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PGY2 Ambulatory Care Residency Program

Kaweah Health PGY2 Ambulatory Care Pharmacy Residency

Kaweah Health is committed to promoting PGY2-trained ambulatory care clinical pharmacists that exhibit leadership, evidence-based practice and service to the community. The Kaweah Health PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs and contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function as independent practitioners by conceptualizing and integrating accumulated experience and knowledge, and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available. Upon completion, residents will have gained the skills and experience needed to establish advanced and innovative services in the ambulatory clinic environment, leverage population health and novel payment strategies to support ambulatory pharmacy services, become a leader within the healthcare team, and effectively advocate for the delivery of quality care and outcomes.

Learning Experiences

The resident will receive a three-week orientation before moving on to direct patient care rotations. Patient care rotations are block rotations and occur four or two days per week. One-half day per week the resident will be staffing and one-half day per week is dedicated administrative time for the resident. A research project with publication-quality manuscript, quality improvement project, and several presentations – didactic lecture to family medicine residents, assisting with a lecture to Pharm.D. students, and dissemination of research results – are all requirements for graduation.

Required Rotations

  • Orientation (three-week block)

  • Rural Health Clinics (8 weeks, 4 days per week)

  • Kaweah Health Specialty Clinic (8 weeks, 4 days per week)

  • Family Medicine (8 weeks, 4 days per week)

  • Pain Management (12 weeks, 2 days per week)

  • Independent Primary Care (12 weeks, 2 days per week)

  • Staffing (longitudinal, one half-day per week)

  • Leadership and Practice Management (longitudinal)

  • Scholarship and Teaching (longitudinal)

Elective Rotations - Choose Two (10-12 weeks longitudinal, two days per week)

  • Cardiology
  • Nephrology
  • Pain Management II
  • Endocrinology
  • Other areas of interest may be explored if available.

Sequoia Health and Wellness Centers

Sequoia Health and Wellness Centers is the formal clinic training site for the Kaweah Health Family Medicine Residency providing primary care for an underserved population. Our clinical pharmacists provide direct patient care, patient education, and practice-based and didactic instruction to the family medicine residents.

Kaweah Health Specialty Clinic

Kaweah Health Specialty Clinic Center is a referral-based, high-risk clinic for patients with type 2 diabetes, COPD, tobacco cessation, heart failure, anticoagulation, and other disease states requiring resource-intensive, multidisciplinary care. There is also a pharmacist-run pain management service and a pharmacist-run employee wellness program that treats patient with type 2 diabetes, rheumatologic, and infectious diseases.

Rural Health Clinics

Kaweah Health has five rural health clinics that provide internal medicine, family medicine, women’s health, pediatric care, and specialty services to rural areas of Tulare County. Pharmacists in these clinics are integrated into the primary care departments, where they see patients for a variety of chronic diseases and provide population-health management services.