The PGY2 Ambulatory Care Residency is a one-year training program that prepares graduates in three areas important for a clinical specialist: clinical practice, precepting, and research. Not only will residents develop clinical skills to manage complex chronic disease states, they will also develop operational skills to initiate and/or expand pharmacy services. Residents will practice within outpatient clinics that utilize consult agreements allowing pharmacists to initiate, discontinue, and modify medications. Required longitudinal rotations: primary care, anticoagulation, pharmacy administration. Required specialty rotations: diabetes, HIV, heart failure. Elective specialty rotations (3): geriatrics, pain management, oncology, transplant, rheumatology, emergency medicine, managed care, specialty pharmacy, pharmacy administration 2.