PGY-1 Pharmacy Residency


John Clark, PharmD, MS, BCPS, FASHP
Residency Program Director:
John Clark, PharmD, MS, BCPS, FASHP

The American Society of Health-System Pharmacists (ASHP) accredited Pharmacy Residency Program (PGY1) at the University of Michigan Medical Center is a 12-month program beginning late June. This program accommodates up to twelve residents and provides a wide variety of experiences designed to develop practitioners with knowledge and expertise in clinical pharmacy practice.

Residents participate in clinical, research, educational and administrative activities. The residency program is guided by the Residency Advisory Committee which consists of the residency program coordinator (Chair), clinical pharmacists, an administrator, all PGY-1 and PGY-2 program directors, two chief residents, and a representative of the College of Pharmacy.

A competitive stipend is provided. Each resident receives 10 vacation days and 5 interview days, health insurance, and other University benefits. Business days are allotted for attending the ASHP Midyear Clinical Meeting, the Great Lakes Residency Conference, and other professional meetings.

Residency Requirements

Direct Patient Care Experiences

  • Residents must complete at least 80% of ASHP required outcomes through their monthly rotations
  • All evaluations must be completed in PharmAcademic

Scientific Advancement and Research

  • A research project suitable for publication and completed within the residency year. Research opportunities are available in conjunction with many of the faculty.
  • A writing project must be completed in conjunction with a preceptor. This comprehensive review project is suitable for publication in peer-reviewed journals.
  • Residents also present 3 seminars throughout the year; a protocol presentation, a ACPE-accredited CE presentation, and a final research project presentation

Leadership and Professional Development

  • All residents will participate in a committee (either local, state, or national) to develop essential leadership skills. They have the responsibility of determining committee involvement with the assistance of preceptors
  • All residents participate in a longitudinal Professional Development series focused on research and leadership skills

Teaching and Academia

  • The residents receive faculty appointments at the College and may be assigned other primary teaching responsibilities. They are instructors for a one-semester patient monitoring course for third year Pharm.D. students.
  • There is an optional teaching certificate opportunity provided upon successful completion of various requirements at the College of Pharmacy

Longitudinal Experiences

  • Weekend Staffing (see details below)
  • Code Blue response
  • Clinical On-Call experience (see details below)

Community Service

  • Residents will participate in at least one community service activity during the year


A 6-week orientation period will introduce the resident to the College of Pharmacy and the Medical Center. During this time period, residents learn to combine distributive services with clinical services in oncology, cardiology, surgery, and medicine.

Required Rotations

The resident will complete a total of 10 monthly clinical rotations throughout the year

  • Adult internal medicine: Can be chosen in a variety of areas including internal medicine, hepatology/GI, medical oncology, antepartum, and cardiology
  • Ambulatory care (which can be longitudinal): Can have a variety of options from transplant, primary care, anticoagulation, and oncology
  • Critical care: Can be chosen in a variety of areas (see below)
  • Medication use policy combined with adult pharmacy operations
  • Practice management: Can be chosen with a variety of preceptors that are leaders in different areas of the organization
  • Research (always December)

Elective Rotation Options

The remaining rotations are chosen as electives which include:

Adult Experiences

  • Ambulatory Care - Internal Medicine, Hematology, Oncology, Solid Organ Transplant, and Anticoagulation
  • Nutrition
  • Bone Marrow Transplantation
  • Obstetrics/Labor and Delivery
  • Psychiatry
  • Neurology
  • Cardiology: General Cardiology, Heart Failure/LVAD
  • Hematology-Oncology
  • Solid Organ Transplant: Kidney, Liver, Pulmonary
  • Critical Care- Surgical, Medical, Cardiac/Cardiothoracic, Neuro, Trauma/Burn
  • Infectious Diseases- Consult, Antimicrobial Stewardship
  • Palliative Care
  • Pain Management
  • Emergency Medicine- Adult and Pediatric ER
  • Internal Medicine- General Internal Medicine, Hepatology/GI
  • Specialty Pharmacy

Pediatric Experiences

  • Pediatric ICU
  • Pediatric Oncology
  • General Pediatrics
  • Pediatric Emergency Medicine
  • Pediatric Surgery 
  • Pediatric Cardiology
  • Neonatal ICU

Non-Direct Patient Care Experiences

  • Practice Management
  • Medication Use Policy
  • Pharmacogenomics
  • Academic Administration
  • Teaching and Academia
  • Pharmacy Analytics
  • Medication Safety
  • Investigational Drugs and Research

Staffing Requirements

PGY1 residents will staff 2 weekends per month divided between clinical days, clinical evenings, and operations in adult and pediatric central pharmacies starting in August. Residents must also complete 3 additional clinical evening shifts (1 per month) from April until June.

Each resident will work one major holiday block (Thanksgiving, Christmas, or New Year’s) and one minor holiday block (Labor Day or Memorial Day). All other holidays the resident will have off of work.

On-Call Expectations

PGY1 residents take at-home pager call at 1 week intervals associated with their clinical evening weekend staffing. The on-call pager is pharmacist-driven, meaning difficult clinical cases or questions will be provided from the staff pharmacists. PGY2 residents are scheduled as back-up for the PGY1 to discuss any questions that arise during their on-call shift.

On-call report is held once a week and is an academic review of the cases from the previous on-call week. It is facilitated by a PGY2 resident and preceptor.

Residency Program Director

John Clark, PharmD, MS, BCPS, FASHP
Associate Chief Pharmacy Officer- Michigan Medicine
Clinical Associate Professor of Pharmacy
University of Michigan College of Pharmacy and Health System

Residency Program Coordinator

Kate Starosta, PharmD, BCPS
Residency Program Coordinator
Michigan Medicine-Department of Pharmacy

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