The University of Oklahoma College of Pharmacy in Tulsa offers a post-graduate year 2 (PGY2) ambulatory care residency program for second year residents to work in a patient-centered medical home (PCMH) where they provide patient care in internal medicine, family medicine, and pediatric clinics.  Residents serve on PCMH committees that have been instrumental in gaining PCMH recognition by the National Committee for Quality Assurance (NCQA), optimizing PCMH initiatives as well as those from the Comprehensive Primary Care Initiative (CPCI).  The residency program uses longitudinal experiences that include participation in both the pediatric clinic (cystic fibrosis, diabetes, or asthma) and family medicine clinic (pharmacotherapy - emphasis in diabetes, dyslipidemia, and hypertension) along with longitudinal research and educational components of the program.  Required month-long rotations include orientation and training, pediatrics, adult medicine, community engagement, and research. Other required experiences include didactic and experiential teaching for the College of Pharmacy and teaching programs for the Oklahoma University College of Medicine residents and medical students. Potential elective experiences include internal medicine, psychiatry, anticoagulation, congestive heart failure, cardiology, HIV, community pharmacy based clinics, pediatric diabetes center, pediatric foster care clinic, and pediatric behavior and development clinic.  Through this program, residents have been highly involved in customizing the electronic health record to meet standards and allow for population based management.  The curriculum includes learning medication management within the PCMH as well as CPCI milestones.