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Kadlec graduated last May from the University of Minne-sota as a Pharm.D. She elected to do the one-year residency, starting at PAHCS in July. "It's a pretty unique program," she said of coming to PAHCS. "It's one of the few rural residencies in the country. It's the only one offered by the U."

A native of Renville who earned her undergraduate degree from St. Benedict's College in St. Joseph, Kadlec was eager to have contact with patients. "A lot of what this residency does is provide a wide variety of experience," she explained. "I work in the nursing home. I work in the hospital. I work with patients one on one in the clinic. And I get some experience dispensing."

The medication management done by Pharm.D.s includes maximizing the effectiveness of drugs, trying to minimize the cost, and working with patients for optimal administration.

Pharm.D.s work closely with diabetics and patients who take blood thinners.

PAHCS is the ideal size for an interdisciplinary approach, said Kadlec. She spends most of her time at PAHCS's main complex of clinic, hospital, and nursing home in Paynesville, but also spends a morning each week at a satellite clinic in Belgrade.

The work has been tough, but satisfying, she said. The staff has been wonderful, she added, and she has learned a great deal from her patients.

Kadlec lives south of Willmar with her husband, who farms. When her residency is over in July 2002, she plans to stay in the Willmar area. She hopes that her experience at PAHCS will help her set up a similar program for another health care provider.

Away from the office, Kadlec likes to fish, take pontoon rides, and read.