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This is why the holistic process of residency does not work and by implementing a standardized exam could help with match rates. It’s harder to get a pharmacy residency compared to a medical residency, in which the match rate is 80% for 3 years or a PA residencyHere are all the hoops you have to jump through in order to become a "clinical pharmacist" (keep in mind these are all based on averages):
1. Get admitted to pharmacy school - 82.7% chance
2. Pass classes, complete PharmD, not fall victim to attrition: 87.9% chance
3. Apply and match to a PGY-1 residency - 64% chance
4. Apply and match to a PGY-2 (specialist) residency - 75% chance
This means that in order to just have the requisite credentials to be qualified to apply for a job, you only have a 34.9% chance.
Now let's consider the job market. 81,700 pharmacist jobs are hospital jobs which are growing at a 4.4% rate over the next 10 years. This means that based on the latest BLS forecast, there will be ~ 360 new hospital jobs created per year. There are 14,905 graduates at minimum per year, so your chances of finding a hospital job is at best 360/14,905 = 2.4%, but that number is hugely inflated because there are tons of unemployed, underemployed and displaced pharmacists looking for other jobs who have graduated in the last 1-25 years before you graduated and you're all fighting for the same jobs.
Taken together, this means that while every one of your classmates say they don't want to do retail pharmacy, your hopes of becoming that unicorn clinical hospital pharmacist is 34.9% x 2.4% = 0.8%. Good luck in the Hunger Games, and may the odds be ever in your favor.
Secondly, the cruel joke is that even when getting through the “Hunger Games,” pharmacy residency after completing a PGY-2 does not guarantee you a clinical specialist job compared to medicine or PA residency.
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