Frequently Asked Questions

What is Legacy Health?

Legacy Health is an Oregon-based not-for-profit, tax-exempt corporation that includes five full-service hospitals, a children's hospital and a full-service research facility. With more than 9,100 full- and part-time employees, Legacy is one of the largest private sector employers in the Portland, Oregon and Vancouver, Washington metropolitan area. The Legacy system provides an integrated network of healthcare services, including acute and critical care, inpatient and outpatient treatment, community health education and a variety of specialty services.

Within the system, Randall Children's Hospital at Legacy Emanuel is the first choice of area pediatric specialists; the Legacy Oregon Burn Center is the only advanced burn care facility between Seattle and Sacramento; the Trauma Center at Legacy Emanuel is the only Level I Trauma Center in the Pacific Northwest verified by the American College of Surgeons, the highest designation available for emergency care.  Legacy also has primary care and specialty clinics, as well as hospice services.

What is the role of pharmacy at Legacy Health?

Pharmacy has a strong presence in all clinical areas within Legacy, with pharmacists decentralized in multiple patient care areas and pharmacist participation in patient care rounds. Pharmacists consult on burn unit, critical care, internal medicine, neonatal ICU, neurology/stroke, oncology, orthopedic surgery, pediatrics, transplantation, and trauma rounds.

Pharmacy protocols are established for pharmacists to manage renal dosing, warfarin, heparin, low-molecular weight heparin, antibiotics (including but not limited to vancomycin and aminoglycosides), total parenteral nutrition, and therapeutic drug interchange.

Primary care clinics, transplant clinic, and anticoagulation clinics also utilize pharmacists for collaborative patient care.

Pharmacy Services operates retail outpatient pharmacies at three hospitals providing clinic, employee and discharge prescriptions. 

What is the PGY1 Residency?

Legacy Health's PGY1 Residency provides the resident with exposure to a wide variety of clinical settings and specialty areas. Three annual residency positions are available July 1 through June 30. The program is individualized to allow each resident to pursue additional areas of practice interest.  Our pharmacy residents interact on a daily basis with members of the healthcare team, participating in multidisciplinary rounds, managing collaborative drug therapy protocols and making recommendations to improve patient care.

Is the Legacy Health pharmacy residency ASHP accredited?

Yes, the Legacy pharmacy residency has been accredited since 2000. 

How many residents does Legacy Health accept?

Legacy trains three PGY1 residents each year. 

What are the learning experiences for PGY1 residents?

Legacy Health PGY1 Residency Learning Experiences

Required Learning Experience  


 Elective Learning Experiences


 Experience length: Required experiences are generally 4-6 weeks in length unless noted as longitudinal. Many of the clinical experiences may be repeated as electives, if the resident's schedule allows.


Experience length: Elective experiences are generally 4 weeks on length, but may be shorter or longer depending on the resident's schedule and preceptor availability.

Orientation: General and site specific training to prepare for every third weekend staffing rotation.        


Transplant - renal
General medicine Oncology - adult and pediatric
Trauma Infectious disease
Pediatrics Palliative care
Medical-surgical intensive care  Anticoagulation (ambulatory)
Pharmacy administration: Rotation during residency recruitment and longitudinal expectations throughout the year Cardiology
Longitudinal ambulatory care: One-half day/week throughout the year Informatics
Citywide residency conference: Monthly meetings with participation requirements to meet ASHP goals and objectives (human resources, information management, etc.) along with social opportunities.

Oregon pharmacy teaching certificate (OPTC) program: Offered through the citywide residency conference, teaching experience through either Pacific University or Oregon State University for 2-3 weeks to complete.


What ambulatory care opportunities are available for residents?

Throughout the year, residents attend a primary care clinic for a half day each week seeing patients with a variety of disease states, such as hypertension, diabetes, COPD, asthma, heart failure, smoking cessation and others. For residents with interest in ambulatory care, Legacy also has pharmacists in anticoagulation clinics and a transplant clinic which are available experiences for elective rotations.

What teaching opportunities are available for residents?

Legacy Health is a teaching facility for medical residents, medical students, pharmacy residents, and pharmacy students, as well as other disciplines. There are opportunities for pharmacy residents to teach pharmacy students taking clerkships within Legacy. If residents elect to complete the Citywide Teaching Certificate Program, they can also teach at either the OHSU/OSU College of Pharmacy or Pacific University School of Pharmacy.

What are the qualification requirements for residency candidates?

Candidates for the Legacy Residency Program must have graduated from an accredited School or College of Pharmacy and must be eligible for licensure in Oregon within three months of starting the program.

Candidates must apply by using the Pharmacy Online Residency Centralized Application Service (PhORCAS).

Legacy participates in the ASHP Residency Matching Program. Applicants are required to be registered in the ASHP Matching Program.

If Legacy has an unmatched position, our program will open the application process to other qualified candidates.

Applications must be received by Jan. 2 each year for the following residency training year.

What is the purpose of the Legacy PGY1 training program?

In the residency year, a pharmacist will become a self-directed learner, gain leadership skills, monitor their own performance and contribute to the advancement of the profession through pharmacy practice research. Pharmacists completing this residency will be competent and confident pharmacy generalists. They will be a contributing member of an interdisciplinary health care team held accountable to provide evidence-based, patient-centered medication therapy management and to participate in the management of medical emergencies. A pharmacist completing this residency will be prepared to assume a clinical staff position in an acute care or ambulatory setting. These pharmacists will be qualified to serve as an adjunct faculty for a college of pharmacy or to pursue PGY2 training in a focused area of practice.

What is the compensation for Legacy pharmacy residents?

The resident's monthly stipend is competitive with the local and national market. The exact amount can be found each year on the ASHP Residency Directory. Benefits include family health, vision, and dental insurance, paid vacation, sick leave, holidays, educational leave and a matched tax shelter annuity. In addition, residents are compensated for travel to the ASHP Midyear meeting and the Western States Conference.

What are the staffing requirements of the residency program?

All residents have a service commitment designed to ensure that residents gain experience and can function as a pharmacy generalist. To achieve this objective, residents are scheduled to work as a staff pharmacist every third weekend and no holidays.

Are there other requirements for residents?

Residents are expected to complete a major project. This project is chosen and completed with the guidance of a preceptor and provides the resident with experience in conducting research, preparing a manuscript and presenting to a group of peers.

The residents also participate in the Portland Citywide Residency program, which provides an opportunity to interact with pharmacy residents from other regional residency programs.

Residents participate in variety of projects including drug utilization evaluations (DUEs), inservices for multidisciplinary groups, drug information question write-ups, written education material development for Legacy, newsletter production, and other projects.