Emory University Hospital Midtown
HSPAL Residency

Program Purpose

ASHP PGY1 Purpose: PGY1 residency programs build upon Doctor of Pharmacy (PharmD) education and outcomes to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives. Residents who successfully complete PGY1 residency programs will be skilled in diverse patient care, practice management, leadership, and education, and be prepared to provide patient care, seek board certification in pharmacotherapy (i.e., BCPS), and pursue advanced education and training opportunities including postgraduate year two (PGY2) residencies. 

ASHP PGY2 Purpose: PGY2 residency programs build upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas. Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available.

General Info

The PGY1/PGY2 Health System Pharmacy Administration and Leadership Residency Program at EUHM is designed to provide the resident with a solid foundation of core experiences, a strong knowledge base, a commitment to teaching, an appreciation for leadership, and ample opportunity for pursuing individual interests. The program incorporates broad-based competencies during the first year of the program, and builds upon these skills in the PGY2 year allowing the resident to further develop and refine multiple skill sets (i.e. practice foundation, direct patient care, drug information, policy development, and practice management). This is accomplished by participating in patient care activities through staffing requirements and completing unique pharmacy administration rotations in clinical and operational management, business and finance operations, medication safety, supply chain management, informatics and formulary and medication use system management and participating in ongoing research and quality improvement activities. The resident will have direct human resource management experiences throughout the PGY2 year to develop leadership and management skills. Upon completion of the program, the resident is prepared to excel in any health system leadership role, particularly in an academic teaching center part of a larger health system. 

Goals

The Health System Pharmacy Administration and Leadership residency program of Emory University Hospital Midtown utilizes the collective assets of the Emory Hospitals to train and educate residents in contemporary pharmacy practice in an organized health-care system 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. 

Emory University Hospital Midtown’s residency is a 24-month long program.  Residency orientation occurs during the month of July during each year.  The residency program will end on June 30th of the second year. Each year will be a minimum of 52 full weeks. 

Learning Experiences

Residents’ baseline self-evaluations and interests are used to formulate customized training plans and rotation schedules. Rotations are typically calendar month experiences, with a few 2-week electives, and a tentative year-long schedule is developed at the beginning of each year of the residency program. The rotation schedule is flexible depending on department activities, external rotations, and preceptor availability. Residents are required to follow the expectations set by individual rotation preceptors. Rotation learning experiences often vary with regard to daily start and end time, presentation requirements, and other responsibilities.  

Residents may choose to change their schedule based on changing interest throughout the year and rotation availability. Any schedule change must be approved by the preceptors of each rotation (switching to and switching from), the resident’s advisor and their RPD. 

Learning experiences for the HSPAL resident will be month long experiences in addition to longitudinal rotational experiences. Some electives may be 2 week experiences, as noted below. Determination of rotation length may be subject to change based upon resident’s interests, prior experience, and other available opportunities as long as all program requirements and ASHP goals and objectives are met for the program. The program director will work collaboratively with the residents to ensure an organized, intentional rotation schedule to optimize learning experiences.

Required Experiences and Recommended Timeline

PGY1 Recommended Disease States

1. July: Orientation/Staffing Training (Required)
2. August: Internal Medicine: (Required)
   • Hospitalist Service/FMS rotation recommended
3. September: Ambulatory Care- Non-Oncology (one Amb Care Required)
   • 2 ambulatory care experiences recommended
4. October: Administration- Inpatient Distribution and Automation
   • 2 Administration experiences recommended in PGY1; 1 required
5. November: Critical Care (Required)
6. December: Research OR Additional Elective
7. January: Emergency Medicine (Required)
8. February: Infectious Diseases (Required)
9. March: Administration- Sterile Compounding and Perioperative Services
10. April: Ambulatory Care- Oncology
11. May: Clinical Rotation- Elective
12. June: Clinical Rotation- Elective 

PGY2 Required and Recommended Rotations

*Not required in PGY2 year if completed in PGY1 year

1. PGY2 Orientation- 2 weeks (Required)
2. Inpatient Operations - Distribution and Automation- 4 weeks (Required)
3. Inpatient Operations- Sterile Compounding and Perioperative Services 4 weeks (Required) 
4. Advanced Inpatient Operations- 4 weeks (Required) 
5. Pharmacy Informatics- 4 weeks (Required) 
6. Ambulatory Director of Pharmacy -4 weeks (Required) 
7. Inpatient Director of Pharmacy –  4 weeks (Required) 
8. Retail Pharmacy Operations or Specialty Pharmacy Operations – 4 weeks (Required) 
9. Ambulatory Infusion Services- 4 weeks (Required) 
10. Pharmacy Finance and 340B- 4 weeks (Required) 
11. Supply Chain Management - 4 weeks (Required) 
12. Inpatient Clinical Practice Management – 4 weeks (Required) 
13. Research or Elective – 2 weeks (Required) 
14. Electives – 12 weeks (assuming 2 requirements completed in PGY1 year)

Longitudinal Learning Experiences

PGY1- Refer to the PGY1 Program Manual Appendix

PGY2

1. Required Activities
   • Grand Rounds
   • Quality Improvement Project
2. Required Longitudinal Learning Experiences
   • Direct Human Resource Management
     •  (11 months- dedicate 2-3 hours per week for team meetings, 1-on-1 meetings, and other issues as they arise)
   • Manager On-Call
     • (12 months- minimum of 5 weeks, matched with staffing weekends)
   • Pharmacy Service Commitment
     • (11 months- staff 8 hour shifts every 3^rd weekend and 6-hour shift 1 evening every 2 weeks)
   • Research
     • (11 Months- 1 day per month is a dedicated research day)
   • Medication Safety PGY2
     • (11 months- dedicate 2-3 hours per week for attending safety huddles, committee meetings, and event follow up and analysis)

Elective Learning Experience Opportunities:

PGY1: 4 Elective Opportunities, 3 must be clinical electives, 1 in administration

PGY2: 2 Elective Opportunities, may elect additional elective opportunity in lieu of Research month

*Refer to PGY1 Manual Appendix for clinical electives

Administration Elective Experiences:

• Executive Leadership- 2 weeks
• System Pharmacy Administration- 2 weeks
• System Formulary Management- 4 weeks
• Professional Organizational Leadership Opportunities: Month long
  • Apexus-currently offered following application process 
  • Others may be available for discussion and application process: ASHP, FDA, CDC, BOP 

Research Project:  
Residents are required to design, develop and complete an original research project. This includes a final manuscript of research results. To expand their understanding of and compliance with research requirements, residents are required to complete an Emory IRB (Institutional Review Board) -certified module. Residents are expected to present their project at one conference each year. One poster presentation and one platform presentation is required. HSPAL residents may have 1 or 2 research projects between PGY1 and PGY2 year depending on project scope. For a project completed over 2 years, there must be an interim report presented during the PGY1 year.  

Quality Improvement Project:   
Residents are required to complete a quality improvement project each year with a goal to improve the care delivered to patients at Emory University Hospital Midtown. A preceptor will mentor the process. Residents will collect and analyze data, prepare a handout, and present the project to a committee as designated by the RPD in conjunction with the preceptor. 

Grand Rounds Presentation:  
Residents are required to prepare one 60-minute presentation for ACPE credit on approved topics, complete with Powerpoint slides and handouts during each residency year, PGY1 and PGY2. Additional details regarding grand round presentation will be provided upon start of the program. 

Staffing:  
Residents gain experience in the pharmacy’s medication distribution system by staffing in one operational area and one clinical area every third weekend and one evening every pay period for a minimum of 400 hours.  The Health System Pharmacy Administration resident will staff every 3rd Saturday and Sunday in the main inpatient pharmacy and 1 evening per pay period, rotating between operational and clinical shifts. The inpatient staffing weekend is set to align with the manager on-call weekend for the PGY2 resident.   When holidays occur on a weekend (e.g. Christmas, New Year’s Day), the resident is still expected to cover the weekend unless assigned area is closed for that holiday. Health System Pharmacy Administration Residents will be required to staff 1 minor holiday and 1 major holiday during both the PGY1 and PGY2 year. 

At Home On-Call:  
PGY1 residents will participate in the  specialty resident on call rotation with all EUHM residents. 

PGY2 HSPAL residents will participate in the inpatient manager on call rotation.   

Feedback on the on call program will be collected as part of the continuous improvement plan. Any time spent on on-call activities must be documented in the duty hour tracking form.  

Longitudinal Direct Human Resource Management:  
Under a supervising preceptor, HSPAL residents will have a direct area of management as a longitudinal experience during their PGY 2 year including hiring and recruitment activities, performance management, and area related operational management responsibilities. The area will be chosen collectively based upon resident interest and department need. (Examples include intern class, medication assistance, prior authorization or medication history technicians) 

Licensure: Residents must obtain Georgia pharmacist licensure by Sept. 15.

Evaluations: Residents should complete all evaluations, including rotational evaluation and global evaluations, in a timely manner.

Compensation: PGY-1 residents receive a $54,000/year salary plus medical, dental, vision and 401K benefits. PGY-2 residents receive a $56,000/year salary plus medical, dental, vision and 401K benefits.

Contact Info

For more information, please contact the program director or coordinator.

Shailly Shah, PharmD, MS, BCPS
shailly.shah@emoryhealthcare.org

Ryan Haumschild, PharmD, MS, MBA
ryan.haumschild@emoryhealthcare.org