PGY-1/PGY-2 Health System Pharmacy Administration and Leadership (HSPAL) Pharmacy Residency
Purpose
PGY2 residency programs build upon Doctor of Pharmacy (Pharm.D.) 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 specialized residency in Health System Pharmacy Administration and Leadership (HSPAL) with Masters is defined as an organized, directed postgraduate program of practical experience in pharmacy practice leadership. The residency is organized and conducted to develop expert skills and competency in pharmacy practice leadership. The program is designed as a two-year experience and combined with a Master of Business Administration (M.B.A.) program with a specialization in Health Care Management from The University of Texas at Dallas Naveen Jindal School of Management or Master of Science in Health Informatics (M.S.H.I.) from UT Southwestern O'Donnell School of Public Health. Most classes are online with periodic weekend attendance required. The resident’s second-year research project will count towards completion of the master's capstone course.
Program Structure
For the first-year of the program, please see the PGY1 Pharmacy Residency website. The residents will be taught and evaluated based on the Required Competency Areas, Goals, and Objectives for Postgraduate Year Two (PGY2) Health-System Pharmacy Administration and Leadership Residencies.
Required Rotations
- Orientation (2 weeks)
- Inpatient Operations II/Medication Use Systems (4 weeks)
- Clinical Services Management (4 weeks)
- Ambulatory Services Management (4 weeks)
- Hematology/Oncology Operations (4 weeks)
- Pharmacy Informatics & Data Management (4 weeks)
- Quality & Medication Safety Management (4 weeks)
- Executive Pharmacy Leadership (4 weeks)
- Finance/Budgeting II (4 weeks)
- Three Elective Rotations (4 weeks each). Options include:
- ASHP Association Management
- Pediatric Pharmacy Leadership (Children’s Medical Center of Dallas)
- Apexus 340B Operations
- Community Hospital Operations (Texas Health Resources)
- Investigational Drugs & Research Management (UTSW)
Longitudinal Requirements
- Strategic Planning (50 weeks)
- Human Resource Management & Leadership (50 weeks, including a minimum of 10 on-call weeks)
- Advanced Clinical Practice (50 weeks, staffing consisting of every third weekend for a minimum of 208 staffing hours)
- Success Completion of the UT Dallas Master of Business Administration Degree or UT Southwestern Master of Healthcare Informatics (90 weeks, including PGY1 Pharmacy Residency Year)
UTSW-Sponsored/Paid Conferences
- ASHP Leaders Conference
- ASHP Midyear Clinical Meeting
- Alcalde Southwestern Leadership Conference & TSHP Annual Seminar
All other requirements and information can be found on the UTSW Pharmacy Residency Manual.
Current Residents
Nareg Kaltakdjian, Pharm.D., M.B.A.c.
Nareg.Kaltakdjian@UTSouthwestern.edu

Dr. Nareg Kaltakdjian is a PGY-2 Health-System Pharmacy Administration and Leadership (HSPAL) resident at UT Southwestern Medical Center (UTSW). Originally from Baton Rouge, Louisiana, Nareg completed his undergraduate degree in biochemistry at Louisiana State University before earning his Doctor of Pharmacy degree from the University of Georgia.
Drawn to UTSW’s strong culture of excellence and support for resident development, Nareg was excited to join a program where collaboration and leadership are at the forefront. He values the organization’s commitment to advancing pharmacy practice and the opportunity to contribute to meaningful system-level improvements in patient care.
His professional interests include pharmacy informatics, pharmacy advocacy, inpatient operations, and ambulatory care management. Nareg is an active member of the American Society of Health-System Pharmacists (ASHP) and currently serves on the Pharmacy Administration and Leadership Residents’ Collaborative (PALRC) Resources Work Group.
Nareg enjoys traveling, exercising, trying new restaurants in DFW, and playing pickleball. As a lifelong sports fan, he proudly cheers on the LSU Tigers whenever he gets the chance.
Edwin Silva , Pharm.D., M.B.A., M.S.H.I.c.
Edwin.Silva@UTSouthwestern.edu

Dr. Edwin Silva Gutierrez is a PGY-1 Health-System Pharmacy Administration and Leadership (HSPAL) resident at UT Southwestern Medical Center (UTSW). Originally from Dallas, Texas, Edwin earned his undergraduate degree in Microbiology from The University of Texas at Arlington before completing his Master of Business Administration and Doctor of Pharmacy degrees at Texas Tech University.
Drawn to UTSW's longstanding commitment to excellence, innovation, and leadership in healthcare, Edwin was excited to join an organization recognized for advancing pharmacy practice and delivering exceptional patient care. He looks forward to developing the leadership and operational skills necessary to effectively manage complex health systems while helping improve access to high-quality care and better serve the community.
His professional interests include pharmacy informatics, pharmacy advocacy, inpatient operations, and ambulatory care management. Edwin is an active member of the American Society of Health-System Pharmacists (ASHP), where he serves on the Pharmacy Administration and Leadership Residents' Collaborative (PALRC) Student and Leader Engagement Work Group. He is also involved with Vizient through the Business of the Pharmacy Enterprise Forum.
Outside of pharmacy, Edwin enjoys maintaining an active lifestyle through fitness, exploring new destinations through travel, and continuously seeking opportunities for personal and professional growth.