Administration and Leadership Residency Program

Purpose

PGY2 pharmacy residency programs 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.

Additional Program Description

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 HSPAL 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 and Leadership Residency provides residents with opportunities to function independently as practitioners and leaders and improve 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.

Program Design

First Year

During the first year, after an extensive one-month orientation, training experiences equivalent to the PGY-1 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. Of note, each year of the 2-year program is treated independently. The resident will get a PGY1 certificate after successful completion of the first year and must have a PGY1 certificate to continue to the second year. A complete list of these goals and objectives may be found at ashp.org/professional-development/residency-information/residency-program-resources/residency-accreditation.

Second Year

During the second year, the HSPAL resident will work collaboratively with MUSC Health pharmacy management team, leading process improvement projects, chair a subcommittee of the P&T committee, and staff in one of the 24-hour pharmacies to continue building on the clinical skills from the PGY1 year. The resident will be assigned a pharmacy area to manage to develop additional skills in human resources and financial budgeting and planning. 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 resident’s area of interest 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 ashp.org/professional-development/residency-information/residency-program-resources/residency-accreditation.

Learning Experiences PGY-2

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, the schedule may be adjusted accordingly.

Required Monthly Rotations

  • Management and Leadership Orientation
  • Ambulatory Operations Management
  • Inpatient Operations Management
  • Specialty/Retail Management
  • 340B Operations*
  • Medication Safety, Use and Policy (MSUP)
  • Supply Chain Management*
  • Pharmacy Finance/Budgeting
  • Human Resources Management/Project Month
  • *May apply for a specialized monthly rotation at Vizient and/or Apexus as required or elective.

Required Longitudinal Rotations

  • Business Plan
  • Committee Management
  • Pharmacy Administrator On Call
  • HSPAL Topic Discussion Coordinator
  • Clinical Operations Staffing
  • Operations Coordinator Experience
  • Pharmacy Week Planning/Employee Rewards & Recognition
  • Project/Manuscript
  • Seminar

Elective Experiences

  • Diversity, Equity, Inclusion Committee/Presentation Coordination (Longitudinal)
  • Chief Pharmacy Officer/Executive Leadership (Monthly)

In addition, elective learning experiences can be advanced versions of currently required learning experiences or specialized learning experiences with preceptors outside of MUSC (e.g. Vizient Supply Chain, Apexus 340B).

Outcomes

Specific residency objectives will be established in the beginning of the residency and modified according to the resident’s interests, 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

Evaluation Method

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 HSPAL residency is set up to be a mix of monthly and longitudinal experiences. 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.

Core Preceptors

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 leaders interact regularly with the PGY2 HSPAL resident.

Thomas Achey, PharmD, MS, BCPS
Director, Adult Inpatient Pharmacy Services

Beth Bartemeyer, RPh
Manager, Specialty Pharmacy Call Center Operations

Jennifer Carter, PharmD, BCPS
Director, Specialty Pharmacy Services

Brenda Fauteux, PharmD, BS Pharm
Director, Retail Pharmacy Services

Gail Kushner, PharmD
Manager, 340B Program

Erin Lynch, PharmD, MHA
Manager, Ashley River Tower Inpatient Pharmacy

Joel Melroy, PharmD, MS, BCPS
Executive Director, Inpatient Pharmacy Services

Kathryn Noyes, PharmD
Clinical Pharmacist, Medication Safety, Use and Policy

Curt Pattee, CPA, MBA
Director, Pharmacy Business Operations

Colleen Scherer, PharmD, MPA, BCPS
Director, Women's and Children's Services, Medication Safety, Use and Policy and Antimicrobial Stewardship Pharmacy, Affiliate Assistant Professor

Aaron Steele, PharmD, MS
Manager, Supply Chain

Marva Williams-Lowe, PharmD, MHA, FACHE
Carol Emmott Fellow 2017
Chief Pharmacy Officer, System Administrative Officer-Pharmacy
ICCE Administrator, MUSC Health
Associate Dean, Clinical Affairs, MUSC College of Pharmacy

The resident will also have significant interactions with the following staff members:

Susan Sykes, Senior Executive Administrative Coordinator

Sheree Garland, Administrative Coordinator

Current Resident

PGY1/2 Health System Pharmacy Administration & Leadership (HSPAL) Residents 

Requirements for Program Completion

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 HSPAL resident will participate in the Pharmacy Administrator On 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).

See Appendix A in our Residency Manual for standard requirements for all residency programs.