Postgraduate Year Two (PGY2) Solid Organ Transplant

The PGY2 Solid Organ Transplant Residency at Nebraska Medicine offers a unique and stimulating learning environment which provides comprehensive clinical training in transplant pharmacy practice. Our residency builds on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in advanced or specialized transplant practice.  The Nebraska Medicine PGY2 solid organ transplant pharmacy residency provides residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings.  Residents who successfully complete the accredited Nebraska Medicine PGY2 solid organ transplant pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

The resident will be integrally involved with health-care professionals throughout the continuum of patient care, including patient education, assessment, and therapeutic recommendations. Working with experienced pharmacy clinicians, the resident will also gain experience serving as a preceptor for pharmacy students and PGY1 pharmacy residents. Residents will provide compassionate, evidence-based, progressive medical care. The program allows tailored instruction for the individual based on interest and past experiences.


Salary and Paid Time Off (PTO)

  • PGY2 residents will receive a stipend of $48,900.
  • Residents will be given 12 days for vacation and sick time during their 12-month program.


  • Health insurance: comprehensive medical, dental and vision care coverage effective July 1.
  • Basic life insurance and long term disability coverage.
  • Residents will each receive one complimentary lab coat.

Funding for Professional Meetings

  • Financial support will be provided to each resident attending the Fall Resident Retreat, ASHP’s Midyear Clinical Meeting, a transplant-focused meeting, and the Midwest Pharmacist Residents Conference. Funding for additional meetings may be provided at the discretion of the director of Pharmaceutical and Nutrition Care.

Educational Leave

The program provides the following days of required educational leave which are not deducted from the resident’s PTO allotment.

  • Advanced Cardiac Life Support (ACLS) training and testing (two days in July if not already certified)
  • Resident Fall Retreat (two days)
  • ASHP Midyear Clinical Meeting (four weekdays)
  • Transplant-focused meeting (three weekdays)
  • Midwest Pharmacists Residents Conference (two days)

Nebraska Medicine PGY2 General Residency Requirements

The residency program is a minimum of twelve months in duration and a full-time practice commitment. Residents will be required to perform and participate in a number of activities throughout the year. These activities are designed to ensure compliance as outlined in the ASHP Required Competency Areas, Goals, and Objectives for Postgraduate Year Two (PGY2) SOT Pharmacy Residencies and the ASHP Accreditation Standard for Postgraduate Year Two (PGY2) Pharmacy Residency Programs.


In addition to the expectations outlined in the accreditation standards, residents are expected to:

  • Uphold and adhere to all standards of the pharmacy profession
  • Uphold and adhere to the iTEACH Values and policies of Nebraska Medicine 

The following activities are required for successful PGY2 SOT program completion:

  • Residents shall complete required residency orientation and training
  • Residents shall complete a minimum of two-thirds (2/3) of the residency as a pharmacist licensed to practice pharmacy in the state of Nebraska,  
  • Residents shall complete BLS and ACLS certification 
  • Residents shall complete service commitment required duties (staffing) 
  • Residents shall participate and complete patient required activities (e.g., documentation, pharmacokinetics, counseling)
  • Residents shall complete evaluations in PharmAcademic, quarterly development plans and other evaluations as assigned in a timely manner
  • Residents shall complete rotational requirements 
  • Residents shall attend assigned residency, departmental and Nebraska Medicine meetings
  • Residents shall present and attend Pharmacy Grand Rounds (PGR) seminars
  • Residents shall attend and participate at the annual Residency Fall Retreat
  • Residents shall attend and participate at the ASHP Midyear Clinical Meeting Residents shall participate in all residency recruitment activities, including residency interviews (at the discretion of the program director)
  • Residents shall participate in the teaching of P4 pharmacy students on clinical rotations
  • Residents shall participate in teaching activities at the UNMC College of Pharmacy
  • Residents shall complete a research project designed to improve the services of the department and/or contribute knowledge to the pharmacy profession
  • Residents shall present their research project at the Midwest Pharmacy Residents Conference
  • Residents shall complete a research project manuscript 
  • Residents shall present and participate in the Transplant Research Conference
  • Residents shall complete a medication use evaluation (MUE) and disseminate the results to the appropriate audience
  • Residents shall complete all transplant topics as outlined in the appendix of ASHP Required Competency Areas, Goals, and Objectives for PGY2 SOT Pharmacy Residencies through appropriate direct patient care experiences or case-based/topic discussions


PGY2 residents are required to fulfill the service commitment (staffing) designed to ensure that residents gain experience and can function as competent clinical transplant practitioners. Each resident will train with preceptors and basic training will take place during the first month of residency. At the conclusion of the basic training period, the designated preceptors and the resident will mutually determine if the resident is ready to function independently as a pharmacist.

As part of the service commitment for PGY2 residents, the following staffing requirements apply:

  1. PGY2 residents will staff 22 shifts throughout the year, approximately two shifts per month that may or may not include weekends and/or evenings.
  2. PGY2 residents must work one holiday.
  3. Staffing will occur primarily in the resident’s specialty area of training.

Leadership Development Series

Residents are future leaders in the profession. Residents are required to attend leadership development meetings if not already completed as a PGY1. Residents will lead article discussions regarding leadership philosophies from many aspects of life. Residents will read and discuss selected essays from the Harvey Whitney Award lectures. Residents are encouraged to assess their own leadership philosophy/style and use the residency year as a way of further developing their leadership skills.

Fall Retreat

Each year a resident retreat is arranged to provide each resident the opportunity to participate in team building. Lectures will be provided on various topics including but not limited to the following: communication, leadership, personal growth, ethics, finance, stress management and personality traits. This is a very rewarding experience and is an overnight event.

Research Project

Residents are required to develop and complete a research project. Residents will select a research topic based on their clinical interests. Faculty and clinical staff will present project ideas during orientation. An appropriate preceptor will be selected to guide and supervise the resident. Residents will develop a formal research proposal. If necessary, the resident will submit the proposal for IRB approval. A completed research project form, formal proposal, completed IRB (if required), oral presentation at the Midwest Pharmacy Residency Conference and final written manuscript are required for successful completion of the project.

Attendance/Presentation at the Midwest Pharmacy Residents Conference (MPRC)

Each resident is required to attend and present research findings at the MPRC held each spring. Each resident will make a brief presentation on their project which will be evaluated by a preceptor from within or outside of the program.

Pharmacy Grand Rounds

Each resident will present one formal Category 1 Continuing Medical Education (CME) accredited seminar during the residency program. Grand Rounds are scheduled from September through June (excluding portions of December and February). The goal of the seminar is to improve the resident’s communication skills and techniques, literature evaluation, and understanding of the continuing education process. The topic will be selected by the resident with guidance from at least one pharmacist or faculty member.

Transplant Research Conference

Each resident will be participate in a bi-monthly seminar where they will present journal club presentations and topic discussions. The articles and topics will be chosen by the resident to allow them to further explore areas that they want to gain a deeper understanding of, including disease states, transplant pharmacology and primary literature evaluation.

Participation in Teaching Activities

Resident involvement in all teaching activities fosters the development and refinement of the resident’s communication skills and knowledge base. This experience can build confidence and promote the effectiveness of the resident as a teacher. Residents will serve as co-preceptors for P-4 pharmacy students on clinical rotations and are expected to act as role models for our future practitioners. In addition, residents will collaborate with the UNMC College of Pharmacy by participating in activities including in-services, didactic lectures, case studies and small group discussions throughout the year. In all circumstances, each resident will work under the guidance of a preceptor.

Chief Pharmacy Resident

The chief pharmacy resident is a specialty pharmacy resident (PGY2) who coordinates and keeps track of activities associated with all concurrent pharmacy residents. The chief resident also provides leadership, support and encouragement to all residents as a peer in clinical practice. The chief pharmacy resident serves as the secretary on the Residency Advisory Committee (RAC) and works closely with all program directors.


Required Rotations

  • Orientation (July)
  • Research (December)

Core Rotations

  • Adult Liver/Small Bowel Transplant
  • Pediatric Transplant (liver, small bowel, kidney)
  • Cardiothoracic Transplant/Heart Failure
  • Kidney/Pancreas Transplant
  • Transplant Infectious Diseases
  • Transplant Ambulatory Care Experience

Longitudinal Rotations

  • Outpatient Transplant Clinic
  • Inter-professional Education
  • Patient Care Staffing Experience
  • Research
  • Clinical Decision Support
  • Transplant Research Conference
  • Transplant Administration

Elective Rotations

  • Critical Care Medicine
  • Leadership Development Series (longitudinal)

Practice Area

Nebraska Medicine is the clinical partner of the University of Nebraska Medical Center (UNMC), which includes the colleges of medicine, pharmacy, nursing, dentistry and allied health. UNMC, with an enrollment of more than 4,000 students, is the only public academic health science center in Nebraska and is internationally recognized as a leader in patient care, research and education. The not-for-profit hospital is known for excellence and innovation in medicine.

Since the first transplant program was established in 1970 at Nebraska Medicine, it has become a respected leader in solid organ transplantation as well as cardiology, blood and marrow transplantation, oncology and neurosciences. As the primary teaching hospital for UNMC, Nebraska Medicine is a 809 bed, comprehensive level trauma center with dedicated units and staff that specialize in the care of transplant patients. PGY2 solid organ transplant pharmacy residents will work in multidisciplinary settings to provide comprehensive care to patients receiving liver, heart, lung, kidney, pancreas and intestine transplants. They will have the opportunity to collaborate with practitioners who are developing innovative therapies that shape the field of transplantation.

The working relationship between Nebraska Medicine and the UNMC College of Pharmacy provides a solid foundation for a quality pharmacy residency program. The program provides an excellent mixture of clinical experiences, one-on-one interaction with faculty and clinical preceptors and the flexibility to modify the program to individual needs. In addition, the residency provides many opportunities for educating and precepting students. The end product is pharmacy training that actively involves the resident in patient care, education and research.

Qualifications of Resident Applicants

Qualifications for participation in Nebraska Medicine PGY2 Residency Program are in accordance with criteria set forth by the American Society of Health-System Pharmacists (ASHP).

  • Resident applicants shall be graduates of an Accreditation Council for Pharmacy Education (ACPE)-accredited doctor of pharmacy degree program
  • Residents applicants must be participating in, or have completed, an ASHP-accredited PGY1 pharmacy residency or one in the ASHP accreditation process (i.e., one with candidate or preliminary accreditation status)
  • Resident applicants must be licensed or eligible for licensure as a pharmacist in the state of Nebraska
  • Licensure must be obtained by July 31
  • Resident applicants shall participate and adhere to all rules of the ASHP Resident Matching Program

Application Information

Candidates are required to complete and submit an online electronic application through PhORCAS. No hardcopy applications will be accepted. Please review the application agreement below to proceed to the PhORCAS website.

Application Deadline: Please refer to PhORCAS for Nebraska Medicine's application deadline.

Required application materials include the following:

Letter of Intent

It is a requirement for applicants to submit a letter of intent addressing the following three questions: 

  1. Why are you choosing to complete a pharmacy residency and how do you feel this experience will influence your career?
  2. Why would you like to pursue a residency at Nebraska Medicine?
  3. Describe one situation in which you influenced a patient’s medication therapy.

Curriculum Vitae

Your curriculum vitae should include (if applicable) a minimum of:

  • Work experience
  • Leadership experience
  • Organizational involvement and positions held
  • Philanthropy/community service
  • Presentations
  • Honors/awards
  • Research experience/publications
  • Rotational experiences


  • Three standard references are required through PhORCAS. 
  • Two of the references must be from clinical preceptors who can attest to your abilities as a pharmacy professional, commenting on your character, personality, dependability, professionalism and clinical abilities.


  • Please submit your pharmacy school transcripts through PhORCAS.
  • After receipt of all application materials above, applications will be reviewed and a select number of candidates will be invited for a required onsite interview.

Applicant Agreement

The applicant applying through the Pharmacy Online Residency Application Service (PhORCAS) acknowledges and agrees to the following:

I certify that the information contained in the PhORCAS application is true to the best of my knowledge and belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered.

I grant permission for the authorities of Nebraska Medicine to investigate my work references and release them and any former employer from any and all liability resulting from such investigation. Upon my termination, I authorize the release of reference information on my work.

I agree to submit to a post-offer physical, including drug and/or alcohol screening and recognize employment is contingent upon successfully meeting physical requirements.

I further agree that if I’ve been convicted of a crime, the authorities of Nebraska Medicine may obtain the details of my conviction to determine its relationship to the position I’m applying for as a condition of my employment.

In consideration of my employment, I agree to conform to the rules and regulations of Nebraska Medicine. My employment may be terminated, with or without cause, at any time, at the option of Nebraska Medicine or myself. I certify that the information submitted in this application is complete and correct to the best of my knowledge and belief. I grant Nebraska Medicine permission, if necessary, to request additional information from previous schools and employers concerning my academic record and professional ability.

I understand that I will be required to obtain a Nebraska license to practice pharmacy by July 31 of my residency year.

Federal law requires evidence of identity and employment eligibility upon hire.

Nebraska Medicine is an EOE/AA Employer

Take me to PhORCAS


Megan Keck, PharmD, BCPS
Focused Population Pharmacist, Pediatric Transplant
PGY2 Solid Organ Transplant Residency Program Director
Clinical Assistant Professor, Pharmacy Practice
University of Nebraska Medical Center College of Pharmacy
Nebraska Medicine
981090 Nebraska Medical Center
Omaha, NE 68198-1090
Phone: (402) 559-5372
Fax: (402) 559-4907
Email Megan Keck

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