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Thursday, May 31, 2007

Is a Pharm D full of BS? Your thoughts

I was sitting here this morning thinking about what news item i should post but instead I think I am going to pose a question to all pharmacists out there. With the step up in the pharmd degree to a doctorate as opposed to the old BS of pharmacy do you feel you are more qaulified than those with a BS because of your rotations and the step up regardless of how much experience they have? I have no real thoughts regarding the issue I feel that experience in the work field in pharmacy is perhaps most important. This maybe a non issue as well since the BS has not been offered since 1996 but I still have clients who want a pharmaD over a BS no matter how much experience the BS has. Just want some thoughts from the pharmacists out there!

Tuesday, May 29, 2007

"Pharmacists Play Critical Role in Reducing Medication Discrepancies"

Great article on how pharmacists play a great role in reducing medical discrepancies before elective surgery by getting the pharmacist involved with accessing the patients home regimen of medication. Of course I am just paraphrasing read the article for yourself.

Friday, May 25, 2007

Thursday, May 24, 2007

Pharmacy education: Change is the only constant

I read this article this morning and thought it was rather relevant. So I have posted it in its entirety here and you can read it by clicking on the title of this blog post. I thought the author raised some interesting points. Let me know what you guys think of this article. I am going to start posting daily news clips for pharmacists to keep everyone up to date on what is going in the job market and pharmacy in general.

Pharmacy education has been in an almost constant state of change for the past 150 years, since the era when a pharmacist learned by being an apprentice. That era was followed by a combination of apprenticeships and courses at local apothecary schools, and then by matriculating in schools of pharmacy for degree programs that gradually have been extended over the years.

The past decade saw the entry-level degree for the profession change over from a bachelor of science degree to the doctorate in pharmacy (Pharm.D.). But for the past decade and more, the entire profession has been undergoing change, as it attempts to move away from primarily dispensing medications toward being the chief source of medication information in health care, toward disease state management, and even medication therapy management.

Currently, the requirement for a Pharm.D. consists of four years of pharmacy school preceded by at least two years of prepharmacy preparatory classes. The previous entry-level degree had been a B.S.Pharm. degree (a five-year course), but all pharmacy students graduating since 2004 have earned a Pharm.D., said Lucinda L. Maine, Ph.D., R.Ph., executive VP of the American Association of Colleges of Pharmacy (AACP).

With the Pharm.D., the entry-level pharmacy degree is equivalent to a medical degree or a dentistry degree, Maine said. "People think we are still overeducating people for the practice, but we are not. The person we are graduating today will be practicing for the next 25 years or more." Because no one will be able to predict what will happen in therapeutics during that time, the goal of pharmacy education is to create a learner who is committed to keeping up with the changes, she said.

The move to a Pharm.D. "is recognition that the dispensing role is not going to be the only role that we contribute to health care in the long term," said Marilyn K. Speedie, Ph.D., dean and professor at University of Minnesota College of Pharmacy and president of AACP. "It is a major paradigm shift." Taking care of patients and helping them with their medications is what the profession will be known for in the long run, she said.

There is a commonality of expectations for a pharmacist's performance, regardless of what degree is earned, said Cynthia L. Raehl, Pharm.D., FASHP, FCCP, professor and chair, Texas Tech University Health Sciences Center School of Pharmacy and president-elect of AACP. "To earn a degree is just the beginning of a career," she said. "It is not just the degree, it is the lifelong learning that a pharmacist must embrace that allows a pharmacist to continue in the practice."

All these advances demand that tomorrow's pharmacy practitioners understand and integrate into their own practices the new scientific principles that will be coming. "Science is moving at a very fast pace, and we must keep pace with science," said Raehl. There will be a reaffirmation of the need for sound scientific foundation in pharmacy education that is stimulated by advances in such fields as stem cell research, genomics, physiology, and biochemistry, she said.

"The dynamics of pharmacy education in the past five years is that we cannot produce pharmacists fast enough," said Maine.

Preparing pharmacists for working in the real world, whether it is in a hospital or a community setting, has taken a lot of input from various groups. "It is very exciting to see the active collaboration taking place among the colleges and schools of pharmacy and community pharmacy owners and operators to prepare pharmacy students as future practitioners," said Sandra Kay Jung Guckian, M.S., R.Ph., VP, pharmacy education and research, National Association of Chain Drug Stores. She noted that NACDS and the American Pharmacists Association are collaborating on the development of the Community Pharmacist Preceptor Education Program, which will be available to all pharmacy schools and community pharmacists.

There's no doubt there will be a lot of discussion about this issue. The important fact, Guckian said, is to keep a focus on attracting students to the profession who have a desire to help people and are entering pharmacy school with a vision for direct patient care practice.

Pharmacy students are now gaining the skills they need in order to be the kind of practitioners who can perform disease state management regardless of practice setting, said Jennifer Athay, Pharm.D., associate director of student development with APhA. There is less emphasis on the dispensing role of pharmacists, but there is still a dispensing role for pharmacists to play, she added. "I look at it as 'Oh boy! Look at how much time I have to spend with patients.' "

Before 2000, the Pharm.D. degree was an alternative choice to the B.S. in pharmacy. The transition to an entry-level doctoral degree was not met with universal approval, and some disapproval still continues. Many in chain drugstores and community pharmacies questioned the need for adding a year and upping the degree to a doctorate. An on-line Drug Topics survey of 488 R.Ph.s in 2006 found that pharmacists were almost equally divided as to whether the move to a Pharm.D. was a good idea, with 52% saying No. The survey found that 42% of respondents felt that a pharmacist with a B.S. degree was capable of meeting the needs of community pharmacy practice and that 11% felt that the doctoral degree was "watered down" by the requirement that all new pharmacists have one.

"The chains do not want any part of this professional pharmacist model," claims Dennis B. Miller, R.Ph., Delray Beach, Fla. Miller, a graduate of West Virginia University School of Pharmacy, has more than 30 years of experience working as a pharmacist in chain drugstores. The idea that the profession will move away from dispensing medications and toward having a greater hand in counseling patients has been touted for years, he noted. Many chains would be happy to replace pharmacists with pharmacy technicians or even robots, he believes.

The views of pharmacy colleges are diametrically opposed to the views of the chains, Miller continued. "The chains want quantity and not quality, and the schools, quality and not quantity."

Now is the time for pharmacists to step up to the plate and provide patient care, and for the people who hire pharmacists to make it possible for them to do so, Speedie said. "We are providing outstanding clinical education, but we need to do better at empowering our graduates to be leaders for change, so that they will demand to use the skills we are giving them," she said.

Society has to come to terms with the fact that we must have a "medication use specialist," added Maine. "When there were four-year pharmacy grads, there were only about 600 individual chemical entities approved and in use. That number today is in excess of 15,000. And, gosh, they are powerful and they are complicated and they are being used in an aging population."

Change may be the only constant in pharmacy education. The six-year Pharm.D. program is now the norm, but many pharmacy students enter pharmacy school today already holding a bachelor's degree, making a Pharm.D. a de facto eight-year program. Whether that course of study becomes the required norm remains to be seen.

THE AUTHOR is a writer based in New York State.

Six (or more) degrees of pharmacy

Pharmacists in the United States have been awarded many different academic degrees—or none at all, if you hearken back to the days of apothecary apprenticeships. The result is an alphabet soup of degrees, many of which are now obscure. Who wouldn't look at Ph.G. and not assume it is a typo for Ph.D.? Here are a few pharmacy degrees and their abbreviations, plus a few that didn't get abbreviated:

Doctor of Pharmacy Pharm.D.

Bachelor of Science in Pharmacy B.S.Pharm.

Master of Science M.S.

Doctor of Philosophy Ph.D.

Pharmacy Doctor P.D.

Graduate in Pharmacy Ph.G.

R.Ph. Registered Pharmacist

Pharmaceutical Chemist

Master of Pharmacy

Bachelor of Pharmacy

Monday, May 21, 2007

Great Article on skills needed by Pharmacists

Top skills you need to be a pharmacist

By Alison Hart, special for USATODAY.com

With a growing elderly population in increasing need of health care and medications, the demand for licensed pharmacists in the U.S. far outstrips the supply. Retail chains will pay top dollar in the bidding war with hospitals, drug companies and managed care firms for qualified candidates.
With about 10,000 unfilled positions, the job outlook "is only going to get better," says Steve Croke, president of Pharmacy Choice, a Web-based portal headquartered in Denver, Colo., that offers career placement and development services for pharmacists.

Being a pharmacist is not just about counting pills. To succeed in the field, pharmacists need these 10 skills:

1. Memorization. Before you fill the prescription, you need to remember everything you learned — even once you receive your license. Pharmacists must know about hundreds of drugs — from their generic and brand names to their side effects and possible drug interactions. Pharmacists stay current on the latest drugs entering the market through required continuing education. The number of CE's pharmacists must take every two years to renew their license varies state to state, but there are many opportunities to help study for these exams. Web sites such as www.RxSchool.com, drug companies, hospitals and pharmaceutical journals like The Pharmacist's Letter and Drug Topics all sponsor CE courses.

2. Attention to detail. Suzanne Richards, chief executive officer of Tustin Hospital and Medical Center in California, looks for someone who is organized when she screens job candidates. In a field where there is little room for error, "You want them to pick the right drug, and you want them to give the right dosage, and you want them to count out the right amount" of pills, she says. An accurate inventory is important in hospitals and retail chains, but it is especially critical in a research setting, where the FDA regulates drug accountability in clinical trials.

3. Strong math and science skills. Pharmacists have strong backgrounds in chemistry, biology, biochemistry and statistics. Pharmacists use skills from these fields everyday to calculate doses and study patient profiles.

4. Preparing drugs. The traditional pharmacist wears a white lab coat and counts pills all day. In some independent retail pharmacies, this is still the case. But more and more, pharmacists are delegating routine activities such as pill counting and billing to certified pharmacy technicians and devoting more time to patients and doctors. Certified pharmacy technicians can receive training through Web sites, such as www.RxTechSchool.com, which offers an 18-week preparatory course for the national certification exam. Many retail chains also offer their own in-house programs for technicians.

5. Drug knowledge and assessment. It's key to have a genuine interest in drugs, drug therapy and how drugs work. Pharmacists are key in the health-delivery system; they're the back-up check for the doctor, Croke says. Although doctors prescribe the drugs, pharmacists often have more information about other medications a patient is taking, past allergies and existing conditions. As technicians take on more behind-the-counter duties, the pharmacist's role is moving increasingly into patient assessment.

6. Working with people. Retail pharmacists deal with customers, hospital pharmacists see patients during grand rounds, and both consult with doctors as respected members of the health-care team. While most pharmacists learned how to work with people during residencies and internships, some find themselves ill equipped to transfer from the hospital to the retail environment.

7. Supervising others. Once solitary professionals, pharmacists now frequently have a staff of support personnel beneath them. Whether you're a retail or hospital pharmacist overseeing a technician's work or a study coordinator managing research effort, it's important to be able to give direction clearly and tactfully.

8. Computer literacy. Although some independent retail pharmacies have yet to connect to the Internet, computerization is growing throughout the industry. While doctors still scribble scripts in an illegible hand, that is likely to change soon. "The electronic transmission of prescriptions," according to Croke, "is going to be the next wave."

9. Specialty training. With further training, pharmacists can specialize in the treatment of certain chronic diseases, such as asthma or diabetes. The American Diabetes Association offers continuing education credits to pharmacists who attend their annual Scientific Sessions or regional postgraduate courses.

10. Teaching. If you excelled in your pharmacy school study group, then teaching is a valuable component of your skill set. All pharmacists are "expected to educate the person on the medication that they're taking," Richards says. In clinical and research settings, the need for teachers is even greater. "Even the pharmaceutical companies need pharmacists to educate their sales force," Croke says.

Thursday, May 17, 2007

Pharmacist Shortage

I have just read an article stating that the shortage of pharmacists in the US will continue to grow and there will be a need for 420,000 by 2020. With our population continuing to age and live longer the need will continue to grow and inefficiencies in pharmacy practice exacerbate the problem. I have added a link to this article above and I will copy the link in the body of this post.

http://www.uspharmacist.com/index.asp?show=article&page=8_1008.htm

Wednesday, May 16, 2007

Pharmacy Jobs in Missouri

Staff Pharmacist- Hospital

My client is a large hospital set in a town that is right out of a Norman Rockwell painting. The hospital has been in service for 8 years and is expanding at a phenomenal rate. All buildings including 13 clinics are under 8 years old. The positions the hospitals are looking to fill are newly created positions in order to keep up with demand of ever expanding services and patient admissions. Hospital is looking for hardworking individuals who work well in a diverse environment. 90% of the staff are from diverse areas of the country and are free thinking and intelligent individuals.


Description:

The position is a full-time day position FT - Usually 8-430pm, one 12:30-9pm per week, every 4th weekend. The successful candidate will be required to enter/verify physician orders, check technician fills, compound and check IV preparation, make chemotherapy when required, help maintain various clinical programs such as amino glycoside dosing, TPN's, therapeutic interchanges, etc. and will be required to interact with our physicians, nurses, and other staff in a professional manner. We offer a professional, dynamic work environment in a growing Regional Community Hospital. Paid on call time is required when pharmacy is closed in the evenings.

Requirements:

Pharmacist position requires a valid Registered Pharmacist license in good standing with the Missouri Board of Pharmacy, Hospital experience preferred but not required. new grads and retail pharmacists welcome.





Staff Pharmacist- Hospital

My client is a large hospital set in a town that is right out of a Norman Rockwell painting. The hospital has been in service for 8 years and is expanding at a phenomenal rate. All buildings including 13 clinics are under 8 years old. The positions the hospitals are looking to fill are newly created positions in order to keep up with demand of ever expanding services and patient admissions. Hospital is looking for hardworking individuals who work well in a diverse environment. 90% of the staff are from diverse areas of the country and are free thinking and intelligent individuals.


Description:

We are looking for two pharmacists for full-time overnight position 7off/7on nights, 9pm until 7am each night work 70 hours and get paid for 80 Thursday to Wednesday . Pharmacist will be responsible for entering physician orders, answering questions from physicians & nurses, pharmacokinetic dosing, monitoring therapies, compounding IV preparations as needed, filling and checking unit dose medications, checking and/or filling Omnicell machines if needed, verifying technician orders and compounds as needed and any other functions required for patient care.

Requirements:

Qualified Candidate will be required to have a registered pharmacist license in good standing with the Missouri Board of Pharmacy, Hospital experience preferred, new grads and retail pharmacists are welcome to apply.

If you are interested please feel free to call Nader Ayoub at 866 538 0715, email your resume to nayoub@infinitysg.com or fax to 610-616-4410.

Tuesday, May 15, 2007

Pharmacy Jobs

If anyone is interested in these jobs below please post a message on my blog, call 866 538 0715 or fax your resume to 610 616 4410.

New Jersey Pharmacy Jobs

Clinical Pharmacist-Specialty, Home Infusion, Long Term Care.

Union County
Day Shift M-F/ No weekends or on call
Generous Salary
Travel as needed to conferences

Dispensing Pharmacist-Long Term Care

Middlesex County
3 Positions
Day shift/Rotating weekends
Evening shift /Rotating weekends
Overnight 7on-7off/ work 70 get pd for 80
Competitive Salary
Possible 5,000 sign on bonus.

IV-Supervisor

Middlesex County
Day Shift /Rotating weekends
Competitive Salary
Possible 5,000 sign on bonus.

Staff Pharmacist-Hospital

Middlesex County
Overnight shift 7on-7off/work 70 hours get pd for 80 hours
Competitive salary.

Staff Pharmacist- Hospital

Burlington County
Overnight shift 7on-7off
Competitive salary

Staff Pharmacist-Hospital

Atlantic County
Evening Shift 4pm-12pm/rotating weekends.
Competitive salary.
10,000 Sign on Bonus


Staff Pharmacist

Monmouth County
Overnight shift 7on-7off works 70 get Pd for 80 hours
Competitive salary.

Monday, May 14, 2007

How to make sure you are going in the right direction.

If you are a new grad or a pharmacist who has been in work force for a number of years. There is one question that looms large on your minds. Should I go into retail or should I make the move to hospital. It has been my experience in dealing with pharmacists for quite awhile now that the longer one stays in retail the harder it is for them to get a job in any other area of pharmacy becuase they do have the skills to make the move and the employers do not have the time and infrastructure to train them. I would love to hear some opinions of the pharmacists out there regarding Retail V. Hospital issue.

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