Emory University Hospital Midtown
HSPAL Residency

PGY-1/2 Health System Pharmacy Administration and Leadership (HSPAL) Residency

Our combined 24-month post-graduate year one/two health system pharmacy administration and leadership (HSPAL) residency program develops pharmacy leaders with expert knowledge and skills needed to assume clinical, operational and leadership management positions within a health system pharmacy.

The HSPAL residency program provides comprehensive practice management and leadership experiences with a diverse pharmacy leadership team with residency and practice experience from a variety of leading institutions. The program allows for tailored instruction based on your interest(s), past experiences and future goals.

During the first year of the program, you will learn broad-based competencies. In the second year, you will further develop and refine skills by participating in patient care activities, conducting research and quality improvement activities and completing unique pharmacy administration rotations in clinical and operational management, business and finance operations, medication safety, supply chain management, informatics, formulary and medication use system management.

Experiences are held at EUHM facilities, other Emory Healthcare sites and ambulatory locations throughout metro Atlanta, including infusion clinics and specialty and retail pharmacies. Rotation schedules are flexible and designed to provide you with a solid foundation of core experiences and ample opportunities for individual interests.


You will be assigned a residency advisor who will guide you through the program and ensure the goals laid out in your customized training plan are met. We use PharmAcademic to analyze residents’ performance. This includes global evaluations conducted with the advisor and program director throughout the year.

Goals are set according to the ASHP Outcomes, Goals and Objectives required for HSPAL programs. At the completion of the residency, all residents will be able to:

  • 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

Elective outcomes may be added as part of your customized plan.

Learning Experiences and Rotations

Learning experiences for PGY-1/PGY-2 HSPAL residents vary between two- and four-week rotations. Additionally, longitudinal experiences run concurrently over the course of the two-year program. Rotation length is subject to change, based upon your interests, prior experience and other available opportunities. The program director works collaboratively with residents to ensure an organized, intentional rotation schedule that optimizes learning experiences.

PGY-1 Required Learning Experiences

  • Orientation/staffing training
  • Critical care or emergency medicine
  • Infectious diseases or antimicrobial stewardship
  • Internal medicine: academic or hospitalist services 
  • Ambulatory care – oncology
  • Ambulatory care – non-oncology
  • Practice management – inpatient operations
  • Practice management – elective
  • Research or additional elective

PGY-1 Required Disease States

  • Critical care
  • Cardiology
  • General medicine
  • Infectious diseases
  • Oncology

PGY-1 Longitudinal Learning Experiences

  • Pharmacy service commitment
  • Research
  • Quality improvement project
  • Formulary management
  • Pharmacy teaching program
  • Resident on call
  • Code blue coverage

PGY-2 Required Learning Experiences

  • Orientation/staffing training
  • Advanced inpatient operations
  • Pharmacy informatics
  • Director of pharmacy – inpatient
  • Director of pharmacy – ambulatory
  • Retail pharmacy operations
  • Specialty pharmacy operations
  • Ambulatory infusion services
  • Pharmacy finance and 340B
  • Supply chain management (*month-long or longitudinal)
  • Clinical leadership 

PGY-2 Longitudinal Learning Experiences

  • Pharmacy service commitment – operational and clinical combined
  • Research
  • Quality improvement project
  • Human resource management area
  • Manager on call
  • Resident on call

PGY-1/2 Elective Learning Experiences

PGY1: three elective opportunities, two must be clinical electives
PGY2: two elective opportunities, may elect additional elective opportunity in lieu of a research month

Inpatient Elective Experiences

  • Academic Internal Medicine (General Medicine)
  • Cardiology ICU
  • Cardiothoracic ICU
  • Emergency medicine
  • Evening or night shift critical care and emergency medicine
  • Hospitalist internal medicine (cardiology, nephrology, general medicine, surgery) 
  • Inpatient oncology (BMT, leukemia, medical oncology)
  • Medical ICU
  • Neonatal ICU
  • Solid organ transplantation (kidney, liver, heart/lung)
  • Surgical ICU
  • Women’s health

Ambulatory Care Elective Experiences

  • Cardiology
  • Dermatology
  • GI
  • Hepatology
  • Neurology
  • Oncology
  • Pulmonology (PAH & CF)
  • Rheumatology

Administrative Elective Experiences

  • Inpatient operations – distribution and automation
  • Inpatient operations – sterile compounding and procedural operations
  • Ambulatory operations – infusion services
  • Executive hospital administration
  • System pharmacy administration
  • System formulary management (PGY-2 only)
  • Hospital administration (PGY-2 only)
  • System leadership (PGY-2 only)
  • Professional organizational leadership opportunities (ASHP, FDA, CDC, BOP, Apexus – PGY-2 only)


Projects and Responsibilities

Longitudinal direct human resource management: Under a supervising preceptor, PGY-2 HSPAL residents have a direct area of management as a longitudinal experience, including hiring and recruitment activities, performance management and operational management responsibilities. The area will be chosen collectively based upon the resident’s interests and departmental needs.

Research project: Residents design, develop and complete an original research project, including a final manuscript of research results. To expand their understanding of and compliance with research requirements, residents complete an Emory IRB (Institutional Review Board)-certified module. Residents present their project at the Southeastern Residency Conference in April or ASHP Summer Meeting in June of their residency year.

Quality improvement project: Residents complete a quality improvement project with a goal to improve patient care at EUHM. Residents collect and analyze data, prepare a handout and present the project to a committee as designated by the RPD in conjunction with the preceptor.

Grand Rounds presentation: Residents prepare a 60-minute presentation for ACPE credit on approved topics.

Staffing: Residents gain experience in the pharmacy’s medication distribution system by staffing one operational area and one clinical area regularly, including some holidays. On call: PGY-1 HSPAL residents participate in inpatient and specialty resident on-call rotation with all EUHM residents. PGY-2 HSPAL residents participate in inpatient manager-on-call and resident on-call rotations.

Teaching: In addition to providing in-services while on rotations, residents may assist in precepting fourth-year pharmacy students from the Mercer Southern School of Pharmacy and University of Georgia. Residents participate as primary preceptors for the introductory pharmacy practice experience for third-year pharmacy students from the University of Georgia College of Pharmacy and Mercer University College of Pharmacy. Additionally, residents may complete a pharmacy teaching certificate program offered by Mercer University College of Pharmacy and receive the title of "Adjunct Clinical Instructor."

Residency leadership series: All EUHM residents participate in a monthly session led by pharmacy leadership team to develop leadership skills.

HSPAL seminar: Residents can participate in a seminar series to gain further knowledge and experience in core knowledge and competency areas, including topics such as strategic planning, data analytics, lean methodology and quality improvement.

Professional development series: All Emory Healthcare residents can attend a monthly leadership and professional development series. This lecture series focuses on topics related to the professional development of future pharmacy leaders.

Committees and meeting participation: HSPAL residents participate in at least one system and one EUHM committee per year. Residents choose appropriate committee(s) based on their interests in conjunction with RPD and advisor.

Licensure and Compensation

Licensure: Residents must obtain Georgia pharmacist licensure by Sept. 15.

Evaluations: Residents should complete all evaluations, including rotational evaluation and global evaluations, in a timely manner.

Compensation: PGY-1 residents receive a $52,000/year salary plus medical, dental, vision and 401K benefits. PGY-2 residents receive a $54,000/year salary plus medical, dental, vision and 401K benefits.

Professional Development 

Residents receive financial support to participate in the following conferences/experiences and will receive $75 to pay professional dues.

ASHP Leadership Meeting – In October, residents can attend the ASHP Leadership meeting to engage in leadership skill development and networking.

Midyear Clinical Meeting – In December, residents represent the Emory University Hospital Midtown Program at the Residency Showcase and present their initial research project results as a poster presentation.

Southeastern Residency Conference (SERC) – Held in late spring, SERC is one of the largest and oldest residency conferences in the country. Residents from across the Southeast gain experience giving scientific presentations by presenting the results of their research projects as platform presentations.

ASHP Summer Meeting (Optional) – In June, residents can attend the ASHP Summer Meeting to present their research and continuing education in pharmacy administration. [

Contact Info

For more information, please contact the program director or coordinator.

Shailly Shah, PharmD, MS, BCPS

Ryan Haumschild, PharmD, MS, MBA