Any outpatient hospital pharmacists out there?

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Newpharmacist

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Hi,
Anyone working in outpatient hospital here? How do you like it? How's the work environment like? Is it better than inpatient( here I d think Gould be personal preference), in terms scheduling?
What do you hate the most in this setting?
How hard is it to get into retail hospital position? Is it sought after ? Would you prefer to be a pharmacy manager in this setting or be a staff?
What does the pay and benefit structure look like in general?

Would really appreciate your inputs !thanks !

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I work in hospital outpatient. Some of the advantages include direct contact with the doctors (lots of drug info questions, etc), good hours (depending on the site mostly M-F 9-5, but big hospitals usually have 1 outpatient clinic that is 7days/week with late hours), lots of exposure to inpatient pharmacy (transitions of care is a growing area in pharmacy), lots of specialty services (depending on what the hospital offers-- I see lots of transplant, pediatric, compound, and fertility), access to electronic medical records, and access to all hospital drug information resources (which are extensive at all academic hospitals). Also, the internal candidate status I have developed at my hospital gives me a chance to apply to other areas such as infusion, inpatient, ambulatory care. In the last few years, the outpatient services have really expanded to encompass many of the things residency-trained pharmacists might do such as med rec, drug info, and transitions of care. That said, the bulk of what an outpatient pharmacist does is lick and stick retail pharmacy. However, I do like that we don't have to do vaccines (which is a job duty of nurses and clinics). One last benefit is that outpatient pharmacists get all the benefits of the hospital which can be quite nice (pension plans, generous vacation, etc).

The drawbacks are that it is extremely difficult to obtain a hospital outpatient job. There are always big projects that management wants to roll out, and these projects may involve major overtime. Hospitals can be very disorganized places, and this definitely extends into outpatient pharmacy settings. The chaotic release of patients, especially those with no insurance/money can create major headaches in the pharmacy. It is a common ordeal to see a psychiatric discharge with no insurance, no money, and an unsure place of living. Outpatient pharmacists are not treated with the reverence of the inpatient and clinical pharmacists. We have many less training opportunities than the other pharmacists since we are always so business dispensing medications (inpatient pharmacists usually have lots of time to go to meetings and attend special trainings). In outpatient it is hard sometimes to even take a lunch-break. I know for a fact that outpatient pharmacists have to work harder than any other pharmacist in the hospital (counting job duties only, not publications, etc). Finally, one disadvantage is that there are many seniority rules in hospitals. Being low in seniority means it is extremely difficult (impossible actually) to take a vacation when you want one. It can take 10-15 years before seniority builds up to a nice level. Also, seniority rules with all job bids. So it can be difficult to move into another desired position until you have enough seniority.

That said, outpatient jobs are extremely difficult to get. Kaiser Permanente is known for having many outpatient jobs that are just about impossible to get unless you were an intern or have strong internal connections. These jobs are very sought after, especially once people have been burned out on retail. My hospital even has had residency-trained pharmacists dabble in outpatient, but they usually leave once they get an opening elsewhere in the company.
 
Members don't see this ad :)
I work in hospital outpatient. Some of the advantages include direct contact with the doctors (lots of drug info questions, etc), good hours (depending on the site mostly M-F 9-5, but big hospitals usually have 1 outpatient clinic that is 7days/week with late hours), lots of exposure to inpatient pharmacy (transitions of care is a growing area in pharmacy), lots of specialty services (depending on what the hospital offers-- I see lots of transplant, pediatric, compound, and fertility), access to electronic medical records, and access to all hospital drug information resources (which are extensive at all academic hospitals). Also, the internal candidate status I have developed at my hospital gives me a chance to apply to other areas such as infusion, inpatient, ambulatory care. In the last few years, the outpatient services have really expanded to encompass many of the things residency-trained pharmacists might do such as med rec, drug info, and transitions of care. That said, the bulk of what an outpatient pharmacist does is lick and stick retail pharmacy. However, I do like that we don't have to do vaccines (which is a job duty of nurses and clinics). One last benefit is that outpatient pharmacists get all the benefits of the hospital which can be quite nice (pension plans, generous vacation, etc).

The drawbacks are that it is extremely difficult to obtain a hospital outpatient job. There are always big projects that management wants to roll out, and these projects may involve major overtime. Hospitals can be very disorganized places, and this definitely extends into outpatient pharmacy settings. The chaotic release of patients, especially those with no insurance/money can create major headaches in the pharmacy. It is a common ordeal to see a psychiatric discharge with no insurance, no money, and an unsure place of living. Outpatient pharmacists are not treated with the reverence of the inpatient and clinical pharmacists. We have many less training opportunities than the other pharmacists since we are always so business dispensing medications (inpatient pharmacists usually have lots of time to go to meetings and attend special trainings). In outpatient it is hard sometimes to even take a lunch-break. I know for a fact that outpatient pharmacists have to work harder than any other pharmacist in the hospital (counting job duties only, not publications, etc). Finally, one disadvantage is that there are many seniority rules in hospitals. Being low in seniority means it is extremely difficult (impossible actually) to take a vacation when you want one. It can take 10-15 years before seniority builds up to a nice level. Also, seniority rules with all job bids. So it can be difficult to move into another desired position until you have enough seniority.

That said, outpatient jobs are extremely difficult to get. Kaiser Permanente is known for having many outpatient jobs that are just about impossible to get unless you were an intern or have strong internal connections. These jobs are very sought after, especially once people have been burned out on retail. My hospital even has had residency-trained pharmacists dabble in outpatient, but they usually leave once they get an opening elsewhere in the company.

Well said, I used to moonlight a little in a hospital outpatient and I agree with this post from speaking with the permanent staff there and my own experiences. Another option to look into is County outpatient pharmacies within clinics, also very difficult to land these positions as people never leave until retirement. Genoa outpatient pharmacies are also a great experience for outpatient pharmacy if you like psych pharm. I had a great experience when I would fill in for them at Genoa! If you have any questions about Genoa, just PM me. All and all hospital outpatient, county outpatient and Genoa are hands down so much better than chain retail, IMO.
Someone should try snagging this position: https://www4.recruitingcenter.net/C....cfm?jbaction=JobProfile&Job_Id=10648&esid=az
Everett is right outside Seattle, great spot IMO. Genoa is a hidden gem in outpatient pharmacy. You can build great relationships with the psych nurse practitioners and they will rely on you greatly for pharmacotherapy recommendations. It is a tough patient population but it is great vantage point to target adherence measures and help an underserved population. If I was going to work in a dispensing environment, it owuld be with them again.
 
Thanks for the inputs!
I just started in this setting. After joining learnt few Rphs recently quit... and that they are having it hard to fill the open positions??? That makes me a little nervous ..
(Now I did take a at least $20K pay cut! I wonder if that's why..
But again that's also expected for a hospital role in return for better working environment and benefits )

Also took PIC role when both were offered..... not sure if that was a good decision . I personally feel it's a bad idea to be a PIC as opposed to staff in retail chains.


Any thoughts?
 
It's basically retail with less work, but more politics.
 
You ask too many questions, too too many questions. But I think my answer is easy and simple. You are really afraid about this job. Then why bother? I'm sure you can find another which will suit you. Leave this job and be yourself.
????
Never mind ! Keep replying to all topics in this forum as you have been with zero actual price of advice!
 
Hi,
Anyone working in outpatient hospital here? How do you like it? How's the work environment like? Is it better than inpatient( here I d think Gould be personal preference), in terms scheduling?
What do you hate the most in this setting?
How hard is it to get into retail hospital position? Is it sought after ? Would you prefer to be a pharmacy manager in this setting or be a staff?
What does the pay and benefit structure look like in general?

Would really appreciate your inputs !thanks !

I worked in an outpatient hosp position and loved it. I'm part of the SEIU 1199 union and the place wasn't doing so well, so they started lay offs. I was by far the most qualified worker there, but as per union rules....seniority is everything.......last 1 in, 1st to go. My manager and director tried to keep me but I've been there for 3 years, everyone else has been there for 20 years. If you have strong retail experience and have strong leadership/speaking skills you should do fine as a PIC.
I am now signed on to be the PIC in a local mail order closed door pharmacy, so we will see how that goes. I would love at some point in my career to go back to the outpatient hospital setting.
What locality are you practicing in?
 
I work at an infusion center with 2 techs. Hours are 8 - 4 M - F (no holidays). The knowledge expectation is much higher than retail since it is a part of hem/onc, but the autonomy given for what I do is worth it.

Since the clinic is part of a health system the pay and benefits are similar to inpatient RPh.

As mentioned previously these are rare positions to come by so consider yourself fortunate.
 
I am preparing for an interview for Genoa Pharmacy, please provide any advice so that will help me to do well during the interview.
BTW I know that Genoa pharmacy is an outpatient pharmacy, most likely, I know that the Pharmacist does not have to dispense contraceptives; however, are controlled substances dispensed a lot in Genoa pharmacy?
Well said, I used to moonlight a little in a hospital outpatient and I agree with this post from speaking with the permanent staff there and my own experiences. Another option to look into is County outpatient pharmacies within clinics, also very difficult to land these positions as people never leave until retirement. Genoa outpatient pharmacies are also a great experience for outpatient pharmacy if you like psych pharm. I had a great experience when I would fill in for them at Genoa! If you have any questions about Genoa, just PM me. All and all hospital outpatient, county outpatient and Genoa are hands down so much better than chain retail, IMO.
Someone should try snagging this position: https://www4.recruitingcenter.net/C....cfm?jbaction=JobProfile&Job_Id=10648&esid=az
Everett is right outside Seattle, great spot IMO. Genoa is a hidden gem in outpatient pharmacy. You can build great relationships with the psych nurse practitioners and they will rely on you greatly for pharmacotherapy recommendations. It is a tough patient population but it is great vantage point to target adherence measures and help an underserved population. If I was going to work in a dispensing environment, it owuld be with them again.
 
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