Pharmacy Residency Programs

Post-Graduate Year One (PGY1) Inpatient and Community-Based Pharmacy Residency Programs

Pharmacy Residency 1We 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 Inpatient Residency Program is Accredited by American Society of Health-System Pharmacists (ASHP)


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


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ASHP PGY1 Program Purpose:

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.

PGY1 Inpatient Program Description:

CHI St. Alexius Health's inpatient residency program is a minimum of twelve months and a fulltime practice commitment. It has been accredited by ASHP since 1995. This 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 to enhance the learning environment and development of leadership skills. Professional commitment is strengthened through the development of self-evaluation skills and involvement in professional societies and community health activities.

During the year, residents will gain experience in teaching and will actively lead and facilitate learning opportunities for other health care providers in pharmacology and therapeutics. Additionally, CHI St. Alexius Health residents serve as preceptors for Pharm.D. students on clinical rotations.

Residents will initiate a project in clinical research. Residents may initiate projects or work with clinical investigators on ongoing research projects. In addition, participation in drug use evaluations are expected. Each resident is required to present a poster at the ASHP Midyear Clinical Meeting and presentation at the Pharmacy Residents Conference based on the resident's independent research or involvement.

Required Rotations:

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
  • Participation in daily rounds with physicians, medical residents, and medical students

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 Stewardship program
  • Dosing of antibiotics
  • Review of patients with positive cultures
  • Participate in daily ASP team rounds
  • Perform pharmacokinetics monitoring


  • Emphasis on pharmacotherapy related to common pediatric diseases and specific neonatal conditions
  • Age and weight specific dosing
  • 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

Longitudinal Rotations

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

Elective and Specialty Rotations:

  • Cardiology
  • Emergency and Trauma
  • Home Infusion
  • Informatics
  • Nephrology
  • Nutritional Support
  • Oncology/Hospice
  • Operating Room

Pharmacy Residency 2NDSU | School of Pharmacy

ASHP PGY1 Program Purpose:

To build upon the Doctor of Pharmacy (PharmD) education and outcomes to develop community-based pharmacist practitioners with diverse patient care, leadership, and education skills who are eligible to pursue advanced training opportunities including PGY2 residencies and professional certifications.

Community-Based Program Description:

CHI St. Alexius Health’s community-based residency program was established in 2019. The program utilizes collaborative resources from both CHI St. Alexius and North Dakota State University School of Pharmacy to support the resident through the twelve-month full-time practice commitment. The resident will build on their skills as a clinical pharmacist by splitting their time between our outpatient and clinic pharmacy settings. Research, teaching and precepting are opportunities provided to further develop and enhance the skillset of any modern pharmacist.

Throughout the year, the resident will progressively build on their skills and knowledge by collaborating with physicians and other health care providers. This collaboration allows for the continual growth and improvement of patient care. Maintaining the highest level of patient care is a major objective of this program.

The resident will spend the year working on several projects designed to create a forward-thinking, problem solving and experienced pharmacist that can take on any challenge throughout their career. Additionally, the resident will be required to present a poster at the ASHP Midyear Clinical Meeting as well as present at the Pharmacy Residents Conference based on one the resident’s projects.

Required Rotations:

Mandan Pharmacy

  • Work with providers to develop care plans for anticoagulation patients
  • Participate in immunization clinics
  • Identify patients that would benefit from programs such as medication packaging or Med-Sync
  • Medication management for assisted living

Community Pharmacy

  • Perform daily responsibilities of a staff pharmacist
  • Offer CMR services to patients through the use of Mirixa Platform
  • Participate in Meds-to-Bed program providing appropriate patient/caregiver consultation

Home Infusion

  • Select appropriate method of Home Infusion medication administration (ie: IV push, Elastomeric Pump, Gravity, IV Pump)
  • Conduct patient training
  • Perform follow-up phone calls and documenting utilizing CPR+
  • Review patient lab work

Practice Management

  • Attend management meetings
  • Develop problem-solving management skills
  • Learn different budgeting strategies and how they are utilized

Elective Rotations

  • Mandan Clinic
  • Partial Hospitalization
Pharmacy Residency 3

Career 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
  • Teaching opportunities are available with didactic lectures and precepting Pharm D. Students on clinical rotations
  • Teaching certificate is available through the NDSU College of Health Professionals

State-of-the-Art Technology

  • Automated dispensing cabinets
  • Bar code and bedside medication scanning
  • Computerized Physician Order-Entry (CPOE)
  • Electronic medical records
  • Automated inventory and robotics
  • Parata Max

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

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

  • Fourteen (14) days paid time off
  • Eight (8) professional days
  • Meal discounts
  • Employee parking
  • Discount rates at St. Alexius Human Performance Center
  • Expenses paid to ASHP Midyear Clinical Meeting and 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 via PHORCAS. The deadline for receipt of application and three letters of reference is January 15.

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 interview.


If you have questions email Jillian Gion or call 701.530.6881