Kaiser also generally require board certification within a certain number of years of hiring. If you apply with 4 years practice experience and board certification, you will meet the requirements and potentially be more qualified than other applicants.

The 4 years practice refers to practice as a pharmacist. I don't think intern hours count.
 
I wonder if an MPH degree would have any positive contributions towards the competitiveness of a prospect with neither a residency training nor a board certification. Let's say that they have about 2 years of (non-ambulatory) clinical experience.

Thoughts?

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They preferred the 4 year practice as an unequivocal criteria for the suitable candidate for BCACP exam and for the residency
 
I do not work in Amb Care, but the majority of people I see doing it are (in order):

1). Residency trained
2). Transitioned from an inpatient role to a clinic role within a health system
3). Have been working it before residency was as common (~10 or more years)
4). Got lucky.

Unless you want to work for the IHS, your quickest way to obtaining an amb care position will be residency training for most hiring employers. There won't be any shortage of Kaiser and VA residents in the combing years.
 
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