South Texas Veterans Health Care System serves more than 100,000 veterans throughout San Antonio and the surrounding region. A full range of primary, specialty, surgical, rehabilitative, acute, and long-term care services are provided across facilities including Audie L. Murphy Memorial Veterans Hospital, Kerrville VA Medical Center, and numerous community-based outpatient clinics. The pharmacy department offers 24-hour coverage, decentralized drug distribution systems, sterile compounding, and a diverse team of more than 100 clinical pharmacist practitioners in various specialties with 20 in geriatrics. South Texas VA welcomes over 4,000 health professional trainees annually across multiple disciplines including four PGY1 and nine PGY2 pharmacy residents.

The 12-month residency year will be divided into 13 rotation blocks consisting of four weeks each. The resident will also participate in a geriatric primary care clinic one afternoon per week. Orientation will overlap with the first learning experience. The resident and residency program director will meet initially and quarterly to develop, revise, and update an individualized development plan to meet the personal and professional interests and needs of the resident. 

Required learning experiences include Community Living Center, Home Based Primary Care, and Transitions of Care. Selective learning experiences include Acute Care/Internal Medicine, Geriatric Primary Care, Hospital in Home, Hospice, and Palliative Care. A plethora of elective experiences are also available including Anticoagulation, Cardiology, Infectious Diseases, Neurology, Psychiatry, Spinal Cord Injury, Substance Use Disorders, and Whole Health. Psychiatry is required if an equivalent experience was not completed during PGY1 residency. Required and selective experiences may be repeated. Off-site experiences require Texas Board of Pharmacy licensure and include Long-Term Care Consulting, Geriatric Psychiatry, and Geriatric Trauma. Additional experiences may be developed based on resident interest and preceptor availability.

Completion of a research project, medication use evaluation, grand rounds presentation, and other scholarly activities are required. Numerous conferences, seminars, and educational programs are available for resident attendance.