Health System Pharmacy Administration and Leadership Residency

The University of Kansas Health System HSPAL Program Manual

Thank you for your interest in our 2-year combined PGY1/PGY2/MS health-system pharmacy administration and leadership residency program. Our program is designed to provide a strong clinical experience and equip graduates with the essential leadership skills necessary to assume high-level managerial, supervisory and leadership responsibilities throughout their career.

The health system pharmacy administration and leadership residency program at The University of Kansas Health System was established in 1970 by Harold N. Godwin. Since that time, we have graduated over 140 HSPAL residents, some of whom have gone on to establish their own HSPAL residencies in health systems across the country.

PGY1 residency programs build upon a 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 2 (PGY2) residencies.

PGY2 residency programs build upon a 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.

PGY1 learning experiences:

Brief learning experience description:

• Central staffing: Residents will develop the skills and knowledge to staff independently for required weekend shifts and gain exposure to the medication distribution model.
• Acute care options include internal medicine, family medicine and cardiology.
• Critical care options include ICU, Neonatal ICU, Cardiovascular ICU, Hematology/Oncology ICU.
• Ambulatory care options include advanced heart failure, cystic fibrosis, gastroenterology (IBD), HIV, hepatology, multiple sclerosis, primary care, psychiatry, rheumatology, solid organ transplant and women’s health.
• Clinical operations is an experience in which the resident will experience functions of both inpatient central distribution as well as clinical monitoring in a unique healthcare setting (ex: surgical hospital, psych hospital, etc.).
• Clinical elective options include cardiology, various internal medicine teams, various critical care teams, various ambulatory care clinics, hematology/oncology, psychiatry, neonatal ICU, solid organ transplant and neurology.
• Medication safety: This learning experience provides the resident exposure to drug policy, Pharmacy and Therapeutics Committee and medication safety.
• Introduction to pharmacy administration: This learning experience serves as an introductory experience to provide the resident exposure to team management, departmental planning, lean principles, Human Resources / recruitment and staffing / scheduling during the first residency year. Residents will build upon concepts and skills learned in this learning experience during the advanced pharmacy administration learning experience and throughout the second year. Options include acute care, ambulatory care, cancer care, infusion services, supply chain and pharmacy informatics.
• Advanced pharmacy administration: This learning experience provides an advanced experience to continue to build upon the skills learned in the introduction to the pharmacy administration learning experience. Options include acute care, ambulatory care, cancer care, infusion services, supply chain and pharmacy informatics, but must be in a different area from the introduction to pharmacy administration learning experience.
• Expansion learning experience: This learning experience is an administrative experience intended to prepare the resident and serve as orientation for their administrative longitudinal management track learning experience in the second year.

PGY2 learning experiences:

Brief learning experience description:

• Administrative longitudinal management track: This experience is designed for the resident to become oriented to their assigned area in order to complete the learning objectives and goals associated with the longitudinal learning experience throughout the PGY2 year. Administrative longitudinal management track experiences vary year to year based on interests of the resident and department needs. Examples of past longitudinal tracks include inpatient clinical, inpatient operations, ambulatory, cancer care and pharmacy informatics. Learning objectives include:
• Serve as the direct supervisor for a group of employees
• Create agenda, record minutes and lead team meetings
• Manage all human resources-related activities including performance evaluations
• Coordination of track-specific duties within the residency program
• Facilitation of projects in cooperation with the management-track preceptor
• Completion of longitudinal implementation project
• Pharmacy informatics: Residents will gain basic understanding of the language and concepts of information technology (IT), thereby equipping the resident to function in the interdisciplinary environment of informatics project teams to advance the professional duties and responsibilities of a pharmacy informatics specialist. The rotation also provides exposure to Health Information Technology Services (HITS), its daily activities, policies and procedures, and management.
• Acute care management: This rotation will provide experiences to develop an understanding of clinical services management, medication distribution systems and process, sterile and nonsterile compounding, perioperative pharmacy services, formulary management, employee engagement, change management, professional relationship development and leadership principles within a large academic medical center. The resident will become familiar with a variety of leadership roles and responsibilities through active participation in committees, meetings and projects. The resident will develop leadership and pharmacy management skills in an academic medical center and will develop a strong foundation in clinical pharmacy services through experiences in clinical management, medication distribution systems and processes, formulary management, information technology, medication management and employee education.
• Ambulatory and specialty pharmacy services: This experience is intended to provide residents with the opportunity to experience and understand ambulatory clinical services management, operations management and the business of specialty and retail pharmacy. Residents will have an opportunity to collaborate with ambulatory leaders throughout the rotation on various projects. They will also have the opportunity to learn how the ambulatory pharmacy department communicates with executive leadership at an academic health system.
• Pharmacy supply chain and drug utilization: The experience is designed to provide the resident with exposure to financial analysis as it relates to the economics of a health system-based pharmacy. Specifically, this includes a review of pertinent financial statements, analysis of contractual opportunities, budget preparation and compliance, and review of contract compliance. Other activities include exposure to inventory management techniques, backorder/shortage management and interaction with pharmaceutical industry representatives.
• Cancer care, infusion and investigational drug services: This experience is designed to provide the resident with exposure to pharmacy leadership in the care of cancer patients involving a continuum of care from the inpatient to outpatient setting. In addition, the rotation involves the care of nononcology infusion and research patients. The resident will gain exposure to similarities and differences in pharmacy practice in these areas compared to the acute hospital setting. Daily operations involve sterile compounding with a focus on hazardous drugs and clean room maintenance to assure timely patient care.
• Pharmacy system support: This rotation fosters understanding of health system automation, controlled substance handling oversight, the Toyota Production and Management systems and medication-use safety from a global health system perspective. Residents will work with the various members of the pharmacy leadership team to develop understanding of strategic pharmacy system support and improvement. Residents should expect small, introductory projects within those focused learning opportunities as well as least 1 opportunity to implement a systemwide pharmacy change.
• Health system executive leadership: This learning experience is designed to provide HSPAL residents the opportunity to witness nonpharmacy leadership at the executive level. While on rotation, the resident will have a variety of experiences in a nonpharmacy area with varying leaders within the preceptor’s service lines.
• Elective learning experience: Residents will have an opportunity to complete an elective learning experience in an area of their choice. Residents are encouraged to select a learning experience that affords them experience in the area in which they wish to pursue a career. Learning experience descriptions will be developed when the elective is determined, but the following are available: acute care central automation and distribution management, regulatory and compliance, cancer care operations and continuous improvement in healthcare leadership.

• Rick Couldry, RPH, MS, FASHP, vice president of pharmacy and health professions
• Samaneh Wilkinson, PharmD, MS, CPEL, FASHP, senior director of ambulatory pharmacy services
• Kat Miller, PharmD, MHA, DPLA, FASHP, senior director of acute care pharmacy services
• Leigh Anne Scott, PharmD, MBA, senior director of cancer care and infusion pharmacy services
• Korby Lathrop, PharmD, MS, director of pharmacy, lab informatics and pharmacy benefit management program
• Chris Loucks, PharmD, MS, director of pharmacy supply chain

Resident presentations

PGY1 year

• The resident is required to conduct one 60-minute presentation of CE quality in the second half of the residency year. This presentation will take place on a day of the week as scheduled by residency leadership. The PGY1 Residency Advisory Council will determine the learning topics of need for the pharmacy department and the resident will choose an approved topic from that list.
• Poster presentation of DUE results at Vizient Pharmacy Network Meeting
• Oral presentation of longitudinal project results at selected residency conference

PGY2 year

• The resident is required to conduct one 45-minute presentation during the PGY2 residency year for pharmacy department leaders. The presentation will take place as scheduled by residency leadership. The resident will select their own topic, but it must be relevant to pharmacy leadership.

PGY1 and PGY2 year

• The resident is required to present a poster presentation at the Vizient Pharmacy Network Meeting in conjunction with ASHP Midyear Meeting in December.
• 20-minute oral practice presentation of longitudinal or master’s research at HSPAL RAC
• 20-minute oral presentation of longitudinal or master’s research at selected residency conference

Residents will earn a Master of Science in pharmacy practice from the University of Kansas as part of the residency program. A minimum of 30 hours of coursework is required to be completed during the 2-year residency. Classes are taught through the Health Policy and Management Department, College of Business, College of Pharmacy and by administrators in the pharmacy department. The majority of classes take place during the evenings to avoid interference with clinical learning experiences. Graduate student tuition is paid for by The University of Kansas Health System. Residents who drop classes after the drop/add period in which no refund is awarded by The University of Kansas may be required to reimburse the health system. Similarly, any tuition reimbursement refunded to a resident must be forwarded on to the health system.

Residents are required to complete research projects throughout the 2 residency years. Residents will have 4 weeks dedicated to research each year as well as Academic Thursdays to ensure dedicated time to work on research projects.

PGY1 projects

Each resident is required to complete 2 projects directed at enhancing personal and professional growth while benefiting the pharmacy department through innovative changes in pharmacy practice in the PGY1 year. These projects may be in the form of original research, development, enhancement or evaluation of some aspect of pharmacy services. Projects will include a quality-focused Drug-Use Evaluation (DUE) to be completed by November for presentation at the Midyear Clinical Meeting and completion of a pharmacy practice project by spring of the PGY1 year for presentation at a residency conference. Project presentations will be in the form of a poster presentation at the Vizient Pharmacy Network Meeting prior to ASHP’s Midyear Clinical Meeting and an oral presentation at a spring residency conference. A final manuscript for the pharmacy practice project must be submitted prior to the end of the PGY1 year.

Longitudinal project

PGY2 residents are required to complete a longitudinal project related to the area of their administrative longitudinal management track in which a new service or idea is implemented or practical improvement of a space or area. Residents will present progress and their final results in an executive summary format at HSPAL RAC. This project may be used to meet the master’s project requirement as described below.

Master’s project requirement

During the program, residents are required to complete a longitudinal project that suffices the master’s project requirement of their coursework. This project must be in alignment with the strategic goals for the department and organization and allow the resident to contribute to an area of pharmacy practice.

Length of program:

24 months

Number of positions:

6 (3 PGY1, 3 PGY2)

Resident staffing

• PGY1: Every other weekend
• PGY2: Every fourth weekend

Current benefits

• Annual salary
• PGY1: $52,000
• PGY2: $56,000
• Benefits include PTO, paid holidays and health/dental/life/liability insurance
• View more information

Conference attendance and travel

Conference attendance and travel is supported by the department based on availability of funds.

Additional pharmacy education and leadership opportunities

• Chief resident
• Precept pharmacy students from University of Kansas School of Pharmacy and University of Missouri Kansas City School of Pharmacy.
• Participate in local and national pharmacy organizations such as GKCSHP, KCHP, ASHP and ACCP.
• University of Kansas School of Pharmacy offers a teaching certificate for local residents.

Informational sessions

• Please see our social media pages below for virtual informational sessions
• Instagram: @tukhspharmres
• Facebook: @tukhspharmres
• LinkedIn: Pharmacy Residency at The University of Kansas Health System
• Program email: hspalrxresidency@kumc.edu

Deadlines

• Application deadline: January 2, 2024
• Must have a valid pharmacy license in the state of Kansas 90 days after starting residency.

Checklist for application

• Letter of intent
• Topics to consider: Why you want to pursue this particular residency, why you have chosen our program and personal goals that the program would help you accomplish
• Completion of the following supplemental essay questions:
• It is important to our program that residents discover and capitalize on their strengths throughout the year. Please use Buckingham's "Now Discover Your Strengths" or Rath's "Strengthsfinder 2.0" to determine your top 5 strengths. Upon completion, list your strengths, and comment on the results. Are they accurate? Are there any surprises?
• Tell us about a meaningful intervention you have made and how it impacted patient care.
• Define humility in your own words and describe how it impacts your leadership style.
• Example of a project completed on a rotation (PowerPoint, poster, document)
• Curriculum vitae
• Pharmacy school transcripts
• 3 letters of recommendation: At least 1 letter of recommendation must come from a clinical preceptor. A letter from someone who has witnessed your leadership ability (administrator, boss, advisor) is encouraged.
• PhORCAS residency program application
• ASHP resident-matching program registration

Important dates after completion of match process

• June: Annual resident's meet-and-greet event and orientation

National matching services (NMS) code: 180718

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.