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Hello everyone...thanks to all those who answered my previous thread about pharmacy. I just wanted to share with you why I will probably aim for medicine instead. What I say won't apply to everyone, but it's worth thinking about.
Money
Money isn't everything, but it is an important reason why we all go to work. Pharmacists do make a lot...well, a lot when compared to everyone except doctors. Seven out of the top ten earning professions are different medical specialties. Pharmacists aren't even on the list. According to the Occupational Outlook Handbook provided by the U.S. Department of Labor, the average salary for a pharmacist is $77,500. I think this estimate is a bit low, but the OOH tends to have low estimates for most professions, so it is still valid for comparative purposes. The average salary for a family physician is $150,000 (this is also a lower estimate, just like that provided for other professions). Specialists earn more, all the way up to anesthesiologists who earn an average of more than $300,000. So, yes, pharmacists do make a lot of money, but like Einstein said, it's all relative. A typical anesthesiologist will earn more than 4 typical pharmacists put together. At the least, a doctor in a low-paying field can still typically expect to earn more than twice as much. So do pharmacists still earn "a lot" of money?
Educational Commitment
Many people have gone into pharmacy because they feel it takes "a lot" less time than it does to become a doctor. There used to be a big difference back in the day when you could do just two years of undergrad and two years of postgrad to become a licensed pharmacist. Doctors had to spend at least seven years more, which I agree is a huge commitment. The problem with this is that it is no longer true! Now all pharmacists have to retain the Pharm.D., not just two years postgrad. So that seven extra years gets whittled down to five. Plus, the future of the pharmaceutical field is rumored to be heading toward clinical (I personally doubt this). However, if you want to be a clinical pharmacist, you need to complete a one-year residency after postgrad. This is optional, but if you don't do the residency, you will be limiting which job opportunities you can pursue. So let's assume you want to keep your options open and do the residency. Those five extra years for doctors gets whittled down to four. We can only pray that the same people who made the Pharm.D. mandatory don't come up with a longer residency plan.
Now let's take a closer look at undergrad. Many people are getting into pharmacy school with just two years experience, but it is becoming increasingly unlikely that a 2-year applicant will be accepted, due to the increasing competitiveness of the applicant pool. In some pharmacy schools, except for a few super-students, it is unofficial policy that without a bachelor's degree you have almost no chance of getting in. However, I think it's reasonable to suggest that the typical pharmacy student will need three years of undergrad both to prepare for pharmacy and to be accepted. Two years is minimalistic and four years is the maximum, so we can reasonably assume three years is typical (statistically, it is). This means that unlike doctors the typically pharmacist won't have a bachelor's degree due to the missing year if they want to switch professions as is increasingly the trend (unless they work really hard for those three years), but we can overlook that for now. So the four extra years for doctors now gets whittled down to three.
So a typical 7 years for pharmacists and a typical 10 years for doctors seems reasonable, considering that doctors make double, triple, and in some cases even quadruple what pharmacists do. But you may ask, "Hey, there's still 3 extra years!" Yes, but those years of residency are not unpaid - the typical salary during residency is only $30,000 which is no fortune, but it's something. In fact, it's a third of a typical pharmacist's salary. So while you as a pharmacist will be working those three years while the doctor is going through an admittedly tough residency, you will only make an average extra profit of $180,000. The doctor will break even with you in 2 to 3 years and steamroll right on ahead (typically). My point being, those 3 extra years doesn't mean zero income, and boy does it pay off in the end. So 7 years vs. 10 years with the price of reducing your salary by 1/2 to 1/3 for the rest of your life...does becoming a pharmacist still take "a lot" less time than becoming a doctor?
My last problem with the idea that pharmacists have less educational commitment than doctors regards intensity of education. Admittedly, it is harder to get into medical school and to complete medical school than it is for pharmacy school. But, contrary to perception, that doesn't mean it is for lazy people. If you are a lazy person, you are going to be just as poorly off in a pharmacy school as in a medical school. To go into pharmacy because you are lazy is a dumb idea. To go into pharmacy solely because it takes 7 years instead of 10 years is a dumb idea when you look at a lifetime. With that reasoning, why go to college at all, and save those 7 extra years as well? You should go into pharmacy if you enjoy pharmacy, not for these reasons.
What is my advice for people who want to go into medicine but don't think they can get in so are planning to go into pharmacy?
1. Do your best.
2. Don't underestimate the strength of pharmacy school (again, do your best).
3. Apply to both. If you get into medical, go medical. There's a reason why it's so much harder to get into medical school - it's in greater demand. If you get in, go.
4. If you are really committed to medicine and don't get into medical school, you can go to a Caribbean school where they accept everyone, then come back to the U.S. for residency (a surprisingly common practice). You'll only get into one of the lowest paying specialties, but that means you will still be earning twice as much as a pharmacist.
Responsibility
Yes, medicine typically does involve more responsiblity than pharmacy. But that is what makes it rewarding, and why people arguably treat you with more respect. Let me advise any pre-pharms out there: Don't go into pharmacy instead of medicine because you're an irresponsible person. It's not going to work. There are no easy answers in life. Snap out of it.
Medical malpractice is an issue. However, the public is aware of it and constant efforts are underway to improve the situation. It's an old and well known fact lawyers sue the people who have the money. Don't go into pharmacy because you are afraid of being sued - it's an issue with anyone who has millions of dollars, be aware of it and deal with it. Don't avoid it or use it as a legitimate reason to switch careers, at least not with all the efforts underway to help doctors.
Interest
The bottom line of my mini-book is that the major legitimate reason most people should have to go into pharmacy is that they have a real interest in it that is significantly greater than their interest in medicine. However, I have heard of some people who choose pharmacy for the wrong reasons such as:
"I am afraid of getting a disease."
"I don't like to touch people."
Folks, if this is the case, you probably shouldn't go into pharmacy either. Both doctors and pharmacists have a great deal of knowledge about biochemistry, the human body, and the use of drugs. You have to find some difference between the two that makes you significantly more interested in pharmacy than medicine...if that is the case, go for it and good luck to you. If you are afraid of blood or corpses, most medical students will tell you that they initially were also somewhat afraid and queasy, but were so well-trained that by the end, this natural reaction is completely overcome. One medical student I'm friends with told me he was eating lunch over the corpse with his classmate when the classmate dropped something inside...he just picked it out and ate it. Now he was exxagerating, but the point is that such natural reactions are totally overcome by the end of your training...not a good reason to avoid medicine unless it is a debilitating problem for you.
Money
Money isn't everything, but it is an important reason why we all go to work. Pharmacists do make a lot...well, a lot when compared to everyone except doctors. Seven out of the top ten earning professions are different medical specialties. Pharmacists aren't even on the list. According to the Occupational Outlook Handbook provided by the U.S. Department of Labor, the average salary for a pharmacist is $77,500. I think this estimate is a bit low, but the OOH tends to have low estimates for most professions, so it is still valid for comparative purposes. The average salary for a family physician is $150,000 (this is also a lower estimate, just like that provided for other professions). Specialists earn more, all the way up to anesthesiologists who earn an average of more than $300,000. So, yes, pharmacists do make a lot of money, but like Einstein said, it's all relative. A typical anesthesiologist will earn more than 4 typical pharmacists put together. At the least, a doctor in a low-paying field can still typically expect to earn more than twice as much. So do pharmacists still earn "a lot" of money?
Educational Commitment
Many people have gone into pharmacy because they feel it takes "a lot" less time than it does to become a doctor. There used to be a big difference back in the day when you could do just two years of undergrad and two years of postgrad to become a licensed pharmacist. Doctors had to spend at least seven years more, which I agree is a huge commitment. The problem with this is that it is no longer true! Now all pharmacists have to retain the Pharm.D., not just two years postgrad. So that seven extra years gets whittled down to five. Plus, the future of the pharmaceutical field is rumored to be heading toward clinical (I personally doubt this). However, if you want to be a clinical pharmacist, you need to complete a one-year residency after postgrad. This is optional, but if you don't do the residency, you will be limiting which job opportunities you can pursue. So let's assume you want to keep your options open and do the residency. Those five extra years for doctors gets whittled down to four. We can only pray that the same people who made the Pharm.D. mandatory don't come up with a longer residency plan.
Now let's take a closer look at undergrad. Many people are getting into pharmacy school with just two years experience, but it is becoming increasingly unlikely that a 2-year applicant will be accepted, due to the increasing competitiveness of the applicant pool. In some pharmacy schools, except for a few super-students, it is unofficial policy that without a bachelor's degree you have almost no chance of getting in. However, I think it's reasonable to suggest that the typical pharmacy student will need three years of undergrad both to prepare for pharmacy and to be accepted. Two years is minimalistic and four years is the maximum, so we can reasonably assume three years is typical (statistically, it is). This means that unlike doctors the typically pharmacist won't have a bachelor's degree due to the missing year if they want to switch professions as is increasingly the trend (unless they work really hard for those three years), but we can overlook that for now. So the four extra years for doctors now gets whittled down to three.
So a typical 7 years for pharmacists and a typical 10 years for doctors seems reasonable, considering that doctors make double, triple, and in some cases even quadruple what pharmacists do. But you may ask, "Hey, there's still 3 extra years!" Yes, but those years of residency are not unpaid - the typical salary during residency is only $30,000 which is no fortune, but it's something. In fact, it's a third of a typical pharmacist's salary. So while you as a pharmacist will be working those three years while the doctor is going through an admittedly tough residency, you will only make an average extra profit of $180,000. The doctor will break even with you in 2 to 3 years and steamroll right on ahead (typically). My point being, those 3 extra years doesn't mean zero income, and boy does it pay off in the end. So 7 years vs. 10 years with the price of reducing your salary by 1/2 to 1/3 for the rest of your life...does becoming a pharmacist still take "a lot" less time than becoming a doctor?
My last problem with the idea that pharmacists have less educational commitment than doctors regards intensity of education. Admittedly, it is harder to get into medical school and to complete medical school than it is for pharmacy school. But, contrary to perception, that doesn't mean it is for lazy people. If you are a lazy person, you are going to be just as poorly off in a pharmacy school as in a medical school. To go into pharmacy because you are lazy is a dumb idea. To go into pharmacy solely because it takes 7 years instead of 10 years is a dumb idea when you look at a lifetime. With that reasoning, why go to college at all, and save those 7 extra years as well? You should go into pharmacy if you enjoy pharmacy, not for these reasons.
What is my advice for people who want to go into medicine but don't think they can get in so are planning to go into pharmacy?
1. Do your best.
2. Don't underestimate the strength of pharmacy school (again, do your best).
3. Apply to both. If you get into medical, go medical. There's a reason why it's so much harder to get into medical school - it's in greater demand. If you get in, go.
4. If you are really committed to medicine and don't get into medical school, you can go to a Caribbean school where they accept everyone, then come back to the U.S. for residency (a surprisingly common practice). You'll only get into one of the lowest paying specialties, but that means you will still be earning twice as much as a pharmacist.
Responsibility
Yes, medicine typically does involve more responsiblity than pharmacy. But that is what makes it rewarding, and why people arguably treat you with more respect. Let me advise any pre-pharms out there: Don't go into pharmacy instead of medicine because you're an irresponsible person. It's not going to work. There are no easy answers in life. Snap out of it.
Medical malpractice is an issue. However, the public is aware of it and constant efforts are underway to improve the situation. It's an old and well known fact lawyers sue the people who have the money. Don't go into pharmacy because you are afraid of being sued - it's an issue with anyone who has millions of dollars, be aware of it and deal with it. Don't avoid it or use it as a legitimate reason to switch careers, at least not with all the efforts underway to help doctors.
Interest
The bottom line of my mini-book is that the major legitimate reason most people should have to go into pharmacy is that they have a real interest in it that is significantly greater than their interest in medicine. However, I have heard of some people who choose pharmacy for the wrong reasons such as:
"I am afraid of getting a disease."
"I don't like to touch people."
Folks, if this is the case, you probably shouldn't go into pharmacy either. Both doctors and pharmacists have a great deal of knowledge about biochemistry, the human body, and the use of drugs. You have to find some difference between the two that makes you significantly more interested in pharmacy than medicine...if that is the case, go for it and good luck to you. If you are afraid of blood or corpses, most medical students will tell you that they initially were also somewhat afraid and queasy, but were so well-trained that by the end, this natural reaction is completely overcome. One medical student I'm friends with told me he was eating lunch over the corpse with his classmate when the classmate dropped something inside...he just picked it out and ate it. Now he was exxagerating, but the point is that such natural reactions are totally overcome by the end of your training...not a good reason to avoid medicine unless it is a debilitating problem for you.