Program Overview

Program Overview

The Mission Hospital PGY1 program focuses on developing residents as valued members of the inpatient health-care team who can practice patient-centered pharmacotherapy in multiple environments. Additionally, they are prepared for adjunct faculty positions and PGY2 training in the specialty of their choice.

Throughout the PGY1 year, residents engage in a variety of clinical experiences tailored to specific interests and goals. These rotations may include: internal medicine, family practice, ambulatory care, drug information, practice management, cardiology, critical care, pediatrics, infectious disease, oncology, nutrition, emergency medicine, transitions of care, pharmacogenomics and psychiatry. Residents also co-precept PharmD students, provide continuing education programs to pharmacists and complete a publication-worthy research project.

Special Features

Pharmacy services at Mission Hospital are organized into service lines and the learning experiences are precepted by clinical pharmacists who have extensive and specialized knowledge in their designated disciplines. Decentralization of clinical pharmacy services also promotes the development of collegial relationships amongst health-care professionals, especially during multi-disciplinary rounds. Mission Hospital pharmacists are entrusted with patient-centered medication decisions, such as pharmacokinetic dosing and autonomous warfarin, vancomycin and phenytoin management.

In addition to improvements in clinical judgement and abilities, distributive and managerial skills are applied during the PGY1 experience. The understanding of accurate and efficient distribution of medication throughout the two campuses of this institution is achieved by the resident, who staffs in the core hospital pharmacies. Distributive responsibilities offer opportunities for improving CPOE verification techniques, physician and nursing communication and pharmacy staff management.

When the Student Becomes the Teacher

Due to a long-standing affiliation with the Mountain Health and Education Center and the University of North Carolina Eshelman School of Pharmacy (UNC ESOP), there are numerous chances to explore educational responsibilities. Residents participate in a Teaching and Learning Curriculum which incorporates activities such as precepting early and advanced immersion UNC PharmD students, discussing professionalism and novel teaching techniques and developing course curricula. Monthly journal clubs with fellow pharmacists allow for improvements in literature evaluation and analysis.

Public speaking expertise is also enhanced by the presentation of CE in-services to Mission Health pharmacists several times throughout the year.

A Commitment to Service

As the birthplace of the nationally recognized Asheville Project, medication assistance and community service are integral beliefs of the Asheville community. These principles are incorporated into the PGY1 residency program as monthly volunteer staffing at the Asheville-Buncombe Community Christian Ministry (ABCCM) free clinic pharmacy. This time allows the resident to gain confidence in prescription distribution and patient counseling while giving of time and talents to the community.

Modern Care

The PGY1 Pharmacy Residency at Mission Hospital is both designed and powered to deliver a superb education in a progressive environment. Technological advances, such as computerized physician order entry (CPOE), robotic medication production and storage, Pyxis devices on nursing units, and bar-coded medication administration (BCMA) augment an eager, supportive and innovative pharmacy staff. Resources are readily available for all pharmacists, including a statistician from the hospital’s Research Institute, a Pharmacy Informatics team, a Drug Information Center and access to UNC’s extensive electronic medical library.

The Asheville Experience

Finally, it cannot be ignored that Mission Hospital is conveniently nestled in the gorgeous Blue Ridge Mountains. Work-life balance can happily be achieved with a hike to 360 degree mountain-top views or in attempts to frequent as many eclectic restaurants as possible in cultural downtown Asheville. There are abundant recreational activities year round, and is there anywhere else that a male nun on a purple bus with large red lips on the front can be seen leading a tour through town?

Contact Us

To learn more about Mission Hospital’s 2018-2019 Residency Program, please contact our current residents and program director.

Phone Number: 828-213-0096


Zak DeGrave, PharmD

Jimmy Godwin, PharmD

Aubrey Rebentisch, PharmD

Caroline Welch, PharmD


Barbara Kostic, PharmD, BCPS, CPP
Phone: 828-213-7541


Tiffany Gardella, PharmD
Phone: 828-213-8063

Click on the links below for more program details: