Residency Program Director

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

Joy Vongspanich Dray, PharmD, BCACP, AAHIVP
Senior Solid Organ Transplant Pharmacist
Senior Clinical Pharmacist One Community Health
Assistant Clinical Professor UCSF School of Pharmacy

Resident Class 2019-2020:
Kathy Ton, Pharm.D.
Noelle Nelson, Pharm.D.

ASHP Residency Directory:
https://accred.ashp.org/aps/pages/directory/residencyProgramInformation.aspx?ID=201238

Program Purpose

PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) 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.

Program Overview

The Pharmacy Residency at UC Davis Health and One Community Health Clinic is supported by the UC Davis Health Department of Pharmacy. UC Davis Health 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 Health ambulatory care clinical pharmacy services are provided through hospital based, specialty and, One Community Health Clinics. 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.  Specialized programs include the region’s only Level I trauma center, a regional burn center, an NCI-designated cancer center, a comprehensive rehabilitative center, an organ transplant program, and nine specialized intensive care units. The mission of UC Davis Health is improving lives and transforming health care by providing excellent patient care, conducting groundbreaking research, fostering innovative, inter-professional education, and creating dynamic, productive partnerships with the community.

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 disease, 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 in collaboration with the patient’s PCP to help the patient understand and achieve their health goals.

UCDH and Pharmacy Services

UCDH 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: https://www.ucdmc.ucdavis.edu/pharmacy

Program Design:

The UCDH 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

A majority of the year will consist of ambulatory care experiences in a variety of patient populations, including adult patients living with HIV/AIDS.  The four 4-week blocks at One Community Health will focus on different objectives within the residency including direct patient care, operations, and research/medication use. 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 30th the following year.  Clearance to start work by UCDH 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

October

  • Required or Elective Rotation
  • Pharmacy Week Events

January

  • Required or Elective Rotation

April

  • Required or Elective Rotation
  • Project: present to staff

August

  • Required or Elective Rotation
  • Project: complete proposal
  • MUE: complete proposal
  • Initiate STLP

November

  • Required or Elective Rotation

February

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

May

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

September

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

December

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

March

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

June

  • 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
    • Drug Information Review
    • Self-evaluation reflection
    • Scholarship of Teaching & Learning (STLP) lectures
    • Chief Resident Responsibilities
    • Research project
    • MUE
  • Transitions of Care service
  • Anticoagulation Clinic on-call responsibilities
  • Evening and Weekend Staffing
  • One Community Health staffing
  • Mentorship Program
  • Attend monthly Ambcare Residency Advisory meetings
  • Professional Society Involvement

UCDH 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

Length

Overview

Orientation and Training

Concentrated
(2 weeks)
Orientation to UCDH and PGY1 Residency program.

Cares I, II, III, and IV

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.

Pain I

Block
(4 weeks)
Working alongside Pain pharmacists to provide treatment and dosing recommendations to manage patients’ acute and chronic pain in both the inpatient and outpatient setting.

ID Consult OR ID Clinic

Block
(4 weeks)
The resident will follow patients on service or seen in clinic and provide antimicrobial and dosing recommendations to the medical ID team on daily rounds.

Management

Block
(4 weeks)
Attend and present at meetings with the Director of pharmacy and other members of senior leadership.

Medication Safety

Block
(4 weeks)
Working with Medication Safety Pharmacist to understand and align current practices with safety regulations and best practices.
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 or after hours in TOC/Anticoagulation on call pager/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 or administration.
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 in total one hour of CE 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 UCDH 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.

Elective Learning Experiences

Length

Overview

Specialty Clinics:

  • Transplant
  • Oncology
  • Hepatology
  • Gastroenterology/Rheumatology
  • Pulmonary Clinic
  • Neurology
  • ID
  • Endocrine
Block
(4 weeks each)
The resident will have the opportunity to rotate through various specialty clinics and work alongside clinical pharmacist in direct patient care activities.

Specialty Management

Block
(4 weeks)
Residents may work with Specialty Pharmacy supervisors to gain understanding in clinic development, budgeting and regulations.

International Rotation

Concentrated
(2 weeks)
The resident has the opportunity to 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 has the opportunity to work with the Clinical Pharmacist in the California Poison Control Center providing guidance to both public and health care callers.

PGY-1 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 be 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 prepare an abstract and professional poster for submission.

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 course of 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 the Transition of Care service, Anticoagulation Clinic, 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 pharmacist’s 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 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.

Fringe Benefits:  
Health, Dental and Vision insurance for resident and dependents, 21 days of Paid Time Off (PTO), 6 days Extended Sick Leave, and 4 days for Professional Development. 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 located at https://hr.ucdavis.edu/employees/ucdh-resident

  • 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 residency policy and complete a minimum of 2/3 of the residency as a licensed pharmacist
  • 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 PharmAcademic, 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
  • Completed service requirements as outlined by the residency program description
  • Pharmacy Grand Rounds presentation
  • Completed end-of-year self-assessment and program assessment
  • Complete a minimum of 12 months of residency, inclusive of standard vacation and sick leave