PGY1 Ambulatory Care


Purpose Statement- the PGY1 pharmacy residency program builds on the 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. 

The PGY1 Ambulatory Care Residency Program is a 12-month program designed to develop residents into strong and capable ambulatory care pharmacy practitioners. Through exposure to general and specialty ambulatory care experiences, as well as experiences in acute care medicine and administration, the resident will gain broad exposure to areas of patient care and pharmacy which have impacts on practice in the ambulatory care setting. The program is designed based on the belief that the best ambulatory care providers are those who clearly understand what patients experience throughout the continuum of care, through clinic, acute care, and transitional care environments.

The residency program focuses on the development of skills necessary to practice at a high level in an ambulatory care medicine environment. In addition, the resident will gain exposure to research and teaching experiences to help complement the development of a well-rounded practitioner.

Residents in the PGY1 Ambulatory Care Residency Program are expected to participate in and complete all requirements of the traditional PGY1 residency program, and are permitted to participate in any and all opportunities afforded to the traditional PGY1 Pharmacy Practice Residents. Please refer to the PGY1 Pharmacy Residency Page for information pertaining to these opportunities.


Kamakshi Rao

Kamakshi Rao, PharmD, BCOP, CPP, FASHP

Director, PGY1 Ambulatory Care Residency Program

Manager, Pharmacy Residency Program

Clinical Pharmacist Practitioner, Adult Stem Cell Transplant

University of North Carolina Medical Center

Associate Professor of Clinical Education

UNC Eshelman School of Pharmacy


Patient Care

PGY1 Ambulatory Care Residents will complete twelve one-month rotations. July is an orientation month and December is a research month. The remaining 10 months consist of:

Ambulatory Care Core Clinic rotations 2 months
Ambulatory Care Selective Clinic rotations 2 months
Population Health Clinic rotation 1 month
Acute Care Medicine rotations  2 months
Critical Care/ED rotations 1 month
Drug Information 1 month
Pharmacy Administration

1 month

To meet the above requirements, residents are able to choose amongst the following rotation choices: 

Ambulatory Care


Critical Care

Core or Selective 

Endocrine Clinic 

General Medicine 

Pain/Anesthesia Clinic

Family Medicine Clinic

Selective Only

Solid Organ Transplant Clinic

BMT Clinic

Oncology Supportive Care Clinic

Hematology/Oncology Clinics

Rheumatology Clinic

Neurology Clinic

Hepatology Clinic 

Transitions of Care Clinic



Internal Medicine


Infectious Diseases

Pulmonary Medicine



Family Medicine

Oncology-Heme Malignancy

Oncology- Solid Tumors

BMT (Inpatient)

Burn ICU

Cardiothoracic Surgery ICU

Neuroscience ICU

Trauma/Surgical ICU

Medical ICU

Emergency Medicine


Instructions for the 2015-2016 application process:

Step 1

All applicants to ASHP-accredited pharmacy practice residencies must participate in the match process sponsored by the National Matching Service. Applicants must submit match agreements to the National Matching Service to obtain a match number.

Applications and Deadlines

Step 2

The UNC Hospitals will be participating in PhORCAS, the new ASHP residency online application tool. More information can be found at PhORCAS.

Step 3

A complete application will have the following information found through PhORCAS:

  • General information about the applicant
  • Cover letter
  • Response to essay questions
  • Curriculum Vitae
  • Pharmacy School Transcript
  • Three (3) references. Reference writers should complete the standardized Phorcas reference form only.
  • Current photograph (optional)

Application Deadline is January 1st.

Applicants must submit all required materials as well as uploading a document with answers to UNC-specific essay questions (see supplemental information above).


How is the Ambulatory Care PGY1 program different from the traditional PGY1 program at UNC?

In many ways, the Ambulatory Care PGY1 is very much like the traditional PGY1 training program offered at UNC. Residents are required to complete many of the same activities over the course of the year. The main difference is that a greater number of rotations are spent in general and specialty ambulatory care settings, to broaden and deepen the resident’s understanding of the scope and opportunity for pharmacists in the ambulatory practice environment. In addition, a portion of staffing will be completed in the ambulatory pharmacy rather than completely in the acute care setting. Finally, ambulatory care residents will participate in research projects that are focused in the ambulatory or transitional care environments

What do residents completing the PGY1 Ambulatory Care Residency go on to do after graduation?

Residents completing this program are trained to be successful in a variety of settings. Some residents have completed this program with the intention of seeking employment as a clinic-based pharmacist, while others have continued on to complete a PGY2 pharmacy residency program in Ambulatory Care.

What is the accreditation status of the program?

Our residency program will be undergoing ASHP Accreditation in the spring of 2016. We are excited for the opportunity to meet with ASHP surveyors and are hopeful to receive full accreditation for the program

For more information contact:

Kamakshi Rao

Kamakshi Rao, PharmD, BCOP, CPP, FASHP
Manager of Residency Programs
Residency Program Director,
PGY1 Ambulatory Care
Clinical Pharmacist Practitioner,
UNC Medical Center

Current residents

Lori ArmsteadLori Armstead

Heather ColemanHeather Coleman