Transitioning from a pharmacy student to a resident is like stepping onto a playing field where the goalpost keeps shifting. As students, we are often laser-focused on a single, clear objective: graduate and secure a residency. But once we don the title of “resident,” the finish line becomes less clear. Instead of chasing grades or clinical rotations, we’re faced with more complex, dynamic challenges: developing clinical judgment, managing real-world patient care, and becoming confident and independent practitioners.
The shift is both exhilarating and overwhelming. One day, you’re a student absorbing information, guided by preceptors who encourage you to ask questions freely. Next, you’re expected to think critically, synthesize knowledge, and make evidence-based decisions in high-pressure situations. The stakes feel higher with real patients and real consequences. Imposter syndrome creeps in: “Am I good enough?” “What if I make a mistake?” “Was the choice I made the right one?”
Balancing responsibilities compounds the challenge. Transitioning to a new institution or team often means adapting to new protocols, electronic health records, and interprofessional dynamics. Simultaneously, you’re expected to juggle longitudinal projects, presentations, and staffing shifts. Sleep and self-care can feel like afterthoughts.
Perhaps the most challenging aspect is the moving target of success. As a pharmacy student, success might have been an A on an examination or a glowing preceptor evaluation. As a resident, it’s more difficult to quantify. “Did I provide the best care?” “Did I anticipate my preceptor’s questions?” “Did I contribute meaningfully in rounds?” Progress feels nonlinear, with some days marked by victories and others by doubt.
Yet amid the chaos, growth happens. Slowly but surely, you adapt. Your confidence builds as you recognize disease patterns, navigate complex medication regimens, and advocate for patients. You begin to find joy in the process rather than perfection. You realize that every challenging day teaches resilience, adaptability, and critical thinking—skills that will define your career far beyond residency.
What’s most important to remember is this: the goalpost may move, but this is a reflection of progress, not a sign of failure. As you achieve one milestone, the next one emerges, pushing you to grow further. The journey is much more important than the destination.
Embrace the discomfort and trust the process. The lessons you’re learning now will lay the foundation for a fulfilling and impactful career. One day, you’ll look back on this time and marvel at just how far you’ve come. Think about how far you’ve come already—your past you would be incredibly proud of your current you!
About the Author: Molly Csere is a current PGY1 pharmacy resident at UConn Health John Dempsey Hospital in Farmington, Connecticut. She received her Pharm.D. degree in 2024 from the University of Connecticut School of Pharmacy in Storrs, Connecticut. Her clinical interests include transitions of care, sterile compounding, and medication safety. In her free time, she enjoys reading, playing video games, cooking/baking, and spending time with family and friends.