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Pharmacy Residency Program

Sky Lakes Medical Center is a not-for-profit, community-owned, internationally accredited acute-care teaching hospital dedicated to the people it serves. Sky Lakes serves more than 80,000 people in the Klamath and Lake counties in south-central Oregon, and Modoc and Siskiyou counties in northern California. As a 176 bed medical center, Sky Lakes is located in the rural community of Klamath Falls, Oregon, and strives to promote wellness in the community. The pharmacy department provides many services to the hospital and the community, including inpatient, ambulatory care, and outpatient pharmacy services.

About Klamath Falls:

Nestled at the base of the Cascade Mountains, Klamath Falls – Oregon’s “City of Sunshine” – enjoys more than 200 sunny days per year. It is home to an assortment of outdoor activities including hiking, biking, fishing, hunting, golfing, sailing, kayaking, and cross country skiing. Downhill skiing and snowboarding are just a short drive away.

shot of five people's feet in snow shoes arranged in a circle in the snow

The Pharmacy Residency Program

Sky Lakes Medical Center currently offers an ASHP accredited PGY1 pharmacy residency program. We are looking for motivated applicants who are devoted to their efforts of becoming exemplary practitioners. Residents will get the opportunity to work as part of an interdisciplinary team to provide the patients in the community with evidence-based care. Residents will have many opportunities to learn and grow in a variety of care areas throughout the year, developing clinical confidence and leadership skills. The Sky Lakes PGY1 pharmacy residency program offers a unique learning structure, where all rotations are completed longitudinally. Each rotation will be completed at different points throughout the year, allowing residents to re-visit rotations multiple times and build upon the skills gained on other rotations.

Residents will have the opportunity to build a foundation in clinical pharmacy practice that will carry forward to the remainder of their career.

We accept two PGY1 residents yearly.

For questions about our program, reach out to the Residency Program Director, Brian Holland.

Email: bholland@skylakes.org

Virtual Tour

Program Structure

Learning Experiences: completed 2 weeks at a time longitudinally

  • Internal Medicine/Surgical (6 weeks)
  • Intensive Care/Progressive Care (8 weeks)
  • Emergency Department (4 weeks)
  • Ambulatory Care (6 weeks)
  • Antibiotic Stewardship (4 weeks)
  • Oncology (4 weeks)
  • Leadership (longitudinal over 11 months)
  • Med Safety (longitudinal over 11 months)
  • Orientation (6 weeks)
  • Vacation/Project (2 weeks)
  • Electives (8 weeks)

Additional Experiences:

  • Major project
  • Oregon Pharmacy Teaching Certificate
  • Staffing
  • Obtain ACLS/BLS certification
  • Precept pharmacy students
  • Participate in various meetings, including patient safety, P&T committee, and physician meetings
  • Attend OSHP fall and spring seminars, ASHP midyear, and other clinical meetings
  • Facilitate discussions and present material on a weekly basis
  • Publish a quarterly pharmacy newsletter
  • Complete a medication utilization evaluation and formulary review

Application requirements

  • Submit all requirements to PhORCAS by the last Friday in December
  • Three letters of recommendation
  • Official academic transcript
  • Letter of intent
  • Curriculum vitae
  • If your application is selected, the first step of the interview process will be completed over the phone. The applicant may then be invited for an on-site interview.

Preceptors

Mychal Amos, PharmD, LSS GB

man smiling at camera

Mychal, the SLMC pharmacy director, also serves as the patient safety/leadership preceptor. Mychal strives to uphold pharmacy excellence in our organization while also expanding pharmacy services. In the future, he hopes to add 7 day /12hr pharmacist coverage in the ER and enhance/ expand our ambulatory care services with a PGY2 in oncology & ambulatory care as well as open a specialty drug pharmacy.

Mychal is a native Oregonian and originally from the Klamath Falls area. He attended the Oregon Institute of Technology for undergraduate studies before moving up to the Northwest of Oregon to attend Oregon State/OHSU for his PharmD degree.

Outside of the pharmacy, Mychal is happily married and has four children who take up the majority of his time and also five chickens, three cats, & one dog. But he still finds time to escape by sailing on the Klamath Lake, riding his 1982 Goldwing 1100 with over 120,000 miles, or snowmobiling (weather permitting).

Brian Holland, PharmD, BCPS, BCIDP

man smiling at camera

Brian is our residency program director, who also precepts the infectious disease rotation as well as is an adjunct preceptor for leadership rotation. Professionally, his passion at SLMC is to maximize the clinical pharmacy role by expanding our pharmacy presence through pharmacist certification & specialization, incorporating pharmacists in all provider clinics, and transitions of care/medication therapy management.

Brian hails from the toasty state of Arizona where he studied both undergraduate and graduate curricula at the University of Arizona. Despite now living in Oregon for several decades, he is still an avid Wildcat fan.

When not immersed in pharmacy, Brian is married and has two sons, one daughter, one dog, and two cats. He is a ritualistic fitness cardio enthusiast & knows his way around a grill (some would even call him a grill master!) He also enjoys traveling and experiencing culture through indulging local culinary specialties.

Debra Pederson, PharmD, BCPS


Debra, one of our ICU/PCU preceptors, has been expanding our pharmacy presence within the ICU & PCU by enhancing our daily rounding routines. Her pharmacy interests include infectious disease and critical care with the goal to become board certified in critical care medicine and continue to expand pharmacy involvement in the ICU/PCU. Outside of the hospital, Debra is helping to bridge the gap of active pharmacy leadership in Southern Oregon by becoming an active member of OSHP.

Having been born at SLMC and raised close by in Chiloquin, OR; Debra has a special connection with and passion for SLMC and the indigenous Klamath Basin patient population. She attended Oregon State/OHSU for undergraduate studies (Bachelors of Science with minor in chemistry) prior to her graduate PharmD coursework. After a short stint of working in Northern Oregon, Debra quickly jumped on a chance to come back to her roots and work at SLMC.

Outside of the medical center, Debra is married to her high-school sweetheart with whom she has two dogs and one cat. They enjoy hiking trails, swimming in Klamath Lake, and floating down our gorgeous rivers. On snowy nights, she also likes to read gothic/ghost story novels.

As the youngest of 10 children, Debra is no stranger to large family functions. She even participates as a “carnie” once a year in the local Klamath County Fair with her family as they make doughboy cinnamon and sugary treats!

Suzy Olin, PharmD, BCPS


woman smiling at cameraSuzy, one of our ICU/PCU preceptors, also doubles as one of our “IT” pharmacists. When she is not working inside the ICU she is actively trying to improve our EMR (Epic) as well as fix any Epic problems that arise.

Originally from Tillamook (yes, cheese town Oregon) she moved to Southeastern Alaska at a young age before moving to Klamath Falls where she has been since middle school. Suzy ventured outside of the Klamath Basin to Oregon State University for both undergraduate and pharmacy school and is a devout Beavers fan.

Professionally, her interests lie within the inpatient pharmacy realm, specifically the critical care field and she enjoys being an ICU/PCU preceptor.

Away from the hospital, Suzy is a renown cook/baker (her pies are amazing), is married, and has two boys & one Siamese cat. They also have a collection of early Ford Broncos. When she gets a break from family, Suzy likes to dance (ballet, jazz, & modern), participate in outdoorsy activities, sewing/quilting, and as mentioned before…bake/cook some amazing food that the inpatient pharmacy greatly appreciates!

Samantha Muir, PharmD, BCPS

Sam, one of our medical & surgical preceptors, also serves as the Residency Program Coordinator. Locally born and raised in the small town of Merrill, OR (just south of Klamath Falls), she began her employment with the medical center as a pharmacy courier while attending Oregon Institute of Technology to obtain a Bachelor of Science in Health Sciences degree. Her goals then took her on to Oregon State University to complete her Doctorate of Pharmacy. She had always intended to move back to the Klamath Basin and serve the community she grew up in. Sam continued to work at Sky Lakes Medical Center throughout her education and directly after graduation she transitioned to working as an inpatient clinical pharmacist.

Professionally, Sam has been the pharmacy team member on a non-opioid pain clinic trial at SLMC called the H.E.L.P. clinic and has also rekindled the South-Central professional pharmacy organization spark by restarting the Klamath Lake County Pharmacy Association.

Sam’s greatest joy is spending time with her two boys Cooper (7), and Colt (4). Cooper attends Merrill Elementary School and Colt plans to follow next year. She loves to stay involved in their actives by volunteering at every opportunity. Their most recent family endeavor has been to become backyard chicken farmers and after raising them from chicks they celebrated their first egg in August! When she isn’t chasing children and chickens Sam enjoys traveling, trying new foods, and all things outdoors related.

Jessica Todd, PharmD, BCPS

woman smiling at camera

Jessica is one of our Medical & Surgical preceptors. Professionally, Jessica enjoys all aspects of pharmacy, and especially enjoys the variety that rotating schedule we have provides.

Jessica is an Oregon native, originally from Pleasant Hill, a small town located along Hwy 58 near Eugene. She stayed in state for both undergraduate and graduate school at Oregon State/OHSU for her PharmD degree. She came to Klamath Falls for APPE rotations in 2016, and has been working for Sky Lakes since graduation.

Jessica is married and together they have 3 boisterous dogs and a sometimes friendly barn cat. She is slowly sprucing up their ranch house by building furniture and tackling small DIYs. She also enjoys taking the pups on adventures, paddle boarding gardening, and traveling.

Chalsea Aiwohi, PharmD, BCPS

woman smiling at camera

Chalsea brings her inpatient experience from several different health systems around the country to SLMC. Chalsea completed a PGY-1 residency at a hospital in Chicago, Illinois before coming to SLMC. Here, she enjoys precepting students and residents in her pharmacy area of choice – internal medicine.

Our only Hawaiian native, Chalsea hails from Kalama’ula, Molokai but moved to Oregon for undergraduate studies at Oregon State University before moving to Chicago for pharmacy studies at Midwestern University College of Pharmacy (Chicago).

Chalsea just welcomed a son in December of 2020! When she is able Chalsea likes to walk her son and her one-eyed dog around Klamath Falls. She also likes to watch movies, and can’t wait to get back to traveling the country and the globe.

Josh Thompson, PharmD, BCPS


Josh, our ambulatory care preceptor, has been working hard to expand our ambulatory care pharmacy services through telehealth. He’s also been busy working on a project implementing a new computer system for our outpatient oncology infusion center.

Josh comes from Klamath Falls and was a pharmacy technician at Sky Lakes before attending pharmacy school at OHSU. He returned to Sky Lakes after graduating.

Josh spends his free time mountain biking, hiking, golfing, and spending time with his two children.

Brian Michaels, PharmD, BCPS


Brian, the emergency room (ER) preceptor, expanded services into the ER department after his residency at SLMC. He was born and raised in Cincinnati, Ohio where he attended the University of Cincinnati for both an undergraduate degree in biological sciences followed by a PharmD degree. Brian was a member of the first residency class to graduate the SLMC PGY-1 Residency Program.

Professionally, Brian plans to continue expanding pharmacy services in the ER, become ER certified, continue giving presentations to SLMC medical staff and Oregon Institute of Technology’s masters in counseling program, as well as become involved in Oregon pharmaceutical societies to advance the pharmacy profession on a state and national level.

Outside of the pharmacy world, Brian is married with two cats, enjoys playing trivia, visiting breweries, playing acoustic guitar, and traveling across the country and globe. Brian is currently attempting to learn the Turkish language.

Josie Rupp, PharmD, BCPS

woman smiling at cameraJosie is the preceptor for the outpatient oncology rotation. She is a graduate of the Sky Lakes Pharmacy Residency, class of 2019. Her interests are in ambulatory care and infusion. At the Cancer Treatment Center, Josie is constantly working on developing tools for pharmacists to be more involved in HEME/ONC care.

Josie grew up in Eastern Oregon and completed undergraduate and pharmacy school at Washington State University before moving to Klamath Falls with her husband for residency.

Josie likes cooking, camping, and the occasional video game. In her free time, she works on home improvement projects and enjoys spending time with her dog.

Current Residents

Elisabeth Manning, PharmD

woman smiling at camera


Elisabeth grew up in Florence, Oregon and completed both her undergrad and pharmacy school at Oregon State University. Her pharmacy interests currently include infectious disease and emergency medicine, but she is excited to explore other areas as well! Before starting residency, she lived in LaPine, OR with her husband, Bryan, and two dogs, Maddy and Xena. Some of her favorite things to do are fishing, camping, riding quads, visiting the coast, and going to country music festivals.

Melanie Jakobs, PharmD

woman smiling at camera

Melanie is one of the current pharmacy residents for the 2020-2021 year. Her pharmacy interests include infectious disease and ambulatory care.

She grew up in the Columbia River Gorge in southern Washington and went on to earn a B.S in Biology/Anthropology from Western Washington University, located in Bellingham, WA (30 minutes from the Canadian border!). She then made her way to the University of Colorado Skaggs School of Pharmacy to complete her PharmD. After living in Denver for 4 years, she knew she wanted to move out of the big city and back to a more rural area.

Outside of residency, she lives in town with her boyfriend, two cats, and one dog. On the weekends she enjoys outdoor activities such as kayaking, skiing and a good beer. And is also an avid knitter!

Past Residents

Stephani Jirikovic, PharmD, class of 2020

  • Project: Assessing the impact of a follow-up phone call between appointments on blood pressure control in a pharmacist-led hypertension clinic
  • Current position: Clinical Pharmacist at Sky Lakes Medical Center

Katie Bullock, PharmD, class of 2020

  • Project: Implementation and evaluation of a pharmacist-managed insulin protocol in a community hospital
  • Current position: Clinical Pharmacist at Bay Area Hospital

Josie Rupp, PharmD, class of 2019

  • Project: Effect of pharmacist driven pain management education on morphine milligram equivalents (MME) dispensed 60 days status post total hip or knee replacement
  • Current position: Clinical Pharmacist (Oncology) at Sky Lakes Medical Center

Joan Erwert, PharmD, class of 2019

  • Project: Evaluation of patient functional status improvement following participation in a pharmacist-guided, non-prescribing, multidisciplinary pain clinic
  • Current position: Clinical Pharmacist at PeaceHealth Sacred Heart Medical Center

Austin Pliska, PharmD, class of 2018

  • Project: Pharmacist-led medication reconciliation and patient follow-up to prevent readmission and improve transitions of care
  • Current position: Population Heath Pharmacist at Legacy Health

Brian Michaels, PharmD, class of 2018

  • Project: Evaluation of IV antibiotic use and length of therapies and the incidence of Clostridium difficile infections in the inpatient setting
  • Current position: Clinical Pharmacist (Emergency Department) at Sky Lakes Medical Center