Trident Medical Center PGY1 Pharmacy Practice Residency

Core learning experiences


  • Hospital orientation
  • Computer training
  • Centralized pharmacy training
  • ACLS/BLS training

Internal medicine

First month:

  • Serve as member of interdisciplinary team on daily rounds.
  • Provide decentralized pharmacy services with anticoagulation and pharmacokinetic dosing consults.

Second month:

  • Develop and achieve appropriate level of independence in role as decentralized pharmacist as described above.
  • Serve as primary preceptor for P4 pharmacy student.

Transitions of care

  • Obtain medication history on admission.
  • Work with prescribers to correct discrepancies and recommend evidence-based therapy.
  • Assist with patient education and access to medications on discharge.

Critical care

  • Serve as member of interdisciplinary team on daily Intensivist and Trauma rounds.


  • Complete department projects to improve evidence-based pharmacotherapy.
  • Work with HCA division and corporate office to understand and implement initiatives for evidence-based pharmacotherapy.

Chemotherapy/Operating room

  • Provide clinical pharmacy services to chemotherapy clinic and operating room staff.
  • Check chemotherapy orders, prepare medications, and check finished products.
  • Prepare and dispense medications for use during surgical procedures.


  • Serve as member of interdisciplinary team on third floor (cardiology-focused) daily rounds.
  • Observe cardiac procedures (i.e., catheterization, ablation, etc.).

Infectious diseases/Antimicrobial stewardship

  • Round with Infectious Disease consult service
  • Contribute to Antimicrobial Management Program (AMP) projects (i.e., order sets, medication use evaluations)


  • Provide clinical services for pediatric patients at Summerville Medical Center.

Ambulatory heart failure clinic (Year-long longitudinal)

  • Provide clinical services one half-day per week.

Drug information/Medication use evaluation (Year-long longitudinal)

  • Serve as clinical on-call pharmacist for drug information questions during working hours.
  • Prepare and present monthly journal clubs to TMC pharmacists.
  • Prepare quarterly drug information newsletter for electronic distribution to medical and pharmacy staff. Newsletter will include brief summaries of items recently approved by P&T committee, summaries of new or updated guidelines and landmark trials, and shortage updates.

Operational pharmacy (Year-long longitudinal)

  • Centralized pharmacy staffing
  • Every third weekend (two eight hour shifts) 
  • Twelve additional weekday hours (distributed among weeks without weekend staffing) 
  • Two eight hour holiday shifts

Research (Year-long longitudinal)

  • Medication use evaluation (MUE) or quality improvement (QI) project throughout the course of the year
  • Required presentation of MUE/QI project at Southeastern Residency Conference (SERC) in the spring
  • Required writing project suitable for submission and publication to a peer-reviewed journal

Emergency response (Year-long longitudinal)

  • Participation in Code Blue events

Elective learning experiences:

  • Ambulatory Care
  • Emergency Department
  • Inpatient Psychiatry
  • Pharmacy Information Technology
  • Trauma
  • Health System Quality and Compliance

Additional program details

  • Option to complete Academician Preparation Program (APP) through partnership with Medical University of South Carolina (MUSC)
  • Opportunities to precept P4 pharmacy students during APPE Acute Medicine rotations

ASHP Accredited

The PGY-1 Pharmacy Residency conducted by Trident Medical Center in Charleston, SC is accredited by ASHP.