PGY1 & PGY2 Combined Health-System Pharmacy Administration

Stanley Kent, RPh, MS
Residency Program Director:
Stanley Kent, RPh, MS

The Department of Pharmacy Services at the University of Michigan Hospitals and Health Centers is recruiting applicants for a two-year PGY1 Pharmacy & PGY2 Health System Pharmacy Administration, with option for a third fellowship year. This program is ASHP accredited.

Michigan Medicine PPS Sessions for the HSPAL Program will open up on November 2, 2020 at 9:00am EST. A link will be added on this webpage to schedule a time.  Dates and times for these sessions will be from 12:00pm - 4:00pm EST on Dec 3rd, 4th, 9th, 10th, 14th, and 15th. 

Program Purpose and Description

PGY1 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training. 

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).

This residency program is designed to prepare residents to become successful pharmacy leaders by providing a wide array of experiences with leaders in pharmacy administration, renowned clinicians, and world class experts in research, education, and population health. Upon completion of the program, residents will be prepared to accept leadership positions in settings throughout the health care enterprise

Minimum qualifications include: PharmD, transcript of record, three letters of reference, curriculum vitae, and eligible for Michigan Licensure.
 

Program Structure

Rotations PGY1 Year

  • Orientation - 6 weeks
  • Adult internal medicine – 1 month
  • Critical care – 1 month
  • Ambulatory care – 1 month or longitudinal
  • Medication Use Policy – 1 month
  • Direct patient care elective rotations – 1 to 3 months (2 or 3 if ambulatory longitudinal experience selected)
  • Acute care (adult or pediatric) pharmacy services management - 6 weeks
  • Pharmacy ambulatory care services management - 6 weeks

Longitudinal learning experiences PGY1 Year

  • Research project and presentation
  • Professional writing project and pharmacist continuing education presentation

Other longitudinal activities PGY1 Year

  • Attendance and participation on the following committees:
    • Management team
    • Pharmacy Executive Council
    • Professional Society Committee Involvement
    • HSPAL Topic Discussions and Coffee Talks
    • Medication Distribution Workflow Committee (when on Service Management rotation)
    • Clinical Practice Committee (when on Service Management rotation)

Required rotations PGY2 year

  • Informatics and technology – 6 weeks
  • Medication use systems – 6 weeks
  • Ambulatory services management- 6 weeks
  • Elective rotations – 1 month x 3

Longitudinal PGY2 learning experiences

  • Human Resource Management through serving as the ‘assistant manager’ for a pharmacy team
  • Process Improvement Project (with suitable written manuscript and presentation)
  • Financial Management (including budgeting and variance reporting)
  • Departmental and Institutional Leadership and Personal and Professional Development (related committee participation described below)
  • Medication Safety – 5 months
  • Health System Education – 6 months

Other longitudinal activities PGY2 Year

  • Coursework for MBA (if enrolled)
  • Attendance and participation on the following committees:
    • Medication Distribution Workflow Committee*
    • Clinical Practice Committee*
    • Medication Expense Tracking and Expense Reduction Committee
    • Regulatory Readiness Policy Compliance Committee
    • Medication Safety Committee
    • Pharmacy & Therapeutics
    • Pharmacy Management Team meetings
    • Pharmacy Executive Council
    • Professional Society Committee Involvement
    • HSPAL Topic Discussions and Coffee Talks**
    • HSPAL Quarterly Continuous Improvement meetings**

*Chair of both of these committees for 6 months during 2nd year

**Coordinated by PGY2 

Elective Rotations

  • Supply chain management – 1 month
  • Academia administration – 1 month
  • Medication use policy – 1 month
  • Research pharmacy administration – 1 month
  • Home care administration – 1 month
  • Managed care administration – 1 month
  • Community pharmacy management – 1 month
  • Policy, regulatory compliance, and medication safety – 1 month
  • Pharmacy senior leadership – 1 month
  • Transitions of care – 1 month
  • Inpatient pharmacy services management – 1 month
  • Infusion services – 1 month

Staffing

  • PGY1
    • No MBA: 22 weekends (every other weekend)
    • Weekend MBA: 20 weekends (every other weekend until May, then monthly)
    • Online MBA: 16 weekends (every third weekend)
    • Holidays: Resident staffs 2 holidays
    • Required operations rotation: 4 x 5-day blocks per year
  • PGY2
    • No MBA: 17 weekends (every third weekend)
    • Weekend MBA: 12 weekends (monthly)
    • Online MBA: 16 weekends (every third weekend)
    • Holidays:  July 4th and one additional holiday
    • Required operations rotation: 4 x 5-day blocks per year (in the same area managing through the HR longitudinal rotation)

On Call (about every 2-3 months):

  • PGY1
    • Clinical on-call pager in 1-week increments
    • Code pager response in 1-week increments
    • Both of these are rotated equally among PGY1 residents
  • PGY2
    • Technician supervisor on-call pager – 1 x 1-week block
    • Administrator on-call pager – 3 x 1-week blocks

Research and Publications

Through the research and writing requirements of the program, the resident has the potential to produce at least two manuscripts suitable for peer-reviewed publication by the end of the residency.

Teaching

Residents will receive a faculty appointment as Adjunct Clinical Instructor with the University of Michigan College of Pharmacy. Experience in rotation-related precepting and in teaching of PharmD students and PGY1 residents is widely available. In addition, the Resident will gain experience in didactic teaching of PharmD students at the College of Pharmacy with the option to pursue a teaching certificate.

Program Assessment Strategy

The program is structured in accordance with the ASHP Accreditation Standards and ASHP Educational Outcomes, Goals, and Objectives for a PGY1 Pharmacy and PGY2 Health-System Pharmacy Administration residency and utilizes the Residency Learning System model. This program has a four-part assessment strategy of learning experiences: resident evaluation of learning experience, resident evaluation of preceptor, resident self-evaluation, and preceptor evaluation of the resident's performance during the learning experience.

Example Schedule

Fellowship Year

  • All HSPAL residents completing the University of Michigan Ross or University of Wisconsin Consortium MBA program will be expected to complete a third fellowship year. 
  • The fellowship year is intended to provide the resident with an opportunity to apply all that they have learned in the previous two years. The fellow will either be assigned as an interim manager to an area or department in need, or as an assistant manager to an existing manager/director.
  • This year is intended to provide the resident with an additional year of experience under the guidance of Michigan Medicine pharmacy leaders.
  • Fellowship Goal: To have the fellow serve as either an interim manager in an area without a manager or to serve in a leadership role supporting the Department as follows:
    • To manage personnel and an aspect of pharmacy operations
    • To complete a project or projects of importance and need to the department or health system
  • During the course of the year the fellow will be assessed for potential as a manager for a permanent role at Michigan Medicine.
  • Upon completion of the third year the fellow completes their obligation to Michigan Medicine.
  • If the resident does not complete the third year they are required to re-pay Michigan Medicine $30,000 of the salary supplement paid to them over the year.
  • Since the fellowship positions are classified in the Michigan Medicine HR system as pharmacy residents (not managers) they will continue with the same health benefits they had during the first 2 years.
  • Paid time off will accrue the same as a starting pharmacist (16 hours/month).
  • Compensation - salary the third year will be $95,000 or as per the letter of acceptance.
  • Manager positions occasionally become open due to vacancy or newly created positions.
    • If a manager position becomes available during the PGY2 or fellowship year the PGY2 resident or fellow can apply for the position (along with any other applicants), however there is no guarantee that they will get that job. This is the same process that is followed for all positions.
    • If a PGY2 resident or fellow does get the manager job, then their salary the first year as a manager will be $95,000.
  • Attendance at, and support for, professional development conferences will be handled the same as for other managers. There is neither a requirement nor expectation that the fellow will attend the same conferences that they did as a resident.
  • The fellow will participate in HSPAL residency advisory committee meetings. They will also support the topic discussions and coffee talks as any other manager.
  • The fellow will meet on a monthly basis with the Chief Pharmacy Officer along with their supervisor to assure they are overseeing personnel and operations as intended as well as to check on the status of assigned work.

Master’s Coursework

The Health System Pharmacy Administration (HSPAL) residency at the University of Michigan is designed to train exceptional future pharmacy managers and leaders. Managing contemporary pharmacy services in a large health system is very similar to running a mid-size company. Furthermore, it is expected that our graduates will rise to administrative positions that require not only pharmacy specific knowledge and skills, but also significant business knowledge. A master’s degree in business administration (MBA) provides the optimal training for developing business proposals, analyzing finances, and understanding the business language of others at the highest levels of any organization. As such, all graduates of our program will be expected to have this level of education and training.  The MBA requirement is waived for residents who have already earned this degree. 

For the past 3 years the MBA at the Ross Business school has been the degree we have supported. Due to the economic impact of COVID-19, MM has placed a moratorium on tuition reimbursement or support. Depending on the financial situation of MM in the Spring of 2021, we might not be able to fund the Ross program due to the high cost of the program. In light of this, we have developed two alternatives that we know we will be able to fund:

Option 1: University of Michigan Ross School of Business MBA

All applicants to the HSPAL residency will need to apply to the Stephen M. Ross School of Business Weekend MBA program. This requirement is waived for candidates who have already completed an MBA, or will be expected to complete one before starting the HSPAL residency. The Ross Business School has agreed to waive the application fee for applicants to our residency program. Applicants should get everything ready to go before starting the on-line application process. Once you are ready to submit, you should send an email to rossptmba@umich.edu indicating that you are a University of Michigan Health System Pharmacy Administration residency candidate and that you are requesting a fee waiver code. Ross will provide you with a code to enter when they submit the application which will serve as "payment". The code you are provided is only valid for 24 hours after it is sent, so you need to be ready to submit the application before requesting the code. Please contact us with any questions.

  • The weekend MBA program is a 2-year program beginning in May (end of the first year of residency training) conducted every other Friday (4-9pm) and Saturday (9am-5pm). This schedule fits well with the residency training program.
  • There are a total of 6 terms (3 each year) and total of 60 credits (9.75 + 9.75 + 10.5 = 30 each year)
  • First week of May – Orientation
  • Third week of May - First classes
  • Starting in 2020, incoming residents that enroll in Ross Weekend MBA program will have the option of taking online classes.
    • The quality of the classes and instructors are exactly the same as the traditional weekend MBA program.
    • It is not a "lock-step"- it can be completed over 3 years (not 2 years). The completion may be extended beyond 3 years, although the University of Michigan Health System will only pay for what is agreed upon in the commitment letter (ie: completion within 3 years).
    • Residents enrolled can take as little as 2 classes per semester, but it is recommended to take 3-4 classes per semester.
    • There is flexibility with timing. Each class is 7 days per week, one at a time, with every 2 weeks synchronous with the live-stream class.
    • There are three "residencies" required prior to graduation, which are live, face-to-face Wednesday evening to Sunday morning programs.
    • There is still a requirement for a multidisciplinary action plan (MAP) project. This often involves traveling for about a week out of the country or out of Michigan.
    • While student interaction is obviously less than with the live MBA program, there will be on-line interaction with classmates and live, face-to-face interaction during the residencies.
    • There are milestones built into the program to ensure students are staying on-track.
    • PGY1 HSPA residents can actually start on-line classes in their first year. Statistics and Accounting start in the Fall. This would spread the course load over 3 years instead of 2.
    • Students can move from the Weekend MBA program into the online program, but not vice-versa.
    • Costs are the same for either program for the resident.

For more information please visit the Ross weekend MBA website: https://michiganross.umich.edu/programs/weekend-mba

Application Information

  • The graduate school application is separate from the residency application.
  • Typically, a date in the second half of January is the application deadline for the Ross program beginning in May. The Ross admissions committee will review applications and, if accepted, defer offers of admission to the following academic year. See Ross website for details on dates.
  • Candidates who match with this program will have Ross application fees and GRE costs reimbursed after beginning the residency.
  • Follow the Ross program application instructions on the website. (Separate from PhorCAS. Includes an additional $200 application fee, completion of supplemental essay questions, and separate letter of references.)
  • A GMAT/GRE score is required at the time of application. The score you receive on the day of the exam can be submitted – you will not have to wait for the official test results.
  • If, due to timing, there will be a problem with taking the GRE or GMAT before the application deadline, contact Stan Kent (stkent@med.umich.edu) to discuss options.
  • Note: During the application process you will be asked if you already have a BS degree. Our arrangement with the Ross business school is such that it is understood that if a candidate does not have a BS, they will be receiving their PharmD degree the following year. So you should answer ‘yes’ to that question which will allow you to proceed with the application.

Interviews

  • The Ross faculty will conduct the MBA program interview in coordination with the residency program interviews.

Finances (Dependent on Financial situation at Michigan Medicine)

  • Tuition for the academic years 2018-2020 for the Ross Weekend MBA program is $127,969 for a Michigan in-state student and $138,030 for an out-of-state student.
  • To assist with tuition, UMHS Pharmacy will supplement the resident’s stipend, above the usual stipend amount.
  • For an in-state student from 2020-2022 this tuition support will be:
    • Year 1 Stipend: $48,000 salary
    • Year 2 Stipend: $50,000 salary plus Tuition Support of $45,000
    • Year 3 Stipend: $95,000 salary plus Tuition Support of $45,000
  • For an out-of-state student from 2020-2022 this tuition support will be:
    • Year 1 Stipend: $48,000 salary
    • Year 2 Stipend: $50,000 salary plus Tuition Support of $50,000
    • Year 3 Stipend: $95,000 salary plus Tuition Support of $50,000
  • Tuition payment is due at the beginning of each term for the upcoming term. For more information, please visit the Ross weekend MBA website: https://michiganross.umich.edu/programs/weekend-mba/tuition-financial-aid
  • Residents are responsible for all tuition payments.
  • If accepted, a $2,000 down payment is required before classes start (approximately March of the year prior) to hold your seat.  This money will then be used towards your tuition cost.
  • Resident’s salaries are taxable income; thus the salary supplement will not totally pay for the tuition amount. The resident thus bears part of the cost of the MBA.
  • Residents who do not participate in the Ross MBA program because they already have the degree will be paid the same salary as other PGY1 and PGY2 residents.
  • The Ross application fee and GRE/GMAT fee will be reimbursed after the start of the residency program for any resident who matches with our program. 

Option 2: University of Wisconsin Consortium Online MBA

  • This requires a separate application and acceptance into the MBA program.
  • The GRE or GMAT may be waived upon request with approval of UW.
  • This MBA requires approximately 3 years to complete.

Application Information:

  • To begin in a Fall semester, application deadlines: Priority: April 1st, Final: August 1st
  • (Final application deadline of April 1st for a summer semester start if candidate interested in starting MBA prior to start of residency program.)
  • Admission requirements:
    • Baccalaureate degree from a regionally accredited college or university
    • Cumulative undergraduate GPA of at least 2.75 (on a 4.0 scale)
    • Graduate Management Admission Test (GMAT) score of 475 or above or a comparable Graduate Record Examinations (GRE) score (or waiver)
  • Application materials:
    • Application, including $56 fee and a Personal Statement. 
    • Official transcripts 
    • Résumé
    • Three letters of recommendation 
    • Official GMAT/GRE Score - Can also apply for a waiver of test requirements

Interviews

  • No interview required

Finances (Dependent on Financial situation at Michigan Medicine)

  • Cost: $800 per credit
  • 36 credits required: Total current cost $28,800
    • Business Essentials: 4 Credits
    • CORE MBA courses 22 Credits
    • Electives: 10 Credits
  • MM will supplement the resident's salary to cover $30,000 of the tuition expense, which is the approximate total current cost of the program.
  • The resident would be obligated to work a third year at MM as a fellow at a salary of approximately $95,000. 

Option 3: ASHP Pharmacist Leadership Academy Online DPLA

The ASHP Pharmacist Leadership Academy (PLA) is a structured leadership development program over the course of 1 year.

  • ACPE accredited for 210 credit hours
  • Graduates are eligible to use the designation of Diplomate, Pharmacy Leadership Academy (DPLA)
  • The resident would earn 10 university credits to apply towards an MBA degree. Several universities have partnered with ASHP in this regard, however New England College has the most experience in this regard. It is an all on-line MBA.
  • The expectation, but not requirement, is that the resident would continue to work towards completion of the MBA degree.
  • This requires a separate application and acceptance into the MBA program.
  • The GRE or GMAT are not required.
  • MM will supplement the resident’s salary to offset the ASHP Leadership Academy and MBA tuition expense for the time they are employed at MM.
  • The decision to work a third year at MM is optional, but must be decided at the start of the residency.

Application Information:

  • Early bird application deadline: Mid-February
  • Regular application deadline: Early April
  • Academy start date: July
  • Check PLA Website for full details

Interviews

  • No interview required

Finances (Dependent on Financial situation at Michigan Medicine)

  • ASHP Leadership Academy: Residents - Early Bird = $6,150 (must apply by early bird deadline), Regular Rate = $6,650
  • Master's pricing is dependent on specific partnering program  

Residency Director Information

Stanley Kent, RPh, MS, FASHP
Chief Pharmacy Officer
Michigan Medicine
Associate Dean for Clinical Affairs
University of Michigan College of Pharmacy
Phone: (734) 647-7794
Email: stkent@umich.edu

Residency Program Coordinators 

Andrew Lucarotti, PharmD, MBA
Manager, Medicine Services 
Michigan Medicine
Adjunct Clinical Instructor
University of Michigan College of Pharmacy
Phone: (734) 232-5596
Email: andrluca@med.umich.edu

Melissa Pleva, PharmD, BCPS, BCNSP, BCCCP
Manager, Surgery and Cardiovascular Services
Michigan Medicine
Adjunct Clinical Assistant Professor
University of Michigan College of Pharmacy
Phone: (734) 936-4863
Email: mpleva@med.umich.edu

Previous Graduates 

Melanie Engels

Melanie Engels, PharmD, MBA, BA

Graduation Year: 2016

Position taken: Pharmacy Manager, Ambulatory Process and Service Quality at Michigan Medicine

Anthony Boyd

Anthony Boyd, PharmD, BCPS

Graduation Year: 2017

Position taken: Pharmacy Manager, Oncology Infusion at the Cleveland Clinic       

Casey Spitzer

Casey Spitzer, PharmD

Graduation Year: 2018

Position taken: Pharmacy Manager, Oncology at Froedtert & The Medical College of Wisconsin

David Dakwa

David Dakwa, PharmD, MBA, BCPS

Graduation Year: 2019

Position taken: Pharmacy Manager, Sterile Compounding at UC Davis Health                    

 

Jenn Erley

Jenn Erley, PharmD, MBA, BCPS

Graduation Year: 2019

Michigan Medicine Fellowship: Pharmacy Manager, Central Pharmacy

Position Taken: Pharmacy Manager, Central Pharmacy at Michigan Medicine

Emily Chen

Emily Chen, PharmD

Graduation Year: 2020

Michigan Medicine Fellowship: Pharmacy Manager, Central Pharmacy Inventory and Automation 

Corina Spanu

Corina Spanu, PharmD, BA

Graduation Year: 2020

Michigan Medicine Fellowship: Pharmacy Manager, Children & Women’s Operating Room

Please check out the F.A.Q. for application deadlines and interview dates.