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Pharmacy Residency Program: Medication-Use Safety and Policy

Program Type: ASHP Accredited PGY2 Residency
ASHP Match Number: 536377

Purpose: The Medication-Use Safety and Policy Residency offers advanced training that prepares the resident to assume a leadership role in devising and implementing system changes that improve the safety, efficiency, and appropriateness of the medication-use system.

Program Overview:
The resident will work with the medication safety and quality team to investigate medication-related events, assess compliance with regulatory standards and best practice recommendations related to medication-use safety, and develop and implement system changes to ensure safe and efficient use of medications. While the majority of rotations are completed at the hospital, there are also opportunities for away rotations at the Johns Hopkins Bayview Medical Center and The Institute for Safe Medication Practices (ISMP). The resident will also complete a longitudinal educational experience with the Armstrong Institute of Patient Safety and Quality Leadership Academy. Upon completion of this program, the individual will be well positioned to function as a Medication Safety Officer in a health-system setting.

Training Experience: 

  • Participate in the application of technologies that improve the medication-use process.
  • Learn and apply methods to promote a culture of safety.
  • Analyze complex systems to identify and correct system flaws.
  • Develop effective communication techniques and understand the way human factors that impact the safety of patient care.
  • Participate in the teaching of medication safety focused lectures at the University of Maryland School of Pharmacy.
  • Design and complete a self-directed research project with a focusing on medication-use safety.
  • Participate and lead committees promoting medication safety.
  • Complete a longitudinal educational experience with the Armstrong Institute of Patient Safety and Quality Leadership Academy.

Unique Rotations:

  • Institute of Safe Medication Practices

Sample Rotation Schedule


  • July: Orientation
  • August: Inpatient Clinical Rotation (internal medicine, etc.)
  • Sept/Oct: Medication Safety, Adults
  • Nov: Formulary Management and Drug Use Policy
  • Dec/Jan: Medication Safety, Pediatrics
  • Feb: Medication Safety, Oncology
  • March: ISMP
  • April: Medication Safety, Bayview Medical Center
  • May: Compliance and Regulatory
  • June: Resident’s choice


  • July-June: Staffing
  • July-June: On-Call
  • Sept-May: Armstrong Institute
  • Oct-June: Clinical Informatics
  • Oct-June: Formulary Management and Drug Use Policy





Application Information:
All applications will be accepted through PHORCAS

Pre-requisites for the Medication-Use Safety and Policy PGY2 program:

  • Doctor of Pharmacy degree from an ACPE accredited school or college
  • Successful completion of an ASHP accredited PGY-1 Pharmacy residency



Program Director


Rosemary Duncan, Pharm.D., BCPS

Title: Medication Safety Officer, Adults
Education: Pharm.D., University of Mississippi

Rosemary Duncan, Pharm.D., BCPS is a Medication Safety Officer at the Johns Hopkins Hospital. Dr. Duncan received her Doctor of Pharmacy degree from the University of Mississippi School of Pharmacy where she also completed her PGY1 in Community and Ambulatory Care Pharmacy. Dr. Duncan completed a PGY2 in Medication-Use Safety at St. Jude Children's Research Hospital in Memphis, Tennessee.

Dr. Duncan is an active member of the Maryland Society of Health System Pharmacists (MSHP) Medication Safety Committee and the ASHP Section of Inpatient Care Practitioners' Group on Medication Safety.

Dr. Duncan's primary responsibility is investigating medication-related events and helping develop system changes that promote the safe use of medications within the hospital and health-system. She is a member of various committees supporting patient and medication quality and safety, and leads and participates in numerous multi-disciplinary initiatives to improve safety, efficiency, therapeutic appropriateness, and compliance with regulatory standards.

Contact Information:
The Johns Hopkins Hospital
Department of Pharmacy Services
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287
Office: (443) 287-6850