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

• Orientation- Management and Leadership and Orientation Staffing (July)
• Inpatient Operations Management
• Specialty/Retail Operations Management
• Medication Safety, Use and Policy (MSUP)
• Supply Chain Management
• Human Resources Management & Project Month

Required Longitudinal Rotations

• Business Plan (4 months)
• Committee Management (12 months)
• HSPAL On Call Experience (12 months)
• Pharmacy Finances (12 months)
• Clinical Operations Experience (Staffing) (12 months)
• Operations Coordinator Experience (12 months)
• Pharmacy Week Planning (2 months)
• Project/Manuscript (12 months)
• RITE/Seminar (3 months)

Elective Rotations

• CPO Executive Leadership (1 month)
• 340B Program (1 month)
• Ambulatory Operations Management (1 month)
• Inpatient Operations Management- Advanced (1 month)
• Capstone Experience (1 month)

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 Informatics and Supply Chain Leadership, Apexus 340B Operations).

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 residency goals and objectives. 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 HSPAL residency goals and objectives. In this manner, the resident will be assured to be presented with the opportunity to attain all residency 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 

Past PGY1/2 HSPAL Residents

1. Heather Easterling | 2001 -2003
2. Kuldip Patel | 2002-2004
3. Chris Fortier | 2003-2005
4. Jennifer Burnette | 2004-2006
5. Matt Maughan | 2005-2007
6. Carolyn Bondarenka | 2006-2008
7. Mike DeCoske | 2007-2009
8. Dan Miller | 2008-2010
9. Genevieve “Jeni” Hayes | 2009-2011
10. Lauren Kuckewich | 2012-2014
11. Celica Tong | 2014-2016
12. Samantha Landolfa | 2015-2017
13. Jennifer Carter (PGY-2 HSPAL only) | 2016-2017
14. Nikolaus Lawson | 2017-2019
15. Hannah Vining | 2018-2020
16. John David Scheper | 2019-2021
17. Zach Gunter (PGY-2 HSPAL only) | 2020-2021
18. Tramauni Brock | 2020-2022