PGY1 PGY2 Pharmacotherapy
Residents in PGY-1 residency programs are provided the opportunity to accelerate their growth beyond entry-level professional competence in patient-centered care and in pharmacy operational services, and to further the development of leadership skills that can be applied in any position and in any practice setting. PGY-1 residents acquire substantial knowledge required for skillful problem solving, strengthening their professional values and attitudes, and advancing the growth of their clinical judgment. The instructional emphasis is on the progressive development of clinical judgment, a process begun in the advanced pharmacy practice experiences of the professional school years but requiring further extensive practice, self-reflection, and shaping of decision-making skills fostered by feedback on performance. Specifically, residents will be held responsible and accountable for acquiring the following outcome competencies: managing and improving the medication-use process; providing evidence-based, patient-centered medication therapy management with interdisciplinary teams; exercising leadership and practice management; demonstrating project management skills; providing medication and practice-related education/training; and utilizing medical informatics. PGY-2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY-1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY-2 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 of other advanced practice settings. Residents who successfully complete and accredited PGY-2 pharmacy residency are prepared for advanced patient care, academic, or other specialized, along with board certification, if available.
PGY-1 pharmacy residency programs build on Doctor of Pharmacy (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 (PGY-2) pharmacy residency training.
PGY-2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY-1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY-2 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 PGY-2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.
Specific residency goals and 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:
- Proficiency in providing pharmaceutical care to patients in a variety of environments including, but not limited to; medical ICUs, surgical ICUs, general medicine, general pediatrics, and patients in the emergency room
- Participate as active members of an interdisciplinary team
- Provide education to healthcare professionals and patients
- Develop skills needed to create/modify protocols and guidelines; participate in cost-saving initiatives
- Attain board certification in practice area (ie: BCPS).
Residents will be assigned an advisor responsible for the supervision, guidance, and on-going evaluation of the resident’s progress throughout the residency. Additionally, each resident will have multiple mentors for research projects, presentation development, and personal mentorship. The personal mentor exists to guide the resident throughout the year, answer questions, and help the resident navigate training and career opportunities following graduation.
The Pharmacotherapy Residency at the Medical University of South Carolina is a post PharmD program which provides 24 months of training in a contemporary pharmacy practice. The experience is intended to build knowledge and clinical skills across all areas of pharmacotherapy and provide both institutionally-based and outpatient (ambulatory or primary care) practice. In addition, the pharmacotherapy residents will work with pediatric, adult, and geriatric patient populations. The resident will have various levels of involvement in clinical research, department of pharmacy service projects, and the education of others.
Learning Experience and Rotation Length
Orientation | 1 month (July)
Clinical Generalist Rotation | 1 month
Drug Information | 1 month
Practice Management | 1 month
Ambulatory Care Block* | 2 month minimum
Pediatrics Block* | 2 month minimum
Psychiatry Block* | 2 month minimum
Acute Care / Internal Medicine Block* | 4 month minimum
Critical Care Block* | 4 month minimum
Electives | 5 months, customized to resident
Longitudinal Clinic | ½ day per week throughout residency
*Certain learning experiences are required but selective in that residents may select the specific learning experience under a more general topic.
Heart / Lung Transplant
Hematology / Oncology
Bone Marrow Transplant
Solid Organ Transplant
Left Ventricular Assist Device
Pediatric Cardiac ICU
Surgery Trauma ICU
General Pediatrics (required if no prior pediatric experience)
Pediatric Cardiac ICU
Pediatric Hematology / Oncology
5 months. May select any of the aforementioned rotations, plus the following:
- Antimicrobial Stewardship
- Emergency Medicine
- ID Consult
- Investigational Drug Services
- Medication Safety, Use & Policy
- Quality and Outcomes.
Residents will gain clinical experience by participating in a longitudinal ambulatory care clinic one ½ day per week throughout the two years. The clinic will be chosen based on resident interest and preceptor availability.
Clinical Staffing Service
Residents will gain clinical experience providing service throughout the year as a clinical pharmacist. PGY1 residents staff an average of 32 hours per month and PGY2 residents staff an average of 16 hours per month in one of the inpatient pharmacies (Ashley River Tower, Children’s Hospital, and University Hospital). Residents will be scheduled in a variety of central and decentralized roles so they gain experience providing a wide range of services. Activities include, but are not limited to, order verification, sterile product verification, completing pharmacokinetic monitoring, providing therapeutic consults, attending emergency codes, and delivering patient education.
Residents will participate in a Clinical Pharmacy on-call service for daytime, evening, weekend, and holiday coverage. Residents provide 24-hour availability of clinical pharmacy services and patient-specific drug therapy issues to all MUSC Health care team members. Clinical pharmacy specialists serve as a clinical back-up for the residents, and all therapeutic consults must be reviewed by the clinical back-up before recommendations are made by PGY1 residents. PGY1 residents have both adult and pediatric on call assignments throughout the year, and weekend on-call responsibilities count towards the 32 monthly service hours. PGY2 have adult call responsibilities, and may have pediatric call responsibilities depending on assigned rotations, which count towards the 16 monthly service hours.
Each resident will complete a major service or research project during the residency year. Pharmacotherapy residents will complete one project during their PGY1 year and one project during their PGY2 year. Project ideas will be generated by care team members of MUSC Health to address clinical and operational needs for Pharmacy Services and patients at MUSC Health. The resident will present the results of their project at a local, state, regional, or national meeting, and they must write a manuscript suitable for publication describing the results of their project. Residents will be provided one working day each month during rotation hours to work on the project.
PGY1 pharmacotherapy residents will participate in small-group medication use evaluations during the fall to evaluate and implement measures to improve the quality of the medication-use process. Residents will complete an MUE in pairs under the oversight of a clinical and drug information liaison. PGY2 pharmacotherapy residents will independently participate in a medication use evaluation during their quality rotation. Residents may present their findings at the Vizient Pharmacy Network resident poster session in December as well as at relevant P&T and/or subcommittees at MUSC Health.
Each resident will present at least one ACPE-accredited seminar during each year of the residency program. The goal of the seminar is to expand the resident’s communication skills, presentation techniques, and knowledge in a topic of their choosing.
Required Certificate Programs
Academician Preparation Program
The MUSC College of Pharmacy offers an optional certificate to residents in the Charleston area who are interested in enhancing skills needed in an academic environment. Residents are assigned a full-time faculty member as a mentor for this program. Additional requirements for APP include providing 2 hours of didactic lecture, developing one complex patient case, facilitating 5 small group discussions and/or laboratory exercises, and serving as the primary preceptor for 2 students on APPE rotations.
Research Certificate Program
The MUSC College of Pharmacy also offers a research certificate program for residents, consisting of live sessions aimed at improving residents’ ability to conduct, disseminate, and interpret research.
Residents and preceptors will use PharmAcademic to complete evaluations throughout the year for all learning experiences. The resident is expected to successfully complete and achieve 95% of the required outcomes according to ASHP Educational Outcomes, Goals and Objectives for PGY1/2 Pharmacotherapy Residencies as assessed by the RPD at the last quarterly evaluation of PGY2 year. Specifics regarding residency evaluation responsibilities can be found in the Residency Manual.
For each learning experience, the resident completes a summative self-evaluation of applicable RLS goals and objectives, an evaluation of the learning experience, and an evaluation of the preceptor. The preceptor completes an initial learning experience introduction, a midpoint evaluation, and a final evaluation that details the resident’s performance related to the identified learning objectives that correlate with the learning experience as well as any additional areas of pharmacy practice.
- Resident Stipend: Assessed annually and communicated in the welcome letter.
- PGY1 residents: 15 days of paid leave for sick time, vacation time, holidays, and interview days. Each PGY1 resident will also receive one paid time off day per month after orientation, with the exception of Clinical Generalist rotation (10 additional total days).
- PGY2 residents: 23 days of paid leave for sick time, vacation time, holidays, and interview days.
- Administrative time is granted upon approval for professional leave for meetings or other duties as determined.
- Residents working on the designated holidays will not take paid leave.
- Long term leave is available through a combination of paid leave and/or leave without pay, with a maximum of 8 weeks.
- Health Insurance: Medical and dental insurance is available through the MUSC Medical Center.
- Parking: Parking at MUSC Health is available for a monthly charge.
- Technology: Residents will be provided a laptop and a pager to use throughout the year.
- Travel: Each resident is given a stipend to assist in travel expenses for professional meetings as approved by the Director of Graduate Pharmacy Education.
Anshu Argula Gandhi
Management / DI
Clinical Generalist / Staffing
- Complete the ACLS curriculum.
- Complete all of the required month-long rotation experiences to the satisfaction of the rotation preceptor and RPD: Acute Care, Ambulatory Care, Clinical Generalist, Critical Care, Drug Information, Management, Pediatrics, and Psychiatry.
- Complete all assigned evaluations in PharmAcademic.
- Complete initial and quarterly updates to the development plan. Complete end-of-year self-assessment and review with RPD.
- Attain an “achieved” on 95% of the RLS goals and objectives as assessed by the RPD on the last quarterly evaluation (June).
Complete all staffing requirements: PGY1 residents are required to work 32 hours per month and PGY2 residents are required to work 16 hours per month (including weekend on-call assignments).
- Participate in the Pharmacy On-call Service for both Pediatric and Adult On-call.
- Prepare and present an ACPE-approved continuing education seminar each year.
- Complete a service or research project designed to improve the services of the Pharmacy ICCE each year. Prepare a manuscript suitable for publication in a peer-reviewed biomedical journal for each project.
- Present the service or research project at an approved local, state, regional, or national meeting.
- Participate in a medication use evaluation during each year. Consider presenting a poster of findings at the Vizient Pharmacy Network Resident Poster Session. Provide a written document with methods, findings, and recommendations.
- Complete the Academician Preparation Program in its entirety.
- Complete the Research Certificate Program in its entirety.
- Complete a disease-specific appendix of all disease states encountered during the residency.
- Residents may not have any NIs or be actively in failure to progress at the time of graduation..
Resident candidates must complete an application via the PhORCAS online application system by December 31 at midnight.
They must have a complete application which includes the following:
- Letter of intent (uploaded with application)
- Curriculum vitae (uploaded with application)
- Three letters of reference completed by health professionals who can attest to the applicant’s practice abilities and aptitudes (uploaded directly from the authors beginning on November 19). At least one letter must be from an immediate supervisor and at least one letter must be from a clinical preceptor.
- Official transcripts of all professional pharmacy education
- Class rank in a sealed envelope from the Dean’s Office
- List of Rotations completed as a separate addendum with description of activities including number of patients followed, activities, duties, projects, in-services, etc.
- Complete the online submission form to provide a full list of rotations and accompany details for each rotation, located on the Application Information Page of the Pharmacy Residency Website.