Pain Management and Palliative Care Pharmacy

The Department of Pharmacy Services at Michigan Medicine is recruiting applicants for a one-year PGY2 Residency in Pain Management and Palliative Care.


The PGY2 Pain Management and Palliative Care Pharmacy Residency is designed to provide the resident with a wide array of experiences in pain and symptom management, while affording opportunities for collaboration with renowned clinicians and world class experts in research and education. The program is designed to provide a strong clinical foundation while developing analytical, leadership, teaching, and writing skills. It will also provide experiences in pain pharmacy, palliative care, hospice, and institutional policy around pain management. Upon completion of the program, the resident will be prepared to secure a specialized pharmacist position in pain management, palliative care, or hospice.



Program Description


The residency program in pain management and palliative care is designed to develop clinician expertise in pain and symptom management pharmacotherapy in order to practice in the inpatient, outpatient, or hospice setting as a clinical pharmacy specialist.


Program Structure


Required Rotations (one month unless otherwise noted)


  • Orientation/Staffing (July)
  • Research (December)
  • Pain Management I and II
  • Adult Palliative Care Consult I and II
  • Hospice
  • Outpatient pain or palliative care clinic (longitudinal or block as available)
  • Psychiatry


Elective Rotations


  • Pain Management III
  • Adult Palliative Care Consult III
  • Pediatric Palliative Care Consult
  • Pediatric Pain
  • Acute Pain
  • Diversion Prevention Team (one weak, shadow)
  • Oncology
  • Critical Care
  • Addiction Medicine


Additional Required Activities


  • Institutional Opioid and Pain Management Strategy (longitudinal)
  • Research project
  • Writing project
  • ACPE-Accredited 1-hour CE Presentation
  • Teaching at College of Pharmacy
  • Professional and/or institutional committee involvement
  • Attendance at ASHP Midyear Clinical Meeting (plus poster)
  • Attendance at specialty meeting
  • Major topic discussions (longitudinal)
  • Attendance at Hospice and Palliative Medicine Fellows Seminar Series (longitudinal)


Other Learning Opportunities


  • Teaching certificate program
  • Online journal club through the Society of Pain and Palliative Care Pharmacists




Approximately every 3rd weekend for no more than 15 weeks, 1 minor holiday and one major holiday block.


Research and Publications Opportunity


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 completion of the residency. There may be additional opportunities depending on resident interest. Presentation to the interdisciplinary palliative care research group will also be available.


Teaching Opportunity


Residents receive a faculty appointment as Adjunct Clinical Instructor with the University of Michigan College of Pharmacy. Experience in rotation-related precepting and teaching of PharmD students and PGY1 residents is widely available. Opportunities to educate other disciplines (social work, medicine, nursing, etc.) may also be available depending on resident interest.


Resident Information


2020-21 Madison Irwin (Chief Resident)


2019-20 Kyle Quirk (James G Stevenson Excellence in Pharmacy Practice Awardee) - Palliative Care Pharmacist (First/Current - Ohio State University Wexner Medical Center, James Cancer Hospital)


Resident Publications


3. Quirk K, Marks A, Wright J, Smith MA. Sublingual buprenorphine for pediatric cancer pain: a case report and review of the literature. J Pain Symptom Manage. In Press.


2. Quirk K, Smith MA. Acetaminophen in patients receiving strong opioids for cancer pain. J Pain Palliat Care. In Press.


1. Smith MA, Quirk KC, Saul DC, Rodgers PE, Silveira MJ. Comparing methadone rotation to consensus opinion. J Pain Symptom Manage. 2020;59(1):116-120.


Residency Program Director Information


Michael A Smith, PharmD, BCPS
Program Director & Pain/Palliative Care Clinical Pharmacist Specialist
Michigan Medicine, Department of Pharmacy Services
Clinical Associate Professor
University of Michigan College of Pharmacy
1500 East Medical Center Drive, B2D301/0008
Ann Arbor, MI 48109-5008
Phone: 734-764-5374
Fax: 734-232-3222


Residency Coordinator Information


Jillian DiClemente, PharmD
Program Coordinator & Pain Management Clinical Pharmacist Specialist
Michigan Medicine, Department of Pharmacy Services
University of Michigan College of Pharmacy
1500 East Medical Center Drive, B2D301
Ann Arbor, MI 48109-5008




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