Competency framework for hospital pharmacy residency: a scoping review




Pharmacy Residencies; Professional Competence; Pharmacy service, Hospital.


The training and roles of pharmacists around the world are undergoing drastic changes. In the hospital environment, pharmaceutical care services must incorporate hospital pharmacy management necessities, which must consider the constant technological and process innovations. However, there is a scarcity of studies exploring how pharmacy residency programs real experiences in hospitals can improve these essential competencies. This scoping review allowed an overview of the pharmacy residency programs' competency framework's scientific production in the world. These documents review about training programs in the world showed that U.S. programs have teaching processes that evaluate resident's development to certify the program structure to qualify them. Australian and Canadian studies demonstrated advances in the search for pharmacy residents' qualifications with competency-based curricula. It highlighted that a structured and evidence-based approach to these programs' curricula is required and still has ample space in several countries to improve hospital pharmacists' training through residency programs. The most appropriate is that the programs are evaluated in terms of educational results by measuring residents' involvement by considering the course, tutors, and other program components.


ASHP. (1987). Definitions of pharmacy residencies and fellowships. American Journal of Hospital Pharmacy, 44(5), 1142–1144.

ASHP. (2016). Accreditation Standards for PGY1 Pharmacy Residencies - ASHP.

ASHP. (2017). Required Competency areas, Goals, and Objectives for Postgraduate Year One (PGY1) Pharmacy Residencies.

ASHP. (2020a). ASHP Regulations on Accreditation of Pharmacy Residencies.

ASHP. (2020b). Guidance document for the ASHP accreditation standard for postgraduate year one (PGY1) pharmacy residency programs.

Brightwell, A., & Grant, J. (2013). Competency-based training: Who benefits? Postgraduate Medical Journal, 89, 107–110.

Brooks, M. A. (2008). Medical Education and the Tyranny of Competency. Perspectives in Biology and Medicine, 52(1), 90–102.

CEBM. (2009). Oxford Centre for Evidence-Based Medicine: Levels of Evidence (March 2009) — Centre for Evidence-Based Medicine (CEBM), University of Oxford.

CFF. (2014). Panorama of residence in Brazil.

CSHP. (2018). Canadian Pharmacy Residency Board Accreditation Standards for Pharmacy ( Year 1 ) Residencies. Canadian Society of Hospital Pharmacists, (May), 1–21.

De Holanda, F. L., Marra, C. C., & Cunha, I. C. K. O. (2015). Professional competency profile of nurses working in emergency services. ACTA Paulista de Enfermagem, 28(4), 308–314.

España - Presidencia, M. de la. (1998). Real Decreto 139/2003, de 7 de febrero. BOE, núm.39, 26910–26927.

FIP. (2016). Global Vision for Education and Workforce Presented at the global conference on pharmacy and Pharmaceutical sciences education Nanjing Declaration Global Vision for a Global Pharmaceutical Workforce by Advancing Practice and Science through Transformative (Copyright © 2016 International Pharmaceutical Federation (FIP), Ed.).

Fruhling, L., Lafever, M., & Erstad, B. (2019, December 1). Enhancing educational and leadership opportunities for second-year pharmacy residents. American Journal of Pharmaceutical Education, 83, 2037–2040.

Fundación Sanatorio Güemes. (2004). Programa de la Residencia Médica en Farmacia Hospitalaria. Buenos Aires.

Glass, J. M. (2014). Competency based training is a framework for Incompetence. BMJ (Online), 348.

Grant, J. (1999). The Incapacitating Effects of Competence: A Critique. Advances in Health Sciences Education, 4(3), 271–277.

Host, B. D., Stewart, W. S., & Anderson, M. J. (2017). Development of a novel longitudinal postgraduate year 1 residency training model. American Journal of Health-System Pharmacy, 74(6), 382–388.

Howell, J. D. (2016). A History of Medical Residency. Reviews in American History, 44(1), 126–131.

Joanna Briggs Institute. (2015). The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI scoping reviews. Joanne Briggs Institute, 1–24.

Kary, S. J., Dumont, Z., Tangedal, K., Bolt, J., & Semchuk, W. M. (2019). Measuring competency of pharmacy residents: A survey of residency programs’ methods for assessment and evaluation. Canadian Journal of Hospital Pharmacy, 72(5), 343–352.

Martins, J. C. A., Baptista, R. C. N., Coutinho, V. R. D., Mazzo, A., Rodrigues, M. A., & Mendes, I. A. C. (2014). Self-confidence for emergency intervention: Adaptation and cultural validation of the self-confidence scale in nursing students. Revista Latino-Americana de Enfermagem, 22(4), 554–561.

Matthews A, Fowler P, & Dooley, G. D. (2017). Residency programs in Australia-better late than never!

Melnyk, B., & Fineout-Overholt, E. (2011). Making the case for evidence-based practice.In: Melnyk BM, Fineout-Overholt E. Evidencebased practice in nursing & healthcare. A guide to best practice.

Morais Filho, L. A., Martini, J. G., Lazzari, D. D., Vargas, M. A. de O., Backes, V. M. S., & Farias, G. M. de. (2017). Urgency/emergency course content in the education of generalist nurses. REME: Revista Mineira de Enfermagem, 21(0).

ONP. (2020). Formations initiales - Les pharmaciens - Ordre National des Pharmaciens.

Osório-de-Castro CGS & Castilho SR (organizers). (2004). Diagnosis of hospital pharmacy in Brazil. ENSP/Fiocruz, 17–33.

Peters, M., Godfrey, C., McInerney, P., Munn, Z., Tricco, A., & Khalil, H. (2020). Chapter 11: Scoping reviews - JBI Reviewer’s Manual - JBI GLOBAL WIKI.

Presidência do Conselho de Ministros. Decreto-Lei n.o 6/2020 de 24 de fevereiro - Define o regime jurídico para a atribuição do título de especialista nas carreiras farmacêutica e especial farmacêutica. , Diário da República, 1.a série N.o 38 § (2020).

PSA. (2016). National Competency Standards Framework for Pharmacists in Australia. © Pharmaceutical Society of Australia Ltd., 2016.

SBRAFH. (2017a). Minimum Standards for Hospital Pharmacy and Health (3a). São Paulo.

SBRAFH. (2017b). Standards for Pharmaceutical Residencies in Hospitals and other Health Services – PaRes (2nd ed.).

SHPA. (2012). Competency framework (aligned with advanced pharmacy practice framework). Australia.

SHPA. (2020). Foundation Residency - The Society of Hospital Pharmacists of Australia.

Starosta, K., Kenney, R. M., Peters, M., To, L., Kalus, J. S., & Davis, S. L. (2017). Creating objective and measurable postgraduate year 1 residency graduation requirements. American Journal of Health-System Pharmacy, 74(6), 389–396.

Talbot, M. (2004). Monkey see, monkey do: A critique of the competency model in graduate medical education. Medical Education, 38, 587–592.

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., & Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467.

WHO. (1997). role of the pharmacist in the health care system : preparing the future pharmacist : curricular development.




How to Cite

GONSALVES, Z. de S. .; CALIL-ELIAS, S.; CASTILHO, S. R. de . Competency framework for hospital pharmacy residency: a scoping review. Research, Society and Development, [S. l.], v. 10, n. 3, p. e55410313733, 2021. DOI: 10.33448/rsd-v10i3.13733. Disponível em: Acesso em: 13 apr. 2021.



Review Article