PGY-1 Pharmacy Residency

The MUSC Health Pharmacy Services Integrated Center of Clinical Excellence (ICCE) provides service to patients on a 24-hour basis through multiple inpatient and ambulatory pharmacies to fulfill the mission, vision, and goals of providing excellent pharmaceutical care to all patients. Pharmacy Services employs almost 300 pharmacists, technicians, and support staff, including over 30 residents practicing in 16 programs. The MUSC PGY-1 program was honored with the ASHP Pharmacy Residency Excellence Award in 2008.

RPD Welcome

Dear PGY1 Applicant,

Thank you for your interest in the MUSC Health PGY1 Pharmacy Residency program! We have one of the largest and oldest pharmacy residency programs in the country, and we are committed to providing outstanding post-graduate pharmacy residency training at a cutting edge academic medical center. Our program is structured to improve your clinical knowledge, critical thinking, and self-evaluation skills while giving you exposure to a variety of patient populations and practice-based research experiences. I am proud to be one of the over 1,300 pharmacists who have graduated from the MUSC Health Pharmacy Residency program, and I look forward to meeting you!

Warm Regards,

Krista McElray PharmD, BCPS
PGY1 Residency Program Director
Residency Coordinator

PGY1 Resident Advisors

PGY1 residents are assigned advisors at the start of the year. PGY1 Resident Advisors help guide and evaluate resident progress throughout the year as well as help to navigate training and career opportunities following graduation. Additional mentorship and guidance is provided by assigned project teams and presentation content experts.

Residents in PGY1 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. PGY1 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. Upon completion of the pharmacy practice residency, many ASHP-accredited PGY2 residencies are available at MUSC.

The PGY1 pharmacy residency program builds on Doctor of Pharmacy (PharmD) 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 postgraduate year two (PGY2) pharmacy residency training.

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:

  • Manage and improve the medication-use process
  • Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams in a variety of environments
  • Exercise leadership and practice management skills
  • Demonstrate project management skills
  • Provide medication and practice-related education/training
  • Utilize medical informatics
  • Conduct pharmacy practice research
  • Exercise added leadership and practice management skills
  • Provide drug information to health care professionals and/or the public
  • Demonstrate additional competencies that contribute to working successfully in the health care environment.

The PGY1 Pharmacy Residency at MUSC is a one-year post-graduate training program designed to develop essential knowledge and skills for contemporary health-system pharmacy practice at a major academic medical center. The residency program provides the flexibility to adapt to the resident’s specific learning needs and goals. The training is provided through month-long clinical rotations and longitudinal experiences that extend throughout the year.

 Learning Experience Rotation Length
 Orientation 1 month (July)
 Acute Care* 1 month
 Ambulatory Care* 1 month 
 Clinical Generalist Rotation 1 month
 Critical Care* 1 month
 Drug Information 1 month
 Management 1 month
 Pediatrics* 1 month
 Psychiatry 1 month
 Electives 2 months

*Certain learning experiences are required but selective in that residents may select the specific learning experience under a more general topic.

Selective Learning Experience Options

Acute Care

  • Abdominal Transplant
  • Cardiology
  • Internal Medicine
  • Heart / Lung Transplant
  • Hematology / Oncology

Ambulatory Care

  • Bone Marrow Transplant
  • Family Medicine
  • Internal Medicine
  • Pharmacotherapy
  • Oncology
  • Solid Organ Transplant
  • Specialty Pharmacy

Critical Care

  • Burn ICU
  • Cardiology ICU
  • Cardiothoracic ICU
  • Medical ICU
  • Medical-Surgical ICU
  • Neurosurgery ICU
  • Surgery Trauma ICU


  • General Pediatrics
  • Neonatal ICU
  • Pediatric ICU
  • Pediatric Cardiac ICU
  • Pediatric Hematology / Oncology
  • Pediatric Surgery


2 months. May select any of the above rotations, plus the following:

  • Antimicrobial Stewardship
  • Emergency Medicine
  • ID Consult
  • Informatics
  • Investigational Drug Services
  • Medication Safety, Use & Policy
  • Transplant Quality and Outcomes

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 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.

On Call
Residents will participate in a Clinical Pharmacy on-call service for daytime, evening, weekend, and holiday coverage. Residents provide 24-hour in-house 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.

Research Project
Each resident will complete a major service or research project during the residency 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 project day each month during rotation hours to work on the project.

PGY1 residents will participate in small-group medication use evaluations to evaluate and implement measures to improve the quality of the medication-use process.

Each resident will present one ACPE-accredited seminar during 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.

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.

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 Pharmacy Residencies as assessed by the RPD at the last quarterly evaluation. 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 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.
  • Leave: 23 days of paid leave for sick time, vacation time, holidays, and interview days. Administrative time is granted for attendance at professional meetings or other duties as determined. 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.
  • 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 PGY1 goals and objectives as assessed by the RPD on the last quarterly evaluation (June).
  • Complete all staffing requirements: PGY1 resident programs are required to work 32 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.
  • Complete a service or research project. Prepare a manuscript suitable for publication in a peer-reviewed journal..
  • Present the service or research project at an approved local, state, regional, or national meeting.
  • Participate in a medication use evaluation. Provide a written document with methods, findings, and recommendations.
  • Residents may not have any NIs or be actively in failure to progress at the time of graduation.