The Duke University Hospital Postgraduate Year Two (PGY2) Internal Medicine Pharmacy Residency Program is designed to develop independent practitioners that have the knowledge and accumulated experience necessary to provide excellent care in acute care pharmacy practice. The Internal Medicine Residency Program builds upon the general competencies achieved during a PGY1 residency; expanding the resident’s ability to provide care for complex patients in a variety of acute care settings. Training focuses on a full range of disease states and disorders, along with the literature supporting medication management of such conditions.  Rotations are designed to ensure experience is gained with the highest acuity patients in each sub-specialty area. In addition, residents are able to conduct research independently and should be confident educators in the multidisciplinary and pharmacy training environment. Graduates will be prepared to attain board certification (BCPS).

This residency graduated its inaugural resident in June 2023 and is currently in ASHP candidate status, with expected appointment to Accredited status in Spring 2024. 


PGY2 residency programs build upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas. Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available. 

The purpose of the PGY2 Internal Medicine Pharmacy Residency Program is to prepare the resident to excel in the care of complex patients in the inpatient setting. 

Required Outcomes

Outcome R1: Serve as an authoritative resource on the optimal use of medications

Outcome R2: Optimize the outcomes of internal medicine patients by providing evidence –based, patient-centered medication therapy as an integral part of an interdisciplinary team

Outcome R3: Demonstrate excellence in the provision of training and educational activities for health care professionals and health care professionals in training

Outcome R4: Demonstrate leadership and practice management skills

Outcome R5: Contribute to the body of pharmacy knowledge in internal medicine

Outcome R6: Evaluate, manage, and improve the medication-use process

The Residency Experience

This residency is designed to provide diverse clinical experiences and prepare graduates to excel in the care of acute care medicine patients.  Residents will refine their skills in the internal medicine environment via a well-established integrated clinical practice model with increased autonomy and responsibility for managing patient care practice. Required rotations  include  internal medicine (teaching and hospitalist coverage),  cardiology,  critical care medicine, infectious diseases and transitions of care.  Elective experiences include neurology, emergency medicine, abdominal transplant, advanced pulmonology, ambulatory care and more depending on the specific interests of the resident. The resident will actively participate in interdisciplinary rounding, conferences, committees, journal clubs, in-services and research. Teaching opportunities are available with local Colleges of Pharmacy and Duke School of Medicine.

Teaching Activities

  • Didactic lectures at local schools of pharmacy or inter-professional schools at Duke University
  • In-services to pharmacy, medical, and nursing staff
  • Continuing education lectures to pharmacy staff
  • Co-preceptor of Pharm.D. students and PGY1 residents on rotation

Application Information

Applications for the PGY2 Internal Medicine residency are due in the ASHP PhORCAS system by January 5th.

PGY2 Internal Medicine Brochure

Resources for Applicants