ASHP Accredited 

Program Director: Todd Karpinski, PharmD, MS, FASHP, FACHE 
Positions: 2 per year (4 total)
Application Due: January 2, 2024
Starting Date: July 1, 2024
Estimated Stipend: PGY1 $49,800 + benefits / PGY2 $53,000 + 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) curriculum at West Virginia University.

Required Rotational Experiences (9):

  • Orientation (1)
  • Internal Medicine (1)
  • Critical Care (1)
  • Ambulatory Care (1)
  • Pediatrics or Oncology (1)
  • Clinical Elective (1): Select one of the following
    • Ambulatory Care
    • Cardiology
    • Critical Care & Emergency Medicine
    • Infectious Diseases
    • Medicine
    • Oncology
    • Pediatrics 
    • Solid Organ Transplant
  • Clinical Pharmacy Management (1)
  • Inpatient Operations Management (1)
  • Practice Management Elective (1): Select one of the following
    • Supply Chain Management
    • Specialty Pharmacy Management
    • Retail Pharmacy Management

Longitudinal Learning Experiences (7):

  • Administrator-On-Call
  • Code Response On-Call
  • Formulary Management
  • Hospital Pharmacy Practice (Staffing)
  • Medication Use Evaluation
  • Practice-Related Research
  • Teaching and Precepting
  • WVU Teaching Certificate (optional)

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 concludes at the end of the second year.

Required Rotational Experiences (10):

  • Orientation (1)
  • Pharmacy Finance & Budgeting (1)
  • Hospital-Based Operational Pharmacy Management (1)
  • Hospital-Based Adult Clinical Pharmacy Management (1)
  • Outpatient Management Elective (1): Select one of the following
    • Retail Pharmacy Management
    • Specialty Pharmacy Management 
  • Executive Pharmacy Leadership (1)
  • Clinical Management Elective (1): Select one of the following
    • Oncology/Investigational Drug Services Management
    • Pediatric Pharmacy Management
  • Supply Chain Management (1)
    • If completed in year 1, this can be replaced with an additional elective
  • Block Electives (2): Select two of the following
    • 340B Program Management
    • Business Operations and Informatics
    • Medication Use and Compliance
    • Repeat Any Other Required Experience as "Advanced"

Longitudinal Learning Experiences (6):

  • 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.

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.   

MHA Program Overview 

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 787-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

Daniel P. O’Neil, PharmD, MS, is the Assistant Vice President for Pharmacy Services at WVU Hospitals, the 787-bed academic medical
center of the West Virginia University Health-System.

Prior to joining WVU Hospitals, Dr. O’Neil completed a two-year clinical and administrative pharmacy residency at the University of North Carolina Hospitals while obtaining his master’s degree in health-system pharmacy administration from the University of North Carolina Eshelman School of Pharmacy.

During his tenure, the department of pharmacy has implemented numerous initiatives to improve the quality and affordability of patient care. Dr. O’Neil’s initiatives include the creation of pharmacy-led medication history program of over 20 clinical pharmacy technicians, justification of multi-disciplinary antithrombotic stewardship program, implementation of a drug diversion program, doubling of pharmacy residency programs, and drastic increase in number of ambulatory care pharmacists embedded within clinics.

Dr. O’Neil is actively involved with the American Society of Health-System Pharmacy and American College of Healthcare Executives. He has published in multiple peer-reviewed academic journals on the topics of pharmacy administration and medication management. In 2021, he was selected as a “Generation Next - 40 Under 40” leaders across the state of West Virginia by the State Journal and West Virginia news.


The application deadline is January 2, 2024. The WVU Hospitals HSPAL program participates in The Match and PhORCAS. Interviews will occur between January and March 2024.

Required Application Materials for the PGY1/PGY2 Health-System Pharmacy Administration Residency should be uploaded to PhORCAS, addressed to Todd Karpinski, and should include the following:

  1. Curriculum Vitae
  2. Letter of Intent – describing interest in WVU Hospitals HSPAL program & qualifying characteristics
  3. 3 Letters of Recommendation – 2 clinical preceptors & past one faculty, preceptor, or supervisor are preferred
  4. Transcripts (Graduate – PharmD)