PGY2 Internal Medicine Pharmacy Residency

Published On 07/11/2011

The PGY2 Internal Medicine Pharmacy Residency at Methodist University Hospital provides the resident with the knowledge, skills, and attitudes required to achieve potential excellence as a clinician, educator, and scholar in the area of internal medicine therapeutics. This specialty residency is accredited by the American Society of Health-System Pharmacists (ASHP).

All program participants are expected to:

  • Provide clinical pharmacy services to internal medicine patients
  • Teach Pharm.D. students (clerkships, recitations, classroom)
  • Initiate and complete a project; submit for publication
  • Present project at a regional and/or national meeting
  • Write and submit for publication one review article
  • Demonstrate self-initiative and independent learning skills
  • Maintain professional ethics
  • Possess effective communication skills
  • Be capable of providing effective drug education
  • Take personal responsibility for affecting change

The specific program for each resident varies based upon his or her goals, interests and previous experience. However, all residents are required to complete rotations in core subject areas considered to be essential to the pharmacy practitioner focused in internal medicine. A broad range of elective rotations is available to permit the resident flexibility in pursuing individual goals. Additional learning experiences include limited committee assignments. Upon completion of the program, residents are awarded a residency certificate.

Administration of the Program

Residency Program Director

The Director of Pharmacy Services and the Manager of Clinical Pharmacy Services have the ultimate responsibility for the residency program. The Director for Internal Medicine Pharmacy Practice Specialty Residency has responsibility for ensuring that the overall program goals and specific learning objectives are met, training schedules are maintained, appropriate preceptorship for each rotation or training period is provided, and that resident evaluations are conducted routinely and based on the pre-established learning objectives.


Each rotation has a pharmacist preceptor who develops and guides learning experiences to meet the residency program’s goals and objectives, and with consideration of the resident’s goals, interests and skills.  The preceptor periodically reviews the resident’s performance, with a final evaluation at the conclusion of the learning experience.


Organized rotations provide the structure of residency training in specialized areas of pharmacy practice. The resident and preceptor use the goals and objectives for each rotation as a foundation for a successful experience.

Residents are expected to perform independently and demonstrate proficiency in their rotations. The residency preceptor provides guidance and assistance to the resident and ensures that the goals set forth by the resident and the program goals are met. The preceptor also provides the resident with frequent evaluation of their progress, including a written evaluation at the conclusion of the rotation. Frequent, clear communication is the key to a successful resident/preceptor relationship.

Required Rotations - PGY-2 Internal Medicine Pharmacy Practice

In order to attain the core level of knowledge and skill, each internal medicine pharmacy practice resident will participate in the following rotations:

  • Orientation
  • General internal medicine - 6 months
  • Medicine elective (cardiology, oncology, infectious disease or nephrology)
  • Critical care
  • Clinical consult service

In addition, the resident will participate in the following longitudinal experiences to extend throughout the year:

  • Research project
  • Drug use policy/medication safety
  • Pharmacy Practice Experience (equivalent of one weekend per month, two shifts)
  • Extra shifts for pharmacist pay are optional
  • Clinical on-call activities

Elective Rotations

The Pharmacy Residency Program at Methodist University Hospital provides an outstanding, extensive set of elective rotations from which the resident may choose two rotations:

  • Ambulatory Care
  • Cardiology
  • Critical Care II
  • Dialysis Center/Nephrology Consult Service
  • Infectious Disease
  • Emergency Department
  • Oncology
  • Transplant

Rotation Schedule

A 12-month schedule provides a framework for structured learning activities. The resident and their facilitator meet at the beginning of the year to form a plan for development. This plan is presented to the Internal Medicine Residency Preceptor Committee for review and to the Residency Director for approval.

Throughout the year, the resident's goals may change. Residents may request changes in their rotation schedule. With the approval of the preceptors for each rotation involved and the resident's facilitator, the change will be referred to the Residency Preceptor Committee for review and the Residency Director for approval.


Numerous opportunities are available beyond the following minimum requirements:

  • One 40-50 minute continuing education presentation on a disease state or other topic of interest is to be presented to preceptors, students, pharmacy staff and other interested individuals at Methodist University Hospital. The topic is to be selected in conjunction with the Residency Program Director. Audiovisual and written material are to be developed and used. A ten-minute question/answer session will follow each presentation.
  • One classroom lecture will be presented at the UT College of Pharmacy. Topics will be selected in conjunction with the preceptor. Appropriate AV and written materials will be developed.
  • One noon conference on a major disease state will be presented to preceptors, other residents, and students in a case-based format.
  • The resident's major project will be presented to the Methodist Healthcare preceptors and at a regional residency conference, and possibly at a national meeting. These presentations are generally 15-20 minutes with additional time allotted for questions.

Written Communications

Residents have opportunities to complete writing assignments throughout the course of the year, including a drug monograph, nursing in-services, and written communication to pharmacy staff. Each internal medicine resident is expected to write a review article for submission to a peer-reviewed medical or clinical pharmacy journal. In addition, well documented case reports of drug interactions or adverse drug effects will be submitted to a peer-reviewed journal.

Residents must complete a manuscript of their project and submit it to the Residency Director before a residency certificate is awarded. The manuscript must be suitable for submission to a peer-reviewed medical or clinical pharmacy journal.

Medication Use Policy/Medication Safety

The PGY2 medication use policy/medication safety rotation is a required, six month longitudinal learning experience.  The resident will be involved in learning and practical experience in drug information, formulary and drug use policy management, medication safety issues including adverse drug event evaluation and reporting, literature analysis, and integration of service throughout a multi-hospital system.  The resident serves as a resource for working towards the optimal use of medications throughout the hospital.   In addition, the resident works to evaluate, manage, and improve the medication use process.  The resident interacts with healthcare professionals on a daily basis through committee work, and through the planning, development and implementation of drug use policies.  That resident should attend and participate in identified meetings.


Each resident is required to complete one major project relating to a specific aspect of drug therapy within the scope of internal medicine. Findings are presented at an annual Pharmacy Resident Conference and submitted to a peer reviewed journal for publication. Findings may also be presented at a national/international medical or pharmacy meeting. 


Residents will travel, at a minimum, to visit another professional site in the fall, to the ASHP Midyear Clinical Meeting in December, and to a regional residency conference in the spring. Residents will receive travel support for attendance at these meetings. Attendance at the ASHP Annual Meeting or other major meetings is contingent upon presentation of a project.


All residents are required to become a registered pharmacist in the state of Tennessee within three months of entering the residency program. Evidence of registration must be filed in the Pharmacy Administration Office. Information about Tennessee licensure may be obtained by contacting the Tennessee State Board of Pharmacy at 615.741.2722.

Application Requirements (Application deadline is Jan. 10)

  • Letter of intent and CV
  • Earned Doctor of Pharmacy degree from ACPE-accredited program
  • Three letters of recommendation, including two from clerkship or pharmacy practice residency preceptors
  • A completed ASHP Accredited PGY1 Residency is required

Timothy H. Self, Pharm.D.  

Director, Internal Medicine Pharmacy Practice Specialty Residency
Methodist University Hospital
Professor of Clinical Pharmacy
College of Pharmacy
University of Tennessee HSC
881 Madison Ave., Room 235
Memphis, TN 38163
Phone: 901.448.6465
Fax: 901.448.1221