PGY1 - Pharmacy Residency

PGY1 Pharmacy Residency Program Purpose Statement

PGY1 pharmacy residency programs build on pharmacy education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

The UNC REX Hospital PGY1 Pharmacy Residency will provide postgraduate pharmacists an accelerated learning opportunity in inpatient and ambulatory pharmacy operations, clinical competency development, clinical research, and leadership development.

At the end of the residency year, graduates of the UNC Rex Hospital PGY1 Pharmacy residency program are prepared to begin practicing as clinical pharmacists in the institutional practice setting or to enter a PGY2 residency or fellowship in their desired specialty.

PGY1 Program Description

UNC REX Healthcare is the largest community hospital in the UNC Healthcare system. We are an accredited primary stroke and chest pain center, and a Bariatric Center of Excellence as well as a comprehensive community Cancer Center.  We are the only hospital in Wake County to earn an above average rating for heart attack survival and the only hospital in the Triangle region to earn a 5-star rating from the Centers of Medicare Services. UNC REX Healthcare specializes in oncology, critical care, heart and vascular, and surgical services. The pharmacy department has been recognized by ASHP in the Pharmacy Practice Model Initiative (PPMI) and as a finalist of the 2009 Award for Excellence in Medication-Use Safety.  Our program is designed to provide clinical training in oncology, critical care, surgery, and antimicrobial stewardship.

PGY1 Accreditation

The Residency Program was originally accredited by ASHP as a pharmacy practice residency in 2013. We are currently accredited by ASHP through 2023.

PGY1 Program Design

Required Rotations (1 month except orientation):

  • Orientation (6 weeks)
    • 1 week general hospital orientation, clinical orientation, and clinical computer orientation
    • 5 weeks pharmacy orientation
  • Cardiology
  • Emergency Medicine
  • Antimicrobial Stewardship
  • Internal Medicine
  • Outpatient Oncology
  • Project
  • Administration

Elective Rotations (choice of 3):

  • Ambulatory Care
  • Administration II
  • CICU
  • Inpatient Oncology
  • Neonatal ICU
  • Nephrology
  • Neurology/Neurosurgery/Neuro ICU
  • Specialty Pharmacy
  • Transitions of Care

Required Longitudinal Activities

  • Drug Information
  • Formal Drug Information responses, participate in Pharmacy & Therapeutics, Medication Safety
  • Medication Use Evaluation
  • Research (see details below)
  • Chief Resident (each resident serves for 3 months of the residency experience)
  • Code Blue response

Required Teaching Experiences:

  • Serve as primary preceptor for 1 to 2 pharmacy students
  • Complete the UNC Eshelman School of Pharmacy Teaching & Learning Certificate Program
  • Serve as a TA for the UNC Eshelman School of Pharmacy
  • Create and present two CE lectures given to the entire UNC Health System and others that register for the event
  • Additional teaching opportunities may include didactic lecturing, in-services, and departmental presentations


  • Create and lead an individual Research Advisory Committees
  • Complete and present a residency research posterto peers at the American Society of Health System Pharmacists (ASHP) Midyear Clinical Meeting/Vizient Meeting and a platform presentation at a regional pharmacy conference.
  • Prepare a manuscript suitable for publication


  • Local pharmacy meeting (NCAP)
  • ASHP Midyear/Vizient meeting
  • Regional pharmacy residency conference
  • Various residency showcases/recruiting events


  • Residents are required to staff the pharmacy every fourth weekend (8 hour shifts on Saturday and Sunday), and one weekday evening each week in addition to their rotation hours. The weekend of ASHP Midyear may be excluded from this requirement in order to permit attendance at the ASHP Midyear meeting
  • Residents will be expected to staff 2 holidays as defined in the UNC REX Policies and Procedures, based on department needs.

How to Apply

  • The application deadline is December 31, 2022
  • The program start date is June 2023
  • Letter of Intent
    • Limit to one page
    • In addition to describing your motivations for doing a residency, clinical interests, etc., please speak specifically to your interest in residency training at a community hospital and the advantages it offers compared to other settings

All applicants much be registered with the National Matching Service. Employment application will be required after match results are posted.

Contact Information for PGY1 Program:

Carson Hart, PharmD, MS,  BCPS 
PGY1 Residency Program Director 
Director of Clinical and Ambulatory Pharmacy Services

UNC REX Hospital 
4420 Lake Boone Trail 
Department of Pharmacy 
Raleigh, NC 27606

For more information contact:

Carson PadgettCarson Hart, PharmD, MS, BCPS
Director of Clinical and Ambulatory Pharmacy Services
PGY1 Program Director