PGY1 and PGY2 Health System Pharmacy Administration Residency Program

The combined 2-year residency/master of science in health system pharmacy program provides students with the knowledge, skills and experiences necessary to assume a variety of roles and responsibilities. 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 residency program will join more than 200 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.

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

This allows administration 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 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. 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, which in 2016 was ranked the number 1 school of pharmacy by US News and World Report.

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 and UNC Hospitals allows residents from all 5 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.


Flexibility in rotation scheduling allows residents to tailor their learning opportunities.

Postgraduate Year 1

Developing residents’ clinical knowledge is the main focus of the PGY1 year. Each resident participates in seven 6-week rotations selected from 4 clinical rotations and a clinical management rotation. The clinical management rotations serve as a hybrid for both clinical and management experiences.

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

PGY1 Rotations:

  • Ambulatory care
  • Bone marrow transplant
  • Cardiology
  • Critical care
  • Geriatrics
  • Hematology/oncology
  • Infectious diseases
  • Internal medicine
  • Medication safety and strategy
  • Neonatology
  • Nephrology
  • Nutrition
  • Pediatrics
  • Pediatric oncology
  • Solid organ transplant
  • Surgery

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. Experiences are divided into 4 core rotations:

  • Clinical services
  • Financial management
  • Operations
  • Pharmacy administration and strategy

Residents can also choose to participate in additional elective rotations that can range from 2 weeks to 2 months long, depending on their areas of interest.

Elective rotations include:

  • Advanced medication strategy
  • Ambulatory care pharmacy management
  • Community hospital operations
  • Executive health system administration
  • Inpatient operations
  • Pharmacy informatics and automation
  • Pharmacy purchasing and supply chain operations
  • Retail and specialty pharmacy management
  • 340B program management


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


Residents must meet staffing requirements in both their PGY1 and PGY2 years. PGY1 residents must be on staff 17 weekends a year, plus 1 evening every 3 weeks. PGY2 residents must staff every 5th weekend, plus 1 evening every 3 weeks.

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. We highly recommended that applicants apply to all 5 sites in order to compare and contrast practice settings.

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 (WFBH 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 pharmacy administration 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.