For current ISSUES in pharmacy...read this article:
Reimbursment for Clinical Services Provided by Pharmacists: Where Have We Gone Wrong?
Am J Health-System Pharmacists 2007:64(1)104-106
We can talk about all the "things" that get our jobs done faster or easier - but the issue is the "mindset" of who is going to school, who is teaching in that school & what is being taught.
This affects all practice situations - not just hospital, retail, closed-door or clinics.
I often see a limited approach to what pharmacists do & what they are capable of doing. But, as this article points out - with increasing possibilities - the harm we could do can outweigh the good.
That brings up - is licensure sufficient? A question always comes up - does the school where you go matter? Do you have to do a residency? What is the future?
Honestly, there is no one right answer, but, the one answer I can definitely predict is pharmacy will be different in 10 years than it is now. And...if you're not willing to keep up & stay flexible - you could be left behind & indeed, you may become that highly respected, but outdated telegraph operator referenced. You also have to learn & understand the many different reimbursement structures within the profession. Otherwise, you'll just be dumbfounded as to why you are apparently dispensing rxs on the retail side for less than cost, altho your corporation insists on it or, why your CEO could care less if you'll save money by running an anticoag clinic.
Now....would I bring this up in an interview - hmmmm..no. As the article points out, often there is a culture gap between academicians & the actual practice of pharmacy.
But...I'd bet my last dollar this will come up in my meeting this weekend!
