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Old 04-20-2012, 08:24 AM   #1
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I used to be a "doom and gloomer", but now I'm seeing that there are jobs, clinical jobs, with no residency required, in a large city on the East Coast. In the month since matching, I got 2 interview invites (and I didn't even apply for 1 of the jobs but I did an APPE there), and I'd actually like to end up in one of the jobs, at least initially. Trouble is that I matched already, so I guess I need to go through with this residency. Also, although this job would suit me initially, I'm not sure if I'd like doing it 5 or 10 years down the road, so I guess residency would help me get a better job then. This is a job at a coumadin clinic, and the pharmacist in charge of it actually doesn't really like residencies.

So my question, what is the proper course of action? I gather that I can't back out of residency (and the residency will most likely be useful for me later on) but what should I do to increase my chances of getting hired at this job post residency (if I find nothing better)? Should I call them? Or should I just send them a CV and tell them that I would be interested in this job, but I'm doing a residency, so I'll definitely consider it once I'm done with the residency?

Also, for the record, today is the day that I decided that I am not doing a PGY2, as clearly the pharmacy schools have us drinking the residency kool-aid and there are still clinical jobs with PGY1s (or even without PGY1s).
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Old 04-20-2012, 11:30 AM   #2
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I used to be a "doom and gloomer", but now I'm seeing that there are jobs, clinical jobs, with no residency required, in a large city on the East Coast. In the month since matching, I got 2 interview invites (and I didn't even apply for 1 of the jobs but I did an APPE there), and I'd actually like to end up in one of the jobs, at least initially. Trouble is that I matched already, so I guess I need to go through with this residency. Also, although this job would suit me initially, I'm not sure if I'd like doing it 5 or 10 years down the road, so I guess residency would help me get a better job then. This is a job at a coumadin clinic, and the pharmacist in charge of it actually doesn't really like residencies.

So my question, what is the proper course of action? I gather that I can't back out of residency (and the residency will most likely be useful for me later on) but what should I do to increase my chances of getting hired at this job post residency (if I find nothing better)? Should I call them? Or should I just send them a CV and tell them that I would be interested in this job, but I'm doing a residency, so I'll definitely consider it once I'm done with the residency?

Also, for the record, today is the day that I decided that I am not doing a PGY2, as clearly the pharmacy schools have us drinking the residency kool-aid and there are still clinical jobs with PGY1s (or even without PGY1s).
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Old 04-20-2012, 11:49 AM   #3
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I used to be a "doom and gloomer", but now I'm seeing that there are jobs, clinical jobs, with no residency required, in a large city on the East Coast. In the month since matching, I got 2 interview invites (and I didn't even apply for 1 of the jobs but I did an APPE there), and I'd actually like to end up in one of the jobs, at least initially. Trouble is that I matched already, so I guess I need to go through with this residency. Also, although this job would suit me initially, I'm not sure if I'd like doing it 5 or 10 years down the road, so I guess residency would help me get a better job then. This is a job at a coumadin clinic, and the pharmacist in charge of it actually doesn't really like residencies.

So my question, what is the proper course of action? I gather that I can't back out of residency (and the residency will most likely be useful for me later on) but what should I do to increase my chances of getting hired at this job post residency (if I find nothing better)? Should I call them? Or should I just send them a CV and tell them that I would be interested in this job, but I'm doing a residency, so I'll definitely consider it once I'm done with the residency?

Also, for the record, today is the day that I decided that I am not doing a PGY2, as clearly the pharmacy schools have us drinking the residency kool-aid and there are still clinical jobs with PGY1s (or even without PGY1s).
I think that residency will help you out long-term. Even if initially you won't be able to land your dream job right out of residency, it will provide you necessary training to get to where you want to be eventually. I think sending your CV and explaining them that you will be interested in this job in one year is a great idea.

PGY2 is not a prerequisite for a clinical job but it is required if you want to be a specialized pharmacist. After I matched to my PGY1 residency, I was 100% sure that I will pursue PGY2. But as I was completing my rotations, I realized that I like most of pharmacy areas and don't necessarily need to work in one area for the rest of my life. Thus, I completely turned around and decided against PGY2. On the other side if you have a passion for fields such as critical care, oncology, transplant, and infectious diseases, you will need to have PGY2 training but it's not a prerequisite for other fields, in my opinion. Also, keep in mind too that if you want to practice in the pharmacy area in which you completed PGY2, you will have to relocate most of the time.
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Old 04-20-2012, 06:48 PM   #4
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JMO, but I would find Coumadin clinic to be rather tedious after awhile. What is the future of warfarin with all the new anticoagulants coming out?
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Old 04-22-2012, 06:36 AM   #5
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I used to be a "doom and gloomer", but now I'm seeing that there are jobs, clinical jobs, with no residency required, in a large city on the East Coast. In the month since matching, I got 2 interview invites (and I didn't even apply for 1 of the jobs but I did an APPE there), and I'd actually like to end up in one of the jobs, at least initially. Trouble is that I matched already, so I guess I need to go through with this residency. Also, although this job would suit me initially, I'm not sure if I'd like doing it 5 or 10 years down the road, so I guess residency would help me get a better job then. This is a job at a coumadin clinic, and the pharmacist in charge of it actually doesn't really like residencies.

So my question, what is the proper course of action? I gather that I can't back out of residency (and the residency will most likely be useful for me later on) but what should I do to increase my chances of getting hired at this job post residency (if I find nothing better)? Should I call them? Or should I just send them a CV and tell them that I would be interested in this job, but I'm doing a residency, so I'll definitely consider it once I'm done with the residency?

Also, for the record, today is the day that I decided that I am not doing a PGY2, as clearly the pharmacy schools have us drinking the residency kool-aid and there are still clinical jobs with PGY1s (or even without PGY1s).
Go with the residency. A match is a binding contract and you can't back out of it without a grave reason (meaning that someone is actually in a grave). And as you mentioned, the residency will help you out later on, not just in terms of knowledge but in terms of who you might meet. Your residency director/preceptors might know somebody who will have a great job for you when your finish residency.

I think it's a good idea to send your CV to these employers and say something like, "The job sounds great but I already committed to do this residency for a year. If you have an opening when I get done, I hope you'll think of me!"
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Old 04-22-2012, 01:01 PM   #6
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Where are you finding these great jobs?

I have contacted some job posting if I would be able to apply pre-graduation/license and was told to apply after I have a license in hand.

Graduation is in a week and I feel like a total failure and that I have wasted 6 years of my life if I am not able to find a job.

If anyone knows a great job site it would be much appreciated, I have just been going to the sites of local hospitals to look at listing. If I can find a job I am very willing to relocate.
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Old 04-22-2012, 03:16 PM   #7
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Where are you finding these great jobs?

I have contacted some job posting if I would be able to apply pre-graduation/license and was told to apply after I have a license in hand.

Graduation is in a week and I feel like a total failure and that I have wasted 6 years of my life if I am not able to find a job.

If anyone knows a great job site it would be much appreciated, I have just been going to the sites of local hospitals to look at listing. If I can find a job I am very willing to relocate.
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Old 04-26-2012, 08:14 AM   #8
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On the other side if you have a passion for fields such as critical care, oncology, transplant, and infectious diseases, you will need to have PGY2 training but it's not a prerequisite for other fields, in my opinion.
I find this to be very true. It can be more difficult to find a specialty position in one of those areas without a PGY2. Granted, there are also non-traditional tracks available at certain hospitals, both rural and urban, where you can get trained on the job, usually after completion of a PGY1. But these programs tend to vary across the board since there are no real standards.

Just something else to think about, especially for students early in their education; with 100+ oncology and 100+ critical care residents graduating from PGY2s each year, will these non-traditional tracks still be around in the next 5 years, 10 years?
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Old 04-26-2012, 11:23 AM   #9
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JMO, but I would find Coumadin clinic to be rather tedious after awhile. What is the future of warfarin with all the new anticoagulants coming out?
Agreed, I am part of the clinic rotation and doing it once and a while is a nice change of pace but doing it day in and day out would get boring in my opinion.
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Old 04-26-2012, 05:46 PM   #10
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I find this to be very true. It can be more difficult to find a specialty position in one of those areas without a PGY2. Granted, there are also non-traditional tracks available at certain hospitals, both rural and urban, where you can get trained on the job, usually after completion of a PGY1. But these programs tend to vary across the board since there are no real standards.

Just something else to think about, especially for students early in their education; with 100+ oncology and 100+ critical care residents graduating from PGY2s each year, will these non-traditional tracks still be around in the next 5 years, 10 years?
Critical care residents already cannot find jobs in their fields. On the other side oncology - there is still shortage of qualified oncology specialists just because most of oncology field is moving from inpatient to numerous ambulatory settings. If you have an interest in oncology, I would encourage anyone to pursue it.
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