corporate came into my pharmacy today

[lorain]

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some big shots came in today, of course criticized me for some of my #s 🙄


but THE most imp thing they said:

as far as they are concerned, the supply has met the demand and with reimbursement cuts and all the schools opening up, they are anticipating a surplus....they think all will be well if this mtm thing works out

just thought id pass the tidbit around

 

[PharmDstudent]

some big shots came in today, of course criticized me for some of my #s 🙄


but THE most imp thing they said:

as far as they are concerned, the supply has met the demand and with reimbursement cuts and all the schools opening up, they are anticipating a surplus....they think all will be well if this mtm thing works out

just thought id pass the tidbit around

So does this only apply to your location: "somewhere in PA!"?

If so, then ok. But if not, then your post is lacking specifics.

 

[lorain]

pa and it applies to ohio too

but they said in general to keep a rph at 50+, cuts have to be made to offset reimbursement decrease (aka cut tech hours, less 24 hr stores, etc)

i just think its interesting that it gets talked a lot on here but now they were talking to me about it openly

 

[Got Em]

Most people should have seen this coming. This year (2009 grads) was the first year that Walgreens and CVS filled up their positions in Houston and Dallas, which tells me that other major cities are gone as well. My friend that is graduating in December this year told me that Walgreens was already full and the new grads will only get jobs if somebody is leaving. In another year, 2 new schools will have their first graduating class in Texas. Sounds bad?

Yes, but it's not the end of the world. The recent lack of jobs in major cities has a lot to do with the economy as well. Also, if Obama's plan allows for pharmacists to be more involved, then we'll be set. If not, we may be just like every other profession...where we have to actually get good grades, interview well, and have some work experience. So I guess there won't be anymore of...."you have a PharmD? When is the earliest that you can start?".

 

[Doctor M]

Sure I am glad I opened shop! Even with a slight cut in Reimbursement, we will make it.

 

[type b pharmD]

really ? some more people are anticipating a pharmacist surplus?

has anything else new happened since i was last here?

 

[Got Em]

really ? some more people are anticipating a pharmacist surplus?

has anything else new happened since i was last here?

There is a pharmacist surplus in many areas, but not overall in the whole country. Right now the unemployment rate is what...10.2%? This number would be at 17% if it counted people that stopped looking for jobs. There is a surplus in most industries, but healthcare is one of the better fields out there, where you can still find a job easily if you're willing to re-locate.

 

[type b pharmD]

There is a pharmacist surplus in many areas, but not overall in the whole country. Right now the unemployment rate is what...10.2%? This number would be at 17% if it counted people that stopped looking for jobs. There is a surplus in most industries, but healthcare is one of the better fields out there, where you can still find a job easily if you're willing to re-locate.

Healthcare has not shed jobs period .. in what.. the last 5 -10 years? They have been adding jobs every month since the recession began. Also, the unemployment rate for college degreed folks is somewhere around 4-5% ? still that's triple what it normally would be but it isnt the "world is falling apart" situation that manufacturing and construction workers are facing.

 

[Got Em]

Healthcare has not shed jobs period .. in what.. the last 5 -10 years? They have been adding jobs every month since the recession began. Also, the unemployment rate for college degreed folks is somewhere around 4-5% ? still that's triple what it normally would be but it isnt the "world is falling apart" situation that manufacturing and construction workers are facing.

I agree with some of your points, but some of this is not correct. There were many pharmacists laid off in both Florida and Arizona after the POWER program was implemented at Walgreens. It is true that there were a lot of jobs added during the recession, but many jobs were lost as well due to budget cuts. I don't think I've ever said this was a "world falling apart" situation...it just intrigued me that there were no more spots in Houston and Dallas. San Antonio has always been lacking pharmacists, but Walgreens hired 17 new graduates this summer there and now it's completely full as well.

 

[type b pharmD]

I agree with some of your points, but some of this is not correct. There were many pharmacists laid off in both Florida and Arizona after the POWER program was implemented at Walgreens. It is true that there were a lot of jobs added during the recession, but many jobs were lost as well due to budget cuts. I don't think I've ever said this was a "world falling apart" situation...it just intrigued me that there were no more spots in Houston and Dallas. San Antonio has always been lacking pharmacists, but Walgreens hired 17 new graduates this summer there and now it's completely full as well.

I was talking about healthcare as a sector of the economy. Overall more jobs have been gained than lost. I agree pharmacy jobs are filling up. However at least some of those jobs in florida were lost due to pharmacists not being willing to work at cenfill. Some posters on here have indeed remarked "central location is still hiring".

It's getting tight, but the fundamentals support a renewed market in the future. It wont be the same as it was in the early 2000s again at least not in the next decade or so , but you gotta look and say , if prescription volume is going up 10% per year year after year, mechanical and technological efficiencies can only go so far. Mail order will look like less of a cost savings when fuel costs rise again as well. Baby boomers havent even hit their peak drug using years yet. But yeah with the increased amount of grads, it's pretty hard to imagine a pharmacist "shortage" again for some time. My personal bet is that the next few years will be really tight, as grads pile up and the economy is still slow to recover.

But people gotta get old and get on drugs at some point.

 

[Got Em]

I was talking about healthcare as a sector of the economy. Overall more jobs have been gained than lost. I agree pharmacy jobs are filling up. However at least some of those jobs in florida were lost due to pharmacists not being willing to work at cenfill. Some posters on here have indeed remarked "central location is still hiring".

It's getting tight, but the fundamentals support a renewed market in the future. It wont be the same as it was in the early 2000s again at least not in the next decade or so , but you gotta look and say , if prescription volume is going up 10% per year year after year, mechanical and technological efficiencies can only go so far. Mail order will look like less of a cost savings when fuel costs rise again as well. Baby boomers havent even hit their peak drug using years yet. But yeah with the increased amount of grads, it's pretty hard to imagine a pharmacist "shortage" again for some time. My personal bet is that the next few years will be really tight, as grads pile up and the economy is still slow to recover.

But people gotta get old and get on drugs at some point.

Looks like we feel the same way. I thought we had opposing views, but turns out we're on the same page.

 

[Sparda29]

Looks like we feel the same way. I thought we had opposing views, but turns out we're on the same page.

Let's just hope for some catastrophic error in the pharmacy automation that results in the government forcing a ban on pharmacy automation.

 

[Got Em]

Let's just hope for some catastrophic error in the pharmacy automation that results in the government forcing a ban on pharmacy automation.

That wouldn't affect us. Automation effects the job security of technicians, not pharmacists (for our generation at least). Ever work in retail where the computer tells you all these dumb interactions? Warfarin + simvastatin will give you a "Major" interaction that I have to clear every single time, even if the person has been on both for a few years. Also, you'll get dumb minor interactions when one drug is a minor inhibitor of 3A4 and the other one goes through it. Real pharmacists > robots.

 

[Old Timer]

some big shots came in today, of course criticized me for some of my #s 🙄


but THE most imp thing they said:

as far as they are concerned, the supply has met the demand and with reimbursement cuts and all the schools opening up, they are anticipating a surplus....they think all will be well if this mtm thing works out

just thought id pass the tidbit around

How high up are the big shots????? What was their job title? Did they mention power?

 

[type b pharmD]

How high up are the big shots????? What was their job title? Did they mention power?

could have been saber rattling cause his numbers werent up to par

 

[Aznfarmerboi]

I was talking about healthcare as a sector of the economy. Overall more jobs have been gained than lost. I agree pharmacy jobs are filling up. However at least some of those jobs in florida were lost due to pharmacists not being willing to work at cenfill. Some posters on here have indeed remarked "central location is still hiring".

It's getting tight, but the fundamentals support a renewed market in the future. It wont be the same as it was in the early 2000s again at least not in the next decade or so , but you gotta look and say , if prescription volume is going up 10% per year year after year, mechanical and technological efficiencies can only go so far. Mail order will look like less of a cost savings when fuel costs rise again as well. Baby boomers havent even hit their peak drug using years yet. But yeah with the increased amount of grads, it's pretty hard to imagine a pharmacist "shortage" again for some time. My personal bet is that the next few years will be really tight, as grads pile up and the economy is still slow to recover.

But people gotta get old and get on drugs at some point.

... without getting too much into specifics, my pharmacy was doing 2,000 prescriptions a week. Now, we are doing 2,500 (due to readyfill and a busy flu season). This was without any extra pharmacist or overlap. I also run a pretty legitimate store where only RPHs can compound, mix, counsel, take oral orders, etc. (Have any of you guys tried to compound tamiflu suspensions...?)

Most stores in the city do 1200 to 1500 prescriptions a week. If my store can do 2,500, what makes you think a 10 percent increase in prescriptions will force CVS to hire more pharmacists for that store?

 

[type b pharmD]

... without getting too much into specifics, my pharmacy was doing 2,000 prescriptions a week. Now, we are doing 2,500 (due to readyfill and a busy flu season). This was without any extra pharmacist or overlap. I also run a pretty legitimate store where only RPHs can compound, mix, counsel, take oral orders, etc. (Have any of you guys tried to compound tamiflu suspensions...?)

Most stores in the city do 1200 to 1500 prescriptions a week. If my store can do 2,500, what makes you think a 10 percent increase in prescriptions will force CVS to hire more pharmacists for that store?

So your volume increased by 20% . Can you do that every 3-4 years?

 

[SHC1984]

So your volume increased by 20% . Can you do that every 3-4 years?

He wouldn't like it but he will not have a choice since big retail chains will do anything to save money. There is no law that says you have to hire new pharmacists if Rx counts go up. LOL...Increase in scripts just means more work for YOU, there will not be any new help. LOL...

 

[SHC1984]

Most people should have seen this coming. This year (2009 grads) was the first year that Walgreens and CVS filled up their positions in Houston and Dallas, which tells me that other major cities are gone as well. My friend that is graduating in December this year told me that Walgreens was already full and the new grads will only get jobs if somebody is leaving. In another year, 2 new schools will have their first graduating class in Texas. Sounds bad?

Yes, but it's not the end of the world. The recent lack of jobs in major cities has a lot to do with the economy as well. Also, if Obama's plan allows for pharmacists to be more involved, then we'll be set. If not, we may be just like every other profession...where we have to actually get good grades, interview well, and have some work experience. So I guess there won't be anymore of...."you have a PharmD? When is the earliest that you can start?".

👍 I have both and I am glad b/c it is more than obvious now that in a few years everyone will be required to do a residency before getting a job...with this saturation, its going to be sooner than later.

New graduates are already having to relocate to find jobs and I live in a pretty average/boring city. 🙄

 

[type b pharmD]

👍 I have both and I am glad b/c it is more than obvious now that in a few years everyone will be required to do a residency before getting a job...with this saturation, its going to be sooner than later.

New graduates are already having to relocate to find jobs and I live in a pretty average/boring city. 🙄

First off. At a certain point it becomes physically impossible to fill more. I doubt a pharmacy staffed for 2000 (optimally) could fill 5000 , and if scripts increase 6% per year, your volume is going to double almost every 10 years.

Second, there is nowhere near enough money to fund an additional thousands of residency spots that would be needed for someone to mandate residency training for every pharmacist. I just love when people spout this one off ("residencies will be required in the near future"). There are what, 5,000 residency spots open ... and soon to be 12-13,000 pharmacists graduating per year? Are additional slots going to just appear out of thin air?

 

[PharmDstudent]

I just love when people spout this one off ("residencies will be required in the near future"). There are what, 5,000 residency spots open ... and soon to be 12-13,000 pharmacists graduating per year? Are additional slots going to just appear out of thin air?

Exactly.

 

[SHC1984]

First off. At a certain point it becomes physically impossible to fill more. I doubt a pharmacy staffed for 2000 (optimally) could fill 5000 , and if scripts increase 6% per year, your volume is going to double almost every 10 years.

Second, there is nowhere near enough money to fund an additional thousands of residency spots that would be needed for someone to mandate residency training for every pharmacist. I just love when people spout this one off ("residencies will be required in the near future"). There are what, 5,000 residency spots open ... and soon to be 12-13,000 pharmacists graduating per year? Are additional slots going to just appear out of thin air?

You are missing the point, if there are TOO many pharmacists jobs will be very hard to find (like NOW for example) and therefore employers will have their pick in who is hired and who is not. Since they have their pick, they will choose people with residencies!
Of course there is going to be less residency spots then there are graduates b/c NOT everyone is fit or qualify for a residency. NOT everyone should get into residencies and not everyone should be able to get a job. Its call survival of the fittest.
Residencies are a good way to weed people out, since there is a surplus (surplus means there aren't enough jobs for everyone) there needs to be a way to weed out people that aren't as qualify for the job.
I mean there are only 125 Ortho residencies spots in the United States and thousands of people applying every year does that mean they should increase the number so that EVERYONE that applys will get in for sure???? HELL NO! Not everyone is qualified to be an Orthodontist, so only 125 spots are available each year to weed out the people that aren't fit for the job!!
However, I am glad/surprised that you still believe that jobs will be so easy to find in a few years. I think you are the only person on this forum that thinks anyone can easily get a job upon graduation.

 

[type b pharmD]

You are missing the point, if there are TOO many pharmacists jobs will be very hard to find (like NOW for example) and therefore employers will have their pick in who is hired and who is not. Since they have their pick, they will choose people with residencies!
Of course there is going to be less residency spots then there are graduates b/c NOT everyone is fit or qualify for a residency. NOT everyone should get into residencies and not everyone should be able to get a job. Its call survival of the fittest.
Residencies are a good way to weed people out, since there is a surplus (surplus means there aren't enough jobs for everyone) there needs to be a way to weed out people that aren't as qualify for the job.
I mean there are only 125 Ortho residencies spots in the United States and thousands of people applying every year does that mean they should increase the number so that EVERYONE that applys will get in for sure???? HELL NO! Not everyone is qualified to be an Orthodontist, so only 125 spots are available each year to weed out the people that aren't fit for the job!!
However, I am glad/surprised that you still believe that jobs will be so easy to find in a few years. I think you are the only person on this forum that thinks anyone can easily get a job upon graduation.

I thought you meant residencies would be required by some governing body. My Bad. And no, I have never said that. I just think it's not AS dire as most of you do. Of course it is hard to find a job. I think it will probably be at least this hard for a long time to come. But it isnt DIRE with events on the horizon. And yeah if you dont have good work experience you're probably going to have trouble unless you want to work in an extremely rural area. Hell it may be downright impossible to get a job in *any* major city without being a candidate with previous experience at the company or good references, customer service skills, ability to interview well, etc. And if you look around, you'll find several experienced pharmacists on here who agree with me that the game is not over for everyone . it's probably over for people who thought they could be handed a desirable job with little work. Im just betting that the best interns/residents can find work even in a saturated area. So if you have only moderate credentials, you probably will have to work hard to get a job even in a less desirable area. I do think it's funny though that people bring up the "grades" card frequently. Yes it will be required to have excellent grades to get a residency, but you think when the supply of pharmacists is large, a community pharmacy hiring manager is going to look at grades as their next factor? Grades dont mean anything in business terms. A person's customer service, teamwork, and work efficiency contribute much more to the bottom line, and therefore, to a manager's bonus than their GPA.

 

[SHC1984]

I thought you meant residencies would be required by some governing body. My Bad. And no, I have never said that. I just think it's not AS dire as most of you do. Of course it is hard to find a job. I think it will probably be at least this hard for a long time to come. But it isnt DIRE with events on the horizon. And yeah if you dont have good work experience you're probably going to have trouble unless you want to work in an extremely rural area. Hell it may be downright impossible to get a job in *any* city without work experience or a residency or both.

My bad for not making it more clear. Maybe they won't use residencies to weed people out...but they will have to use something to weed out all the new grads, because there are way too many pharmacists graduating each year and it's not possible for all of them to get a job. Someone has to give (go jobless). LOL...

Its kinda like if 100 women all wanted to marry you this second, you have no choice but to weed out 99 of them. Its that simple! LOL...

 

[SHC1984]

I thought you meant residencies would be required by some governing body. My Bad. And no, I have never said that. I just think it's not AS dire as most of you do. Of course it is hard to find a job. I think it will probably be at least this hard for a long time to come. But it isnt DIRE with events on the horizon. And yeah if you dont have good work experience you're probably going to have trouble unless you want to work in an extremely rural area. Hell it may be downright impossible to get a job in *any* major city without being a candidate with previous experience at the company or good references, customer service skills, ability to interview well, etc. And if you look around, you'll find several experienced pharmacists on here who agree with me that the game is not over for everyone . it's probably over for people who thought they could be handed a desirable job with little work. Im just betting that the best interns/residents can find work even in a saturated area. So if you have only moderate credentials, you probably will have to work hard to get a job even in a less desirable area. I do think it's funny though that people bring up the "grades" card frequently. Yes it will be required to have excellent grades to get a residency, but you think when the supply of pharmacists is large, a community pharmacy hiring manager is going to look at grades as their next factor? Grades dont mean anything in business terms. A person's customer service, teamwork, and work efficiency contribute much more to the bottom line, and therefore, to a manager's bonus than their GPA.

Agreed. GPA doesn't matter unless you are applying for residencies or merit scholarships. Those are the only reasons why I am keeping up with my GPA. Employers don't look at GPA...but if the surplus gets bad enough they will favor people with residencies. And of course you need a high GPA to have a chance at a residency.

 

[StaviZFingerZ]

Second, there is nowhere near enough money to fund an additional thousands of residency spots that would be needed for someone to mandate residency training for every pharmacist. I just love when people spout this one off ("residencies will be required in the near future"). There are what, 5,000 residency spots open ... and soon to be 12-13,000 pharmacists graduating per year? Are additional slots going to just appear out of thin air?

The limiting factor for residency isn't the funding. The funding for resident salary is actually the easy part as most of it is subsidized by the government. It's the lack of practice/training sites.

Of course if we opened 5,000 residencies...that would be additional $200 million bucks per year burden which I'm not sure the gov't will pick up..
Still, it doesn't matter since we won't see an increase in RX residency slots like that. Just wanted to inform you that it's really not the hospitals flipping the entire bill for the residents.

 

[type b pharmD]

The limiting factor for residency isn't the funding. The funding for resident salary is actually the easy part as most of it is subsidized by the government. It's the lack of practice/training sites.

Of course if we opened 5,000 residencies...that would be additional $200 million bucks per year burden which I'm not sure the gov't will pick up..
Still, it doesn't matter since we won't see an increase in RX residency slots like that. Just wanted to inform you that it's really not the hospitals flipping the entire bill for the residents.

thanks. I honestly wasnt really sure. I just figured they would be difficult to open.

 

[StaviZFingerZ]

I just figured they would be difficult to open.

Oh absolutley it's difficult to open.. Easy process yet hard task to open a residency.

 

[lorain]

How high up are the big shots????? What was their job title? Did they mention power?

i have no idea what their title was, there were 2 of them, one was the boss of the district supervisor and the other one was the one who oversaw all of PA operation.

they mentioned power, but not too much, they were more interested in the workflow balancing thing. i got the typical line of power that its going to free more time for rph to counsel....again, it was hard for me to talk to them as I was doing 500 rx

the only + thing i liked from them was their view on mtm, if that ever goes through.

 

[Got Em]

There are 2 major factors going against people who are interested in doing a residency. As some pointed out before, there is a limited number of spots and it's very difficult to open residency programs. The other factor is salary, which was the biggest reason for me to not do a residency. I was Rho Chi, started an organization, yada yada...so I could have easily gotten a spot. However, it just didn't make sense for me to do a 1-2 year residency and come out making $10-20k less. I really think it should be the other way around, but profits get you paid....and you really don't have that number crunching aspect for clinical pharmacy (outside of MTMs).

 

[Argentium]

Baby boomers havent even hit their peak drug using years yet.

Don't forget that a lot of people (mothers, people nearing retirement / already retired) went back to work because their portfolios or income took a huge hit during this recession. So when things get better, those jobs may open up again.

 

[Pharmachic]

I talked with my manager about the "new grads are having trouble finding jobs" topic. In this conversation, he made a valid point. It's not that they are having trouble finding jobs, rather they're having trouble finding jobs in a particular market. Indeed.com posts several positions. Check out the VA. There are over 100 positions posted. Also, a residency definitely doesn't guarantee employment. For example, I know a resident who finished this past summer that couldn't get a clinical position. Her option? Working at a CVS 4 hours away. That brings me to a previous thread. If you're really passionate about pharmacy and not doing it just for the money, you can find a fulfilling job, with or without a residency. It's the picky people making those claims. Everyone can't practice in desired cities. There are advantages to practicing in rural areas. Loan repayment is a big one. Indian Health Service anyone? Sure the pay is lower, but look at the BIG picture like benefits and retirement after 20 yrs. Just a thought...

 

[grizzlesgrizzlies]

my question is if you were a retail district supervisor, would you hire a PharmD who has a PGY1 under his or her belt but has no customer service/people skills (not that the two go hand in hand) over a PharmD who has worked in retail for a few years while in school?

i just don't get this residency is the end all, be all in finding a job... i mean, it is if a clinical/hybrid hospital staffing position is what you're looking for... but for most other settings, all you need is just experience... and don't get me started on community practice "retail" residencies...

 

[Pharmachic]

my question is if you were a retail district supervisor, would you hire a PharmD who has a PGY1 under his or her belt but has no customer service/people skills (not that the two go hand in hand) over a PharmD who has worked in retail for a few years while in school?

i just don't get this residency is the end all, be all in finding a job... i mean, it is if a clinical/hybrid hospital staffing position is what you're looking for... but for most other settings, all you need is just experience... and don't get me started on community practice "retail" residencies...

My sentiments exactly

 

[lorain]

residency and working retail do not go together, for retail, all it matters is can you pump out 400 in a fast pace?

 

[EddieL]

I don't really think that this post reflects the market as a whole. The OP seems to be from Pittsburgh. Here, we have two pharmacy schools in the city (Pitt, Duq), as well as a few additional ones only an hour or two away (LECOM, etc).

Don't get me wrong, his post is accurate, but PA is a saturated state in comparison to most.

 

[PharmaTope]

pharmacy is DONE.


pharmacy does not offer a procedure. think of surgery, gi, cardio, dentistry, they all offer procedures where they get reimbursed. complicated procedures taht cannot be automated. you need to be able to justify and realistically just giving an "opinion" and counting, counseling can be eliminated. a lot of hospitals have their nurses counsel patients.

i hope you are all preparing for other careers. PA, NJ and many other states on eastern board of USA are saturated more than you can imagine. too many schools and too many people coming out.

use your time now to prepare for another degree in some capacity it will be worth your while.

 

[type b pharmD]

I don't really think that this post reflects the market as a whole. The OP seems to be from Pittsburgh. Here, we have two pharmacy schools in the city (Pitt, Duq), as well as a few additional ones only an hour or two away (LECOM, etc).

Don't get me wrong, his post is accurate, but PA is a saturated state in comparison to most.

It's funny that wisconsin's number seems to keep going up even in this economy. Good news for going back home to work after graduation.. I know two people who got 10-15k sign on bonus in milwaukee last spring

 

[SHC1984]

I don't really think that this post reflects the market as a whole. The OP seems to be from Pittsburgh. Here, we have two pharmacy schools in the city (Pitt, Duq), as well as a few additional ones only an hour or two away (LECOM, etc).

Don't get me wrong, his post is accurate, but PA is a saturated state in comparison to most.

R you sure this is accurate? California should be the most saturated state why is it a 4.2? Makes no sense. I doubt there is shortage in orange county.

 

[crazybob]

R you sure this is accurate? California should be the most saturated state why is it a 4.2? Makes no sense. I doubt there is shortage in orange county.

Is it only because of the high population? Or high crime in the areas close to it that makes pharmacists not want to go there?

 

[type b pharmD]

Is it only because of the high population? Or high crime in the areas close to it that makes pharmacists not want to go there?

Arent there millions of people living in rural california ? I feel like places like bakersfield might not be saturated

 

[StaviZFingerZ]

Arent there millions of people living in rural california ? I feel like places like bakersfield might not be saturated

Bakersfield has coccidioides immitis...you might get the valley fever.. and need Amphoterrible for 3 months or something..

 

[IrishHammer]

R you sure this is accurate? California should be the most saturated state why is it a 4.2? Makes no sense. I doubt there is shortage in orange county.

It probably also accounts for places that aren't Los Angeles and San Francisco. Yes, there are other places in California besides Hollywood and the Bay Area, SHC.

I'm surprised that despite the ultra-saturated NYC, New York is somehow a 4. We have a lot of pharmacy schools; are that many people leaving the state after graduation? Damn.

 

[genesis09]

It's funny that wisconsin's number seems to keep going up even in this economy. Good news for going back home to work after graduation.. I know two people who got 10-15k sign on bonus in milwaukee last spring

I actually got more than that a couple of months ago. The number of open shifts in the Milwaukee market has decreased. We regularly get e-mails from Green Bay and sometimes Madison markets asking for floaters.

 

[grizzlesgrizzlies]

pharmacy is DONE.


pharmacy does not offer a procedure. think of surgery, gi, cardio, dentistry, they all offer procedures where they get reimbursed. complicated procedures taht cannot be automated. you need to be able to justify and realistically just giving an "opinion" and counting, counseling can be eliminated. a lot of hospitals have their nurses counsel patients.

i hope you are all preparing for other careers. PA, NJ and many other states on eastern board of USA are saturated more than you can imagine. too many schools and too many people coming out.

use your time now to prepare for another degree in some capacity it will be worth your while.

hey... hows it going, any luck in the job search? things should be getting better, and definitely will be one the new year comes around (a lot of these places are understaffed and hopefully the new budget will help that problem)

 

[grizzlesgrizzlies]

R you sure this is accurate? California should be the most saturated state why is it a 4.2? Makes no sense. I doubt there is shortage in orange county.

california has a thing called the CPJE...

 

[Praziquantel86]

It probably also accounts for places that aren't Los Angeles and San Francisco. Yes, there are other places in California besides Hollywood and the Bay Area, SHC.

I'm surprised that despite the ultra-saturated NYC, New York is somehow a 4. We have a lot of pharmacy schools; are that many people leaving the state after graduation? Damn.

New York has some of the most restrictive practice regulations in the country. No CDTM, no licensure for non-citizens. Hell, we just got the ability to immunize this year - and that was only after the NYC health commisioner begged the legislature.

 

[njac]

Bakersfield has coccidioides immitis...you might get the valley fever.. and need Amphoterrible for 3 months or something..

I've had Valley Fever. All I got was ibuprofen! Anyway, fluconazole is the drug of choice!

 

[StaviZFingerZ]

I've had Valley Fever. All I got was ibuprofen! Anyway, fluconazole is the drug of choice!

No!! You don't say!!! We all know generics and fluconazole no longer work! Everyone must get Vfend or Echinocandin. Maybe liposomal!


[/stewardship dood]

 

[Sparda29]

New York has some of the most restrictive practice regulations in the country. No CDTM, no licensure for non-citizens. Hell, we just got the ability to immunize this year - and that was only after the NYC health commisioner begged the legislature.

The health commissioner should have added allowing pharmacy interns to immunize onto that law.