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- Jul 4, 2016
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when looking for work retail is always more lucrative compared to clinical Pharmacy. I didnt find many clincal posts available and after a few months i still couldnt get a Hospital job
By the time you meet those requirements they will tack on a PGY3 (PGY2 pharmacists are now relegated to checking Pyxis carts).Clinical jobs are everywhere. Unfortunately, you need a PGY-2 and years of experience for those specialties before landing one. By the time you have met those requirements the job will be gone.
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Because clinical pharmacy jobs are just window dressing for large hospital/health-systems and clinical pharmacists don't bring in revenue to the hospital. So yes, large hospitals have them, because they are "nice to have" and the large hospitals can afford them because they want to be world-class hospitals, but clinical pharmacists don't make economic sense to the hospital bean counters, that is why there are few openings. Most pharmacists that land these jobs stay for life. Very little turnover.
Moderately disagree.
I work in a community hospital that is about as community as you can get. But we have 1 ICU specialist, 2 ED specialists, 1 ID specialist, and 1 NICU/peds specialist. We're about a 350 bed hospital.
I will agree on the little to no turnover, but we're definitely not a major academic center or big name big hospital.
Outside of the specialists, the majority of the pharmacists are decentralized and out on the floors doing kinetics and whatnot.
I will say that our experiences with hiring people after working in retail have been not great, and we've starting hiring more new grads than people from retail because of it.
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What sort of functions are retail converts not able to perform?
Calculating pediatric pip/Tazo doses and converting to volume based on standardized concentration.
This line made me sad because I don't understand it
Verifying Kphos 30mmol IV push.
Calculating pediatric pip/Tazo doses and converting to volume based on standardized concentration.
Had a nice discussion about how "off label" means "not in the package insert" with one recently.
Comprehending that prn bisacodyl and prn loperamide (zero doses of either given during the admission) doesn't require a call to the physician.
Maybe we've gotten some impressive duds, but the last two that came from retail have been very rough transitions, and continue to be.
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This line made me sad because I don't understand it
I just don't think all of retail can be viewed this way; I'll be in retail and easily destroy many of the residency/hospital route people in my class when it comes to calculations/dosing/etc
Verifying Kphos 30mmol IV push.
Calculating pediatric pip/Tazo doses and converting to volume based on standardized concentration.
Had a nice discussion about how "off label" means "not in the package insert" with one recently.
Comprehending that prn bisacodyl and prn loperamide (zero doses of either given during the admission) doesn't require a call to the physician.
Maybe we've gotten some impressive duds, but the last two that came from retail have been very rough transitions, and continue to be.
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I would love to see that written exam. I am a retail guy and it's boring and I don't like the irregular hours. A clinical pharmacist position at a hospital or amb. care sounds so much more fulfilling to me and I aced the Naplex exam when I graduated in '09. I just didn't do a residency and I'm regretting it now.
Because clinical pharmacy jobs are just window dressing for large hospital/health-systems and clinical pharmacists don't bring in revenue to the hospital. So yes, large hospitals have them, because they are "nice to have" and the large hospitals can afford them because they want to be world-class hospitals, but clinical pharmacists don't make economic sense to the hospital bean counters, that is why there are few openings. Most pharmacists that land these jobs stay for life. Very little turnover.
I would love to see that written exam. I am a retail guy and it's boring and I don't like the irregular hours. A clinical pharmacist position at a hospital or amb. care sounds so much more fulfilling to me and I aced the Naplex exam when I graduated in '09. I just didn't do a residency and I'm regretting it now.
This reminds me of when I started my first job. I asked the person training me if Zosyn was ordered by pip content or both components combined. Their answer was "just don't worry about it." I guess they couldn't get the doctors to come to a consensus, so they got whatever Epic says they got.Our pediatric concentration of piperacillin/tazobactam is 45mg/ml for IV syringes.
Some physicians order mg/kg doses as zosyn, and some order by the piperacillin component.
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- didn't understand the components of HAART regimens or the transition from tenofovir disoproxil fumarate to alafenamide
- pt was discharged with a script for Xarelto but it was prior auth on their insurance and the retail pharmacy was unable to contact the hospital doctor or anyone else at the hospital to facilitate the prior auth or get it changed. The pt ended up taking nothing at all.
Jesus on a bicycle, what the hell.
The last successful retail-to-hospital transition we had was < 2 years in the field, so still relatively fresh out of school.
75% of our retail applicants are like, 5-10 years experienced and burnt out. The other 25% are 2-5 years in the field and regret their choice of setting. I don't think we've officially called in a retail transition applicant since the shortage years pre-2007.
I got a hospital per diem job after being in retail for over 10 years, and have made the transition just fine. I've actually noticed that the hospital pharmacists do some things quite poorly as well due to their lack of knowledge about 'retail' drugs. For example, on the med reconciliation:
- didn't catch the difference between exenatide 2mg weekly (Bydureon) and 10mcg bid (Byetta)
- didn't understand the different indications and dosing of Victoza and Saxenda
- didn't understand the components of HAART regimens or the transition from tenofovir disoproxil fumarate to alafenamide
- pt was discharged with a script for Xarelto but it was prior auth on their insurance and the retail pharmacy was unable to contact the hospital doctor or anyone else at the hospital to facilitate the prior auth or get it changed. The pt ended up taking nothing at all.
The truth is, it behooves you to know the drugs and practices from both hospital and retail settings, so this bifurcation really doesn't help anyone and in some cases even harms the patient. It's best to get experience in both, and yes, that means maybe hospital pharmacists should get some retail experience once in a while
No, but...we're still waiting for that secret clinical rock star diamond in the rough who spent 10 years in retail to come in and rock my panties off.
::crickets::
And I'm waiting for any prn floater from the hospital/LTC pharmacy to not leave with 100+ scripts in the red.
And I'm waiting for any prn floater from the hospital/LTC pharmacy to not leave with 100+ scripts in the red.
Verifying Kphos 30mmol IV push.
Calculating pediatric pip/Tazo doses and converting to volume based on standardized concentration.
Had a nice discussion about how "off label" means "not in the package insert" with one recently.
Comprehending that prn bisacodyl and prn loperamide (zero doses of either given during the admission) doesn't require a call to the physician.
Maybe we've gotten some impressive duds, but the last two that came from retail have been very rough transitions, and continue to be.
One written exam had me build a TPN from scratch based on some patient factors, got a few equations given to me (like BEE and kcal content of lipids, etc..). The others had 3-4 patient cases, basic stuff...but it was for an oral clinical exam that covered things like anticoag, ID, and sedation/analgesia (basic tenets of hospital care).
I got a hospital per diem job after being in retail for over 10 years, and have made the transition just fine. I've actually noticed that the hospital pharmacists do some things quite poorly as well due to their lack of knowledge about 'retail' drugs. For example, on the med reconciliation:
- didn't catch the difference between exenatide 2mg weekly (Bydureon) and 10mcg bid (Byetta)
- didn't understand the different indications and dosing of Victoza and Saxenda
- didn't understand the components of HAART regimens or the transition from tenofovir disoproxil fumarate to alafenamide
- pt was discharged with a script for Xarelto but it was prior auth on their insurance and the retail pharmacy was unable to contact the hospital doctor or anyone else at the hospital to facilitate the prior auth or get it changed. The pt ended up taking nothing at all.
The truth is, it behooves you to know the drugs and practices from both hospital and retail settings, so this bifurcation really doesn't help anyone and in some cases even harms the patient. It's best to get experience in both, and yes, that means maybe hospital pharmacists should get some retail experience once in a while
hahah, hospital people float to retail? I thought we cling to these jobs until death, or stick to prn hospital
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And I'm waiting for any prn floater from the hospital/LTC pharmacy to not leave with 100+ scripts in the red.
They have no plans of leaving hospital; I'm guessing they are just trying to make up lost earnings for the year or two they spent in residency. Some are older and are probably just bored, who knows.