Expectations as an Intern

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wolingfeng

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Hi,

I just finished the first year of pharm school and going to work in a pharmacy for the first time in my life as a pharm intern. I am somewhat nervous. What does the pharmacist expect me to know at this point? Top 200 brand/generic and law? I just want to be a little bit prepared, but my lack of experience just makes me nervous!😡

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How hard is it to become an intern? Is it as competetive as getting a technician job or easier? Can you do one with no pharmacy experience what so ever?
 
How hard is it to become an intern? Is it as competetive as getting a technician job or easier? Can you do one with no pharmacy experience what so ever?

I am not sure how competitive. But I know if it's around my school, it would be much easier to get a job rather than trying to find a summer intern back home. In NYS right first year of pharm school u can be an intern.
 
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Most pharmacists wont expect you to know much if you dont have any experience. However, they do expect you to learn quickly.
 
This is what I expect from you: What legally you can an cannot do.

What don't I expect from you - almost everything! You won't know the computer system, you won't know how to counsel pts (how much to tell, who to tell it to, how to decide to limit the information....)

What I expect from you: You are able to write your questions/concerns/obsverations down so we can discuss them at a time & place which is appropriate.

What I don't expect from you - no questions whatsoever!

I do want to hear about your frustrations, your positive contributions, your goals, your anxieties......

I don't want to hear about how "they" did it somehow differently somewhere else - I don't have the complete ability to change the things I want either. I don't want to hear about how you aren't here to process the order or clean the shelves.

All of that has a purpose & function. I clean the shelves!!!! The difference is...when you're cleaning you will ask me my the metoprolol & Toprol are kept in different places.....

Mostly - I want you to know your limits! You can cause much more damage by saying the wrong thing at the wrong time than any drug error which I might catch. So....if someone calls on the phone & you want to expound on some therapeutic situation.....take a minute, put the call on hold, then ask.....tell me who it is & I tell you about that person't situation & how much/how little to say...


Good luck! and have fun!
 
That is very helpful. I worked at my pharmacy after first year of pharmacy school without any retail experience. When I got a call from the patient asking for her drug-drug interaction and drug-food interaction regarding her three medications, I repeated the question to the pharmacist. She told me she is busy QAing and doesn't have time to answer my questions. She refered me to the reference book shelf and told me to find it out yourself.😱
 
That is very helpful. I worked at my pharmacy after first year of pharmacy school without any retail experience. When I got a call from the patient asking for her drug-drug interaction and drug-food interaction regarding her three medications, I repeated the question to the pharmacist. She told me she is busy QAing and doesn't have time to answer my questions. She refered me to the reference book shelf and told me to find it out yourself.😱

So how did u answer the phone call?
 
So how did u answer the phone call?

Yes, I tried after reading the reference for 30 minutes and the pharmacist still refused to answer the phone or confirm my answers. So I apologized to the patient that I am not sure that my answer is correct or not because I am only a student.😳
 
gaku, your pharmacist was in the wrong to treat you and the patient that way....her job is to counsel patients. QA is second.

as an intern, i like to see someone who is willing to try hard and do whatever we ask of them. questions are great and encouraged at any time. even the "how come they do it different somewhere else"....it's a pain in the butt question, but if i can answer it and explain our practices while doing it, sure!

just be willing and eager and a quick learner. no one expects you to know that much right away. mosts pharmacists are pleased with someone who likes to learn!
 
Yeah - I've been there when a pt calls for a question like this - right when I have the very least amount of time to pursue it.

A lot depends on who it is - some of them are "regulars" - it doesn't matter what I filled for them, I have to explain it 2, 3, 4 - 14 times..!

So.....depending on who it is & what the question is.....I usually will tell my intern to advise that I'd (or he/she) will have to do a bit of looking & please give me a phone number & I'll get back to them by - 3PM, 5PM end of day - whatever time frame I decide.

Then.....I make sure I do it! Even if I don't have a substantiative answer - I get back to them in the time frame I've said. I give them an answer & hopefully, have taught the intern something. I'll often give the task to the intern. Why? Because I know the way to get info fast - but......this is a lesson which needs to be learned by an intern. Our main function is to provide information - written, verbal, via an rx...whatever.... An intern needs to learn how, where & how fast you can access drug information.

Thats one things I look for in a pharmacy school. Does your school have a rotation thru a drug information service? This is a tremendously functional ability. Not everyone will be able nor want to call DI if their child has eaten peonie petals - can you find that info & save an ER visit?

So - even if its one of my "regulars" who just can't take their medication without endless reassurance - I'll always get back to them when I have time to devote to giving them the reassurance they need.

But - it may be on my time - not theirs. If its absolutely necessary it is on their time - they need to see the ER.
 
Top 200 brand/generic names is a pretty good start in retail or in hospitals. I've had yet to hear a nurse or patient ask for prochlorperazine or esomeprazole or sulfamethoxazole/trimethoprin.

Also, figure out who wants to teach and who doesn't. And know that everyone has different personalities. You'll have people who just want to do their job and nothing else, you'll have people who are always pimping you (asking you questions to test your knowledge), and you'll have people who will just be punkasses to you. Don't let the haters stop you from doin your thang.

Mostly - I want you to know your limits! You can cause much more damage by saying the wrong thing at the wrong time than any drug error which I might catch. So....if someone calls on the phone & you want to expound on some therapeutic situation.....take a minute, put the call on hold, then ask.....tell me who it is & I tell you about that person't situation & how much/how little to say...

This was what I was also going to say.

When I first started on phones I'd find myself getting calls asking stuff that they don't really teach in school, like for instance "my patient is going to CT now how do I run this bag of bicarb?" or "how many meqs of K are in a 30 mmol bag of K-Phos and how fast can I run it at?" Being an intern and wanting to learn and not bother an RPh, I'd look it up and calculate and get ready...up until it hit me that if I f'ed up I could seriously mess up electrolytes and put the patient in an arrythmia or worse.

To the RN/patient/whoever, they'll usually automatically think you're a pharmacist, as opposed to a wet behind the ears P1, so they can and will do whatever you tell them. I've definitely been in over my head without realizing it until it was too late; most pharmacists will realize you just want to help and learn...but you're still just a student. As a result it is extremely important to know when you can give advice/counsel and when you need RPh intervention.

Finally, I would hope that they do NOT expect you to just do your job and that's that. In my hospital I have seen tons and tons of students who just do their job and that's it...no questions about anything, don't know what basic drugs that they see everyday do... I'm really not trying to be better than people or get all holier-than-thou but I just don't understand the point of working as an intern in a practice setting without being interested and passionate and curious in your career.
 
Listen to what sdn1977 has to tell you. The advice could not be better. The only thing I could add is an old saying that I think was from Malcolm X; the only stupid question is the one not asked.
 
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hi,
I just finished my first year of pharmacy school and I just started working at CVS while having no prior experience in retail. I was wondering how long did it take you guys to stop having the feeling of being the "newbie" in the workplace. I work at a busy store, so I never get the chance to actually fill precriptions at the drop off (because I'm always the least experienced one there) so I'm always stuck at the pickup or the drive through. I don't mind having limits, but I'm just afraid that if I don't get a chance to start filling scripts soon, I will simply be a clerk for CVS and can never fulfill my intern responsibilities.
Furthermore, how long did it take you guys to become CVS certified (where the preceptor/pharmacist have to test you on the topics stated in the CVS certification book and they have to call in after you complete the certification). I work at a busy store, so I don't know how to ask the pharmacist to stop his/her work so he/she can test me on the topics in the book in order for me to become certified.
thanks
 
I have 3 interns at one of my hospitals. One is going to be P1, and the other two will be P3. I assigned them an Intravenous Immune Globulin Medication Utilization Evaluation 2 weeks ago. They completed it perfectly.

I will be assigning them a Natrecor and Echinocandin MUE next week. I love interns.
 
I have 3 interns at one of my hospitals. One is going to be P1, and the other two will be P3. I assigned them an Intravenous Immune Globulin Medication Utilization Evaluation 2 weeks ago. They completed it perfectly.

I will be assigning them a Natrecor and Echinocandin MUE next week. I love interns.

Me too! You just gotta make sure they don't "regurtitate" material. They have to learn to give it some thought & some perspective. Your P3's should be able to do that. The P1 should be learning how....
 
hi,
I just finished my first year of pharmacy school and I just started working at CVS while having no prior experience in retail. I was wondering how long did it take you guys to stop having the feeling of being the "newbie" in the workplace. I work at a busy store, so I never get the chance to actually fill precriptions at the drop off (because I'm always the least experienced one there) so I'm always stuck at the pickup or the drive through. I don't mind having limits, but I'm just afraid that if I don't get a chance to start filling scripts soon, I will simply be a clerk for CVS and can never fulfill my intern responsibilities.
Furthermore, how long did it take you guys to become CVS certified (where the preceptor/pharmacist have to test you on the topics stated in the CVS certification book and they have to call in after you complete the certification). I work at a busy store, so I don't know how to ask the pharmacist to stop his/her work so he/she can test me on the topics in the book in order for me to become certified.
thanks

Sorry - I can't give you any perspective on the CVS certification - I don't work for CVS.

But....you generally don't stop the pharmacist during his/her busy work time. Rather, you write down the topics/questions which concern you & ask at a later time/date for clarification or elucidation. Be sure to write the circumstance as much as you remember. You'll get better at this as you go along in school since work in an acute care facility makes you write notes to self fast & in a shorthand you can recognize.

Altho you work for CVS - don't let their "certification" be your goal. At this stage, your goal should be learning to become the best pharmacist in the setting you're in.

Granted, CVS may be the one & only place you ever work. But - it may not. So - that is an "internal corporate" standard - not one which is based upon good pharmacy practice. However, you'd be surprised that after your summer working, when you have your evaluation, your preceptor might say,, we covered this, that & the next thing. You just didn't realize it when it occurred.

Good luck! No question is a dumb one - just write it down & choose your moment.
 
Me too! You just gotta make sure they don't "regurtitate" material. They have to learn to give it some thought & some perspective. Your P3's should be able to do that. The P1 should be learning how....

You're giving your interns IVIG, Natrecor, and Echinocandin DUE too?? 😱
 
I also work for CVS, and I think the best strategy to the certification is to schedule it a few days in advance with whoever is going to be certifying you. Let them know where you are in the process and ask them when would be a convenient time for them to work with you for an hour or so. This may be after their shift, or before yours (or whatever combination works best). You may not be able to get through it all at once, but then just schedule another time to finish it up!

In my case, the district trainer comes to the store to certify the interns. She calls the store to get our schedules a week or so before and just shows up for an hour or so and follows "The Book". They expect that you have the CD's/modules done before they check you off in the book.

Good Luck!
 
You need to speak to your Pharmacist in Charge (PIC) and express your concerns. As an intern, you need to learn all functions of the pharmacy including the register. But you should not be stuck there no matter how busy the store is. Each district has a tech trainer who should be able to come in and give you the training you need to be able to perform at drop off. If the store is as busy as you say, there should be two drop off windows and you should be able to man the second drop off. If the tech trainer and the PIC do not help you, go to your Pharmacy supervisor. At any CVS I have been at, Interns get priority over techs as they are potential future CVS pharmacists. If you still have trouble, you can send me a PM and I might be able to guide you further....
 
Is it better to intern at a busy store or slower store? What are the pros and cons of each setting in terms of the best learning environment?
 
You're giving your interns IVIG, Natrecor, and Echinocandin DUE too?? 😱

Missed this post - no.....Natrecor is due for a DUE & it would be a good one to have an intern do though.

I was referring to interns doing DUE's in general. Getting them not to just spit back info is not something that comes easily to everyone.
 
Is it better to intern at a busy store or slower store? What are the pros and cons of each setting in terms of the best learning environment?


Busy Store: You have the advantage of seeing more things. You will have a wider variety of experiences.

Slow Store: You can (with the right preceptor) get a great deal of individual attention from your preceptor.

It also depends on your temperament. If you are an aggressive personality, you might better at a busier store....
 
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