PGY1 and PGY2 Health System Pharmacy Administration and Leadership Residency Program

The combined 2-year residency/master of science in health-system pharmacy administration and leadership program provides residents with the knowledge, skills and experiences necessary to assume a variety of roles and leadership positions. Our graduates are equipped to serve as vibrant, committed professionals with a focus on improving patients’ health, health care delivery and the pharmacy profession as a whole. We help ensure their success through both didactic education and experiential opportunities in the classroom and in the workplace.

Graduates of the health-system pharmacy administration and leadership residency program will join more than 200 Wake Forest Baptist Health residency alumni who have entered the workforce in a variety of difference roles, including directors of pharmacy, hospital executives, clinical leaders and executives of informatics. The program offers residents a broad set of valuable tools that prepares them for a successful career, regardless of their specific goals.

The Health-System Pharmacy Administration and Leadership residency program at Wake Forest Baptist Health is a member of the University of North Carolina Eshelman School of Pharmacy Masters of Science in Pharmaceutical Sciences with a specialization in Health-System Pharmacy Administration collaborative. Since its inception, the program has grown to include residency positions at the following sites:

  • Wake Forest Baptist Health
  • Mission Hospital
  • Duke University 
  • University of North Carolina Hospitals
  • Cone Health
  • Massachusetts General Hospital
  • BayCare Health System

This allows health-system pharmacy administration and leadership residents to gain experience in a variety of settings, while also fostering collaboration in didactic education.

Hear from our current and past residents on their experiences.

Program Goals

The overall goal of the program is to prepare pharmacists for leadership positions in health care. Our graduates will:

  • Be able to envision, plan, implement, coordinate and monitor pharmaceutical care and operational services
  • Be effective stewards of human resources, including recruitment, mentoring, evaluating and leading professionals and technical support staff
  • Be adaptive leaders to changes and demands for health-system pharmacy practice and the health care environment in general
  • Be strategic thinkers and planners who see challenges as opportunities to contribute to improving health care delivery
  • Be consistently ethical and professional in their practice
  • Be clinically competent in the practice of pharmacy
  • Understand and assume the managerial and financial responsibilities in health-system pharmacies
  • Have a vision for the future practice of pharmacy and possess the tools to realize that vision

Education and Training 

Our residents benefit from an effective, engaging education and training program that prepares them for success in their careers. The program includes both experiential and didactic education.

Experiential Training

Experiential training consists of what most would consider the typical residency training component with a variety of learning experiences. The residency is divided into PGY1 and PGY2 residency years. Each year will coincide with the didactic education component at the University of North Carolina Eshelman School of Pharmacy.

Experiential training offers many other opportunities including:

  • Committee membership (hospital, local and national levels)
  • Leadership seminar series
  • Longitudinal resident area management experience 

Didactic Education

Didactic education occurs during both the PGY1 and PGY2 years in collaboration with the UNC-Eshelman School of Pharmacy.

The course work is designed to provide a solid foundation of administrative knowledge that can be directly applied to the world of health care and pharmacy management. Residents receive coursework through a highly advanced distance-learning program. The unique design of Wake Forest Baptist Health, Duke University Hospital, Mission Hospital, Cone Health, UNC Hospitals, Massachusetts General Hospital and BayCare Health System allows residents from all 7 sites to work collaboratively.

UNC Medical Center has more information on master’s degree information, the MS application process, the MS curriculum and MS contacts.

Learning Experiences

Postgraduate Year 1

Developing residents’ clinical knowledge is the main focus of the PGY1 year. Each resident participates in seven 6-week learning experiences selected from required, selective, and elective experiences. The last learning experience six weeks of the PGY1 year is spent in infectious disease/antimicrobial stewardship and an orientation in the area selected for longitudinal management in the PGY2 year.

The PGY1 year offers a unique opportunity to gain additional experience in both clinical and administrative areas.

PGY1 Learning Experiences (duration of experience in weeks):

Required Experiences

  • Internal Medicine (6)
  • Medication Safety and Strategy (6)
  • Population Health (6)
  • Infectious Diseases/Stewardship (3)
  • Longitudinal Management Orientation (3)

Selective Experiences

  • Critical Care (6)
    • Cardiac Care ICU
    • Cardiovascular ICU
    • Medical ICU
    • Neuro ICU
    • Trauma ICU
  • Medicine Specialty (6)
    • Acute Care of the Elderly
    • Cardiology
    • Cardiothoracic Surgery
    • General Surgery
    • Hematology/Oncology
    • Hospitalist
    • Nephrology
    • Neurology
    • Solid Organ Transplant

Elective Experiences (2 electives – 6 weeks each)

  • Burn
  • Emergency General Surgery
  • Emergency Medicine
  • Hematopoietic Stem Cell Transplant
  • Leukemia
  • Nutrition
  • Pediatrics – General
  • Pediatrics/Neonatal Critical Care
  • Pediatric Oncology
  • Pharmacy Care Clinic
  • Transitions of Care
  • Or any selective experience not assigned already

Longitudinal Experiences

Medication use evaluation, Monograph, Pharmacy Practice Experience, CE presentations, PGY1 research project, executive leadership, Master’s class projects, Teaching Certification program (optional).

Postgraduate Year 2

The PGY2 year focuses on the key components of health-system pharmacy management. Residents build on the knowledge they gained during the clinical year and explore the areas of administration and leadership. 

PGY2 Learning Experiences (duration of experience in weeks):

Required Experiences

  • Regulatory and Compliance (3)
  • Medication Use Policy (3)
  • Executive Leadership (2 and then longitudinal)
  • Finance and Budgeting Management (6)
  • Business Development & Strategic Initiatives (4)
  • Multi-hospital Pharmacy Leadership (4)
  • Specialty and Retail Pharmacy Leadership (4)
  • Purchasing and Supply Chain Operations (4)

Selective Experiences

  • Clinical Management (4)
    • Acute Care
    • Inpatient Oncology
    • Outpatient
  • Community Hospital Operations (4)
    • Davie Medical Center
    • Lexington Medical Center
  • Operations Management (6)
    • Inpatient
    • Outpatient

Elective Experiences (2 electives – 4 weeks each)

  • 340b (4)
  • Pharmacy Automation/IS (4)
  • Pharmacy Business Intelligence and Data Analytics (4)
  • Investigational Drug Services (4)
  • Oncology Ambulatory Clinical Management (4)
  • Oncology Infusion Center Management (4)
  • Oncology Inpatient Operations (4)
  • Pediatric Management (4)
  • Population Health Management (4)
  • Specialty Pharmacy Management (4)
  • Or any selective experience not assigned already (4)

Longitudinal Experiences

Executive leadership experience, Medication Safety, Lunch/Learn presentations, Practice Area Management, Merger and acquisitions (if applicable), Medication Use Evaluation, On-Call program, Pharmacy Practice experience, RCA team assignment, Meeting secretary (Pharmacy Leadership Team and CPO meetings), Master’s research project, PGY2 Master’s class projects.


Residents are required to complete an implementation research project over the course of the 2-year residency, as well as a drug utilization evaluation during the PGY1 year. The PGY2 focus on administration will include budgeting, lectures, schedule development and administrator on call experiences.

Membership to different committees and organizations is also available for administration residents based on their specific interests.

Examples include:

At Wake Forest Baptist Medical Center:

  • Department of pharmacy leadership team
  • Pharmacy and therapeutics committee and subcommittees, including:
    • Anticoagulation subcommittee
    • Center for antimicrobial utilization, stewardship and epidemiology (CAUSE) glucose management subcommittee
    • Medication safety subcommittee
  • Root cause analysis team

At the state and national level:

  • American Society for Health-System Pharmacists
  • North Carolina Association of Pharmacists
  • Southeastern Residency Conference (SERC)
  • Vizient

Pharmacy Practice Experience

Residents must meet pharmacy practice experience in both their PGY1 and PGY2 years. Requirements include one weekend (two 8-hour shifts) every three-week cycle and one 4-hour shift one evening per week. Residents work three of the seven Wake Forest Baptist Health sponsored holidays. Pharmacy Practice Experience responsibilities are in Central Pharmacy for PGY1 year and on patient care units for PGY2 year.

Salary and Benefits

  • Accrual of paid holiday and vacation time
  • Comprehensive benefit package
  • Estimated stipend: $47,500 (PGY1) and $51,800 (PGY2)
  • Paid travel expenses including ASHP midyear, SERC, ASHP Leadership Conference and several others
  • Registration to local and national meetings

Application Process

The Master of Science Degree in Health System Pharmacy program is offered as a collaboration between:

  • Wake Forest Baptist Medical Center
  • Duke University Medical Center
  • Mission Hospital
  • Cone Health
  • University of North Carolina Hospitals

While everyone who is accepted into the program will receive their Master of Science degree from the University of North Carolina – Chapel Hill (UNC), the residency component is divided across multiple medical center sites.

Interested applicants will need to apply to the UNC Graduate School for their didactic component, as well as to each site of interest. 

Application Requirements

Wake Forest Baptist Health uses ASHP’s Pharmacy Online Residency Centralized Application Service (PhORCAS) for resident application submissions.

Please submit your application through the site and include the following documents:

  • Copy of college transcript(s)
  • Curriculum vitae
  • Personal statement
  • 3 letters of recommendation

Application to the UNC Graduate School

To apply to the UNC Graduate School, please submit your application via the UNC Graudate School Application site. In addition, you must provide:

  • A non-refundable $85 application fee
  • Academic transcripts for each school attended
  • 3 letters of recommendation
  • Statement of purpose

Application Guidelines

  • Both components of the application (Wake Forest Baptist and UNC Graduate School) must be submitted in order to complete the application process
  • Only one graduate school application is required, even if you are applying to more than 1 program
  • We participate in “the Match,” so applicants must be registered to be considered for this residency

Application Deadline

The deadline for the Health-System Pharmacy Administration and Leadership residency program is January 1.

Interview Process

Interviews will take place from late January through the end of February. We will begin notifying for interviews mid-January.