Pharmacy Residency - Knowledge

Pharmacy Residency Program

Post-Graduate Year One (PGY1) Pharmacy Residency Program

Pharmacy Residency 1CHI St. Alexius Health and North Dakota State University College of Health Professionals

We welcome you to CHI St. Alexius Health, where you will find compassion in our highly skilled physicians and staff and the newest technology at work each and every day. Our employees are on a journey to heal, a journey to serve, a journey to positively influence other people's lives and to live the Mission and Values of the medical center.


American Society of Halth System Pharmacists
CHI St. Alexius Health PGY1 Pharmacy Residency Program is Accredited by American Society of Health-System Pharmacists (ASHP)



Pharmacy Residency 4The CHI St. Alexius Health's Post-Graduate Year One (PGY1) Residency Program has been accredited by ASHP since 1995. Our program provides the residents with a supportive and instructional environment in which to develop the necessary problem-solving skills to become confident, competent and independent in providing pharmaceutical care to patients in multiple settings.

Teaching opportunities, research coordination and serving as a preceptor and role model for students enhance the learning environment and the development of leadership skills. Professional commitment is strengthened through the development of self-evaluation skills and involvement in professional societies and community health activities.

The residency program is a unique 12 month program and consists of experience in a broad range of clinical pharmacy services including:

  • General Medicine
  • Hematology/Oncology
  • Anticoagulation
  • Infectious Disease
  • Drug Use Evaluations (DUE)
  • Nutrition
  • Pediatrics
  • Neonatology
  • Critical Care
  • Surgery
  • Home Infusion
  • Research
  • Drug Information
  • Pharmacokinetics

During the year, residents will gain experience in teaching and will actively participate in lectures to other healthcare providers in pharmacology and therapeutics. Residents also have the option of pursuing a teaching certificate. Additionally, St. Alexius residents serve as a preceptor for PharmD students while on clinical rotations.

An extensive research program offers experience in clinical research. Residents may initiate projects or work with clinical investigators on ongoing research projects. In addition, participation in DUE is expected.

Each resident is required to present a poster at the ASHP Midyear Clinical Meeting and the Midwest Pharmacy Residents' Conference resulting from personal research or involvement in unique patient care activities.

ASHP PGY1 Residency Program Purpose Statement:
Post Graduate Year One (PGY1) Pharmacy Residency Programs build on Doctor of Pharmacy (Pharm.D.) 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.

Pharmacy Residency 3Career Development

  • Flexibility built in to accommodate many interests
  • Guidance from preceptors within specialty areas

Supportive Environment

  • Support from medical, administrative and pharmacy staff
  • Opportunities to participate with preceptors on special projects
  • Professional development as an independent practitioner is expected
  • Access to numerous inter-disciplinary resources

Training and Experience

  • Rotations scheduled in a variety of areas
  • Opportunity to teach via formal lectures and group discussions
  • Clinical research with individual faculty members
  • Formal presentations to peers and preceptors
  • Residency committee input for career planning and guidance

State-of-the-Art Technology

  • Automated dispensing cabinets
  • Bar code and bedside medication scanning
  • CPOE (computerized physician order entry)
  • Electronic medical records
  • Med Carousel
  • Robot-RX

Assessment of Professional Growth

  • Well defined goals and objectives for each rotation
  • Evaluations by residents and preceptors after each rotation utilizing PharmAcademic
  • Peer and preceptor review of presentations and seminars

Development of Peer Relationships

  • Former residents in academic, governmental, administrative and pharmacy practice positions

Pharmacy Residency 2Clinical rotations are offered in a variety of areas and may be tailored to the interests of the individual resident. Activities while on clinical service include rounds, monitoring drug therapy, drug information, pharmacokinetic consultations, and in-service education for staff and physicians. As a resident you will also have the opportunity to become involved in ongoing research projects, gain experience in lecturing and serve as a preceptor for PharmD students.

Required Rotations:
  • experience in pharmaceutical care in a general medicine setting
  • develop the basic knowledge and skills to make appropriate pharmacotherapeutic interventions in the adult patient
  • expand and apply pharmaceutical knowledge in the adult medicine setting

Adult Medicine

  • experience in pharmaceutical care in a general medicine setting
  • develop the basic knowledge and skills to make appropriate pharmacotherapeutic interventions in the adult patient
  • expand and apply pharmaceutical knowledge in the adult medicine setting

Critical Care

  • participate in daily rounds with the intensivists and multi-disciplinary team
  • dosing of critical care medications
  • physician and patient education
  • emphasis on adult critical care

Infectious Disease

  • Antimicrobial stewarship program
  • participate in daily ASP team rounds
  • dosing of antibiotics
  • review of patients with postive cultures
  • perform pharmacokintics monitoring


  • emphasis on pharmacotherapy related to common pediatric diseases and specific neonatal conditions
  • age specific dosing recommendations
  • parenteral and enteral nutrition consults
  • involvement with the Cystic Fibrosis Clinic

Practice Management

  • become familiar with the skills and knowledge necessary for hospital pharmacy managers
  • develop problem-solving management skills
  • participate in development of drug use policy
  • participate in drug distribution process improvement activities
  • learn techniques for resolving conflict
  • learn different budgeting strategies and how they are utilized
Elective and Specialty Rotations:
  • Cardiology
  • Emergency and Trauma
  • Endocrinology
  • Informatics
  • Home Health Care
  • Home Infusion
  • Nephrology
  • Nutritional Support
  • Oncology/Hospice
  • Operating Room
  • Psychiatry

Longitudinal Rotations

  • additional experience with pharmaceutical care in a chronic population
  • involvement over the year of the residency
  • experiences have included Cystic Fibrosis Clinic, Hospice, Cardiac Rehab

CHI St. Alexius Health Bismarck offers a competitive stipend.
Additional benefits include:

  • Ten (10) days vacation/year
  • Meal discounts
  • Employee parking
  • Faculty appointments with the North Dakota State University, within the College of Health Professionals
  • Discount rates at St. Alexius Human Performance Center
  • Expenses paid to ASHP Midyear Clinical Meeting and Midwest Pharmacy Residents' Conference
  • Single health insurance plan

Application Requirements
Applicants must possess a PharmD degree and be eligible for licensure by the North Dakota State Board of Pharmacy. Previous experience in hospital pharmacy practice and a sound academic record are also important considerations.

Applications will be accepted beginning November 15. The deadline for receipt of application and three letters of reference is February 1.

All applicants must complete CHI St. Alexius Health online application (located in the Employment Opportunity tab under the category Professional/Pharmacy Resident)
and all application materials in PhORCAS.

After applications are reviewed, qualified candidates will be contacted to schedule an on-site interview in Bismarck.

Pharmacy Practice Residency Program General Instructions


If you have questions email Jillian Gion or call 701.530.6881