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   | MUSC Medical Center Residency Program | Programs | PGY1/PGY2 24-month | Health System Pharmacy Administration

Health System Pharmacy Administration

Heather Easterling, PharmD, MBA
Director, Pharmacy Services
Residency Program Director

The Residency Experience
Learning Experiences
Program Director






The MUSC Medical Center is a 700-bed tertiary care academic medical center providing care for patients of Charleston and throughout the state of South Carolina.  In addition to general medical and surgical services, MUSC offers a variety of specialty services including cardiothoracic, transplant and neurosurgery, level I trauma center, digestive disease, psychiatry and level III neonatal intensive care.  The medical center is comprised of four hospitals, Ashley River Tower, Children's Hospital, Institute of Psychiatry, and University Hospital.  Outpatient facilities include the Hollings Cancer Center, Ashley River Tower Clinics, Rutledge Tower Clinics, Family Medicine Center and affiliated faculty practice ambulatory care centers.

The Department of Pharmacy Services provides service to patients on a 24 hour basis through multiple inpatient and ambulatory pharmacies to fulfill the department’s mission, vision, and goals of providing optimal pharmaceutical care to all patients.

The Health-System Pharmacy Administration (HSPA) Residency is a 24 month post-Doctor of Pharmacy training program. The PGY1 and PGY2 years are designed to flow seamlessly together, with no need to re-apply or participate in the early commitment process.

During the first year, after an extensive one month orientation, training experiences equivalent to the PGY1 program with emphasis in clinical practice (adult medicine, critical care, pediatrics, psychiatry, drug information, and ambulatory care), longitudinal experiences in management, and a 2-month administration rotation are provided. The PGY1 residency year provides a fertile environment to manage and improve the medication-use process, provide evidence-based, patient-centered medication therapy management with interdisciplinary teams, exercise leadership and practice management, demonstrate project management skills, provide medication and practice related education and training, and utilize medical informatics. 

During the second year, the HSPA resident will work collaboratively with the MUSC Medical Center pharmacy management team, lead process improvement projects, provide patient care in a collaborative practice clinic, chair a subcommittee of the P&T committee, and manage human resources and financial resources to develop advanced leadership skills. The longitudinal structure with selected concurrent rotations in the PGY2 year will develop competence in high level managerial, supervisory, and leadership responsibilities.

Upon completion of the Health-System Pharmacy Administration residency, the resident will have developed significant professional skills and will be prepared to assume clinical and/or operational management positions in a hospital or health system.


The Health-System Pharmacy Administration Pharmacy Residency at the Medical University of South Carolina (MUSC) is designed to develop accountability; practice patterns; habits; and expert knowledge, skills, attitudes, and abilities in pharmacy practice and health system pharmacy leadership. The Health-System Pharmacy Administration Pharmacy Residency begins in the PGY1 year where broad-based competencies are achieved. In the PGY2 year continued training and experience will deepen the resident’s ability to manage and lead the development, implementation and management of a safe and effective medication system. Therefore, the Health-System Pharmacy Administration Pharmacy Residency provides residents with opportunities to function independently as practitioners and leaders by conceptualizing and integrating accumulated experience and knowledge and transforming both into improved medication therapy for patients. The resident will be competent in medication safety, clinical management and operations management and should possess competencies that enable attainment of board certification (i.e. BCPS).  Upon completion of the 24 month program the resident will have developed significant professional skills and will be prepared to assume clinical and/or operational management positions in a hospital or health system.


Specific residency objectives will be established in the beginning of the residency modified according to the resident’s interests and previous experiences and advisor input. To meet the purpose of the residency, the resident will advance to achieve the following outcomes:

• Design, implement, and manage a safe and effective medication-use system.
• Apply contemporary quality methodology to the management of pharmacy services.
• Lead and manage the health system pharmacy’s human resources.
• Manage the health system pharmacy financial performance within the context of the broader health system.
• Leverage technology and automated systems to optimize the medication-use system.
• Demonstrate personal leadership qualities and business acumen essential to operate effectively within the health system and advance the profession of pharmacy practice.
• Demonstrate skills required to function in an academic setting.

The PGY2 Residency Experience

The experiences in the PGY2 year of the residency will include pharmacy practice management activities at the MUSC pharmacy services department and the MUSC clinical enterprise. Activities include participation in the clinical and managerial elements of pharmacy practice. A high degree of resident involvement in the management of the pharmacy services department is incorporated with decreasing supervision by advisors as the resident’s skills and knowledge increase.  After a suitable training period has elapsed, residents will assume direct supervisory experience of a select area of pharmacy operations.  Resident experiences may be tailored to meet individual goals and expectations.

Learning Experiences:

Learning ExperiencesRequired
Longitudinal management experience
12 months
2-4 weeks
Business Services
2-4 weeks
Clinical Management
2-4 weeks
2-4 weeks
Longitudinal clinical experience
6-12 months
Operations Management
3-6 months













• Lecturing to or leading case discussions with Pharm.D. students.
• Inservices to pharmacy, medical, and nursing staff (inpatient and outpatient).
• Co-preceptor of Pharm.D. on elective pharmacy administration rotations. 


Heather Easterling, PharmD, MBA
Director, Pharmacy Services
   Joel Melroy, PharmD
Manager, Adult Inpatient Pharmacy
Kelly Crowley, PharmD
Manager, Ambulatory Pharmacy Services
Joseph Mazur, PharmD, BCPS
Manager, Clinical Pharmacy Services

On-site Interviews Will Be Required

Starting in 2012 the MUSC Pharmacy Program will be using the PhORCAS Application System through ASHP.  Please submit all application materials through the applicant portal on ASHP's website.  The deadline for receipt of a complete application packet is December 31st.  Applicants can begin submitting materials through PhORCAS on November 19.  Complete applications include the following:

  • Letter of intent (uploaded with application)
  • Curriculum vitae (uploaded with application)
  • Three letters of reference completed by health professionals who can attest to the applicant’s practice abilities and aptitudes (uploaded directly from the authors beginning on November 19)
  • At least one letter must be from an immediate supervisor (if applicable - for PGY1 only)
  • At least one letter must be from a clinical preceptor
  • Official transcripts of all professional pharmacy education
  • Class rank (in a sealed envelope from Dean's Office)
  • List of Rotations completed.

The application, letter of intent and curriculum vitae should be submitted via the PhORCAS applicant portal.  Letters of reference should also be submitted via PhORCAS Reference Portal using the ASHP Reference Template no later than December 31 directly from the authors.  For further information, please see application information.

For further information contact:
Residency Program Director
Heather Easterling, PharmD, MBA
Director, Pharmacy Services
150 Ashley Avenue
Charleston, South Carolina 29452
Office: (843) 792-5691
Fax: (843) 792-2360

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February 10, 2014
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