Residency program director
Tonya J. Carlton, PharmD, MHA, BCPS
Senior Director, Acute Pharmacy
PGY-1/2 Health System Pharmacy Administration and Leadership Residency Program Director
For questions, please email Tonya.J.Carlton@Hitchcock.org.
Residency program coordinator
Karen M. Michaud, PharmD, BCPS
System Manager of Clinical Pharmacy Programs
Program description
The Dartmouth Health and Mary Hitchcock Memorial Hospital Health System Pharmacy Administration and Leadership (HSPAL) Residency is a 24-month, full-time PGY-1/PGY-2 combined program designed to develop the next generation of pharmacy leaders. Through progressive responsibility and hands-on experiences in clinical practice, pharmacy operations, leadership, administration, quality improvement, informatics, and health-system strategy, residents gain the knowledge, skills, and confidence to lead meaningful change in a complex, integrated health system. Residents work alongside experienced pharmacy and health-system leaders and collaborate with physicians, nurses, administrators, pharmacists, and other healthcare professionals to solve complex problems, improve patient care, and translate innovative ideas into sustainable practice improvements.
Our primary goal is to develop strategic, innovative, and confident pharmacy leaders who are prepared to immediately assume leadership roles within complex integrated health systems. Graduates leave the program equipped not only to manage pharmacy operations, but to lead people, drive change, build relationships, and shape the future of pharmacy practice.
For PGY-1 year program
For PGY-1 year program specifics, please review the PGY-1 Pharmacy Residency Program.
PGY-2 practice sites
- Primary practice site: The Shared Service Center
1000 Quality Drive, Hooksett, NH - Secondary practice site: Dartmouth Hitchcock Medical Center
One Medical Center Drive, Lebanon, NH
Required block learning experiences (PGY-2)
- 340 B management
- Location: Hooksett
- Duration: 4 weeks
- Advanced operations
- Location: Lebanon/Hooksett
- Duration: 6 weeks
- Ambulatory pharmacy management
- Location: Hooksett
- Duration: 6 weeks
- Executive pharmacy
- Location: Hooksett
- Duration 5 weeks
- Infusion management
- Location: Lebanon/Hooksett
- Duration: 5 weeks
- Orientation
- Location: System sites
- Duration: 2 weeks
- Pharmacy supply chain and contract management
- Location: Hooksett
- Duration: 4 weeks
- Project
- Location: Hooksett
- Duration: 4 weeks
- Retail and specialty pharmacy
- Location: Lebanon/Hooksett
- Duration: 6 weeks
Elective 5-week learning experiences (PGY-2)
- Advanced 340B
- Advanced pharmacy informatics
- Advanced sterile compounding
- Advanced pharmacy supply chain and contracting
- Critical access hospital management
- Investigational drug services
- Medication safety
Other elective opportunities may be available based on individual interests.
Required longitudinal learning experiences (PGY-2)
- Advanced clinical leadership
- Location: Hooksett
- Duration: 52 weeks
- Description: Residents are required to attend local and system P&T meetings and participate in topic discussions as assigned by the preceptor. Residents are also required to complete projects and activities assigned by the preceptor throughout the rotation. The anticipated time commitment is less than 8 hours per month.
- Advocacy
- Location: Hooksett
- Duration: 26 weeks
- Description: Residents will participate in advocacy activities throughout the health system, region, and nationally, including the weekly NHSHP Legislative Meetings, monthly ASHP Affiliate Meetings, quarterly Northeast Collaborative Advocacy Meetings, and the NHSHP Legislative Committee Meeting on Strategic Planning. Residents will also attend professional affiliation meetings as required (approximately once per quarter) and complete projects as assigned including a testimony or letter to legislator and a review of DH Advocacy Agenda with Government Relations. The anticipated time commitment is less than 8 hours per month.
- Budgeting
- Location: Hooksett
- Duration: 40 weeks
- Description: Residents will spend approximately 8 hours per month on system pharmacy financials and program requirements related to business plan development, capital requisitions, and budget management.
- Hospital pharmacy practice and interviewing part I and II
- Location: Hooksett
- Duration: 52 weeks (Part 1: 26 weeks; part 2: 26 weeks)
- Description: Residents will be responsible for functioning as manager on call for 13 weekends over the course of the PGY-2 year. Residents will participate in staff engagement, 1:1 meetings, timecard responsibilities, interviews, policy and procedure updates, operation issues, and more. Time commitments will vary week to week based on area needs, balancing out to an average of 8 hours per week.
- Medication safety and quality
- Location: Hooksett/Lebanon
- Duration: 52 weeks
- Description: Residents will complete monthly topic discussions and projects as assigned by the preceptor over the course of this rotation. The anticipated time commitment is less than 8 hours per month.
- Medication use evaluation (MUE)
- Location: Hooksett
- Duration: 52 weeks
- Description: Residents are expected to spend approximately 6.5 hours per month over 12 months (80 hours or less) completing their MUE. Residents may spend additional time completing MUE in any month to complete assignment in accordance with deadlines assigned and to complete the task earlier in the residency year.
- Research project
- Location: Hooksett/Lebanon (project dependent)
- Duration: 52 weeks
- Description: Residents will select or design a research project to complete during their PGY-2 year. The resident must create a formal manuscript that is suitable for publication in a biomedical journal. Publication is strongly encouraged, though not required. Completed results will be presented as a platform presentation at a regional residency conference.
- Staffing
- Location: Lebanon
- Duration: 52 weeks
- Description: Residents will staff, on average, one weekend per month (12 weekends over the course of the year) in any area in which the resident is trained, including the IV room, Central Operations, Internal Medicine, and more. Residents will cover up to 3 staff call-out shifts if needed. PGY-2 HSPAL residents will serve as Manager on Call (MOC) on staffing weekends alternating between weekend-only and full-week coverage assignments. MOC coverage for weekends-only will begin at 1200 on Friday and conclude at 0800 on Monday. Full-week coverage will begin at 0800 on the Monday prior to the resident’s assigned staffing weekend and conclude at 0800 on the following Monday. In the event a Monday falls on a hospital recognized holiday, the resident will be expected to cover regardless of if they are starting or finishing their coverage. Hours supporting on call needs vary based on factors including staffing shortages, patient census, automation issues, and operational demands.
- Holiday requirements: One hospital observed holiday – Independence Day.
Master's degree
Residents are required to complete a Master’s in Business Administration (MBA) through Colby Sawyer College and will enroll in the MBA curriculum during both years of the program.
Applicants who have already earned an MBA may pursue an alternative graduate degree, including a Master’s in Healthcare Administration (MHA) or a Master’s in Public Health (MPH). These programs are available through Saint Joseph’s College of Maine and Southern New Hampshire University (SNHU).
Additional activities
(1) ACPE-accredited continuing education presentations for pharmacists and technicians outside of the organization, i.e. New Hampshire Society of Health System Pharmacists (NHSHP).
(1) Medication Use Evaluation
(5) Presentations – which include journal clubs, case presentations, and in-services.
(1) Monograph or class review
APPE pharmacy student and PGY-1 pharmacy resident precepting
Residents have the opportunity to co-precept APPE pharmacy student activities and PGY-1 pharmacy residents throughout the year based on personal interest and availability.
Benefits
PGY-2 stipend: $58,656
- Paid time off
- Vacation days (10 days)
- Institutional Holidays (5 days)
Conference and meeting attendance
- ASHP Conference for Leaders
- The resident is required to present a poster on selected topic and attend sessions as determined by the Residency Program Director.
- Covered expenses: hotel, flight, $75 per day for food, conference registration
- ASHP Mid-Year Clinical Meeting and Vizient Consortium Pharmacy Network Meeting
- Residents are encouraged but not required to present a poster at the Vizient Meeting prior to Midyear
- Residents are responsible for recruiting for PGY-1 pharmacy residency positions and attending CE lectures on advancements in pharmacy practice and leadership
- Covered expenses: Hotel, flight, $75 per day for food, conference registration
- New England Residency Conference
- The resident will present a platform presentation for longitudinal research project (poster is also permitted), attend CE lectures on clinical topics, and attend presentations and posters of other program residents
- Covered expenses: hotel, flight/mileage, $75 per day for food, conference registration
How to apply
Submit the following:
- Letter of intent
- Curriculum vitae
- College transcripts
- Three letters of recommendation
- PhORCAS Residency Program application
- ASHP Residency Matching Program registration
Current residents
PGY-1 DHMC Health-System Pharmacy Administration & Leadership Resident
Sean M. Posner, PharmD
Why Dartmouth: “I chose Dartmouth’s HSPAL as my number 1 residency because it offered a key combination of health-system leadership, high level of practice and direct exposure to senior pharmacy. As a rural academic center, it has the right balance of “homeyness” to healthcare excellence. On top of all that, nothing beats a NH summer.”
PGY-2 DHMC Health-System Pharmacy Administration & Leadership Resident
Timothy J. Clark, PharmD
Why Dartmouth: “I picked this program due to the wide variety of experiences offered across both years of residency. After working as a retail pharmacist for three years following graduation, I was looking to expand my clinical and leadership skill sets while gaining a broader understanding of health-system pharmacy. The experiences offered through this residency program have provided opportunities to grow in both areas while allowing me to build on my previous experiences.”
Past residents and current positions
2024-2026: Allison Welsh, PharmD, MBA, MPH
- Why Dartmouth: I chose Dartmouth because of the wide variety of learning experiences across multiple sites, the opportunity to contribute to system-level projects, and the extensive knowledge and experience of the preceptors.
- Current position: Director of Pharmacy, Jamestown Regional Medical Center, Jamestown, ND
2023-2025: Megan Tichy, PharmD, MBA
- Why Dartmouth: “I chose Dartmouth’s program because of its robust training in both clinical and non-clinical pharmacy. The program offers a diverse range of rotations across various healthcare settings, providing residents with hands-on experience. The preceptors are dedicated to supporting the residents’ growth and development, helping them reach their full potential. Additionally, Dartmouth is the only academic medical center in New Hampshire, offering a unique opportunity to learn pharmacy and contribute to the growth of a thriving healthcare system.”
- Current position: Specialist, Business Strategy, Yale-New Haven Health, New Haven, CT
2022-2024: Matthew Buchfellner, PharmD, MBA
- Why Dartmouth: I chose Dartmouth for the HSPAL route because I was confident that the program and the preceptors would provide the experiences necessary for me to grow into an exceptional pharmacist and pharmacy leader.
- Current position: Clinical Pharmacist, Elliot Hospital, Manchester, NH