The VA Tennessee Valley Healthcare System (TVHS) is an integrated healthcare organization comprised of two campuses in Nashville and Murfreesboro, Tennessee, and over 13 community-based outpatient clinics located throughout middle Tennessee and southern Kentucky. The system is affiliated with Vanderbilt University School of Medicine and Meharry Medical College as well as schools of pharmacy at the University of Tennessee, Samford University, Belmont University, and Lipscomb University. Between the two medical center campuses, there is an extensive range of medical and clinical pharmacy services that allows for the optimal training and teaching environment. The ASHP-accredited Postgraduate Year One (PGY1) Pharmacy Residency at the VA TVHS began in 1991 and has greatly expanded sin