What type of Pharmacy job do you think is a safe choice now, as you look toward the next 10 to 20 years. In other words, which job should we look into now that will still be in-demand in the future (for example: inpatient pharmacy didn’t need a residency, but now many employers are asking for one. But those who are already experienced in the field can get a job easily)

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If we can get provider status and prescribe without collaborative agreements, that would be a game changer. I feel like ambulatory and clinical roles in oncology are good niche to pursue. Most pharmacists feel like oncology is a foreign language, but pharmacists are key to safe practices and even without residency for solid tumor cancers, pharmacists can get jobs. There is a great need.

I think retail will only face competition if automation can do more. Some days I feel like Clinical pharmacy has reached its ceiling, but it’s value will remain due to the varying nuances of clinical practice

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Provider status changes the environment we practice in and it would also increase access to already-authorized services. For prescribing authority, I don’t see it as an automatic thing all pharmacists do, but providing additional training to do so would work. We wouldn’t have to replace np/pa, because pharmacists are in surplus, we could open our own clinics, specialize in referrals for the elderly in med management or patients with greater than 5 chronic meds, or specific diseases states.

I could see health systems utilizing pharmacist in the capacity as well because anything associated with hospitals gets greater reimbursement. If you open your own pharmacy and provide inr management, your reimbursement is more than 50% less than doing it as a part of a health system. Retail and health systems are always looking for ways to get more services reimbursed, if pharmacist can get that ability, you optimize patient care and there is a financial component that could increase our pay as well. I feel physicians will have issues because we could be taking away from their prescription numbers, but if it’s optimizing treatment and we have a shortage on physicians, we could help in that capacity.

In regards to diagnosis, it’s interesting if someone has diabetes, how much additional info do you need to manage them outside of objective data (fbg, a1c, and so on), we can interpret the necessary information. The collaborative component doesn’t have to go away, it just has to be more inclusive for our roles. boards of pharmacies, insurance companies, and legislators need to see us as more than an automatic service and in doing so , we don’t stop doing the things we already do.

This is a great question as I’m searching for a job for the second half of my working life. I’d love it if my part time cannabis dispensary gig turned into full time, but that doesn’t look imminent.

All job types within pharmacy will have their ups and downs. Retail was phenomenal 20 years ago, not so much now. Hospitals are better than retail now but not so much 20 years ago. Industry/PBM/consulting can be based on macroeconomic trends (when things are good, things are very good. When things are bad, they can get very bad. If your company gets bought up/moved/re-structured there's a lot of pain for families).

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