The pharmacist is the most accessible health care professional one can find. Just stop into your local chain pharmacy, grocery store or even Wal-Mart, and you can easily talk with one. While the general public may think of pharmacy as a “count and pour profession,” there is a lot more that goes on behind the counter.
Nature of the Work
Community Pharmacists If you’re ever in need of some quick (and free) advice, these are the people to see. According to one estimate, community pharmacists get more than two billion questions a year from their customers. Therefore, what you and I see from the outside is only the tip of the iceberg, to borrow a cliché.
Aside from dispensing medications, pharmacists counsel patients on how to use their medications appropriately; advise patients, and physicians, on the selection, dosages, interactions, and side effects of medications; monitor the health and progress of patients to ensure safe and effective use of medications; and provide general health information among others responsibilities. Some community pharmacists also provide specialized services to help patients with diabetes, asthma, smoking cessation, or high blood pressure; some are even trained to administer vaccinations or write prescriptions (similar to a physician’s assistant or nurse practitioner).
Hospital Pharmacists Hospital pharmacists have a unique opportunity for direct involvement with patient care. As the drug expert in the health care team, they are an authoritative source of drug information. In addition, they are responsible for maintaining records on each patient, using them to fill medication orders and to screen for possible drug allergies, side effects, interactions, and overdoses. More recently, pharmacists have begun providing specialized services in adult medicine, pediatrics, oncology, and psychiatry. And due to the diversity of activities in the pharmacy department, there is also an increasing demand for management experience, including finance and budgeting, personnel administration, systems development, and planning.
Other Settings While the majority of pharmacists practice in community and hospital pharmacies, there are a few who practice in non-conventional settings. The number of people enrolled in managed care programs has risen drastically leading to numerous employment opportunities in this field. Managed care pharmacists evaluate whether or not patients are receiving appropriate medications and if not, help determine the best course of therapy.
Of course, someone has to teach the next generation of pharmacists. There are over 4,200 full-time faculty working in academia, but this number is still insufficient.
Pharmacists also work as government consultants, officers in the military, researchers, and a plethora of new venues. We will leave it up to you the reader to research these fields if you are interested.
Job Outlook
Job prospects for pharmacists are excellent according to many sources. The Bureau of Labor Statistics predicts a 22 percent increase in pharmacists by the year 2016; in raw numbers, this translates to an additional 50,000 jobs. The current workforce was 253,000 in 2007. Pharmacy Manpower Project, Inc. predicts an even brighter future with an estimated number of 157,000 pharmacist jobs that need to be filled by the year 2020. Moreover, Money Magazine included pharmacists in their report of the nations top 10 jobs based on growth, pay, stress-levels and other factors. They project a 25 percent growth over the next 10 years. These numbers stem from an aging population; the increased complexity and number of medications; increased emphasis on primary and preventive health services; home health care; and long term care. Pharmacists will also become more involved in planning drug therapy programs.
Employment and Earnings
As previously mentioned, there were 253,000 pharmacists employed in the United States in 2007. About 62 percent worked in community pharmacies – drugstore chains, department stores, etc. – while 23 percent worked in a hospital setting. The remaining 15 percent worked in various capacities ranging from mail-order facilities to government jobs.
Based upon the most recent Occupational Employment Statistics (2007), the median pharmacist annual wage was $98,960 ($47.58/hr). The lowest 10 percent earned less than $73,010 while the top 10 percent earned over $126,410. The median 50 percent earned between $88,060 and $115,030. Top paying states are shown in the table below.
Education
In the fall of 2005, 46,527 students were enrolled in the United States, more than 49 percent of whom held a post- secondary degree (associate degree, 3.4 percent; baccalaureate, 43.4 percent; masters, 2.2 percent; doctorate, 0.6 percent). With only 92 schools as of 2007, admission is highly competitive; the table below is a small example of the competitiveness for the 2008 – 2009 academic year. In addition to grades and interviews, two-thirds of schools require applicants to take the Pharmacy College Admissions Test (PCAT).
Since the B.S. in Pharmacy degree was eliminated in 1997, the Doctor of Pharmacy (Pharm.D.) is the ONLY professional practice degree. The Pharm.D. degree requires four years of professional study (three at accelerated programs), following a minimum of two years of pre-pharmacy study. Exceptions necessarily exist, but the majority of pre-pharmacy requirements include:
For those who want to pursue further education, graduate study leading to a Master of Science (M.S.) or Doctor of Philosophy (Ph.D.) is available at many schools of pharmacy. However, these two degrees are research degrees and DO NOT qualify the holder to be a licensed pharmacist unless he also holds a Pharm.D.
Although most schools of pharmacy offer similar courses, there is no set curriculum, but a common core of subjects. Major areas of instruction include the following:
Pharmacognosy deals with the nature and sources of “natural drugs”-those obtained from plants or animals.
Pharmacology is concerned with understanding the action of drugs in the body.
Pharmacy administration is a vital area for two reasons: it covers basic economics, accounting, management – crucial for those aspiring to become executives or hoping to run their own pharmacies; and it covers pharmacy law.
Pharmacy practice courses are intended to familiarize students with the many forms of medicines, and to teach them how to dispense medication accurately and skillfully.
Clinical pharmacy deals with actual patient care, with an emphasis on drug therapy. This area of the curriculum seeks to develop a patient-oriented attitude in the student.
Licensure
In order to practice as a pharmacist, a license is required in the United States, the District of Columbia, and all U.S. territories. This process involves graduating from an accredited school of pharmacy AND passing a series of exams. The North American Pharmacist Licensure Exam (NAPLEX) tests pharmacy skills and knowledge and is required by all states. In addition, forty-four states and the District of Columbia require the Multistate Pharmacy Jurisprudence Exam (MPJE), which tests pharmacy law. Both tests are given by the National Association of Boards of Pharmacy (NABP). The states that do not require the MPJE administer their own pharmacy law exam, California being one.
Except for California, all jurisdictions allow license transfers to qualified pharmacists who already hold a license from another jurisdiction. Most licenses require continuing education for license renewal.
Costs
Tuition varies from school to school, but range from $5,264 (North Dakota State, resident) to $38,270 (Western University) a year. Below is a cost breakdown of a few schools.
State
Employment
Hourly Mean Wage
Annual Mean Wage
California
23,030
$53.85
$112,020
Alaska
360
$52.79
$109,810
Maine
1,190
$52.37
$108,930
Minnesota
4,990
$50.69
$105,440
Tennessee
6,130
$50.62
$105,280
School
Number of Applicants
Interviewed
Accpeted
Average GPA
Average PCAT
UC - San Francisco
1200
250
122
Not Available
Not Applicable
U of the Pacific (CA)
1900
280
200
3.4
Not Applicable
UNC - Chapel Hill (NC)
850
Not Available
155
3.5
86 %
U of Minnesota
1124
376
167
3.58
80 %
General Chemistry with lab (1 year)
Calculus (1 semester)
Organic Chemistry with lab (1 year)
Statistics (1 semester)
General Biology with lab (1 year)
Physics (1 semester)
Human Anatomy/Physiology (1 semester)
Macroeconomics (1 semester)
Microbiology (1 semester)
Speech (1 semester)
Physics (1 year)
Psychology (1 semester)
University of California at San Francisco School of Pharmacy San Francisco, California
2008 - 2009 Tuition and Fees
University Registration Fee
$864.00
Educational Fee
$6,204.00
Student Union
$129.00
Associated Students Fee
$51.00
Student Health Insurance Premium
$2,518.00
Pharmacy Student Association
$21.00
Professional School Fee
$13,634.00
California Resident Total
$23,421.00
Nonresident Tuition
$12,245.00
Nonresident Total
$35,660.00
University of the Pacific Thomas J. Long School of Pharmacy Stockton, California
2008 - 2009 Tuition and Fees ***
Tuition
$47,445.00
Professional Fee
$960.00
Technology Fee
$900.00
Health Center Fee
$360.00
Student Association Fee
$300.00
Student Center Fee
$90.00
Total
$50,162.00
University of North Carolina at Chapel Hill Eshelman School of Pharmacy Chapel Hill, North Carolina
2008 - 2009 Tuition and Fees
Tuition
$12,802.50
Fees
$1,829.58
Orientation Fee
$45.00
Clerkship Fee
$200.00
NC Resident Total
$14,877.08
Nonresident Tuition
$17,926.88
Nonresident Total
$32,803.96
University of Minnesota College of Pharmacy Minneapolis, Minnesota
2008 - 2009 Tuition and Fees
Tuition
$17,176.00
Student Services Fee
$672.62
University Fee
$1,100.00
Collegiate Fee
$300.00
GAPSA Fee
$23.00
Minnesota Resident Total
$19,271.72
Nonresident Tuition
$11,388.00
Nonresident Total
$30,659.72
*** Tuition and fees are for a three semester academic year