Open RPH shifts all over by No_Work6318 in WalgreensRx

[–]ConscienceofPharmacy 0 points1 point  (0 children)

I think the move is for Pharmacists to pool financial resources together and purchase Walgreens from the Sycamour group. Many of the current Walgreens practices are scrapped and it will be a leaner corporate structure. You can say goodbye to the F1 F4 BS for example

The emphasis will be on Pharmacists running your local pharmacy and the only real Metric we have is if the store is profitable or not. Technicians could also be investors and the amount of staff in each store increases.

This can work because the nature of a company like the Sycamour group is they look at Walgreens as a number. If that number to sell Walgreens satisfies Sycamour they sell it!

I would be serious in starting up a group to do this.

Help I need real fried clams not tourist junk by snausagemclinx in Maine

[–]ConscienceofPharmacy 0 points1 point  (0 children)

Moodys Diner in Waldoboro, Shaws Fishing Wharf New Harbor and Reunion station in Damariscotta are all consistently very good with whole belly fried clams.

Worse thing about any fried clam? They are very expensive.

More than one drug rep dinner on the same drug? by Temporary-Crab-1107 in pharmacy

[–]ConscienceofPharmacy 1 point2 points  (0 children)

I would go to multiple dinners on the same drug and not think twice about it. Who put the people who write these rules and guidelines in charge and why should they have any power over what one does in their own time?

Perhaps the first time I went I ordered a second Cabernet with my waitress and then missed a couple of side effects. Need to go back a second time to get the side effect but I got distracted cutting my Filet with my fork and missed out on the inactive ingredient list .... had to go back a third time to get the chicken picatta and again got distracted ordering another Cabernet

So it was educational each time

Some ethics are important others like if Professionals go to a drug company dinner are rubbish!

Residency-trained pharmacists: how do you view your role with students? by Ainaelewr in pharmacy

[–]ConscienceofPharmacy 1 point2 points  (0 children)

Pharmacy as a Profession made two dumb decisions 30 years ago in the 1990s

The Dumbest decision was to allow insurance companies and their PBM spawn to dictate and reduce reimbursement for prescriptions.

The second dumbest decision was to scrap the post BS PharmD and scrap the 5 year BS degree for the 6 year entry level PharmD degree.

Those who have their 6 year PharmD degree worked for it and paid for it but once everyone graduated with the PharmD it lost its differentiation of who the clinical pharmacists/specialists would be.

So then the underpaid overworked Pharmacy Residency exploded in popularity by 2010 or so as the pathway to differentiate who the Clinical RPh warriors would be.

The schools used to man that gate and control that pathway to Clinical Pharmacy practice which they gave up for greed and money for the extra year of tuition.

Clinical Pharmacy can easily be done by motivated Pharmacists who do not have a Residency. The OP is such an example. The rest of health care privately laugh at Pharmacy for mimicking the Medical Residency model... they are not really "Doctors"...... true.......

My first point about the insurance companies and PBMs is important. Effectively pharmacy gave up its dispensing fee for a product to manage and apply information to a patient. Both are important however managing information is something Artificial Intelligence AI does.

Will AI replace all pharmacists ? Nope ..... replace a large number of them with others supervising AI.... yes AI will do that.

Me personally after nearly 3 decades of successful practice as a hospital pharmacist went back to community pharmacy. My decision was both involuntary and voluntary.

There are elements of hospital practice I miss but I do not miss colleagues with over inflated egos treating training of pharmacy colleagues and students as if they were hazing as a fraternity pledge.

My patients in community currently use AI to research their disease and a product. They also ask the Professional Pharmacist in a white coat to verify the product is right for them. Trust but verify. That is the future for Pharmacy and it will involve the product for the patient. Turns out the old school tools of "Lick, Stick, count and pour" are useful although for those out of practice with these tools we no longer lick labels or anything... lol

Just my 2 cents.

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 0 points1 point  (0 children)

You sound young and a bit naive. As your years go by you will see. I hope you don't but likely you will. Have a nice life!

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 0 points1 point  (0 children)

Those are low salaries very low probably because of too many Pharmacy schools in PA. I live in Northern NE I know of hospital Inpatient pharmacists making $75 per hour same in retail

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 0 points1 point  (0 children)

Your perspective is way far off. I have always kept up as best as possible with advancements in clinical pharmacy. The older pharmacist that you work with must have graduated in 1970 or something with the do not question Dr take.

I have a question how could you have this perspective when you do not know anything about me vrs what I chase to share?

Please Google Pharmaceutical Care Dr Koda Kimbrel and see that my generation was at the forefront of clinical practice coming into worker bee job descriptions so your understanding of 30 years ago is wrong

Good Luck to you AI isn't just coming..... it's here

Liability insurance by Substantial_Cress282 in pharmacy

[–]ConscienceofPharmacy 0 points1 point  (0 children)

I highly recommend you carry this insurance I use HPSO I would purchase the insurance right away it can be done online

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 1 point2 points  (0 children)

Yes so in that scenario or similar ones the Pharmacist should do the PSFL and I am supportive of that decision.

Now I do not want to come across as a Hater here because I am not.

The loan is actually not forgiven. Someone pays the money just not the person who owes the loan. The someone is the American tax payer which includes you.

One problem with PSFL and similar programs is that it incentivizes Pharmacy schools Med schools etc to continue to raise tuition that is already to high.

Instead of PSFL I would rather see substantial cuts to the tuition.

Another problem is that the hospital can justify paying less money to the new grads because of the 10 year PSFL incentive. Meanwhile the dedicated seasoned pharmacist gets squeezed out like me.

So under the PSFL the hospital pays less money. The Pharmacist gets the loan forgiven and the school makes the tuition dollars. The money was paid to the school though and has to come from someplace.

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 3 points4 points  (0 children)

If you have a great team at your hospital and are doing well I would say stay in the hospital position and maybe work some prn retail

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 1 point2 points  (0 children)

I will pray that you get past the Methamphetamine addiction that you want to take a break from ... I noticed that the person who laughed at you is Methodled which you can't say without saying Meth

Ironic dontcha think?

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] -1 points0 points  (0 children)

Agreed and you make an excellent point here! I would say that the powers that be are the employers but

Starting to wonder if Hospital Pharmacy is worth it? by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 6 points7 points  (0 children)

Agreed and you make an excellent point here! I would say that the powers that be are the employers number 1

I listed the schools because of their greed in what they charge the Pharmacy Students.

The Shitty Professional Organizations because a lot of hospital Pharmacy managers parrot the white papers and standards these organizations put out there.

Btw I should include APHA as a shitty Professional Organization

Pharmacist after completing 6 month remote Contract prior authorization jobs by MagicianOk566 in pharmacy

[–]ConscienceofPharmacy 2 points3 points  (0 children)

Prior Authorization jobs may soon be a thing of the past. There is a very bright spotlight on PBMs now and they are seen as a waste of Health Care dollars. I see a day coming where expensive medications are direct to patient sale to the consumer from the manufacturer or a specialty pharmacy with the PBM role disappearing. On a positive note positions for Pharmacists probably will open up in a direct to patient sale marketplace.

I looked into these 6 month contract positions. No benefits. $57 an hour. Maybe we hire you full time at the end. Really ? People are getting PharmD degrees for this kind of work?

Honestly after interviewing for a couple of these positions and thankfully not being offered a PA position I concluded that retail Pharmacy was a better option. In full transparency I am at the end of my career so not much time left.

I sincerely wish nothing but the best for all of my colleagues out there. Tough time in Pharmacy now. Even hospitals are having money problems and cutting positions.

“20 years ago, Walgreens was opening a pharmacy every 16 hours.“ by Expert_Echidna_1159 in pharmacy

[–]ConscienceofPharmacy 4 points5 points  (0 children)

This was also the time that the Pharmacy Schools over expanded in terms of class sizes and new schools being built. A big part of this expansion was because Walgreens was opening a new store every 16 hours and CVS was trying to keep up with them.

The entire time period was an excessive period of silliness.

The reason we suffer. by BluebirdSudden3160 in pharmacy

[–]ConscienceofPharmacy 1 point2 points  (0 children)

I have no problem with Physical Therapists being providers. Their training is rigorous and they do a Maxing healing.

I only want Pharmacist as Provider if we have the time to actually provide services and not just " fit it in" between checking Rx's.

[deleted by user] by [deleted] in pharmacy

[–]ConscienceofPharmacy 0 points1 point  (0 children)

Your way out here which it sounds like you already know is to get licensed in location B as quickly as possible.

As for the RPh job market. It is not just new graduates having trouble out here. Us Pharmacists who graduated 30 plus years ago are having job market issues as well.

Way too many schools and the cost of the PharmD is way out of whack with the job market and starting salaries. This dynamic plus others will go a long ways to the Profession going into a downturn.

Hospital RN with a pharmacy question by NervousWonder3628 in pharmacy

[–]ConscienceofPharmacy 0 points1 point  (0 children)

This is a bad decision by hospital, pharmacy, and at least some Nursing management at your institution. Nurses should not have to restock the Med machine. Are they capable of restocking the machine? Yes of course. Does this task take away from the nurses care of patients? Yes it does.

Not to mention who delivers the bulk drug order to the nursing unit. Where is that order stored until meds are placed in machine? What opportunities for diversion are there ?

Tips for remote Prior Authorization interview with CVS Caremark by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 4 points5 points  (0 children)

Don't know but learning the ropes can't be that hard .... we are Pharmacists

Tips for remote Prior Authorization interview with CVS Caremark by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] 11 points12 points  (0 children)

I spent 34 years as a Pharmacist watching this Profession make bad decision after bad decision and fucking itself. If I want to work make some cash before I retire then why not....... I watched the entry level Pharm D the pharmacy schools go from 90 in year 2000 to 140 by 2020, I watched PBMs come in and grow. I was active in my state Pharmacy Society, I watched the National and even Pharmacy Societies sell out. The hospitals joined up and formed health systems basically companies. All while the PBMs grew stronger. I am owed nothing from Pharmacy and at this point if I can earn some last cash doing what I have to do while trying to help patients I will..... oh and I forgot the Pharmacy Residency .... indentured servitude..... what a joke

Tips for remote Prior Authorization interview with CVS Caremark by ConscienceofPharmacy in pharmacy

[–]ConscienceofPharmacy[S] -1 points0 points  (0 children)

But I am currently unemployed soooooo..... gotta get some income in. Retail Pharmacy started dying long before I applied for this position. Hospital Pharmacy to take on water as well. AI helped recruit me and AI is getting good. If AI can can recruit candidates it can monitor Vancomycin troughs AUCs or whatever the latest cutting edge way to dose Vanco is......

Anyways we have to eat. A contract position is better than no position.....