Postgraduate Year One (PGY1)

The purpose of the PGY1 Pharmacy Residency at Methodist University Hospital is to provide the resident with the skills, knowledge and attitudes required to become a competent pharmacy practitioner. The program is accredited by the American Society of Health-System Pharmacists (ASHP).

All program participants are expected to:   

  • Provide pharmaceutical care in multiple settings, applying evidence-based knowledge
  • Possess independent learning skills
  • Possess a professional ethic
  • Possess effective communication skills
  • Possess confident leadership skills
  • Understand research methods and opportunities
  • Take responsibility for evaluation of one’s work
  • Be capable of providing effective drug education to others
  • Understand and participate in the medication use improvement system
  • Improve the drug distribution system
  • Take personal responsibility for effecting change through involvement in multidisciplinary and intradepartmental teams.

The program is a 12-month experience composed of five major elements:

  • Direct Patient Care
  • Service
  • Practice Management
  • Project
  • Drug Use Policy 

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. A broad range of elective rotations are available to permit the resident flexibility in pursuing individual goals. 

Additional learning experiences aimed at producing a well-rounded pharmacist include the development and completion of a major project related to pharmacy practice, development of oral and written communications, patient education, participation in various departmental administrative committees, and dispensing in various pharmacy areas throughout the institution. Upon completion of the program, residents are awarded a residency certificate. 


Organized rotations provide the structure of resident training in specialized areas of pharmacy practice. The resident is expected to consider the goals and objectives for each rotation as a foundation for their 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 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. In order to maximize the learning experience, the resident is expected to, in a timely manner, personally inform the preceptor of all absences, conflicts, or concerns that might arise during the month. Residents shall also prepare for topic discussions by reading materials in a timely manner, and performing other tasks assigned by the preceptor.

Required Rotations

In order to attain the core level of knowledge necessary to function as a pharmacy practitioner, each resident will participate in the following one month rotations:

  • Orientation
  • Clinical Services Management
  • General Medicine
  • Critical Care                                           
  • Clinical Consult Service                        
  • Drug Use Policy                                     

In addition, the resident will participate in both Clinical On Call and Pharmacy Practice Experience (Service Component- equivalent of 4 shifts per every 4 week period; total of approximately 48 shifts per year). 

Elective Rotations

Elective rotations may be selected in the following areas:

  • Cardiology                                              
  • Critical Care II
  • General Medicine II or III            
  • Medical Oncology                                  
  • Malignant Hematology                                                               
  • Emergency Medicine                            
  • Infectious Disease                                 
  • Long Term Care/Geriatrics                   
  • Nephrology                                             
  • Pain Management/ Palliative Care
  • Pediatrics           
  • Practice Management
  • Outpatient Anticoagulation
  • Solid Organ Transplant 

Rotation Schedule

A 12-month schedule of the resident rotations provides a framework for structured learning activities. During the orientation period, all residents and a preceptor will meet to develop a 12-month schedule of rotations for each resident. The resident and their facilitator will meet at the beginning of the year to incorporate rotation selection into the broad plan. This plan is presented to the Residency Preceptor Committee for suggestion, and to the Residency Program Director for approval. As the resident acquires additional knowledge and learning experiences, their goals may change. Residents may request to change or trade scheduled rotations. With the approval of the preceptors for each rotation involved and the residents’ facilitator, the request may be taken to the Residency Program Director for final approval.

In order to develop independent thinking and problem-solving skills, the resident will have weekend “On Call” responsibilities during the course of the residency. The resident will be assigned a preceptor for each experience and will be evaluated on an ongoing basis. 

In addition to the previously mentioned rotation requirements, each resident will be required to complete a service component of the residency. Crucial to the development of professional practice skills is the development of skills related to pharmacy operations and drug distribution. The resident will gain proficiency in the provision of pharmaceutical care encompassing distribution and clinical services. Furthermore, they will develop personnel management skills, and learn the operations and policies of a large hospital pharmacy.  

Service Component Guidelines:

  • Residents are expected to practice as a pharmacist in designated areas for 4 shifts every 4 week scheduling period (one weekend and two evenings) starting August 1 and extending throughout the residency year. The total number of scheduled shifts during the year will approximate 48. 
  • The resident is expected to provide service (two shifts) for one major holiday (i.e., Thanksgiving Day, Day after Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, New Year’s Day).
  • Residents may choose to cover additional pharmacist shifts and will be compensated at the standard pharmacist rate including differential. Due to the time commitment of the residency and the ACGME Standards, there is limited time for additional staffing. A resident is allowed 2 extra shifts per 4 week scheduling period.

Additional residency requirements include:

  • Completion of a residency research project—results are presented orally to Methodist preceptors and at a regional residency conference and in a written manuscript suitable for publication.
  • Provide at least 2 formal presentations to healthcare professionals and/or students.
  • Perform and present at least one drug monograph and one medication use evaluation.


All residents are required to become a registered pharmacist in the state of Tennessee within 90 days of entering the residency program.