Pharmacy Residency: Paediatric Pharmacy

Pharmacy Residency Preparation Specialists

Paediatric pharmacy is a popular PGY2 residency choice, offered by numerous different institutions across the US. Here we will consider an overview of the field and residency, core outcomes for those interested in the residency, and what a typical schedule might look like, in terms of core rotations and electives.


A PGY2 pharmacy residency program is designed to build upon the skills and knowledge attained in both your Doctor of Pharmacy (Pharm.D.) education, and in your Postgraduate Year One (PGY1) pharmacy residency program. Through doing so, it will create a specialised clinical pharmacist, who is able to function independently. Therefore you will be ready to integrate all the knowledge and skill that you have built up, and apply it directly to patient care (or use it elsewhere within the broader healthcare landscape). You might choose to work entirely clinically, or move into a more academic role following further training. A PGY2 paediatric residency program will allow you to provide optimal care for paediatric patients across any setting – taking on a role as a clinical pharmacy specialist, or perhaps working as a clinical faculty member. The best residents from this field will show that they are accountable for patient care, that they are a professional role model for both PGY1s and for pharmacy students, that they participate in clinical research and in other related projects, and that they lead paediatric pharmacotherapy discussions.

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As stated, there are many institutions offering this program – you can find the full list on the NMS site. Particularly prestigious offerings come from Duke, Yale, and UC Davis, amongst others.


You will need to have completed both your Doctor of Pharmacy and your PGY1 Residency before beginning this PGY2 course.

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The following outcomes are taken from Duke, and serve as a good summary of the broader outcomes that might be found through the ASHP site:

  • In collaboration with the health care team, provide comprehensive medication management to paediatric patients following a consistent patient care process. Ensure continuity of care during paediatric patient transitions between care settings.
  • Manage and facilitate delivery of medications to support safe and effective drug therapy for paediatric patients.
  • Demonstrate ability to manage formulary and medication-use processes for paediatric patients, as applicable to the organisation.
  • Appropriately apply knowledge from adult evidence-based therapy to the paediatric patients
  • Demonstrate ability to conduct a quality improvement or research project.
  • Demonstrate leadership skills for successful self-development in the provision of care for paediatric patients.
  • Demonstrate management skills in the provision of care for paediatric patients.
  • Provide effective medication and practice-related education to paediatric patients, caregivers, health care professionals, students, and the public (individuals and groups).
  • Effectively employ appropriate preceptor roles when engaged in teaching students, pharmacy technicians, or fellow health care professionals in paediatrics.

Elective Outcomes

  • Write for publication pertinent medication-use information on paediatric-related topics for healthcare professionals and/or the public.
  • Identify opportunities and design a research project which will benefit therapeutic understanding outcomes in paediatric patients.
  • Coordinate and/or lead clinical pharmacy services in a children’s hospital

Life as a Resident

As an overview of what life is likely to be like as a resident, consider that the following are all core rotations at New Mexico College of Pharmacy: Orientation (4 week), General paediatrics, paediatric ICU, Neonatal ICU, and Inpatient paediatric Hematology Oncology. Alongside this are a number of required longitudinal rotations (i.e. that run the length of the residency). These are Administration, Research (research project complete with a publication ready manuscript), Teaching, and paediatric Pharmacy Staffing. There are then elective rotations that you can select from, each of which is 4 weeks in duration. These consist of the following: Maternal Foetal Medicine, paediatric Pulmonary Clinic, paediatric Psychiatric Center (2 week), paediatric Emergency Medicine (2 week), paediatric Nephrology, paediatric Infectious Diseases, paediatric Hematology Ambulatory Care, Research Elective (2 week), and paediatric Toxicology. You will therefore have access to a broad range of different learning experiences, across a range of different patient settings. 

As a comparison, UNC School of Medicine requires the following core rotations:

  • Orientation
  • Research
  • Neonatal Intensive Care Unit
  • Paediatric Intensive Care Unit
  • Paediatric Hematology Oncology (Select one):
    • Inpatient paediatric Hematology/Oncology
    • paediatric Hematology/Oncology Clinic
  • General paediatrics (Select one):
    • General paediatrics I
    • General paediatrics II
  • Paediatric Infectious Diseases

Whilst the following are all electives that you can take:

  • Paediatric Bone Marrow Transplant
  • Paediatric Cardiac Intensive Care
  • Paediatric Emergency Medicine
  • Paediatric Hematology/Oncology Clinic
  • Paediatric Pulmonology Clinic
  • Paediatric Endocrinology/Rheumatology Clinic
  • Preceptorship
  • Paediatric Administration/Leadership
  • Child and Adolescent Psychiatry
  • Burn Intensive Care Unit
  • Paediatric Palliative Care
  • Precision Medicine
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