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Program Design

Successful graduates will join over 200 past graduates numerous alumni who have careers spanning numerous pharmacy directorships, hospital health-system executive positions, executive informatics positions, clinical leadership positions, academic leadership, pharmaceutical industry leadership and many more directions, both domestically and internationally.

To learn more about our program, please join us for an online informational session in November. You may register for a session by completing the following form link HERE


Pharmacists completing the 2-year MS/Health-System Pharmacy Administration Residency at the University of North Carolina Medical Center will be equipped to be future leaders of health-system pharmacy. Through training across the many areas of our department, these individuals will gain competence in managing systems and people in both the acute and ambulatory care settings. They will also be confident practitioners that utilize critical thinking to address any problems that might arise.

Program Goal and Competencies

The residency program is complemented by a Masters of Science in Pharmaceutical Sciences with a specialization in Health-System Pharmacy Administration. The combination of the two will provide students with the knowledge, skills, and experiences necessary to assume a variety of leadership roles and responsibilities, serving as vibrant, committed professionals with a focus on improving patients’ health, health-care delivery and the profession of pharmacy.

UNC Medical Center enrolls 4 residents into this two-year program each year.


At UNC, our team will work with the HSPA residents to develop them through both personal and professional challenges. During the training, a resident will gain competence in the following:

  • have a vision for the future practice of pharmacy and possess the tools to realize that vision

  • be clinically competent in the practice of pharmacy

  • be able to envision, plan, implement, coordinate and monitor pharmaceutical care and operational services

  • understand and assume the managerial and financial responsibilities in health-system pharmacies

  • 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

Unique Opportunities

PGY1 Year

  • Residents will have the opportunity to participate in our development of the layered learning practice model as we work to learn how best to utilize pharmacy technicians, pharmacy students, pharmacy residents and clinical specialists to the fullest of their training

  • Residents will have the opportunity to participate in several pilot programs involving transitioning patients across the continuum of care

  • The PGY1 year provides the opportunity to learn from world-class clinical pharmacists who are dedicated to making you a better clinician or practice in a forward thinking, robust practice model

  • Residents will actively participate on rotations with Clinical Pharmacy Practitioners who have prescribing rights in their area of practice similar tolike nurse practitioners and physicians assistants

  • Work in a health-system, observing variations in practice from large teaching hospitals to community hospitals and critical access hospitals

  • More information about the PGY1 year can be found here

PGY2 Year

  • PGY2 residents develop human resource experiences through when managing a practice area throughout the year. This experience provides practical experience in recruiting, performance evaluations, developing schedules, creating operational structures and other managerial activities

  • Work with leadership team to develop strategic partnerships within the health-system, national organizations, third party vendors and other entities

  • Work with the leadership team to identify new business opportunities such as mail-order pharmacy, sterile preparations, and developing new ambulatory care opportunities for pharmacists

  • Residents are can be teaching assistants with the UNC Eshelman School Of Pharmacy

  • The University of North Carolina residency provides exposure to Wake Forest University Health System, Duke University Hospital, Mission Hospital, Moses Cone Hospital, Massachusetts General Hospital, BayCare as well as other major hospitals and health-systems due to our relationship through the graduate coursework

PGY1 Experience

One of our administrative residency distinguishing features is the focus on clinical development. Residents who complete the PGY1 and PGY2 year will be awarded both a PGY1 certificate in pharmacy practice and a PGY2 certificate in health-system pharmacy administration. During the first yearfirst-year, administrative residents will participate in seven clinical rotations of their choice with the other PGY1 residents. Please visit the PGY1 program page for full details. Past residents of the administrative program have successfully completed and been recognized as a Board Certified Pharmacotherapy Specialist (BCPS) following the completion of the PGY1 year. This training provides a tremendous framework to residents interested in pursuing clinical leadership and management opportunities. Residents will have flexibility in pursuing clinical experiences throughout their first and second years based on their needs and career aspirations.

Typical Day in The Life of a PGY1

  • Pre-round reviewing appropriateness of therapy, continuation of home medications, dosing adjustments based on liver and renal function, laboratory values, and other individualized patient review

  • Meet with preceptor to discuss any pressing issues prior to rounds

  • Round with multidisciplinary team offering recommendations for optimal medication-related outcomes

  • Take responsibility for your own patients through verification of physician orders

  • Follow up with tasks assigned during rounds, counsel patients on medication use, meet with preceptor to provide guidance and clarification

  • Participate in topic discussions and other educational opportunities

  • Participate in pharmacy department committees

  • Attend classes 1-2 nights a week (both online and on-campus classes)

PGY2 Experience

The PGY2 year is dedicated to developing managers and leaders in all practices of health-system pharmacy. PGY2 residents will participate in departmental operations at every level. They will be afforded the opportunity to leverage their clinical skills gained during the PGY1 year to be effective leaders in pharmacy practice, education, and research. Preceptors will help the resident develop their vision for the practice of pharmacy, learn about interdepartmental conflict and team-building, hiring for excellence, and many other opportunities based on the learnerslearner’s interests.

Typical Day In The Life of a PGY2

  • Plan for the upcoming day with preceptors

  • Work with other UNC Hospitals Medical Center employees inside and outside of the department of pharmacy to optimize the delivery of pharmaceutical care

  • Participate in a variety of meetings to learn about the leadership and operational challenges and opportunities in the department of pharmacy

  • Develop assessments and recommendations on pertinent pharmacy related needs that are implemented in the department

  • Communicate with resident management area and address any needs by serving as the primary contact person

  • Serve as a mentor to PGY1 and pharmacy student learners through our layered-learning practice model

  • Gain insight into medication safety and the medication use system through longitudinal experiences

  • Follow-up with the preceptor on any outstanding issues and plan for the next day

Other Opportunities

Residents can also participate in the Teaching Certificate and the UNC Hospitals Medical Center Pharmacy Residency Leadership Certificate either year of the combined program.

For more information contact:

Stephen EckelStephen F. Eckel, PharmD, MHA, BCPS
Director of Residency Programs
Associate Director of Pharmacy, UNC Medical Center
Associate Dean of Global Engagement, UNC Eshelman School of Pharmacy