Residencies pointless?

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GoTeamVenture

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In a thread a few below this one, pharmatope said this:

i compare a clinical pharmacist position to that of a Pathologist. there is usually one per hospital and the people stay for a long time. there isnt a high turnover rate for them. if there is an open position in this market, they do not want fresh out of residency people, they want someone who is board certified and been doing it for a while. this is the reality. those clinical positions that your faculty in school talked about and the whole model they preached doesnt really exist.

At this point in time considering where the profession of pharmacy currently is (and not wanting to go into academia), are residencies pointless (from a career standpoint--not considering the knowledge gained)? It seems many inpatient pharmacy hospital staff positions don't require them. Any thoughts?
 
Residencies are not necessary unless you're going into a clinical specialty, and maybe not even then. It appears that schools are pushing residencies now the way they were pushing the Pharm.D. degree when I graduated in the early 1990s.

IMHO, it's an excuse for large teaching hospitals to have a pharmacist and pay them a half salary for a year or two. 🙄
 
In a thread a few below this one, pharmatope said this:



At this point in time considering where the profession of pharmacy currently is (and not wanting to go into academia), are residencies pointless (from a career standpoint--not considering the knowledge gained)? It seems many inpatient pharmacy hospital staff positions don't require them. Any thoughts?

i agree with that post in fact i wrote that post. Many people doing residencies are settling for staffing positions (if they can even find them!). Truth is, clinical pharmacy is like a perk to the hospital. They could potentially downsize and cut the clinical pharmacist.

basically if you are not entering orders and filling rx, you are expendable. this is why the higher ups and managers are usually cut in layoff time.

the demand for clinical people is not as high as many would lead you to believe because you are not generating income to the hospital. it all comes down to the bottom line. one hospital i went to was 400 beds but only had 1 clinical pharmacist. you have to take all this into account.
 
I was shadowing a pharmacist at a large academic hospital. They have several positions for PGY2-trained pharmacists that they just cannot fill because they can't find candidates for these positions. They said they have several positions for PGY1-trained pharmacists as well.
 
Residencies are not necessary unless you're going into a clinical specialty, and maybe not even then. It appears that schools are pushing residencies now the way they were pushing the Pharm.D. degree when I graduated in the early 1990s.

IMHO, it's an excuse for large teaching hospitals to have a pharmacist and pay them a half salary for a year or two. 🙄

exactly. basically the hospital gets to push all these other clinical programs, have you staff on weekends and holidays, and pay you less. they get cheap labor and get to push call and other things onto the resident. i think you learn just by practicing personally.
 
You said it GoTeamVenture, I didn't. 😉
 
For the most part, the jobs I want to do are given to people with specialties. I have 5 or 6 different career paths that I am targeting, only one is available to a basic practitioner.

If your career goal is CVS, wags, (or possibly even your own independent), why waste your time with a residency.

If you fancy being a 50/50 ID guy or the oncology pharmacist, you wont get there without a residency (in a reasonable location/timeline).

So if you want that job, you will likely need to do the residency to get it. Remember, it is immature to think that your dream job will fall into your lap right of residency. It wont. Furthermore, nothing is a sure bet when it comes to finding a job period (regardless of whether or not I do a residency).

Here is a sure bet. Pound for pound - those with residencies are better qualified for clinical roles than those that are not. Period.

90% of the people posting about residencies here are neither in a residency nor do they work around positions requiring them.

Develop your opinion by actually talking to people doing the job you want to do.

EDIT: Another thought... Pharmatope would rather be a MD/DO/PA/***** clown than a pharmacist. That should tell you plenty about his opinions.
 
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Most of the job postings I've seen in the health system I work for state "residency preferred" unless it is outpatient pharmacy.
 
Here is a sure bet. Pound for pound - those with residencies are better qualified for clinical roles than those that are not. Period.

lmfao.

Yeah, I'll take a dude with a B.S.Pharm and 20 years of experience over some freshly out of residency neophyte that thinks they are way more knowledgeable than they actually are. (And trust me...those most definitely exist.)
 
I was shadowing a pharmacist at a large academic hospital. They have several positions for PGY2-trained pharmacists that they just cannot fill because they can't find candidates for these positions. They said they have several positions for PGY1-trained pharmacists as well.

Now is a good time to get into that. It's kind of a new phenomenon to see the 2-year highly specialized types. But only major institutions are rolling out those types of positions. I have a feeling that in 6-7 years, it will be harder to find those sweet jobs like it is today. You'll wind up seeing specialists "lower themselves" to staffing jobs and **** like that. But getting on at a hospital will probably require a residency for anyone graduating after 2015 or so, I bet. Those with experience will be fine.
 
lmfao.

Yeah, I'll take a dude with a B.S.Pharm and 20 years of experience over some freshly out of residency neophyte that thinks they are way more knowledgeable than they actually are. (And trust me...those most definitely exist.)

Mikey - Pound for pound means equal fool. So the pharmd with the pgy2 and BCPS and 20 yrs experience does get the job over the BS with 20 years...

I'm not even sure we did PGY2s that long ago - but you get the idea I trust.
 
If retail pharmacy is the goal, residency is not necessary today.

But health systems pharmacy positions is another story. If you want to work inpatient or ambulatory care setting, additional training from residency is invaluable in not only landing a job, it will certainly help.

I can hear some say "I know a pharmacist without a residency who's much better than the one with a residency." That's not a comparison of apples to apples. Because inpatient pharmacist position has become hypercompetitive, common sense will tell you that an applicant with a residency will have a better chance at landing an interview vs. who doesn't.

As far as the comment about "clinical pharmacist" like being a patholgist is an ignorant comment. Now, Clinical Manager and/or Director of pharmacy, a hospital will only have 1 of each. It is true that it's rare to have a clipboard pharmacist who rounds and make recommendations all day long at a typical community hospital. You will find them at an academic setting affiliated with schools.

But, the new trend for the past 10 years has been "clinical/staff" hybrid pharmcist who processes physician orders while doing clinical duties working on the floors. For that role, a year of residency can do a world of good in preparing a pharmacist. Straight out of pharmacy school, I will not put that green pharmacist on the floor unless I train them extensively.

PGY2 is another story. EM, ID, Onc, Transplant, etc...if that's what you want to do, you'll most likely need PGY1 & II...and you will find a job.

If you want to work at a hospital, your chance of getting hired will increase with a residency. I know....because I've been hiring pharmacists for the past 10 years.
 
Those of you saying residency is an excuse to get pharmacist at a decreased salary have no idea what you're talking about. There's a lot of investment in resources, salaries, labor, and effort involved with running a residency. And return on investment in terms of "reduced rate labor" is not worth running a residency.
 
For the most part, the jobs I want to do are given to people with specialties. I have 5 or 6 different career paths that I am targeting, only one is available to a basic practitioner.

If your career goal is CVS, wags, (or possibly even your own independent), why waste your time with a residency.

If you fancy being a 50/50 ID guy or the oncology pharmacist, you wont get there without a residency (in a reasonable location/timeline).

So if you want that job, you will likely need to do the residency to get it. Remember, it is immature to think that your dream job will fall into your lap right of residency. It wont. Furthermore, nothing is a sure bet when it comes to finding a job period (regardless of whether or not I do a residency).

Here is a sure bet. Pound for pound - those with residencies are better qualified for clinical roles than those that are not. Period.

90% of the people posting about residencies here are neither in a residency nor do they work around positions requiring them.

Develop your opinion by actually talking to people doing the job you want to do.

EDIT: Another thought... Pharmatope would rather be a MD/DO/PA/***** clown than a pharmacist. That should tell you plenty about his opinions.

incorrect and i dont appreciate attacks on me. im giving realistic opinions rather than drinking the pharmacy kool-aid. you clearly are still under brainwashing from your school of pharmacy.

you telling me that residency trained people are better than nonresidency? how do you figure? you think that someone with years of experience is not qualified bc they didnt take a 50k paycut to run around doing free work? that is total nonsense. you think that a piece of paper vs 20 yrs of experience makes a difference? pull your head out of your ass.
 
lmfao.

Yeah, I'll take a dude with a B.S.Pharm and 20 years of experience over some freshly out of residency neophyte that thinks they are way more knowledgeable than they actually are. (And trust me...those most definitely exist.)

Anecdote: A few years ago, we hired a new graduate, and he had the cojones to tell our oldest pharmacist, who graduated in 1966, that he didn't know what he was talking about because he didn't have a Pharm.D.

Mr. 1966, who is a really laid back guy, said, "I may not have a Pharm.D., but I have almost 40 years of life and professional experience that you do not have."

:meanie:

Unfortunately, many employers are choosing the new graduates over the experienced personnel because they can pay them less, and the new grads won't rock the boat the way an older employee might. Ask me how I know this.
 
Ditto what Z just said.

In addition to their main responsibilities, all hospital based clinical pharmacists should be documenting the cost-savings they are bringing to their institution. When it comes time to do some cost cutting (and yes it comes around to most institutions every few years), it is harder to chop someone who can demonstrate they are saving the hospital $$$ (the best generate enough savings to cover their yearly salary, and then some).

Still not as indispensable as the guy who makes IVs 40 hours a week, but closer.
 
im giving realistic opinions rather than drinking the pharmacy kool-aid.

It's only realistic in your mind.

you clearly are still under brainwashing from your school of pharmacy.

How do you explain my opinion then?

you telling me that residency trained people are better than nonresidency?

Yes, no doubt about it when comparing apples to apples.

how do you figure? you think that someone with years of experience is not qualified bc they didnt take a 50k paycut to run around doing free work? that is total nonsense. you think that a piece of paper vs 20 yrs of experience makes a difference? pull your head out of your ass.

Are you comparing fresh residency grad vs. 20 year experienced pharmacist?

How about we compare 1 year staff pharmacist experience vs. 1 year of residency for a same person.
 
i agree with that post in fact i wrote that post. Many people doing residencies are settling for staffing positions (if they can even find them!). Truth is, clinical pharmacy is like a perk to the hospital. They could potentially downsize and cut the clinical pharmacist.

basically if you are not entering orders and filling rx, you are expendable. this is why the higher ups and managers are usually cut in layoff time.
This is why job security for "clinical pharmacy", as a job sector, is poor.

I rotated at a hospital that did not replace a "clinical pharmacist" after one quit. So, at that hospital, there was a "clinical director" and that's all.
 
How about we compare 1 year staff pharmacist experience vs. 1 year of residency for a same person.

I want to know how you can figure a person running around doing rounds and preparing a poster to present with some staffing on the side is somehow a better candidate for a staffing position than a person that has exclusively done staffing for a year.

I can see how a person with a residency would be a better fit for "clinical" work or whatever you want to call it...but how can anyone honestly tell me that they would make a better staff pharmacist than a person who has exclusively been a staff pharmacist with no other side responsibilities.
 
Mikey - Pound for pound means equal fool. So the pharmd with the pgy2 and BCPS and 20 yrs experience does get the job over the BS with 20 years...

I'm not even sure we did PGY2s that long ago - but you get the idea I trust.

After 20 years, that residency is negligible. Plus, you can take the BCPS test without a residency, anyway...
 
incorrect and i dont appreciate attacks on me. im giving realistic opinions rather than drinking the pharmacy kool-aid. you clearly are still under brainwashing from your school of pharmacy.

you telling me that residency trained people are better than nonresidency? how do you figure? you think that someone with years of experience is not qualified bc they didnt take a 50k paycut to run around doing free work? that is total nonsense. you think that a piece of paper vs 20 yrs of experience makes a difference? pull your head out of your ass.

That isn't what I said at all. First, you post as often if not more in the MD/DO side of the house. That is where your interest is at. When you do post here, it centers around the bleak future for pharmacy, low reimbursement, too many schools opening, etc. Not sure why you resent that - but whatever. If I offended you, I apologize.

Second, you don't understand the purpose of a residency. You may think you do, but it's clear your perception matches the common opinion of this board.

You don't do a residency to get a better paying job. You do it to learn and at the same time become qualified. No one enters a residency "hoping" to find a good job (if you do, you need a lesson in critical thinking). Those pursuing residency have already selected the job they want to do... The residency is the training required to get it.

If you want to be a staff pharmacist in the basement of a hospital, or CVS - then a residency isn't for you. Those are great jobs and I am sure they are highly satisfying. If you want to be this guy LINK, you need to do a residency. It is open and shut.

Anecdote: A few years ago, we hired a new graduate, and he had the cojones to tell our oldest pharmacist, who graduated in 1966, that he didn't know what he was talking about because he didn't have a Pharm.D.

Mr. 1966, who is a really laid back guy, said, "I may not have a Pharm.D., but I have almost 40 years of life and professional experience that you do not have."

:meanie:

Unfortunately, many employers are choosing the new graduates over the experienced personnel because they can pay them less, and the new grads won't rock the boat the way an older employee might. Ask me how I know this.

My post must not have been clearly written... You never discount experience. The military understands this especially. A boot LT, while may be senior in rank to all enlisted men, is never going to tell his company 1st sgt / GySgt what to do. It just doesn't happen.

That being said - I am sure you can understand the reasoning behind selecting someone with better credentials in some circumstances. The upward movement in the corporate world has a time component. If you rest too long in a certain role, you are likely to get pigeon holed there. Its just the way of things.
 
After 20 years, that residency is negligible. Plus, you can take the BCPS test without a residency, anyway...

Concur... but I doubt these two would meet very often regardless. The 20 yr guy is either management or stagnant (maintaining his role). I am yet to meet anyone that wasn't one or the other.
 
That isn't what I said at all. First, you post as often if not more in the MD/DO side of the house. That is where your interest is at. When you do post here, it centers around the bleak future for pharmacy, low reimbursement, too many schools opening, etc. Not sure why you resent that - but whatever. If I offended you, I apologize.

Second, you don't understand the purpose of a residency. You may think you do, but it's clear your perception matches the common opinion of this board.

You don't do a residency to get a better paying job. You do it to learn and at the same time become qualified. No one enters a residency "hoping" to find a good job (if you do, you need a lesson in critical thinking). Those pursuing residency have already selected the job they want to do... The residency is the training required to get it.

If you want to be a staff pharmacist in the basement of a hospital, or CVS - then a residency isn't for you. Those are great jobs and I am sure they are highly satisfying. If you want to be this guy LINK, you need to do a residency. It is open and shut.



My post must not have been clearly written... You never discount experience. The military understands this especially. A boot LT, while may be senior in rank to all enlisted men, is never going to tell his company 1st sgt / GySgt what to do. It just doesn't happen.

That being said - I am sure you can understand the reasoning behind selecting someone with better credentials in some circumstances. The upward movement in the corporate world has a time component. If you rest too long in a certain role, you are likely to get pigeon holed there. Its just the way of things.


apology accepted. i post on all the forums on studentdoctor.

i understand what you are saying here. yes selecting with better credentials does make sense but i wouldn't discredit those in pharmacy who have worked in hospital pharmacy and got BCPS. They have vast knowledge and experience in pharmacy which would qualify them for positions. The issues a lot of residents face are those out there with more experience and not as many jobs available. The number of people applying to residencies and number of residencies available do not equate to the number of clinical positions. there isn't a high turnover in those positions either. There are only so many ways you can "save money" for the hospital rather than generate it.
 
Well isn't this fun. I would hardly say a residency is pointless. At most hospitals you need one in order to get a job. So I would say there is a very good point to having a residency.

We can argue all day if a residency is really necessary though.
 
If you want to be this guy LINK, you need to do a residency. It is open and shut.

No you don't.

Doctor of Pharmacy from an accredited School of Pharmacy (or equivalent experience). Current licensure (or eligibility) as a Pharmacist in the State of Georgia. One year post-graduate residency (or 3 years experience).

I would bet there are more pharmacist qualified to take this job that meet the experience requirements than meet the PharmD and residency requirement.
 
No you don't.



I would bet there are more pharmacist qualified to take this job that meet the experience requirements than meet the PharmD and residency requirement.
The fine print gets people every time... 😉
 
No you don't.



I would bet there are more pharmacist qualified to take this job that meet the experience requirements than meet the PharmD and residency requirement.

Yeah - that would be the minumum. You missed the important part...

Preferred Qualifications: Pharm.D., PGY2 Oncology trained clinical pharmacist with experience/training in academic setting. Georgia board licensure or eligibility for licensure.

Remember, the minimum PCAT for many programs is 50... But you don't see a lot of people rocking a 50 in pharm school either.
 
within the greater New Orleans area

NO has some weird issues with clinical pharmacists in general though... Including the hospital with 6 residency slots that remained open to the scramble 😱

Side note... One of my classmates scrambled and was selected for a spot there.

The fine print gets people every time... 😉

So does reading comprehension 😉
 
NO has some weird issues with clinical pharmacists in general though... Including the hospital with 6 residency slots that remained open to the scramble 😱

Side note... One of my classmates scrambled and was selected for a spot there.
It wasn't an LSU hospital...

Was that Shreveport or New Orleans?
 
we are also forgetting one MAJOR important factor in getting those positions....


Who you know and who you B... can overcome any residency and lacking experience.
 
It wasn't an LSU hospital...

Was that Shreveport or New Orleans?

Shreveport... He is a pretty cool guy though. It just seems like after Katrina, that area has just had one blow after another. Who can forget Xavier's run in with the ACPE...

Hopefully in 2040, when the oil spill is cleaned up, things will get better.
 
we are also forgetting one MAJOR important factor in getting those positions....


Who you know and who you B... can overcome lacking experience and any residency.
I was thinking the same thing earlier. I just hate acknowledging it!

ETA: I made your post rhyme. 🙂
 
Shreveport... He is a pretty cool guy though. It just seems like after Katrina, that area has just had one blow after another. Who can forget Xavier's run in with the ACPE...

Hopefully in 2040, when the oil spill is cleaned up, things will get better.
Shreveport is in great need of pharmacists, because the area is so undesirable.

Katrina isn't the issue. It's a cost issue. Keeping a clinical pharmacist, was to them, like saying they had an extra $100K to blow.

Lol!
 
Isnt the point of residency to make you a more competitive applicant? Residency vs. no residency. Obviously the person that did a residency has he upper hand.

Also I think the what you get from a residency aka "trainning" is BS. I think it is just a cover for cheap labor. But people jump on the train because the job market is fierce and they are willing to do anything just to be a better candidate for a job.

I think the next big problem is they might REQUIRE everyone to do a residency due to too many people in the job market doing residencies and the ones that are not doing one are not getting jobs. What if the hospital/clinical positions get so saturated that residency trainned pharmacist start going after retail positions? That would force people who don't want to do a residency to do one because they need to competitive enough to get a job. I think that is the big problem.
 
No it isn't. It is to qualify you to become a specialist.

What about before they even made residencies/certifications? Do you REALLY need it?
 
How long until they start offering online residencies to people that are already in careers ala the PharmD online "upgrade" degrees people with a BSPharm take today?
 
the demand for clinical people is not as high as many would lead you to believe because you are not generating income to the hospital. it all comes down to the bottom line. one hospital i went to was 400 beds but only had 1 clinical pharmacist. you have to take all this into account.

A good clinical pharmacist improves outcomes and reduces costs beyond their salary. While this is not essential, it is beneficial to the patient and the hospital. Cutting costs helps save money to pay for other things that are essential. While many hospitals may not have more than a couple clinical pharmacists, others do have quite a few. The hospital pharmacy where I work just hired several new pharmacists (and were possibly the only department authorized to make new hires) because of the amount of money they save.

I think residencies are useful depending on the job you want. If you want a clinical position or a staff/clinical combination position, you will probably need a residency to make yourself competitive over other new/recent grads. If you want to specialize in something like oncology, a residency is a good way to get there. You could get a job and study for the BCOP on your own but this is much harder and takes more time.

Keep in mind I'm not comparing a new residency grad to a pharmacist with years of experience in that practice setting; most pharmacists with experience are staying in the positions that they have or are moving within the system. I think that a residency trained pharmacist has an advantage (in knowledge, networking, and maybe even experience) over a new or recent grad who hasn't done a residency.
 
A good clinical pharmacist improves outcomes and reduces costs beyond their salary. While this is not essential, it is beneficial to the patient and the hospital. Cutting costs helps save money to pay for other things that are essential. While many hospitals may not have more than a couple clinical pharmacists, others do have quite a few. The hospital pharmacy where I work just hired several new pharmacists (and were possibly the only department authorized to make new hires) because of the amount of money they save.

I think residencies are useful depending on the job you want. If you want a clinical position or a staff/clinical combination position, you will probably need a residency to make yourself competitive over other new/recent grads. If you want to specialize in something like oncology, a residency is a good way to get there. You could get a job and study for the BCOP on your own but this is much harder and takes more time.

Keep in mind I'm not comparing a new residency grad to a pharmacist with years of experience in that practice setting; most pharmacists with experience are staying in the positions that they have or are moving within the system. I think that a residency trained pharmacist has an advantage (in knowledge, networking, and maybe even experience) over a new or recent grad who hasn't done a residency.

that depends, if they are both going for staffing positions and the new grad just rotated through there as a student, the pharmacists there are already familiar with that person vs a complete stranger applying from the outside......
 
I want to know how you can figure a person running around doing rounds and preparing a poster to present with some staffing on the side is somehow a better candidate for a staffing position than a person that has exclusively done staffing for a year.

Because I never want to hire a staff pharmacist who wants to sit there and do nothing but order entry. I want all pharmacists involved with many different performance improvement project. And I would have project days for staff pharmacists....of course since I'm not the DOP today, I can't practice that.

I can see how a person with a residency would be a better fit for "clinical" work or whatever you want to call it...but how can anyone honestly tell me that they would make a better staff pharmacist than a person who has exclusively been a staff pharmacist with no other side responsibilities.

Where did I say residency trained pharmacist would make a "better staff?"

BTW, all pharmacy work in a hospital is "clinical."
 
that depends, if they are both going for staffing positions and the new grad just rotated through there as a student, the pharmacists there are already familiar with that person vs a complete stranger applying from the outside......

Right....because P4 doing a 6 to 8 week rotation at a site means better qualification than a PharmD who did a year long residency...

Get real..

:meanie:
 
How long until they start offering online residencies to people that are already in careers ala the PharmD online "upgrade" degrees people with a BSPharm take today?


Are you on drugs?

Residency isn't school...it's work. It'll be a cold day in hell when I would allow a distance residency where I'm paying a salary to a resident to sit home and play on the computer all day.
 
What about before they even made residencies/certifications? Do you REALLY need it?

Before the residencies and certifications, it took years of actual work to attain the expertise... Now we have concentrated PGY2 that can fast track these motivated post PGY1s into their specialties.

ID, ED, CC, Management, Onc, Transplant etc... now that we have it, the precedence has been set and those who go through the program can rightfully be acknowledged as a specialist.
 
How long until they start offering online residencies to people that are already in careers ala the PharmD online "upgrade" degrees people with a BSPharm take today?

You know I can see this….

New for 2015!!! University of Phoenix Online’s new dual fast track online PharmD and residency program!

Yes, that’s right! Now offering a 100% online PharmD and residency. Using our virtual pharmacy instructors and our virtual hospital you too can earn that coveted PharmD degree and get the residency line to put on your resume. Enjoy top-notch instruction in our virtual pharmacy school with our highly ranked virtual pharmacy instructors. Simultaneously you can do your residency in our virtual hospital with virtual patients and physicians!!!!! Its just like the real thing except its not….Its all online!!! Sign up fast all 30,000 slots we have will fill up fast! The first 10,000 accepted applicants get a 20% discount of tuition which brings the price down to $70,000 for our 4 month fast track condensed full emersion program. Hurry and become the pharmacist you have always wanted to be!!!
 
I was shadowing a pharmacist at a large academic hospital. They have several positions for PGY2-trained pharmacists that they just cannot fill because they can't find candidates for these positions. They said they have several positions for PGY1-trained pharmacists as well.

HUP?

there's a couple of us working on PGY-2s now who are eyeing those spots.
 
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