The Health-System Administration & Leadership (HSPAL) Residency is a 24-month post-Doctor of Pharmacy training program. The PGY-1 and PGY-2 years are designed to flow seamlessly together, with no need to re-apply or participate in the early commitment process.
The Health-System Pharmacy Administration Pharmacy Residency at the Medical University of South Carolina (MUSC) is designed to build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available. The HSPAL program is specifically designed to develop accountability; practice patterns; habits; and expert knowledge, skills, attitudes, and abilities in pharmacy practice and health system pharmacy leadership. The Health-System Pharmacy Administration Pharmacy Residency begins in the PGY1 year where broad-based competencies are achieved. In the PGY2 year continued training and experience will deepen the resident’s ability to manage and lead the development, implementation and management of a safe and effective medication system. Therefore, the Health-System Pharmacy Administration Pharmacy Residency provides residents with opportunities to function independently as practitioners and leaders by conceptualizing and integrating accumulated experience and knowledge and transforming both into improved medication therapy for patients. The resident will be competent in medication safety, clinical management and operations management and should possess competencies that enable attainment of board certification (i.e. BCPS). Upon completion of the 24-month program the resident will have developed significant professional skills and will be prepared to assume clinical and/or operational management positions in a hospital or health system.
During the first year, after an extensive one month orientation, training experiences equivalent to the PGY1 program with emphasis in clinical practice (adult medicine, critical care, pediatrics, psychiatry, drug information, and ambulatory care), longitudinal experiences in management, and an administration rotation are provided. The PGY1 residency year provides a fertile environment to manage and improve the medication-use process, provide evidence-based, patient-centered medication therapy management with interdisciplinary teams, exercise leadership and practice management, demonstrate project management skills, provide medication and practice related education and training, and utilize medical informatics. The goals and objectives identified by the ASHP for PGY1 programs will be addressed during the first year of this 24-month program. A complete list of these goals and objectives may be found at http://www.ashp.org/menu/Accreditation/ResidencyAccreditation
Learning Experiences PGY-1
Orientation | 1 month (July)
Management | 1 month
Clinical Generalist | 1 month
Drug Information | 1 month
Critical Care* | 1 month
Pediatrics* | 1 month
Psychiatry* | 1 month
Ambulatory Care* | 1 month
Acute Care * | 1 month
Electives | 2 months
Clinical Operations Experience | Longitudinal
Clinical On-call | Longitudinal
*Certain learning experiences are required but selective in that residents may select the specific learning experience under a more general topic.
Selective Learning Experiences: (Must complete one of each):
- Critical Care – 1 month (MSICU, CCU, CTICU, STICU, NeuroICU, MICU, PICU, NICU, Heart/Lung Transplant, Solid Organ Transplant)
- Pediatrics – 1 month (Gen Peds required if no previous pediatric rotations, PICU, NNICU, Peds Heme/Onc)
- Psychiatry – 1 month (Gen Psych, Pediatric Psych, Geriatric Psych)
- Ambulatory Care – 1 month (BMT, Oncology, HIV, UIM, Transplant, CHF, Pharmacotherapy, Family Medicine)
- Acute Care – 1 month (Internal Medicine, Cardiology, Heme/BMT/Oncology, Nephrology Consult)
Electives: 2 months. May select any of the aforementioned rotations, plus the options below:
- Medication Use Policy
- Medication Assistance/Billing and Reimbursement
- Investigational Drug Services
During the second year, the HSPAL resident will work collaboratively with the MUSC Medical Center pharmacy management team, lead process improvement projects, provide patient care in a collaborative practice clinic, chair a subcommittee of the P&T committee, and manage human resources and financial resources to develop advanced leadership skills. The resident will be assigned a pharmacy area to manage as well as maintain a half day per week clinical practice in a clinic. The longitudinal structure in the PGY2 year will develop competence in high level managerial, supervisory, and leadership responsibilities. Concentrated experiences or projects with members of the management team will be conducted in the interest area of the resident as well as within the needs of the medical center. The goals and objectives identified by the ASHP for PGY2 HSPAL programs will be addressed during the second year of this 24-month program. A complete list of these goals and objectives may be found at http://www.ashp.org/menu/Accreditation/ResidencyAccreditation.
Learning Experiences PGY-2
Ambulatory Pharmacy Services | Quarterly Rotation
Clinical Management | Quarterly Rotation
Director Rotation | Quarterly Rotation
Inpatient Operations | Quarterly Rotation
Medication Safety and Quality | Quarterly Rotation
Medication Use Policy | Quarterly Rotation
Pharmacy Business Office | Quarterly Rotation
Supply Chain Management | Quarterly Rotation
Outcomes Management Elective | Quarterly Rotation
Project/Manuscript Longitudinal | (annual)
Clinical Operations Experience | Longitudinal (annual)
Coordinator Duties | Longitudinal (annual)
Administrative On-call | One week (numerous)
Rotations will be scheduled as follows in the second year. Based on the resident’s previous experiences, strengths, areas of interest and areas of opportunity, this schedule may be adjusted accordingly.
Clinical Operations Experience
Supply Chain Management
Clinical Operations Experience
Ambulatory Pharmacy Services
Clinical Operations Experience
Clinical Operations Experience
Medication Safety, Quality & Policy
Specific residency objectives will be established in the beginning of the residency modified according to the resident’s interests and previous experiences and advisor input. To meet the purpose of the residency, the resident will advance to achieve the following outcomes:
- Design, implement, and manage a safe and effective medication-use system.
- Apply contemporary quality methodology to the management of pharmacy services.
- Lead and manage the health system pharmacy’s human resources
- Manage the health system pharmacy financial performance within the context of the broader health system
- Leverage technology and automated systems to optimize the medication-use system
- Demonstrate personal leadership qualities and business acumen essential to operate effectively within the health system and advance the profession of pharmacy practice
- Demonstrate skills required to function in an academic setting
Preceptors during the PGY1 year mirror those available to all PGY1 residents.
Preceptors during the PGY2 year primarily include the members of the management team. Some may not have a formal evaluation of the resident assigned in PharmAcademic but all managers interact regularly with the PGY2 HSLA resident.
Heather Easterling, PharmD, MBA
Administrator, Department of Pharmacy Services
Carolyn Bondarenka, PharmD, MBA, BCPS
Manager, Infusion Pharmacy Services
Jeff Brittain, PharmD, BCPS
Director, Pharmacy Support Services
Kelly Crowley, BS, PharmD
Director, Ambulatory Pharmacy Services
David Cruse, PharmD
Manager, Pharmacy Specialty Services
Brenda Fauteux, BS, PharmD
Manager, Retail Pharmacy Services
Nik Lawson, PharmD, MBA, BCPS
Manager, Inpatient Manager
Joel Melroy, PharmD, MS, BCPS
Director, Inpatient Pharmacy Services
Jason Mills, PharmD, MBA
Manager, Pharmacy Supply Chain
Dawn Rooke, MBA
Director, Pharmacy Business Services
The resident will also have significant interactions with the following staff members:
Stephanie Mackey, Administrative Assistant, Pharmacy Residency Programs
Susan Sykes, Administrative Assistant to Dr. Easterling
Evaluation procedures are outlined in the residency manual. The resident is expected to actively participate in their own self-evaluation as well as evaluate learning experiences and preceptors.
During the PGY2 year, the HSPLA residency is set up to be longitudinal with “mini-rotations” throughout the year. Experiences are designed to meet the needs of the resident and the department. Management team members and other preceptors as applicable will be assigned criteria-based evaluations throughout the year to assess the resident for various activities. The resident will also be required to self-assess and evaluate the learning experience and preceptor. Quarterly, the RPD will gather all evaluations and meet with the resident to assess competency and achievement of the RLS goals. Weekly, the resident will meet with the RPD and keep a running list of all projects and activities. These activities will be matched to the RLS objectives. In this manner, the resident will be assured to be presented with the opportunity to attain all RLS objectives by the end of the PGY2 year.
Required Activities (to receive a residency certificate)
- Resident will complete the ACLS curriculum and participate in medical emergencies.
- Attain an “achieved” on 95% of the Goals and Objectives for PGY1 and PGY2 HSPLA as assessed by the RPD on the last quarterly evaluation (June).
No NI’s may be present upon graduation of the program.
- Resident has a business plan or ROI document.
- Complete all assigned evaluations
- Complete end-of-year self-assessment and review with RPD.
- Complete 2 service or research projects designed to improve the services of the Pharmacy ICCE in each year (PGY1 and PGY2). Prepare 2 manuscripts suitable for publication in a peer-reviewed biomedical journal. Editorial assistance by the preceptor is required.
- Prepare and present 2 ACPE-approved continuing education seminars.
- Participate in the Pharmacy On-call Service. In the second year, the HSPLA resident will participate in the Pharmacy AOC call schedule.
- Complete all staffing requirements: PGY1 residents are required to work on average 32 hours per month (including weekend on-call assignments). PGY2s are required to work 16 hours per month.
- Present the projects at an approved local, national, regional or state meeting.
- Complete 8 Grand Rounds evaluations (4 in each year).