Health System Pharmacy Administration Residency

• Start Date: mid-June
• Contact program director prior to submitting application and no later than one week after the end of the ASHP Midyear Clinical Meeting
• Application materials must be submitted via the PhORCAS™   
• Deadline for application: January 5
• Candidate Interview Status Notification: Mid-January in collaboration with UH
• Onsite and/or Virtual Interview required (Fridays in February)
• Salary Stipend: $60,000 for PGY1, and $65,000 for PGY2
• Benefits include 160 hours of leave for personal time off and conference attendance, 100 hours of sick leave, medical insurance, medical library access, medical graphics department, information technology support, and dedicated computer and references
• The two year residency will include the following core rotations: Administration Management, Finance Management, Human Resources I and II, Inpatient and Ambulatory Operations, Quality and Regulatory, Internal Medicine, and Oncology. In addition, the resident will complete a series of elective learning experiences that include but are not limited to: Critical Care, Emergency Medicine, Infectious Disease, etc. The program allows tailored instruction for the individual resident based on interest(s), past experience, and time constraints.
• BCLS and ACLS Training
• Code Blue Coverage on a rotating basis
• Provide patient care pharmacy services every third weekend (year 1 and 2)
• Major pharmacy project required to be completed and presented at an annual residency conference  or other designated forum, as well as completion of a minor project
• Project manuscript is required
• Meetings funded include ASHP Midyear Clinical Meeting, and ASHP Conference for Pharmacy Leaders, Additionally, residents are encouraged to attend local (Gulf Coast Society of Health System Pharmacists) and state (TSHP) programs as appropriate.
• Teaching opportunities include the University of Houston College of Pharmacy student precepting, University of Texas at Austin College of Pharmacy student precepting, Institutional Pharm.D. Student Shared Group Instruction, and a teaching certificate program through the University of Houston College of Pharmacy.
• Professional presentations include a 1-hour ACPE-accredited Pharmacy Grand Rounds and 3-4 Pharmacy Pearls or Management Pearls.

Learning Experiences
Learning experiences are scheduled as monthly rotations or in a longitudinal format. Required management learning experiences include: Inpatient Operations, Ambulatory Retail Operations, Ambulatory Treatment Operations, Quality/Regulatory, Human Resources I and II, Finance Management, Medication Management and Analytics- Drug Information and Administration Management. Required direct patient care clinical learning experiences include: Internal Medicine and Oncology I, plus an additional four clinical rotations. Elective experiences (1 or 2 months) may be either clinical or management based rotations, or any other unique practice agreed upon by the resident and program director. Residents are required to meet with the preceptors prior to starting the experience to review the goals/objectives and expectations of the clinical rotation. The resident’s daily responsibilities will be under the direction of the assigned preceptor. There may be revisions to this schedule based on individual resident performance, preceptor recommendations, or other factors. Any changes in the schedule must be approved by the preceptor(s) and the residency director. Evaluations are required for each learning experience in PharmAcademic and should be completed during the last week of rotation or no later than one week after completion of the rotation. Evaluations for longitudinal rotations will be completed quarterly.

Weekend/Holiday Coverage-Patient Care Pharmacy Services
Residents will provide pharmacy services coverage every other weekend for the first quarter, then transition to every third weekend throughout the residency. All residents will be assigned holiday coverage as well. When working weekends, residents will be assigned an area to cover during an eight hour shift. The weekend/holiday schedule is made in advance. If you need a particular weekend off that you are scheduled to work you should arrange in advance with the pharmacy operations manager and program director. All changes to the call schedule must be approved by both the pharmacy operations manager and program director. If an unexpected illness or problem arises which prevents you from working, you must notify the charge pharmacist on duty in central pharmacy at 713-792-2874 and the program director immediately. All residents will be assigned to work either the Thanksgiving or Christmas Holiday (but not both). In addition, each resident will be assigned 1-2 minor holiday’s throughout the year depending on the holiday schedule. Holiday scheduling is subject to change based on operational needs.

Major Pharmacy Project
The residency thesis project is an ASHP requirement and a requirement of the MS program and must be completed prior to completion of the residency program. The project should be appropriate for publication and will be presented at the regional residents’ conference in the spring (year 2) or designated forum. The project may be administrative, clinical, or pharmaceutical policy and outcomes research in focus. A preceptor will be assigned to each project to help ensure appropriateness and completion. Documentation of the research project will include a project description (including background, objectives, methods, and residents responsibilities) and a final project report in manuscript format complete with results. The resident will also complete a quality improvement project during PGY1 year with a presentation at the regional residents' conference or designated forum. A final project report in manuscript format is required for completion of PGY1 requirements.

Code Blue Participation
Each resident is required to obtain BLS and ACLS certifications at the beginning of the residency. Each resident is required to provide code blue coverage during their Critical Care and/or their Emergency Medicine learning experiences. The PGY1 resident will be second on-call, 7 a.m. to 3:30 p.m. Monday thru Friday. Code blue coverage will also be required on weekends during the decentralized inpatient staffing longitudinal rotation. The PGY1 resident’s purpose of code blue coverage is to gain experience and comfort using the ACLS algorithms. The PGY1 resident will work with the PGY2 Critical Care resident and learning experience preceptor to determine their role during each code blue situation. In general, if the PGY1 resident is the first pharmacist on arrival, the PGY1 resident will be in charge of medication management of the code blue cart. If the PGY1 resident is second pharmacist on arrival, the PGY1 resident will be the runner. After each code blue, all pharmacists will discuss the code blue event, procedures and outcomes. All evaluations will be completed with the Critical Care and/or Emergency Medicine learning experiences.

In-service
One in-service to other health-care providers is required on the Internal Medicine learning experience. The topic and format will be determined by the resident and preceptor. All other in- services throughout the year will be determined by resident, preceptor and the need of the service during the resident’s learning experience. A snapshot will be completed and submitted to RPD to be placed in PharmAcademic™.

Writing Project
All residents will complete a writing project during the residency. The purpose of the writing project is to sharpen writing skills for publication, and learn publication procedures. The writing project is usually related to the above major pharmacy project. Additional writing opportunities may be provided in the form of a review article, expanded case report, or other types of manuscripts. The length of the manuscript will vary, and be that necessary to comprehensively convey the topic to the reader. Early in the residency year the resident will identify a topic and preceptor to work with on their writing project. The topic must be approved by the preceptor and the program director. The manuscript should be in publication format prior to completion of the residency. The preceptor’s responsibility will be to assist the resident in reviewing and revising the manuscript for the publication purposes.

Grand Rounds
Each resident is required to present a “Grand Rounds” to the Division of Pharmacy complete with continuing pharmacy education accreditation (ACPE). This is a formal presentation complete with slides and handout. The audience is primarily pharmacists, but it is open to other health professionals. Grand Rounds are usually scheduled between October and May each year. Presentation topics for Grand Rounds are determined by a needs assessment per ACPE requirements. Each resident will be assigned a preceptor. The preceptor’s responsibility is to serve as a content expert by reviewing and revising presentation content as well as ensuring deadlines are met by the resident. Deadlines for continuing pharmacy education requirements will be provided by the Grand Rounds coordinators.

Pharmacy Pearls
Pharmacy pearls will be held once a month and rotate amongst residents. Residents will provide an overview of the topic in a discussion format to the group for 15-20 minutes with a handout. The audience will include pharmacy residents, clinical staff, staff pharmacists, pharmacy students and other health professionals/trainees. This program is designed to cover all aspects of pharmacy related topics. Topics are submitted by pharmacists and picked in advance by the resident, preceptor and program director. Scheduled residents should contact assigned preceptor to discuss the plan for the discussion at least a week in advance of the assigned date. A reading assignment if applicable picked by the resident, should be distributed one week in advance of the presentation. All residents must complete the reading assignment and attend pharmacy pearls prepared to discuss the topic. Schedule changes/conflicts must be discussed/approved by the program director.

Interactive Learning Topics
All residents will participate in scheduled topic discussions with the residency program director and/or members of pharmacy leadership in order to gain experience/exposure to residency goals and objectives not covered during scheduled learning experiences. Examples of these discussions include: professionalism and credibility, clinical research and quality improvement, wellbeing and resilience, precepting and mentorship, pharmacy administration, technology and automation, and pharmacy budget planning.

Teaching Responsibilities
All residents are required to participate in student training conducted at MD Anderson. The extent of resident involvement will depend on the resident’s desire to participate in the preceptorship of 4th year pharmacy students on experiential rotations. All residents will participate in teaching in Shared Student Instruction, which consists of leading an assigned topic discussion with undergraduate students on rotation at MD Anderson during each student block (three times/year). Additional teaching responsibilities during the residency year include journal club, grand rounds, etc. Other teaching responsibilities may be assigned by the program director or individual preceptors. After six months from the start of the residency or one year pharmacist licensure, residents will be eligible for certification as a Texas Preceptor.

Teaching Certificate Program
The University of Houston College of Pharmacy offers a teaching certificate program to all pharmacy residents in the Houston area. The purpose of the program is to provide a formal training program for pharmacy residents to gain knowledge and to demonstrate effectiveness in the areas of teaching, leadership, and scholarship. The program consists of three components: 1) Weekly Seminars 2) Teaching Experience 3) Teaching Portfolio. This program is a requirement for the HSPA resident, and coursework may count towards the MS PLA degree plan.

Conference/Seminar Attendance
Residents will attend the following conferences: ASHP Midyear Clinical Meeting, and ASHP Conference for Pharmacy Leaders. Additionally, residents are encouraged to attend Gulf Coast Society of Health System Pharmacists and other TSHP programs as appropriate.

What is the goal of the residency?
The goal of the PGY1/PGY2 Health System Pharmacy Administration residency program is to develop pharmacy leaders with expert knowledge and skills necessary to assume clinical or operational management positions in a health system pharmacy.

How is the residency offered?
The residency program is a two year program PGY1/PGY2 Health System Pharmacy Administration residency, offered in collaboration with the University of Houston College of Pharmacy Master of Science in Pharmacy Leadership and Administration, which provides comprehensive pharmacotherapeutic patient management experiences in a variety of multidisciplinary settings, as well as both didactic and experiential practice management and leadership experiences. The program allows for tailored instruction for the individual resident based on interest(s), past experience, and future goals. The program start date will be mid-June of each year. The resident will be awarded a PGY1 certificate of completion at the end of year 1, and will receive a separate certificate of completion at the end of year 2.

Is the program accredited by the American Society of Health-System Pharmacists (ASHP)?
Yes, this program is accredited by the American Society of Health-System Pharmacists (ASHP). The first residency class started in June 2015 and graduated in 2017. The program completed the initial ASHP onsite accreditation visit on May 23-24, 2017 and was awarded a six-year accreditation on April 24, 2018. The program currently utilizes ASHP's RPDC , PhORCAS, and PharmAcademic.

Is participation in the ASHP Match program required?
Yes, participation in the match program for the PGY1/PGY2 Health System Pharmacy Administration program is required. The deadline for application is January 5. The program code number for the Resident Matching Program will be provided by the program director. Please review match requirements and process at www.natmatch.com.

How many resident positions are available and what are the requirements?
There is one position available for recruitment starting mid-June 2024. A Pharm.D. degree is required along with an on-site and/or virtual interview. Additionally, the resident must meet admission requirements for the University of Houston College of Pharmacy M.S. in Pharmacy Leadership and Administration program.

What should I expect at the time of the on-site and/or virtual interview?
Applicants should be prepared to assume the travel and lodging costs for the interview, as MD Anderson does not have a mechanism to provide compensation for the interview. We can assist with coordinating airline and/or hotel arrangements and airport transportation if needed. The interview process entails a half day (approximately 8 a.m.-3 p.m.) of meetings with preceptors, administrative staff, current residents, and a tour of the facilities. A short case-presentation will be required and presented to the pharmacy staff during the interview. More information will be provided prior to the interview. Interviews will be conducted during the months of January and February. Onsite interview is preferred, however may be subject to change.

How and when is the resident selected for the residency?
The resident is selected by the Division of Pharmacy based on multiple factors including their past education and training, performance during the on-site and/or virtual interview and their overall match with the PGY1/PGY2 Health System Pharmacy Administration Residency program at MD Anderson. The resident position is not offered in advance of the Resident Matching Program in March. The matching process will be discussed during the on-site interview.

Does the resident need to be licensed in the state of Texas?
The resident must be eligible for licensure (reciprocity or examination) as soon as accepted into the program. It is mandatory that the resident provide evidence of Texas Pharmacy licensure within 90 days of starting the program. It is preferred that both the North American Pharmacist Licensure Examination (NAPLEX) and the Multistate Pharmacy Jurisprudence Examination (MPJE) be taken prior to the start date of the residency in mid-June.

What people make up the leadership of the PGY1/PGY2 Health System Pharmacy Administration Residency Program?
Ryan K. Roux, Pharm.D., M.S., FASHP, FTSHP, Vice President, Division of Pharmacy
Judy L. Chase, Pharm.D., Director, Clinical Pharmacy Services
Stefani Gautreaux, Pharm.D., M.B.A., Manager, Pharmacy Operations and HSPA Program Director
Megan McGugan, Pharm.D., M.S., BCPS, Manager, Specialty Pharmacy and HSPA Program Coordinator

What are the “required” learning experiences and how are the rotations offered?
The residency experiences will be one to two months in length. The required direct patient care learning experiences are Internal Medicine, Oncology, plus five additional clinical rotations. The required management experiences include: Inpatient Operations, Ambulatory Operations, Quality/Regulatory, Human Resources I and II, Finance Management, Medication Management and Analytics- Drug Information and Administration Management. The resident will also have the ability to customize their experience through elective rotations.

What expectations are placed on the resident?
The resident is expected to make a commitment to satisfactorily complete all requirements of the program, as planned in advance and agreed upon between the resident and the program director. This commitment will include attendance at required meetings and programs, and the availability and willingness to participate in any function of the Division of Pharmacy on a 24-hour basis. The resident is required to complete documentation and evaluations for all activities and experiences and objectives accomplished. Professional licensure in the state of Texas is required, as is membership and participation in appropriate professional organizations.

What are the service commitments?
In addition to the scheduled and elective rotations, the resident will participate in the weekend coverage for Pharmacy Services on every third weekend. The resident will staff in the Inpatient Pharmacy Services for year 1 and will provide Charge Pharmacist coverage for year 2. Order entry/verification, handling and preparation of medications, and provision of clinical pharmacy services will be expected during weekend coverage.

What presentation or publications are expected of the resident?
The resident will be expected to present their major project results for PGY1 and PGY2 at a regional residents’ conference or other designated forum. In addition, the resident is required to participate in assigned projects and provide topic presentations for pharmacists, medical staff, residents, and students as appropriate. The resident is required to present a Pharmacy Grand Rounds on a topic of his or her choice complete with ACPE continuing education credit. Additionally, the resident will provide at least three pharmacy clinical and/or management pearls presentations.

How is the resident evaluated?
The program at MD Anderson is not based upon a set number of "hours" in each experience area. Rather, it is based upon behavioral plus competency-based objectives covering all the areas of the learning experience in the program. The resident is evaluated directly by preceptor faculty against the pre-assigned rotation objectives for each learning experience. Additionally, the resident evaluates his/her preceptors and overall program content for each learning experience. This program utilizes the Residency Program and Design (RPDC) and PharmAcademic.

What support is offered for educational trips or seminars?
Every attempt is made to financially support trips for the resident to attend educational seminars and programs. Priority programs include the ASHP Leadership Conference, ASHP Midyear Clinical Meeting, Texas Society of Health System Pharmacists (TSHP) Annual Meeting and Seminar and the regional residents’ conference, as applicable. Additionally, residents are encouraged to attend local and state programs as appropriate.

What stipend and benefit program is offered?
The stipend is $60,000 for the PGY1 year, and $65,000 for the PGY2 year. MD Anderson provides a competitive and comprehensive benefit plan. There is no financial support for moving and living expenses, but relocation information is provided that educational trainees find very beneficial.

What other support is available to residents during the residency program?
The Division of Pharmacy provides lab coats and scrubs to the residents. An office specifically for the residents is provided with individual desks and computers, books, and supplies. MD Anderson provides an online library, on-site medical graphics department, PDA support and professional support. Additionally, the Texas Medical Center has a large medical library within walking distance.

What living arrangements are available for the resident?
Houston offers a wide variety of housing opportunities, including many apartments and townhouses near the TMC. Many of the surrounding housing opportunities have a regular shuttle service to the hospital or are close to the Houston METRORail into the TMC.

What entertainment and cultural opportunities are available in the Houston area?
Houston offers every possible opportunity for enjoyment of the arts, entertainment, sports and recreation. The city offers major league sports, outstanding shopping areas and several special attractions such as the Johnson Space Center, Moody Gardens, Toyota Center, Reliant Stadium, Minute Maid Park, Kemah Boardwalk and the beaches of the Texas Gulf Coast.

1.  Application Deadline and Requirements:

• Contact Residency Program Director or Coordinator prior to starting the application process and no later than one week after the ASHP Midyear Clinical Meeting.
• Telephone or ASHP Midyear PPS interview is required prior to application submission.
• Applications must be submitted via the PhORCAS™ system
• Application(s) must be submitted no later than January 5
• Applicant must meet admission requirements for the University of Houston College of Pharmacy M.S. Pharmacy Administration Program.
• Participation in the National Matching Services is required for all Residency Programs.
•  See the "International Visa Information" tab for more information regarding this

2.  The following application materials must be submitted via the PhORCAS™ online application system by January 5:

• A Statement of Intent (not to exceed one typewritten page) describing your career goals and reasons for pursuing the residency program
• Curriculum Vitae
• Current transcript of Pharmacy college/university course work
  
• Reference Form in PhORCAS™ completed by THREE References
  • MDACC requires comments to be made in all sections of the Recommendation Form in addition to the reference ratings section being completed
  • No additional LORs are required

3.  On-site and/or Virtual Interview Requirements and Scheduling:

• An on-site interview is preferred. Subject to change to virtual as needed.
• Interviews will be conducted in February.

4.  Upon release of the match results, candidates who match with our institution will need to complete an institution specific application and requirements for appointment via the MD Anderson New Innovations© online application system. The New Innovations© system is a web-based database utilized to streamline the institution appointment process. More information about this process will be provided at the time of resident appointment.

For questions regarding the application process, please contact the program via email at HSPAResidency@mdanderson.org.

_{MD Anderson does not discriminate on the basis of race, sex, color, national and ethnic origin, handicap, or age in administration of its administrative policies, admission policies, and other school administered programs. MD Anderson is a smoke-free environment.}

Due to international visa approval processing timelines and restraints with our onboarding process, we are unable to sponsor or accommodate all visas for foreign pharmacy residency applicants. Please see below regarding specifications of each international visa:

• J-1 or H1-B: MD Anderson does not sponsor for pharmacists or pharmacy residents.
• TN-1 (Canadian and Mexican citizens): MD Anderson may be eligible for sponsorship provided the pharmacy resident meets all requirements. For more information, please contact the Residency Program Director.
• F-1 OPT (PGY1 residency candidates): In addition to MD Anderson not being able to sponsor pharmacy residents, the processing time to obtain F-1 OPT is not congruent with our onboarding/appointment process. Therefore, we are unable to accommodate residents with a F-1 OPT visa.
• F-1 STEM OPT (Current PGY1 residents seeking PGY2 residency): MD Anderson is unable to sponsor or accommodate pharmacy residents at this time.

If you have any questions, please contact the Residency Program Director.