The UH Cleveland Medical Center postgraduate year two (PGY2) specialty residency in medication use safety and policy is a one-year postgraduate training program designed to transition PGY1 residency graduates from generalist practice to specialized practice that meets the needs of system wide management of the medication-use system at a large health system. This training focuses on integrating clinical, safety, policy, formulary, informatics, and drug distribution systems to optimize drug therapy for the University Hospitals Health System. Special focus is given to formulary management and medication safety, with aspects of quality improvement, analytics, informatics, accreditation, compliance, and administration. The resident will participate in system functions throughout the fifteen