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Pharmacist


Summary
ActivitiesCompound and dispense medications following prescriptions issued by physicians, dentists, or other authorized medical practitioners.

OutlookFaster-than-average-job growth

Median Income$106,400 per year in 2008

Work Context & ConditionsPharmacists usually work in clean, well-lit, and well-ventilated areas, and many spend most their workday on their feet.

Minimum Education RequirementsPharm. D.

SkillsCritical Thinking, Active Listening, Mathematics, Reading Comprehension, Speaking, Science

AbilitiesOral Expression, Deductive Reasoning, Problem Sensitivity, Written Comprehension, Near Vision, Speech Clarity, Oral Comprehension

InterviewsLeslie Adams
Karen SillersVideo Icon



Job Description
Job CategoryHealthcare Practitioners & Technical

Job DescriptionPharmacists dispense drugs prescribed by physicians and other health practitioners and provide information to patients about medications and their use. They advise physicians and other health practitioners on the selection, dosages, interactions, and side effects of medications. Pharmacists also monitor the health and progress of patients in response to drug therapy to ensure safe and effective use of medication. Pharmacists must understand the use, clinical effects, and composition of drugs,including their chemical, biological, and physical properties. Compounding—the actual mixing of ingredients to form powders, tablets, capsules, ointments, and solutions—is a small part of a pharmacist’s practice, because most medicines are produced by pharmaceutical companies in a standard dosage and drug delivery form. Traditionally, most pharmacists work in a community setting, such as a retail drugstore, or in a healthcare facility, such as a hospital, nursing home, mental health institution, or neighborhood health clinic.

Pharmacists in community and retail pharmacies counsel patients and answer questions about prescription drugs, including questions regarding possible side effects or interactions among various drugs. They provide information about over-the-counter drugs and make recommendations after talking with the patient. They also may give advice about diet, exercise, or stress management, or about durable medical equipment and home healthcare supplies. They also may complete third-party insurance forms and other paperwork. Those who own or manage community pharmacies may sell non-health-related merchandise, hire and supervise personnel, and oversee the general operation of the pharmacy. Some community pharmacists provide specialized services to help patients manage conditions such as diabetes, asthma, smoking cessation, or high blood pressure. Some community pharmacists are also certified to administer vaccinations.

Pharmacists in healthcare facilities dispense medications and advise the medical staff on the selection and effects of drugs. They may make sterile solutions and buy medical supplies. They also assess, plan, and monitor drug programs or regimens. They counsel patients on the use of drugs while in the hospital, and on their use at home when the patients are discharged. Pharmacists also may evaluate drug use patterns and outcomes for patients in hospitals or managed care organizations.

Pharmacists who work in home healthcare monitor drug therapy and prepare infusions—solutions that are injected into patients—and other medications for use in the home.

Some pharmacists specialize in specific drug therapy areas, such as intravenous nutrition support, oncology (cancer), nuclear pharmacy (used for chemotherapy), geriatric pharmacy, and psychopharmacotherapy (the treatment of mental disorders with drugs).

Most pharmacists keep confidential computerized records of patients’ drug therapies to ensure that harmful drug interactions do not occur. Pharmacists are responsible for the accuracy of every prescription that is filled, but they often rely upon pharmacy technicians and pharmacy aides to assist them in the dispensing process. Thus, the pharmacist may delegate prescription-filling and administrative tasks and supervise their completion. They also frequently oversee pharmacy students serving as interns in preparation for graduation and licensure.

Increasingly, pharmacists pursue nontraditional pharmacy work. Some are involved in research for pharmaceutical manufacturers, developing new drugs and therapies and testing their effects on people. Others work in marketing or sales, providing expertise to clients on a drug’s use, effectiveness, and possible side effects. Some pharmacists also work for health insurance companies, developing pharmacy benefit packages and carrying out cost-benefit analyses on certain drugs. Other pharmacists work for the government and pharmacy associations. Finally, some pharmacists are employed full time or part time as college faculty, teaching classes and performing research in a wide range of areas.

Working ConditionsPharmacists work in clean, well-lighted, and well-ventilated areas. Many pharmacists spend most of their workday on their feet. When working with sterile or potentially dangerous pharmaceutical products, pharmacists wear gloves and masks and work with other special protective equipment. Many community and hospital pharmacies are open for extended hours or around the clock, so pharmacists may work evenings, nights, weekends, and holidays. Consultant pharmacists may travel to nursing homes or other facilities to monitor patients’ drug therapy.

Most full-time salaried pharmacists worked approximately 40 hours a week. Some, including many self-employed pharmacists, worked more than 50 hours a week.

Salary RangeMedian annual wage and salary earnings of pharmacists in 2008 were: $106,400. The middle 50 percent earned between $92,700 and $121,300 a year. The lowest 10 percent earned less than $77,400, and the highest 10 percent earned more than $131,400 a year.



Education
Education RequiredPharmacists must earn a Pharm.D. degree from an accredited college or school of pharmacy. The Pharm.D. degree has replaced the Bachelor of Pharmacy degree, which is no longer being awarded. To be admitted to a Pharm.D. program, an applicant must have completed at least 2 years of postsecondary study, although most applicants have completed 3 or more years. Other entry requirements usually include courses in mathematics and natural sciences, such as chemistry, biology, and physics, as well as courses in the humanities and social sciences.

Courses offered at colleges of pharmacy are designed to teach students about all aspects of drug therapy. In addition, students learn how to communicate with patients and other health care providers about drug information and patient care. Students also learn professional ethics, concepts of public health, and medication distribution systems management. In addition to receiving classroom instruction, students in Pharm.D. programs spend about one-forth of their time in a variety of pharmacy practice settings under the supervision of licensed pharmacists.

In the 2006-07 academic year, 70 colleges of pharmacy also awarded the master-of-science degree or the Ph.D. degree. Both degrees are awarded after the completion of a Pharm.D. degree and are designed for those who want additional clinical, laboratory, and research experience. Areas of graduate study include pharmaceutics and pharmaceutical chemistry (physical and chemical properties of drugs and dosage forms), pharmacology (effects of drugs on the body), and pharmacy administration. Many master’s and Ph.D. degree holders go on to do research for a drug company or teach at a university.

The Pharm.D. is a 4-year program that requires at least 2 years of college study prior to admittance, although most applicants have 3 years prior to entering the program. Entry requirements usually include courses in mathematics and natural sciences, such as chemistry, biology, and physics, as well as courses in the humanities and social sciences. Approximately half of all colleges require the applicant to take the Pharmacy College Admissions Test (PCAT).

Other options for pharmacy graduates who are interested in further training include 1-year or 2-year residency programs or fellowships. Pharmacy residencies are postgraduate training programs in pharmacy practice and usually require the completion of a research project. These programs are often mandatory for pharmacists who wish to work in hospitals. Pharmacy fellowships are highly individualized programs that are designed to prepare participants to work in a specialized area of pharmacy, such clinical practice or research laboratories. Some pharmacists who own their own pharmacy obtain a master’s degree in business administration (MBA). Others may obtain a degree in public administration or public health.

Recommended High School CoursesBiology, Mathematics, Chemistry, Physics

Postsecondary Instructional ProgramsEducation and Training, English Language, Psychology, Administration and Management, Mathematics, Chemistry, Biology, Customer and Personal Service, Computers and Electronics, Medicine and Dentistry

Certification and LicensingA license to practice pharmacy is required in all States, the District of Columbia, and all U.S. territories. To obtain a license, a prospective pharmacist must graduate from a college of pharmacy that is accredited by the ACPE and pass a series of examinations. All States, U.S. territories, and the District of Columbia require the North American Pharmacist Licensure Exam (NAPLEX), which tests pharmacy skills and knowledge. Forty-four States and the District of Columbia also require the Multistate Pharmacy Jurisprudence Exam (MPJE), which tests pharmacy law. Both exams are administered by the National Association of Boards of Pharmacy (NABP). Each of the eight States and territories that do not require the MJPE has its own pharmacy law exam. In addition to the NAPLEX and MPJE, some States and territories require additional exams that are unique to their jurisdiction.

All jurisdictions except California currently grant license transfers to qualified pharmacists who already are licensed by another jurisdiction. Many pharmacists are licensed to practice in more than one jurisdiction. Most jurisdictions require continuing education for license renewal. Persons interested in a career as a pharmacist should check with individual jurisdiction boards of pharmacy for details on license renewal requirements and license transfer procedures.

Prospective pharmacists should have scientific aptitude, good interpersonal skills, and a desire to help others. They also must be conscientious and pay close attention to detail, because the decisions they make affect human lives.

In community pharmacies, pharmacists usually begin at the staff level. Pharmacists in chain drugstores may be promoted to pharmacy supervisor or manager at the store level, then to manager at the district or regional level, and later to an executive position within the chain’s headquarters. Hospital pharmacists may advance to supervisory or administrative positions. After they gain experience and secure the necessary capital, some pharmacists become owners or part owners of independent pharmacies. Pharmacists in the pharmaceutical industry may advance in marketing, sales, research, quality control, production, or other areas.



Skills, Abilities, & Interests
Interest Area
InvestigativeInvolves working with ideas and requires an extensive amount of thinking.

Work Values
Social StatusLooked up to by others in their company and their community.
AchievementGet a feeling of accomplishment.
Social ServiceDo things for other people.
SecurityHave steady employment.
Ability UtilizationMake use of individual abilities.
Working ConditionsGood working conditions.
ActivityBusy all the time.
AuthorityGive directions and instructions to others.
ResponsibilityMake decisions on your own.

Skills
Critical ThinkingUse logic and analysis to identify the strengths and weaknesses of different approaches.
Active ListeningListen to what other people are saying and ask questions as appropriate.
MathematicsUse math to solve problems.
Reading ComprehensionUnderstand written sentences and paragraphs in work-related documents.
SpeakingTalk to others to effectively convey information.
ScienceUse scientific methods to solve problems.

Abilities
Oral ExpressionAble to convey information and ideas through speech in ways that others will understand.
Deductive ReasoningAble to apply general rules to specific problems to come up with logical answers, including deciding whether an answer makes sense.
Problem SensitivityAble to tell when something is wrong or likely to go wrong. This doesn't involve solving the problem, just recognizing that there is a problem.
Written ComprehensionAble to read and understand information and ideas presented in writing.
Near VisionAble to see details of objects at a close range (within a few feet of the observer).
Speech ClarityAble to speak clearly so listeners understand.
Oral ComprehensionAble to listen to and understand information and ideas presented through spoken words and sentences.



More Information
Related JobsScientist, Medical, Technician, Pharmacy, Biologist, Aide, Pharmacy, Chemist

Job OutlookPharmacists held about 269,900 jobs in 2008. About 65 percent work in community pharmacies that are either independently owned or part of a drugstore chain, grocery store, department store, or mass merchandiser. Most community pharmacists are salaried employees, but some are self-employed owners. About 22 percent of salaried pharmacists work in hospitals. Others work in clinics, mail-order pharmacies, pharmaceutical wholesalers, home health care agencies, or the Federal Government.

Employment is expected to increase much faster than the average through 2018. As a result of rapid growth and the need to replace workers who leave the occupation, job prospects should be excellent.

Employment of pharmacists is expected to grow by 17 percent between 2008 and 2018, which is much faster than the average for all occupations. The increasing numbers of middle-aged and elderly people—who use more prescription drugs than younger people—will continue to spur demand for pharmacists throughout the projection period. Other factors likely to increase the demand for pharmacists include scientific advances that will make more drug products available and the coverage of prescription drugs by a greater number of health insurance plans and Medicare.

As the use of prescription drugs increases, demand for pharmacists will grow in most practice settings, such as community pharmacies, hospital pharmacies, and mail-order pharmacies. As the population ages, assisted living facilities and home care organizations should see particularly rapid growth. Demand will also increase as cost conscious insurers, in an attempt to improve preventative care, use pharmacists in areas such as patient education and vaccination administration.

Demand is also increasing in managed care organizations where pharmacists analyze trends and patterns in medication use, and in pharmacoeconomics—the cost and benefit analysis of different drug therapies. New jobs also are being created in disease management—the development of new methods for curing and controlling diseases—and in sales and marketing. Rapid growth is also expected in pharmacy informatics—the use of information technology to improve patient care.

More InformationNational Association of Boards of Pharmacy, American Association of Colleges of Pharmacy, National Association of Chain Drug Stores, American Society of Health-System Pharmacists, Academy of Managed Care Pharmacy, American Pharmacists Association

ReferencesBureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Pharmacists, on the Internet at http://www.bls.gov/oco/ocos079.htm

O*NET OnLine, on the Internet at
http://online.onetcenter.org/link/summary/29-1051.00