PGY1 & PGY2 Combined Health-System Pharmacy Administration and Leadership

Residency Program Director:
John Clark, PharmD, MS, BCPS, FASHP

The Department of Pharmacy Services at the University of Michigan Health is recruiting applicants for a two-year PGY1 Pharmacy & PGY2 Health System Pharmacy Administration and Leadership, with option for a third fellowship year if completing an MBA. This program is ASHP accredited.

Program Purpose and Description

PGY1 pharmacy residency programs build 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 for postgraduate year two (PGY2) pharmacy residency training.

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) 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 that improves medication therapy. Residents who successfully complete this accredited HSPAL PGY2 pharmacy residency should possess competencies that qualify them for clinical or operational leadership careers and position them to be well-versed in all areas of pharmacy management.

This residency program is designed to prepare residents to become successful pharmacy leaders by providing a wide array of experiences with leaders in pharmacy administration, renowned clinicians, and world class experts in research, education, and population health. Upon completion of the program, residents will be prepared to accept leadership positions in settings throughout the health care enterprise

Minimum qualifications include: PharmD, transcript of record, three letters of reference, curriculum vitae, and eligible for Michigan Licensure.

Recruitment Plan 2024-2025

Program Structure

Rotations PGY1 Year

Orientation for PGY1 Residents - 6 weeks
Adult Internal Medicine – 1 month
Critical Care – 1 month
Ambulatory care – 1 month or longitudinal
Medication Use Policy – 1 month
Direct patient care elective rotations – Up to 4 months (ambulatory 1-month rotation and 1-month teaching rotation (certificate track) would count as one elective each)
Pharmacy Operations - 1 month
Acute Care Pharmacy Practice Management Learning Experience (adult or pediatric) - 2 month

Longitudinal learning experiences PGY1 Year

Research project and presentation
Professional writing project and pharmacist continuing education presentation

Other longitudinal activities PGY1 Year

Attendance and participation on the following committees:

Management team (as time allows)
Pharmacy Executive Council (as time allows)
Professional Society Committee Involvement (required)
HSPAL Topic Discussions (required)
Medication Distribution Workflow Committee (when on Service Management rotation)
Clinical Practice Committee (when on Service Management rotation)

Required rotations PGY2 year

Informatics and Technology – 4 weeks
Medication Use Systems – 6 weeks
Ambulatory Services Management - 6 weeks
Medication Safety - 2 weeks
Elective rotations – 1 month x 3

Longitudinal PGY2 learning experiences

Human Resource Management - through serving as the ‘assistant manager’ for a pharmacy team
Process Improvement Project (with suitable written manuscript and presentation)
Financial Management (including budgeting and variance reporting)
Departmental and Institutional Leadership and Personal and Professional Development (related committee participation described below)
Medication Safety – 5 months
Health System Education – 6 months

Other longitudinal activities PGY2 Year

Coursework for MBA (if enrolled)
Attendance and participation on the following committees:
- Medication Distribution Workflow Committee*
- Clinical Practice Committee*
- Regulatory Readiness Policy Compliance Committee
- Medication Safety Committee
- Pharmacy & Therapeutics
- Pharmacy Management Team meetings
- Pharmacy Executive Council
- Professional Society Committee Involvement
- HSPAL Topic Discussions and Coffee Talks**

^{*Chair of both of these committees for 6 months during 2nd year}

^{**Coordinated by PGY2}

Un-starred committees included are meetings that the PGY2 must attend at least once during the 2nd year

Elective Rotations

Pharmacy Purchasing and Contracting – 1 month
Academia Administration – 1 month
Research Pharmacy Administration – 1 month
Home Infusion Pharmacy Management and Sterile Compounding Operations – 1 month
Managed Care Administration – 1 month
Compounding Compliance Management – 1 month
Pharmacy Analytics, Policy, Regulatory Compliance, and Medication Safety – 1 month
Senior Leadership – 1 month
Specialty Pharmacy Operations and Medication Access Management - 1 month
Inpatient Pharmacy Services Management – 1 month
Infusion Pharmacy Services Management – 1 month
Surgery/OR Services Management - 1 month

Staffing

PGY1
- No MBA: 22 weekends (every other weekend)
- Online MBA/PLA: 16 weekends (every third weekend)
- Holidays: Resident staffs 2 holidays
- Required operations rotation: 1 month
PGY2
- No MBA: 15 weekends (every third weekend)
- Online MBA/PLA: 16 weekends (every third weekend)
- Holidays: Resident staffs 2 holidays
- Required operations rotation: 4 x 5-day blocks per year (in the same area managing through the HR longitudinal rotation)

On Call (about every 2-3 months):

PGY1
- Code pager response in 1-week increments

PGY2
- Technician supervisor on-call pager – 1 x 1-week block
- Administrator on-call pager – 3 x 1-week blocks

Conference/Travel Support

PGY1
- ASHP MCM - December - 6 days
- Great Lakes Pharmacy Research Conference - April - 3 days (Present Research Project)
- ResiTrip - May - 4 days
PGY2
- PARE - July/August - 3 days
- ASHP Leaders Conference - Oct - 3 days (Manager Bootcamp - optional 1 day)
- ASHP MCM - December - 6 days
- Great Lakes Pharmacy Research Conference - April - 3 days (Present Improvement Project)
Fellowship Year
- Requests similar to other managers as appropriate

Research and Publications

Through the research and writing requirements of the program, the resident has the potential to produce at least two manuscripts suitable for peer-reviewed publication by the end of the residency.

Teaching

Residents will receive a faculty appointment as Adjunct Clinical Instructor with the University of Michigan College of Pharmacy. Experience in rotation-related precepting and in teaching of PharmD students and PGY1 residents is widely available. In addition, the Resident will gain experience in didactic teaching of PharmD students at the College of Pharmacy with the option to pursue a teaching certificate.

Precepting

PGY2 residents have the opportunity to become an official preceptor through the State of Michigan after one year of being licensed in Michigan.

Program Assessment Strategy

The program is structured in accordance with the ASHP Accreditation Standards and ASHP Educational Outcomes, Goals, and Objectives for a PGY1 Pharmacy and PGY2 Health-System Pharmacy Administration residency and utilizes the Residency Learning System model. This program has a four-part assessment strategy of learning experiences: resident evaluation of learning experience, resident evaluation of preceptor, resident self-evaluation, and preceptor evaluation of the resident's performance during the learning experience.

Example Schedule

Fellowship Year

Master’s Coursework

The Health System Pharmacy Administration (HSPAL) residency at the University of Michigan is designed to train exceptional future pharmacy managers and leaders. Managing contemporary pharmacy services in a large health system is very similar to running a mid-size company. Furthermore, it is expected that our graduates will rise to administrative positions that require not only pharmacy specific knowledge and skills, but also significant business knowledge. A master’s degree in business administration (MBA) provides the optimal training for developing business proposals, analyzing finances, and understanding the business language of others at the highest levels of any organization. As such, all graduates of our program will be expected to have this level of education and training. The MBA requirement is waived for residents who have already earned this degree.

Since 2018, the MBA at the Ross Business school has been the degree we have supported and preferred, but now offer alternatives.

Option 1: University of Michigan Ross School of Business MBA

All applicants to the HSPAL residency will need to apply to the Stephen M. Ross School of Business Online MBA program. However, this does not need to occur until after match results come back. This requirement is waived for candidates who have already completed an MBA, or will be expected to complete one before starting the HSPAL residency. The Ross Business School has agreed to waive the application fee for applicants to our residency program. GRE/GMAT are waived for individuals who will have a PharmD at the time of beginning of residency. Applicants should get everything ready to go before starting the on-line application process. In the application, select the button, "I am currently enrolled in another University of Michigan degree program.". Ross will provide you with a code to enter when they submit the application which will serve as "payment". The code you are provided is only valid for 24 hours after it is sent, so you need to be ready to submit the application before requesting the code. Please contact us with any questions.

Online MBA Program
- Duration of MBA is a 3-year program and starts in the 1st year of residency and finishing in your 3rd year fellowship at Michigan Medicine. This allows for increased flexibility in class schedule
- Application may be completed after you match in the residency program.
- The quality of the classes and instructors are exactly the same as the traditional weekend MBA program.
- Residents enrolled can take as little as 2 classes per semester, but it is recommended to take 3-4 classes per semester.
- There is flexibility with timing. Each class is 7 days per week, one at a time, with every 2 weeks synchronous with the live-stream class.

For more information please visit the Ross online MBA website: https://michiganross.umich.edu/graduate/online-mba

Application Information

The graduate school application is separate from the residency application.
For candidates interested in starting in August 2024, the Final Application Deadline is May 13, 2024.

Finances (Dependent on Financial situation at Michigan Medicine)

Tuition for the academic years 2023-2024 for the Ross Online MBA program is $118,000 for a Michigan in-state student and $128,000 for an out-of-state student.
To assist with tuition, UMHS Pharmacy will supplement the resident’s stipend, above the usual stipend amount.
For an in-state student from 2024-2027 this tuition support will be:
- Year 1 Stipend: $48,000 salary
- Year 2 Stipend: $50,000 salary plus Tuition Support of $45,000
- Year 3 Stipend: $95,000 salary plus Tuition Support of $45,000
For an out-of-state student from 2024-2027 this tuition support will be:
- Year 1 Stipend: $48,000 salary
- Year 2 Stipend: $50,000 salary plus Tuition Support of $50,000
- Year 3 Stipend: $95,000 salary plus Tuition Support of $50,000
Tuition payment is due at the beginning of each term for the upcoming term. For more information, please visit the Ross online MBA website: https://michiganross.umich.edu/graduate/online-mba/admissions/tuition-financial-aid
Residents are responsible for all tuition payments.
If accepted, a $2,000 down payment is required before classes start (approximately March of the year prior) to hold your seat. This money will then be used towards your tuition cost.
Resident’s salaries are taxable income; thus the salary supplement will not totally pay for the tuition amount. The resident thus bears part of the cost of the MBA.
Residents who do not participate in the Ross MBA program because they already have the degree will be paid the same salary as other PGY1 and PGY2 residents.

Option 2: University of Wisconsin Consortium Online MBA

This requires a separate application and acceptance into the MBA program.
The GRE or GMAT may be waived upon request with approval of UW.
This MBA requires approximately 3 years to complete.

Application Information:

To begin in a Fall semester, application deadlines: Priority: April 1st, Final: August 1st
(Final application deadline of April 1st for a summer semester start if candidate interested in starting MBA prior to start of residency program.)
Admission requirements:
- Baccalaureate degree from a regionally accredited college or university
- Cumulative undergraduate GPA of at least 2.75 (on a 4.0 scale)
- Graduate Management Admission Test (GMAT) score of 475 or above or a comparable Graduate Record Examinations (GRE) score (or waiver)
Application materials:
- Application, including $56 fee and a Personal Statement.
- Official transcripts
- Résumé
- Three letters of recommendation
- Official GMAT/GRE Score - Can also apply for a waiver of test requirements

Interviews

No interview required

Finances (Dependent on Financial situation at Michigan Medicine)

Cost: $825 per credit
36 credits required: Total current cost $29,700
- Business Essentials: 4 Credits
- CORE MBA courses 22 Credits
- Healthcare Management: 6 courses
- Electives: 4 Credits
MM will supplement the resident's salary to cover $30,000 of the tuition expense, which is the approximate total current cost of the program.
The resident would be obligated to work a third year at MM as a fellow at a salary of approximately $95,000.

Option 3: ASHP Pharmacist Leadership Academy Online DPLA

The ASHP Pharmacist Leadership Academy (PLA) is a structured leadership development program over the course of 1 year.

ACPE accredited for 210 credit hours
Graduates are eligible to use the designation of Diplomate, Pharmacy Leadership Academy (DPLA)
The resident would earn 10 university credits to apply towards an MBA degree. Several universities have partnered with ASHP in this regard, however New England College has the most experience in this regard. It is an all on-line MBA.
The expectation, but not requirement, is that the resident would continue to work towards completion of the MBA degree.
This requires a separate application and acceptance into the MBA program.
The GRE or GMAT are not required.
MM will supplement the resident’s salary to offset the ASHP Leadership Academy and MBA tuition expense for the time they are employed at MM.
The decision to work a third year at MM is optional, but must be decided at the start of the residency.

Application Information:

Early bird application deadline: Mid-February
Regular application deadline: Late-March
Academy start date: July
Check PLA Website for full details

Interviews

No interview required

Finances (Dependent on Financial situation at Michigan Medicine)

ASHP Leadership Academy: Residents - Early Bird = $5,950 (must apply by early bird deadline), Regular Rate = $6,650
Master's pricing is dependent on specific partnering program