The VA is opening up tons of psych PGY2s, and each VA medical center or health system usually has at least 1 psych pharmacist, maybe more. We have an inpatient psych pharmacist as well as one doing geri-psych in our LTC facility, as well as a few outpatient ones. The inpatient psych pharmacist does a lot of clozapine monitoring, as well as just regular pharmacist stuff such as monitoring, orders, med rec and discharge counseling on the psych wards. This is especially important because of the drug/drug and drug-disease interactions of many psych meds (for example atypical antipsychotics causing metabolic syndrome). Not sure what the outpatient psych pharmacists do. I know they review psych non-formulary requests and have a clinic, but I am not sure whom they see in the clinic.