PGY1 Ambualatory care HIV

Residency Program Director

Contact Information: 
Phone: 916-734-0917
UC Davis Health
Pharmacy Department
2315 Stockton Blvd, Room 1310
Sacramento, CA 95817

Joy Vongspanich Dray, PharmD, BCACP, AAHIVP
Senior Pharmacist, Solid Organ Transplant Specialty
and Infectious Diseases Specialty
Associate Clinical Professor UCSF School of Pharmacy

Resident Class 2023-2024:
Alecia Muwonge, PharmD
Daniel Rosales, PharmD
Katherine Huynh, PharmD

ASHP Residency Directory

Program Purpose

PGY1 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

2020 Resident Testimonial

I was blessed to match with my #1 choice for residency here at UC Davis in the HIV focused program where I was an out of state applicant. I was warmly received on the teams and found that pharmacy has a strong presence and relationship with the providers here in clinics. The RPD and preceptors were always interested in my goals and helped me find projects that aligned with my interests such as LGBTQ+ care. The opportunity to be a part of an established federally qualified health center

(One Community Health) for multiple rotations was an incredible and humbling experience to serve a diverse underserved population. The providers there rely on their clinical pharmacy team to help manage many disease states and offer many services.

While the program offers focused rotations related to HIV such as ID, hepatology, and substance use disorder, there are also an array of specialty clinics and inpatient rotations available for electives. I wanted a well-rounded training experience and was satisfied with my inpatient and outpatient experiences that prepared me for the workforce post-residency. I also qualified for the AAHIVP exam post-residency and will seek board certification in ambulatory care in the next 2 years. I am thankful for my training that exceeded more than just clinical knowledge and will appreciate the connections I built for a lifetime.

-Artemis Huntsman Class of 2023

When I matched with the UC Davis PGY-1 HIV/Ambulatory Care residency position I could have never imagined how much I would be exposed to and learn in one short year. The breadth of opportunities available at UC Davis Health and One Community Health (OCH) Clinic ensure every resident gets to explore their clinical areas of interest, and challenge themselves in realms they are less experienced in. Additionally, the large network of mentors and preceptors built into the residency program at UC Davis Health ensures residents are consistently supported throughout the year.

I was pleasantly surprised by the level of autonomy given to residents at OCH through the collaborative practice agreements established there. From day one you are given responsibility for your own subset of patients and can take full ownership of their care through prescribing and de-prescribing medications, ordering labs, and sending internal referrals for specialist care. I was exposed to a variety of novel learning experiences including, but not limited to: addressing ASCVD risk factors such as diabetes, hypertension and hypercholesterolemia; initiating hepatitis C treatment and following for outcomes; transitioning patients from traditional opiates to buprenorphine for pain management; addressing drug information questions from providers; and managing anticoagulation for patients on warfarin therapy. If you are looking to work at the top of your license, while expanding your clinical knowledge and building lasting relationships with patients and providers, then the UC Davis Health PGY-1 HIV/Ambulatory Care residency program is perfect for you! Please do not hesitate to contact us with any questions you may have about our program.

-Noelle Nelson, PharmD, MSPH Class of 2020

Program Overview

UC Davis Medical Center is the major teaching facility for the UC Davis School of Medicine and serves as a clerkship site for several affiliated professional programs, including the UC San Francisco School of Pharmacy. The UC Davis Medical center ambulatory care clinical pharmacy services are provided through hospital based, specialty and One Community Health Clinics. UC Davis Medical Center has a robust Specialty Pharmacy program that provides clinical pharmacy services to multiple clinical areas as outlined in electives below.

The hospital is licensed for over 645 beds, including the UC Davis Children’s Hospital, offers a full range of inpatient services, diagnostic services, and a 24-hour major emergency medical service. The Ambulatory Clinical Pharmacy services provided through the UC Davis Specialty Pharmacy currently spans 11 unique disease states and includes an onsite URAC accredited specialty pharmacy. The mission of our UC Davis Specialty Pharmacy is to meet the needs of our patients living with challenging diagnoses by working with their medical team, health plans, and manufacturers in a way that constructively impacts all aspects of the medication therapy management process.

One Community Health is a federally qualified healthcare center (FQHC) located in downtown Sacramento. One Community Health serves over 15,000 patients, of which about 2,500 are HIV positive. As a patient centered medical home multiple disciplines are located at the clinic. Provider services include: Primary care, Infectious diseases, OB/Gyn, Pediatrics, Clinical Pharmacy, Behavioral Health, Dietician, Optometry, Podiatry, Dental, Chiropractor, Acupuncture and an on-site pharmacy. Clinical Pharmacy is well integrated in the medical clinic and works under collaborative practice agreements with the patients’ PCP to help patients achieve their health goals.

Day in the Life of an HIV Ambulatory Care Resident:

A typical day would have the resident arriving at 0730 and meeting briefly with the preceptor to determine the plan for the day including: projects, patient appointments, meetings and topic discussions. The resident will then work up assigned patients from the clinical pharmacist template and present to preceptor at the predetermined time. The resident will conduct the patient interview and develop and present a plan to the preceptor before counseling the patient and ordering appropriate medications and labs. Throughout the day full of direct patient interactions, providers may reach out via instant message or in person to ask for assistance with patient counseling, drug information request or medications consultations.

UC Davis Health and Pharmacy Services

UC Davis Health is a major academic health center located in Sacramento, California. Pharmacy services recruits, hires and trains caregivers to provide progressive pharmacy services as collaborative team members to support optimal patient outcomes.

More about the Department can be found on our Webpage

Program Design

The UC Davis Medical Center PGY1 Pharmacy Residency is designed to meet the educational goals and objectives, as outlined by the ASHP PGY1 Pharmacy Residency Accreditation Standard.

Educational Outcomes Required by the Accreditation Standard:

R1. Patient Care
R2. Advancing Practice and Improving Patient Care
R3. Leadership and Management
R4. Teaching, Education, and Dissemination of Knowledge
Electives may be added based on available resources and resident interest

The majority of the year will consist of ambulatory care experiences in a variety of patient populations, including adult patients living with HIV/AIDS.  The three 4-week blocks at One Community Health will focus on different objectives within the residency . In direct patient care roles, the resident will provide patient education, initiate or recommend therapeutic interventions, provide drug monitoring, perform medication reconciliation across transitions of care, and provide drug information. Acute care experience is an additional component of the residency. The resident will perform similar tasks with the addition of participating in daily rounds.

Experiences in management and medication safety are required. Residents and RPD’s will determine the need to shorten or lengthen certain rotational opportunities and target areas for growth as the residency progresses.

Program Structure

The PGY1 Pharmacy residency is a full-time, one-year commitment, beginning mid-June and ending on June 30 the following year.  Clearance to start work by UC Davis Health Employee Health and a Human Resources orientation meeting must be completed prior to the first scheduled day of orientation.

Calendar of Activities:

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Last week June/July

  • Orientation/Training
  • Competencies
  • Develop goals and customized training plan
  • Project: develop ideas, lit review
  • MUE: develop ideas
  • Establish mentor


  • Required or Elective Rotation
  • Pharmacy Week Events


  • Required or Elective Rotation


  • Required or Elective Rotation
  • Project: present to staff


  • Extended orientation
  • Project: complete proposal
  • MUE: complete proposal
  • Initiate STLP


  • Required or Elective Rotation


  • Required or Elective Rotation
  • Residency candidate interviews
  • Project: initial results


  • Required or Elective Rotation
  • Present research at the UC Collaborative Conference


  • Required or Elective Rotation
  • Project: submit IRB
  • MUE: submit IRB
  • Quarterly Review of longitudinal experiences and customized training plan


  • Required or Elective Rotation
  • ASHP Midyear
  • Review residency candidate packets
  • Quarterly Review of longitudinal experiences and customized training plan


  • Required or Elective Rotation
  • Project: prepare presentation
  • Quarterly Review of longitudinal experiences and customized training plan


  • Required or Elective Rotation
  • UC Collaborative Annual Pharmacy Leadership Forum
  • Orientation for incoming residents
  • Final review and year close-out

Longitudinal/Concurrent Experiences

  • Teaching/Administrative Projects/Research
    • Grand Rounds Presentation
    • P&T Drug Monograph or Protocol Development
    • Journal Clubs
    • Monthly AIDS Education Training Center (AETC) Case Conference
    • Drug Information Review
    • Self-evaluation reflection
    • Scholarship of Teaching and Learning (STLP) lectures
    • Chief Resident Responsibilities
    • Research project
    • MUE
  • Anticoagulation Clinic on-call responsibilities
  • Evening and Weekend Staffing
  • One Community Health Holiday staffing
  • Mentorship Program
  • Attend monthly Ambulatory Care Residency Advisory meetings
  • Professional Society Involvement

UC Davis Health PGY1 Residency Learning Experiences:

The residency learning experiences will primarily be divided into block rotations and longitudinal learning experiences.  The majority of rotations will be 4 weeks in duration.  Rotation schedules will be determined based on availability and resident interests and will be designed to include all required CAGOs as well as a variety of clinical experiences and environments.  A minimum of 8 months will be spent in direct patient care experiences. Rotation schedules will be adjusted and updated quarterly, in conjunction with preparing the updated development plan.

Required Learning Experience


Orientation and Training Block
(4 weeks)
Orientation to UC Davis Health and PGY1 Residency program. Training for staffing shifts.
Cares I, II and III Block
(4 weeks each)
Working in a federally qualified health center to medically manage patients with HIV/AIDS and other co-morbidities under various collaborative practice agreements. Each block rotation will focus on different aspects of residency program goals.
Substance Use Disorder Clinic Block
(4 weeks)
Working alongside SUD pharmacists to provide treatment and dosing recommendations to manage patients’ acute and chronic pain  in the setting of substance use disorder.
Operations Management Block
(4 weeks)

The resident will participate in central operations and the role of pharmacy managers who oversee pharmacy operations.

Medication Safety Block
(4 weeks)
Working with Medication Safety Pharmacist to understand and align current practices with safety regulations and best practices. During this rotation residents will complete an assigned monograph. 
Research Longitudinal
(12 months)
The resident is expected to complete, present and apply for publication on a research project agreed upon by the resident and the RPD.
Service Requirements Longitudinal
(12 months)
The resident is expected to staff on weekends, holidays or after hours in TOC//One community health clinic.
Chief Resident Responsibilities Longitudinal
(12 months)
The resident will be assigned a chair where they will oversee the activities of: Pharmacy week, recruitment, interviews, orientation, administration, social, communication, quality, or safety and wellness.
Pharmacy Residency Mentorship Program I and II Longitudinal
(12 weeks each)
The resident will be paired with a pharmacy mentor throughout the year. This partnership is meant to help support the resident throughout the year.
Scholarship and Teaching I and II Longitudinal
(12 weeks each)
By the end of this program the resident is expected to achieve a teaching certificate. The resident will be responsible for completing all components of this program.
Grand Rounds Longitudinal
(12 weeks)
The resident will present  to the pharmacy department in topic areas that address identified departmental needs.
Drug monograph or protocol Longitudinal
(12 weeks)
The resident will either complete a drug monograph as assigned by a clinical preceptor and present to the UC Davis Health P&T committee or complete a protocol for One Community Health Clinic.
Medication Use Evaluation Longitudinal
(12 weeks)
The resident will complete a medication use evaluation at One Community Health or UC Davis Health.
Elective Learning Experiences


Specialty Clinics:
  • Solid Organ Transplant
  • Oncology
  • Gastroenterology/Rheumatology
  • Pulmonary Clinic
  • Neurology
  • Dermatology
  • Immunology
  • Cardiology
  • Endocrine
(4 weeks each or may be combined)
The resident will have the opportunity to rotate through various specialty clinics and work alongside clinical pharmacist in direct patient care activities.
Specialty Management/ Management Block
(4 weeks)
Attend and present at meetings with the Director of pharmacy and other members of senior leadership.
International Rotation Block
(2 weeks)
The resident will help provide medication management during medical camps abroad.
General Medicine Block
(4 weeks)
The resident will provide medication recommendations for acute and chronic health conditions in the acutely ill patient.
Toxicology Block
(4 weeks)
The resident will work with the Clinical Pharmacist in the California Poison Control Center providing guidance to both public and health care callers.

PGY1 Pharmacy Resident’s Role in Teaching:
UC Davis Health offers many opportunities for both clinical and didactic teaching. The resident will be responsible for assisting preceptors with clerkship teaching for University of California, San Francisco and University of the Pacific pharmacy students.

The resident will be required to prepare an ACPE accredited pharmacy grand rounds presentation on a topic approved by the Continuing Pharmacy Education Oversight Committee based on the resident’s interests and a department needs assessment.  The PGY1 Resident will also be required to participate in the Scholarship of Teaching and Learning Program throughout the year. In addition, the PGY1 Resident may choose to participate in academic teaching, as requested by regional schools of pharmacy, with the approval of the PGY1 Residency Director.

Residency Research Project:
All UC Davis Health residents are required to complete a research project during their residency and present their research at the UC Collaborative Annual Pharmacy Leadership Forum.  In preparation for conducting their research project, the resident will  complete UC Davis Health IRB-required training and certification.  The resident will prepare a project proposal, which will be reviewed and approved by the UC Davis Health Pharmacy Research Oversight Committee.  The resident will also submit their project to the Pharmacy and Therapeutics Committee, applicable subcommittees, and the IRB for approval (if indicated) before embarking upon their research.  Upon completion of the project, the resident will be required to summarize their research project in a manuscript and submit the manuscript for publication.  Additionally, the resident will prepare an abstract and electronic professional poster.

Committee Assignments:
The resident will participate in various committee activities, as assigned by the PGY1 residency director.  Assignments will be determined based on current department initiatives.  The purpose of the resident’s committee involvement is to ensure the resident gains exposure to the pharmacist’s role in activities related to quality-improvement, medication safety, safe handling of hazardous drugs, guideline development and assessment/implementation of technology and automation within the institution and pharmacy department.  Each Pharmacy Practice resident will serve in a capacity as Chief Resident over an assigned area such as coordinate monthly meetings with the ambulatory care program directors and other ambulatory care residents, interviews, recruitment, and/or pharmacy week.

Professional Development:
The resident is encouraged to maintain an active role in pharmacy and professional organizations.  The resident is strongly encouraged to become a member of the California Society of Health-System Pharmacists (CSHP) and the American Society of Health-System Pharmacists (ASHP) and attend their annual Midyear meeting in early December. 

Pharmacy Department Service:
The resident will be required to provide staffing service to the department during the year. It is mandatory for the resident to complete as least one shift on a major holiday (Thanksgiving, Christmas Eve, Christmas, or New Year’s Day). Shifts will be divided between Transitions of Care and One Community Health Clinic and will occur in the evenings and on the weekends. A licensed pharmacist will work alongside the resident or will be available on-call as backup.

Required Competencies:
Residents function as licensed pharmacists in patient care activities.  As such, minimum knowledge in a variety of areas must be assured.  Within one month of starting the Residency, the resident must complete competencies required of all clinical pharmacists. Basic Cardiac Life Support (BCLS) certification and Advanced Cardiac Life Support (ACLS) are required.

Resident Portfolio:
Each resident must maintain a portfolio containing all information from the residency year including yet not limited to: copies of papers or projects done during rotations, lectures given, research project manuscript, P&T drug monograph, and MUE. The portfolio shall be maintained in Pharm Academic.

Salary and Benefits:  
Residents will receive Health, dental and vision insurance for resident and dependents, 15 days paid time off (PTO), 14 holidays, 12 days of sick leave, and 4 professional development days. Use of leave must be arranged in advance with the RPD. Travel funds (~$2500) are included in the base salary. There is a stipend for scrubs.

Resident Personnel Policies:
The following policies can be located in the Pharmacy Resident Personnel Manual

  • Resident Qualifications
  • Early Commitment Policy
  • Pre-employment drug testing
  • Health insurance and Benefits
  • Licensure requirement for 2/3 of the residency year 
  • Moonlighting 
  • Duty hours 
  • Tracking of duty hours
  • Professional, family, and extended leave policies
  • Dismissal policy and consequences of failure to progress

Requirements for successful completion of the residency:

  • California license obtained per resident manual policy 
  • Successful completion of all required rotations/learning experiences
  • Successful completion of all required rotations/learning experiences with no outstanding ‘Needs Improvement’ on any required rotation goals or objectives and a minimum of 80% reaching ‘Achieved’ by the end of the residency year (100% in area R1)
  • Resident closeout completed in Pharm Academic, confirming all resident tasks are completed
  • Completion of a research project and manuscript with abstract and poster
  • Presentation of research project at UC Collaborative Annual Pharmacy Leadership Forum
  • Drug monograph or protocol completed
  • Completion of STLP and receipt of a Teaching Certificate
  • Participation in the resident mentor program
  • Completion of secondary project (MUE, CQI, etc) with abstract and poster
  • Completion of staffing contribution as outlined by the program description
  • Pharmacy Grand Rounds presentation
  • Completed end-of-year self-assessment and program assessment
  • A minimum of 52 weeks of training, inclusive of vacation, professional and sick leave


  • Design or redesign safe and effective patient-centered therapeutic regimens and monitoring plans (care plans) (R1.1.5)
    • Evaluated in CARES I,II,III and select specialty electives
  • Generate a treatment and monitoring plan for a patient with HCV or DM (CARES )
    • Document direct patient care activities appropriately in the medical record or where appropriate. (R1.1.7)
      • CARES I, III, Staffing and select electives
      • Utilize the correct template to document the clinic note in the proper SOAP format as soon after the patient visit as possible and never later than the end of the clinic day. Detail the follow up plan in the chart note documentation for continuity of care.(CARES)
      • Generate a treatment plan for patients with multiple comorbidities
    • Chart INR adjustments, care plans and patient calls in EMR. Prepare and submit Incident Reports in RL Solutions for critical INR. Record Specialty Pharmacy patient and provider questions and communicate any necessary follow-up (Staffing)
  • Prepare a drug class review, monograph, treatment guideline, or protocol (R2.1.1)
    • Monograph/Protocol Experience
    • Prepare a treatment guideline or CPA for pharmacist care under protocol at UC Davis Health and/or One Community Health clinic. Prepare assigned drug class review/monograph for presentation at the Pharmacy and Therapeutics Committee. Revise assigned treatment guideline or develop new treatment guidelines for consideration by appropriate stakeholders.
  • Participate in a medication-use evaluation (R2.1.2)
    • Medication Use Evaluation experience
    • As part of the MUE or QI project design, evaluate all aspects of medication use
  • Identify opportunities for improvement of the medication-use system (R2.1.3)
    • Medication Safety, CARES II, Operations Management and select electives
    • Continuously evaluate potential for errors and discuss opportunities to improve safety with management (CARES)
    • A quality improvement project or analysis related to an emerging medication safety issue may be assigned during your rotation. Participation in rounding (e.g. med security inspection, unit quality inspection, or safety huddle) with a designated pharmacist is expected; units are inspected unannounced and staff are engaged in medication management discussions/topics to identify and address unsafe conditions/workarounds, and promote reporting(Medication Safety)
    • The resident will conduct a gap analysis or a similar assessment to identify opportunities to improve the medication-use system. When necessary the resident makes medication-use policy recommendations based on a review of practice standards and other evidence (e.g., National Quality Measures, Institute for Safe Medication Practices alerts, Joint Commission sentinel alerts)(Operations Management)
  • Effectively develop and present, orally and in writing, a final project report (R2.2.5)
    • Research, MUE, Medications Safety and Monograph/protocol experiences
    • Present assigned drug class review/monograph or protocol for presentation at the Pharmacy and Therapeutics Committee or other authorized entity(Monograph/protocol)
    • Utilize a standard format (such as PDSA) to summarize the QI project or MUE and present in writing and orally to the appropriate stakeholders (MUE)
    • Present cases at MERC meetings. Prepare a case review to present to pharmacy or medical staff (if applicable). Prepare a journal club on a medication safety topic to present to NPMS (if applicable). Coordinate and present quarterly Morbidity and Mortality Report to pharmacy department (if scheduled during your rotation block)(Medication Safety)
    • Resident will create and complete a final presentation, manuscript and or poster of the research project to be submitted to a pharmacy conference and or other academic journals for publishing(Research)
  • Contribute to departmental management (R3.2.3)
    • Operations Management, Resident Chief Experience
    • The resident will have the opportunity to identify departmental needs and develop a plan to address the identified need. In addition, the resident will participate in committees or workgroups to effectively implement changes using quality improvement best practices and tools(Operations Management)
    • Within the assigned positions, residents should contribute to department management by organizing and developing programs as outlined by job aid descriptions.(Resident Chief)
  • Use effective presentation and teaching skills to deliver education (R4.1.2) - complete at least once during learning experience
    • CARES II, Grand Rounds, Scholarship and Teaching 1 and 2
    • Present an AETC noon case conference to Pharmacists, ID attendings and other health care professionals using primary, secondary and tertiary literature search.(CARES)
    • Present a grand rounds presentation to the department of pharmacy (Grand Rounds)
    • Teach in various didactic and professional settings (e.g. clinical technician lecture, family practice intern block lecture, NP/PA pharmacology lecture, UOP small group conference, UCSF conference, etc (STLP)
  • Use effective written communication to disseminate knowledge. (R4.1.3)
    • Monograph/Protocol, Research, CARES II
    • Provide a clear written outline of the patient case and recommendations for AETC noon case conference.(CARES)
    • Create and abstract summarizing research as well as a finalized manuscript to be submitted for publication by the end of residency.(Research)
    • Prepare a written formal monograph, guideline, or protocol, including all sections as deemed appropriate by the P&T coordinator (Monograph/protocol)
  • Appropriately assess effectiveness of education (R4.1.4) - complete at least once during learning experience
  • Scholarship and Teaching 1 and 2
  • Review formal teaching evaluations and incorporate feedback into future teaching activities • Document self-evaluation and reflection on teaching activities that have no formal evaluation process • Seek feedback from preceptors and mentors on teaching performance • Develop and update teaching/precepting philosophy throughout the residency year • Provide effective feedback to learners using “Keep-Stop-Start” method


Pharmacy Residency training programs at UC Davis Health are conducted under the licensed entity within UC Davis Health which is UC Davis Medical Center.