Pharmacy’s Great Displacement: What’s Coming by 2045?

[PrincessSnow]

I feel like this is coming by 2030 or even sooner the way the healthcare system is acting. Pharmacist are fighting to be added to team based care for outcomes based payments.

Pharmacy’s Great Displacement: What’s Coming by 2045? - The Happy PharmD

Pharmacy is changing fast. By 2045, will you thrive—or be replaced? Discover what’s coming and how pharmacists can take control of their future now.

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[steveysmith54]

Although he has some valid points, this video rubs me the wrong way.
-If anyone thinks that provider status and clinical pharmacy will save the pharmacy, you're in for a rude awakening. That's what I heard in school, in addition to MTM, of course.
-His narrative that his "company" can help so many pharmacist? What is the plan of action and evidence? Sounds like another influencer and someone who is selling life coaching.

 

[nickw2401]

why do pharmacist want provider status? Im a pharmacist....unless it comes with double pay I dont want it

 

[nickw2401]

the only pharmacists pushing this narrative are clueless university pharmacist

 

[clarkbar]

There is no one at the helm, just career crafters and socially awkward people getting 'revenge' on us, the youth.

I have done MTM, outpatient prescribing and inpatient clinical pharmacy. I feel the latter, with full prescribing rights, could be very advantageous--but the physical diagnosis is not part of the rph skill set. We could do infections, pain, limited psych, chronic diseases, etc.--which I have all done.

Inpatient is almost never independent. Its tough to get enough work to justify a full FTE. I would love to see infectious disease rphs acting independently.

 

[steveysmith54]

There is no one at the helm, just career crafters and socially awkward people getting 'revenge' on us, the youth.

I have done MTM, outpatient prescribing and inpatient clinical pharmacy. I feel the latter, with full prescribing rights, could be very advantageous--but the physical diagnosis is not part of the rph skill set. We could do infections, pain, limited psych, chronic diseases, etc.--which I have all done.

Inpatient is almost never independent. Its tough to get enough work to justify a full FTE. I would love to see infectious disease rphs acting independently.

I always wonder as to why all these newly opened pharmacy programs do not offer PharmD-PA joint program, which would meet the burden of being able to diagnose. PA programs continue to have very high amount of applicants too, they could kill two birds with one stone.

Pharmacy and Physician Assistant Dual Degree: An Analysis of Its Value and Implications on the Profession - PubMed

The pharmacy and physician assistant dual degree is one of the newest programs offered and has been predicted to have a high likelihood of growth in the future. With only an additional year of education, the PharmD-PA dual degree holder will have prescriptive authority upon graduation to expand...

pubmed.ncbi.nlm.nih.gov

"The pharmacy and physician assistant dual degree is one of the newest programs offered and has been predicted to have a high likelihood of growth in the future. With only an additional year of education, the PharmD-PA dual degree holder will have prescriptive authority upon graduation to expand their clinical roles. Additionally, by combining both medical and pharmacotherapeutics education, these mid-level practitioners could potentially improve healthcare shortages and allow for improvements in patient care. While there are established PharmD-PA dual degree programs, there is low enrollment coupled by rigorous curriculums and financial burdens that students must endure. Despite its limitations, this novel dual degree program offers pharmacy students another method to provide clinical care apart from the post-graduate opportunities. Schools of Pharmacy should look into the development of PharmD-PA dual degree programs as a unique marketing opportunity for admissions and as a non-traditional method of career advancement."

 

[BC_89]

I always wonder as to why all these newly opened pharmacy programs do not offer PharmD-PA joint program, which would meet the burden of being able to diagnose. PA programs continue to have very high amount of applicants too, they could kill two birds with one stone.

Pharmacy and Physician Assistant Dual Degree: An Analysis of Its Value and Implications on the Profession - PubMed

The pharmacy and physician assistant dual degree is one of the newest programs offered and has been predicted to have a high likelihood of growth in the future. With only an additional year of education, the PharmD-PA dual degree holder will have prescriptive authority upon graduation to expand...

pubmed.ncbi.nlm.nih.gov

"The pharmacy and physician assistant dual degree is one of the newest programs offered and has been predicted to have a high likelihood of growth in the future. With only an additional year of education, the PharmD-PA dual degree holder will have prescriptive authority upon graduation to expand their clinical roles. Additionally, by combining both medical and pharmacotherapeutics education, these mid-level practitioners could potentially improve healthcare shortages and allow for improvements in patient care. While there are established PharmD-PA dual degree programs, there is low enrollment coupled by rigorous curriculums and financial burdens that students must endure. Despite its limitations, this novel dual degree program offers pharmacy students another method to provide clinical care apart from the post-graduate opportunities. Schools of Pharmacy should look into the development of PharmD-PA dual degree programs as a unique marketing opportunity for admissions and as a non-traditional method of career advancement."

In a practical standpoint, feasibility of doing this is not there in the workforce - I have a scope of practice and prescribe for chronic disease states on the daily, but I do so without the need to diagnoses/touch a patient (unless its putting on a BP cuff). The practicality of using a pharmacist for such roles is there, but I'll admit it is a bit of a niche. Nonetheless this expansion at least in the ambulatory care setting can grow without the need for further degrees (and of course, if wanted by many PharmD holders wanting that provider status).

I would also be concerned on atrophy: you most certainly couldn't compare yourself to that of a midlevel if you're not doing midlevel work on a fulltime basis, and vice versa. I can see billing and safety issues as well as time goes on. I've only got to work with one individual while in the DOD that had this dual enrollment under there belt, and it showed to be more of a crutch than a blessing for them (N=1 experience, but this did come straight from there mouth). In the end, I see the appeal but still would advice against it (either do one or the other).