Health-system Pharmacy Administration and Leadership Program

The health-system pharmacy administration and leadership combined PGY1/PGY2 program encompasses a 24-month experience that combines rotational and longitudinal experience in pharmacy practice, management, and administration, as well as longitudinal ambulatory clinic and staffing experiences. This program also includes participation in the ASHP Foundation Pharmacy Leadership Academy.

The rotation and entrance requirements for the HSPAL PGY1 will be the same as the traditional NMH PGY1 program, but include more administration-focused electives. This will allow the resident to get an exceptional PGY1 experience while jumpstarting their HSPAL PGY2. Please refer to the Postgraduate Year One Residency Program information page for full details on requirements and PGY1 program components.

The resident will have the opportunity to learn from multiple departmental leaders at Northwestern Memorial Hospital. Learning experiences may include but are not limited to:

  • Inpatient pharmacy operations
  • Ambulatory pharmacy operations
  • Finance and resource management
  • Clinical practice management
  • Oncology pharmacy management
  • Medication safety
  • Medication policy
  • Accreditation
  • Technician and union employee management
  • Specialty pharmacy management
  • Information technology
  • Community practice
  • Investigational Drug Services
  • Compliance
  • Recruitment


Required rotations for the PGY2 year are listed below. The residency experience will be individualized based on the resident's interests and goals.

Required PGY2 Rotations

  • Orientation/Pharmacy Practice
  • Automation and Informatics
  • Operations Management
  • Clinical Management
  • Departmental Leadership
  • Finance and Resource Management
  • Health System Leadership
  • Recruitment and Human Resources
  • Specialty Pharmacy
  • Medication Safety and Drug Policy
  • Longitudinal
    • Pharmacy practice
    • Practice management
    • Transitions of care

Additional PGY2 Activities

  • Participation in a longitudinal research project, which will be presented at a regional meeting
  • Participation in noon conference held throughout the year
  • Precepting PGY1 residents and students on administrative rotations throughout the year
  • Practicing in a clinic setting longitudinally one day a week every other week. The clinic in which the resident practices will be determined based on resident experience and opportunity/availability
  • Sitting on and actively participating in a Pharmacy and Therapeutics subcommittee
  • Participating in a local or national pharmacy organization outside of Northwestern Memorial Hospital such as Vizient, Illinois Council of Health-System Pharmacists, or ASHP
  • Managing a service line, group of pharmacy department employees, or work group
  • Participation in weekday and weekend administration on-call duties
  • Attend regional and national pharmacy conferences throughout the year in addition to the ASHP Midyear Clinical Meeting.

PGY2 Staffing Component

Every third weekend, Saturday and Sunday plus one winter holiday (Thanksgiving, Christmas, or New Year’s) and one summer holiday (Memorial Day, 4th of July, or Labor Day). The area of staffing will be determined based on resident experience and opportunity/availability.

How to Apply and Application Requirements

Please refer to the Postgraduate Year One Residency Program Application Page for more details on eligibility requirements.

All interested candidates must register with both PhORCAS and the American Society of Health-System Pharmacists Resident Matching Service.

NMS Code 285841 for combined PGY1&2-Health System Administration & Leadership

Number of positions: The program will have one PGY1 resident and one PGY2 resident each year

Estimated PGY2 stipend: $52,000

Residency Program Director

Rachael Fleagle Miller headshotRachael Fleagle Miller, PharmD, MS
Pharmacy Practice Coordinator, Northwestern Memorial Hospital

Rachael Fleagle Miller, PharmD, MS, is the Pharmacy Practice Coordinator for OR pharmacy services at Northwestern Memorial Hospital. She is a graduate of the University of Cincinnati James L. Winkle College of Pharmacy, where she was the national ASHP Clinical Skills Competition winner. She subsequently completed the two-year administrative residency and Master of Science in Health-System Pharmacy Administration program at the University of Wisconsin Health. Her research and publications include a community tech-check-tech program which was used as the foundation of a Wisconsin state-wide program. In addition to advancing technician practice, her interests include pharmacy operations, automation and technology, and advocacy for the profession.


Northwestern Memorial Hospital
251 East Huron Street
Pharmacy Department, Feinberg LC 700
Chicago, Illinois 60611

Phone: 312.926.8436