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Pharmacy Residency Programs
PGY-1 Ambulatory Care/HIV Residency
Residency Program Director
Contact Information:
jdray@ucdavis.edu
Phone: 916-734-0415
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
2024-2025 Residents:
Joey Nguyen, PharmD
Jordyn Fohner, PharmD
Nhi Tran, PharmD
Program Purpose
PGY1 residency programs build upon Doctor of Pharmacy (PharmD) education and outcomes to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives. Residents who successfully complete PGY1 residency programs will be skilled in diverse patient care, practice management, leadership, and education, and be prepared to provide patient care, seek board certification in pharmacotherapy (i.e., BCPS), and pursue advanced education and training opportunities including postgraduate year two (PGY2) residencies.
Resident Testimonial
I chose the Ambulatory Care/HIV PGY-1 pharmacy residency program at University of California Davis Health (UCDH) due to its uniqueness in offering training in my preferred area of focus, HIV. This was my number one choice of residency and the only program worth my personal sacrifice to complete a residency away from my family. During my time at UCDH, I gained experiences in HIV prevention and treatment while also managing comorbidities such as diabetes, hypertension, dyslipidemias, and coagulopathies. Incorporated into the program are opportunities to treat viral hepatitis, invasive fungal infections, and other infectious diseases. I could not be more grateful for the training that I received at this institution that prepared me for a career serving the patient population of my preference.
—Alecia Muwonge-Class of 2024
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 and specialty 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.
This program focuses on providing pharmacy residents with the unique skills required to advocate and empower the systematically disenfranchised population. There will be an emphasis in providing care, navigating resources and providing education to stigmatized populations. Within the ambulatory care clinics at UCD Health, the resident will educate patients and providers to improve the health outcomes of our most vulnerable patients. This program has a long history of working with the community we serve and being champions for their health.
Day in the Life of an HIV Ambulatory Care Resident:
A typical day would have the resident arriving at 0800 and meeting 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. The Department of Pharmacy services recruits, hires and trains providers 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 Accreditation Standard for postgraduate pharmacy residency programs.
Educational Outcomes Required by the Accreditation Standard:
R1. Patient Care
R2. Practice Advancement
R3. Leadership
R4. Teaching and Education
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 with an emphasis in adult patients living with HIV/AIDS and patients that are systematically disenfranchised. 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 RPDs 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 Human Resources must be completed prior to the first scheduled day of orientation.
Calendar of Activities:
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Quarter 1 |
Quarter 2 |
Quarter 3 |
Quarter 4 |
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Last week June/July
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October
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January
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April
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August
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November
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February
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May
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September
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December
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March
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June
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Longitudinal/Concurrent Experiences |
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UC Davis Health PGY1 Residency Learning Experiences:
The residency learning experiences will primarily be divided into block rotations and longitudinal learning experiences. Most 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 2/3 of the residency 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 |
Length |
Overview |
| Orientation and Training | Block (6 weeks) |
Orientation to UC Davis Health and PGY1 Residency program. Training for staffing shifts. |
| Substance Misuse 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 misuse disorder. |
| Infectious Diseases and Hepatology Clinic | Extended Block (8 weeks) |
The resident will work alongside pharmacist preceptor in both the Infectious Diseases and Hepatology clinic. Resident will be involved in direct patient care for the treatment of various diseases including: PrEP, HIV, fungal infections, Hepatitis C and NASH. |
| Primary Care | Block (4 weeks) |
The resident will work along side Primary care pharmacist in clinic to provide direct patient care in the following disease states: DM, HTN, HLP, anticoagulation and pain. |
| Operations Management | Block (4 weeks) |
The resident will participate in Ambulatory Care 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 Transitions of Care staffing shift. This primarily consists of Solid Organ Transplant medication education. |
| Resident Chair Responsibilities | Longitudinal (12 weeks each) |
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) |
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. |
| Medication Use Evaluation | 12 weeks | The resident will complete a medication use evaluation. |
| Elective Learning Experiences |
Length |
Overview |
Specialty Clinics:
|
Block (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. |
| Behavioral Health | Block (4 weeks) |
Resident will work alongside Pharmacist interviewing and managing medications for patients with various behavioral health conditions. |
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 & 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 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 a Resident Chair 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 will 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 asat least one shift on a major holiday (Thanksgiving, Christmas Eve, Christmas, or New Year’s Days) and one minor holiday. 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:
Health, Dental and Vision insurance for resident and dependents; vacation, sick leave and professional leave as outlined in the Pharmacy Resident Manual, usually 21 days of PTO, 14 paid holidays, 6 extended sick days and 4 days of professional development leave. Travel funds (~$3000) are included in the base salary. There is a stipend for Pharmacy Department 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 requirements
- 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 policy manual
- 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
Pharmacy Residency training programs at UC Davis Health are conducted under the licensed entity within UC Davis Health which is UC Davis Medical Center.
