{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:44:05Z","timestamp":1792032245546,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["accpjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Am Coll Clin Pharm"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The US healthcare system is grappling with significant challenges, notably a shortage of primary care providers. Ambulatory care pharmacists are increasingly recognized as vital contributors to addressing these challenges. The Accreditation Council for Pharmacy Education Standards 2025 emphasizes preparing Doctor of Pharmacy (PharmD) graduates to be both \u201cpractice\u2010ready\u201d and \u201cteam\u2010ready,\u201d supporting pharmacists' expanding role in addressing primary care shortages as members of interprofessional ambulatory care teams. The evolving healthcare landscape, local community needs, and directives from national pharmacy organizations underscore the importance of developing ambulatory care\u2010focused curricular concentrations within PharmD programs. In this paper, we describe the development, implementation, and initial evaluation of an ambulatory care concentration (ACC) within a PharmD curriculum and provide a framework adaptable for other pharmacy programs seeking specialized curricular pathways. The purpose of the ACC was to prepare graduates for entry\u2010level ambulatory care practice and postgraduate training. Graduates of the inaugural ACC cohort reported high overall satisfaction with the concentration and enhanced preparedness for ambulatory care practice. Early career outcomes include three graduates currently completing ambulatory care residencies. The seven graduates in practice are in ambulatory care, specialty pharmacy, managed care, clinical community pharmacy, community pharmacy (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20092), and inpatient clinical practice (post\u2010residency). The ACC was implemented within the PharmD curriculum and was well received by students. Early findings support the purpose of the ACC to prepare graduates for ambulatory care practice and postgraduate training. This model provides an approach that pharmacy programs may adapt to develop practice\u2010focused curricular pathways by leveraging existing institutional resources.\n                  <\/jats:p>","DOI":"10.1002\/jac5.70303","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:46:25Z","timestamp":1792028785000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Blueprint for Developing a Concentration in Ambulatory Care Within the PharmD Curriculum"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7951-8790","authenticated-orcid":false,"given":"Helen","family":"Berlie","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences Wayne State University  Detroit Michigan USA"},{"name":"Health Centers Detroit Medical Group  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1036-3465","authenticated-orcid":false,"given":"Amber Lanae","family":"Martirosov","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences Wayne State University  Detroit Michigan USA"},{"name":"Department of Pharmacy Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0748-3290","authenticated-orcid":false,"given":"Brittany","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6554-9318","authenticated-orcid":false,"given":"Candice","family":"Garwood","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences Wayne State University  Detroit Michigan USA"},{"name":"Department of Pharmacy Detroit Medical Center Harper University Hospital  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Dying Before Their Time III","author":"Detroit Area Agency on Aging (DAAA)","year":"2020"},{"key":"e_1_2_10_3_1","unstructured":"Accreditation Council for Pharmacy Education \u201cAccreditation Standards and Key Elements for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree (Standards 2025) \u201d2025 https:\/\/www.acpe\u2010accredit.org\/wp\u2010content\/uploads\/ACPEStandards2025.pdf."},{"key":"e_1_2_10_4_1","unstructured":"S.Giberson S.Yoder andM. P.Lee \u201cImproving Patient and Health System Outcomes Through Advanced Pharmacy Practice. A Report to the U.S. Surgeon General. Office of the Chief Pharmacist. U.S. Public Health Service \u201d2011 https:\/\/www.ashp.org\/\u2010\/media\/assets\/pharmacy\u2010practice\/pai\/docs\/USPHS_Report_USSG.ashx?la=en&hash=F8A9318908BCE6E9DE00D4B36D9EB8E3A4453F74."},{"key":"e_1_2_10_5_1","unstructured":"National Academies of Sciences Engineering and Medicine \u201cIntegrating Pharmacists into the U.S. Health Care System. Washington DC: National Academies Press \u201d2025 https:\/\/www.nationalacademies.org\/projects\/H\u2010HCS\u201024\u201004."},{"key":"e_1_2_10_6_1","unstructured":"California State Board of Pharmacy \u201cAdvanced Pharmacist Practitioner Information. Sacramento CA: California Department of Consumer Affairs\u201d https:\/\/www.pharmacy.ca.gov\/applicants\/app.shtml."},{"key":"e_1_2_10_7_1","unstructured":"North Carolina Board of Pharmacy \u201cClinical Pharmacist Practitioner (CPP) Rules and Requirements. Raleigh NC: North Carolina Board of Pharmacy\u201d https:\/\/www.ncbop.org\/pharmacists_clinicalpharmacistpractitioner.htm."},{"key":"e_1_2_10_8_1","unstructured":"Minnesota Legislature \u201cMinnesota Statutes Section\u00a062Q.676: Medication Therapy Management. St. Paul MN: Minnesota Office of the Revisor of Statutes\u201d https:\/\/www.revisor.mn.gov\/statutes\/cite\/62Q.676."},{"key":"e_1_2_10_9_1","unstructured":"New Mexico Statutes. Section\u00a061\u201011B\u20103: Pharmacist Clinician Prescriptive Authority \u201cNew Mexico Legislature\u201d https:\/\/codes.findlaw.com\/nm\/chapter\u201061\u2010professional\u2010and\u2010occupational\u2010licenses\/nm\u2010st\u2010sect\u201061\u201011b\u20103\/."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2018.24.4.373"},{"key":"e_1_2_10_11_1","unstructured":"Pharmacy Workforce Center \u201cPharmacy Demand Report: First Quarter 2025 \u201d2025 https:\/\/www.pharmacymanpower.com."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp160392"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajpe.2024.101227"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2017.12.012"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2016.08.006"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe7802"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe8714"},{"key":"e_1_2_10_18_1","unstructured":"Pharmacists' Patient Care Process.2026 https:\/\/jcpp.net\/patient\u2010care\u2010process\/."},{"key":"e_1_2_10_19_1","unstructured":"American Pharmacists Association \u201cDelivering Medication Management Services\u201d http:\/\/www.pharmacist.com\/Education\/Certificate\u2010Training\u2010Programs\/Medication\u2010Management\u2010Services."},{"key":"e_1_2_10_20_1","unstructured":"Board of Pharmacy Specialties \u201cExamination Specifications Ambulatory Care Pharmacy Board of Pharmacy Specialties \u201d2023 https:\/\/www.bpsweb.org\/wp\u2010content\/uploads\/BCACP\u20102019\u2010Examination\u2010Specifications.pdf."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe811S2"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe778162"},{"key":"e_1_2_10_23_1","unstructured":"ASHP Section of Ambulatory Care Practitioners Entry\u2010level Competencies Needed for Ambulatory Care Practice https:\/\/www.ashp.org\/\u2010\/media\/assets\/pharmacy\u2010practice\/resource\u2010centers\/ambulatory\u2010care\/sacp\u2010entry\u2010level\u2010competencies\u20102012.ashx."},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2023.12.021"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/17151635221115370"}],"container-title":["JACCP:  JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jac5.70303","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jac5.70303","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jac5.70303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:46:28Z","timestamp":1792028788000},"score":1,"resource":{"primary":{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jac5.70303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/jac5.70303"],"URL":"https:\/\/doi.org\/10.1002\/jac5.70303","archive":["Portico"],"relation":{},"ISSN":["2574-9870","2574-9870"],"issn-type":[{"value":"2574-9870","type":"print"},{"value":"2574-9870","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"2026-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70303"}}