ASHP Accredited
Program Director: Todd Karpinski, PharmD, MS, FASHP, FACHE
Positions: 2 per year (4 total)
Application Due: TBD
Starting Date: TBD
Estimated Stipend: PGY1 $53,000 + benefits / PGY2 $56,000 + benefits
Purpose Statement & Program Overview
The PGY1/PGY2 Health-System Pharmacy Administration & Leadership Residency Program at West Virginia University Hospitals is designed to develop pharmacy leaders by providing the clinical and administrative skills necessary to lead a health-system pharmacy. Upon completion of this two-year, combined residency program, the resident will be prepared to manage processes for the provision of pharmaceutical care, justify the necessity of service modifications, self-monitor and self-direct one’s learning and performance, possess advanced knowledge of health-system organization’s structure in relation to the provision of pharmaceutical care, and function effectively as a member of the health-system leadership team.
PGY1 Learning Experiences
The first year of the program is structured as a PGY1 Pharmacy residency and consists of required and elective block rotations as well as longitudinal experiences. The block rotations are generally five weeks in duration, and the elective rotations are based on the resident’s professional interests. A PGY1 Pharmacy Practice Certificate is granted at the conclusion of the first year. In addition, residents supplement their clinical and administrative learnings with didactic training in the two-year Master of Health Administration (MHA) or Master of Business Administration (MBA) curriculum at West Virginia University.
Required Rotational Experiences:
- Orientation
- Internal Medicine
- Clinical Pharmacy Management
- Inpatient Operations Management
Selective Required Rotational Experiences:
Critical Care: Resident selects one of the following
Cardiovascular Intensive Care (CVICU)
Medical Intensive Care (MICU)
Neurocritical Care (NCCU)
Surgical Intensive Care (SICU)
Ambulatory Care: Resident selects one of the following
Cardiology
Heart Failure/Pulmonary Hypertension
Endocrinology
Family Medicine
Gastroenterology
Neurology
Rheumatology
Specialty Pharmacy
Transitions of Care
Weight Management
Pediatrics or Oncology: Resident selects one of the following
Stem Cell Transplant/Hematologic Malignancies
General Pediatrics
Pediatric Intensive Care
Neonatal Intensive Care
Inpatient Adult or Pediatric Oncology
Outpatient Adult or Pediatric Oncology
Pediatric Infectious Disease
Pediatric Cystic Fibrosis
OBGYN
Elective Rotational Experiences:
- Clinical Elective: Resident selects two of the following
- Academia
- Antithrombotic Stewardship
- Cardiology
- Emergency Medicine
- Hematology
- Infectious Diseases
- Neurology
- Precepting
- Solid Organ Transplant
- Stroke
- Trauma
May repeat any of the required or selective required learning experiences
- Practice Management Elective: Resident selects one of the following
- Supply Chain Management
- Specialty Pharmacy Management
- Retail Pharmacy Management
Longitudinal Learning Experiences:
- Administrator-On-Call
- Code Response On-Call
- Continuing Education
- Formulary Management
- Hospital Pharmacy Practice (Staffing)
- Medication Use Evaluation
- Practice-Related Research
- Teaching and Precepting
- WVU Teaching Certificate (optional)
Pharmacy Practice Component:
- PGY1 Pharmacy Residents practice every third weekend (two 8-hour shifts) and one weeknight evening shift per two-week pay period (8-hour shift).
- All residents work one summer holiday (Fourth of July in 2028) and one winter holiday (Thanksgiving, Christmas, New Year’s).
- Residents may opt to work additional pharmacist shifts and will be compensated at the standard pharmacist rate, including shift differential. Residents are reminded that the primary objective of the residency year relates to the residency program objectives, and other activities should not hinder the achievement of these objectives.
PGY2 Learning Experiences
The second year of the program will focus on Health-System Pharmacy Administration and Leadership. This portion of the program is again comprised of required and elective blocks and longitudinal rotations. The block rotations are generally five weeks in duration. The PGY2 resident will also gain direct human resource and supervisory experiences while managing a practice area over the course of the year, participating in performance evaluations, recruitment, scheduling, workflow process creation, and other activities. The MHA/MBA concludes at the end of the second year.
Required Rotational Experiences:
- Orientation
- Pharmacy Finance & Budgeting
- Hospital-Based Operational Pharmacy Management
- Hospital-Based Adult Clinical Pharmacy Management
- Retail Pharmacy Management
- Specialty Pharmacy Management
- Executive Pharmacy Leadership
- Supply Chain Management*
*If completed during PGY1, it may be replaced with an elective
Selective Required Rotational Experiences:
- Clinical Management Elective: Resident selects one of the following
- Oncology/Investigational Drug Services Management
- Pediatric Pharmacy Management
Elective Rotational Experiences:
Resident selects two of the following
- Enterprise 340B Program Management
- Enterprise Business Operations and Informatics
- Enterprise Medication Use and Compliance
- Health Plan / Pharmacy Benefit Management
- Medication Safety
- Repeat Any Other Required Experience as "Advanced"
Longitudinal Learning Experiences:
- Continuing Education
- Hospital Pharmacy Practice (Staffing)
- Human Resources Management
- Medication Safety
- Medication Use Evaluation
- Practice-Related Research
- Teaching and Precepting
As the resident acquires additional knowledge and learning experiences, their goals may change. Residents may request to change or trade scheduled Rotational Experiences. With the approval of the preceptors involved, the change/trade may be referred to the RPD and Coordinator of Residency Training for final approval.
Pharmacy Practice Component:
- PGY2 HSPAL Pharmacy Residents practice every third weekend (two 8-hour shifts).
- All residents work one summer holiday (Labor Day or Memorial Day) and one winter holiday (Thanksgiving, Christmas, New Year’s).
- Residents may opt to work additional pharmacist shifts and will be compensated at the standard pharmacist rate, including shift differential. Residents are reminded that the primary objective of the residency year relates to the residency program objectives, and other activities should not hinder the achievement of these objectives.
Master of Health Administration (MHA)
Residents supplement their clinical and administrative learnings with didactic training focused on the organization, delivery, and management of healthcare in the two-year Master of Health Administration (MHA) curriculum through The West Virginia University School of Public Health.
Once accepted to the residency program, a separate application to West Virginia University's graduate school is required. WVU Hospitals will pay for the MHA program fully.
Master of Business Administration (MBA)
Residents may also supplement their clinical and administrative learnings with didactic training focused on the organization, delivery, and management of healthcare in the two-year Master of Business Administration (MBA) curriculum through the West Virginia University College of Business and Economics.
Note: the MBA is only available to those residents who enter the residency program with a conferred MHA degree or actively enrolled in an MHA program.
Once accepted to the residency program, a separate application to West Virginia University's graduate school is required. WVU Hospitals will pay for the MBA program fully.
HSPAL Residency Program Director
Todd Karpinski, PharmD, MS, FASHP, FACHE, is the Vice President and Chief Pharmacy Officer with WVU Medicine. Dr. Karpinski has administrative oversight for ten acute care hospitals totaling over 1300-beds, including J.W. Ruby Memorial Hospital, a 880-bed Level I trauma center located in Morgantown, West Virginia. Todd has held executive-level and administrative roles at both academic and community hospitals and has served in several pharmacy consultant roles.
Dr. Karpinski received his Doctor of Pharmacy from Drake University and Master of Science in Hospital Pharmacy from the University of Kansas. Dr. Karpinski completed the ASHP-accredited pharmacy practice management residency at Kansas University Hospital.
Todd has been very active in pharmacy organizations at the national, state, and local levels. Dr. Karpinski has recently completed a 3-year elected term on the ASHP Board of Directors. Over the past ten years, he has served as the Chair for the Section of Pharmacy Practice Managers within ASHP, Chair-Financial Performance Committee within UHC, member of the Hospital Advisory Group within PSW and winner of the 2013 PSW Pharmacist of the year, and Past-President of ICHP. Dr. Karpinski has presented nationally on the topics of 340B, transitions of care, medication reconciliation, pharmacy residency expansion, and pharmacy revenue enhancement.
HSPAL Residency Program Coordinator

Mary Jane Braham, PharmD, MHA is the Operations Manager of Adult Central Operations at WVU Hospitals, a 800-bed academic medical center within the WVU Health System.
Dr. Braham is a graduate of the WVU Hospitals Health System Pharmacy Administration and Leadership Residency Program and earned her Master of Healthcare Administration (MHA) degree from West Virginia University. She continues to advance pharmacy operations while contributing to the development of the pharmacy residency program at WVU Hospitals.