PGY2 Ambulatory Care Residency Program
KDHCD PGY2 Ambulatory Care Pharmacy Residency
Kaweah Delta Health Care District (KDHCD) is committed to producing PGY2-trained
ambulatory care clinical pharmacists that exhibit leadership, evidence-based
practice and service to the community. The KDHCD PGY2 Ambulatory Care
Residency program will build on the skills and knowledge gained in accredited
PGY1 training programs. The program will provide advanced professional
practice and management activities where residents will gain in-depth
experience in a more independent role leading to advanced practice skills
and knowledge of the integration of pharmacy services with the comprehensive
needs of individual practice settings. 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 3 week orientation before moving on to direct
patient care activities. A research project and community service project
are required for completion throughout the program year. Dedicated project
time will be available throughout the year.
Required Rotations
- Orientation (3 week block)
- Family Medicine (8 week block)
- Chronic Disease Management (8 week block)
- Family Medicine II (12 week longitudinal, 2 days per week)
- Pain Management (12 week longitudinal, 2 days per week)
- Primary Care (20 week longitudinal, 2 days per week)
- Staffing (longitudinal, 1/2 day per week)
- Leadership and Practice Management (longitudinal)
- Scholarship and Teaching (longitudinal)
Elective Rotations - Choose 2 (8 week longitudinal, 2 days per week)
- Cardiology
- Care Transitions
- 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 Delta 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 Delta Chronic Disease Management Center

Kaweah Delta Chronic Disease Management Center (CDMC) 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 Delta has four Rural Health Clinics that provide internal medicine,
family medicine, women’s health, pediatric care, and specialty services
to rural areas of Tulare County. Pharmacists are integrated into the primary
care clinics where they see patients for a variety of chronic diseases
and provide population health management services.