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Another issue is you delay the inevitable.... do you really think a student who just spent untold amounts of $$$ and four years of their life will walk away from NAPLEX should they fail to pass it?
Of course not... I think we need to make it harder, BUT what you'd end up doing is boosting test-prep programs and just delaying the inevitable. That student who fails and "decreases" the increase in RPh supply that particular year will just pass the next year.
My suggestion: harder NAPLEX to be instituted in 2011, full "two step" type test (written and practical) to be instituted by 2015 (and give fair warning to all the budding pre-pharms out there). Couple this with stricter ACPE requirements, and this could work.
Creating a two step examination would be a whole new can of worms. How are you going to standardize the curriculum? Every pharmacy school has its own method of organizing courses. Some pharmacy schools start therapeutics their first year, ours delays therapeutics to year 2 and 3, other schools cram therapeutics into one year, touro has its 2+2 didactic program, and what about the 4 vs 3 year schools? I'm also not sure as to uniformity as to what's taught as well. The step program would also have to assess the detail of knowledge that all schools would have to conform to. Would the step examinations also examine pharmacology? medicinal chemistry? pharmacology? The pharmacy school background education is highly extensive and variable, but the only common denominator appears to be therapeutics.