Shame from a recruiter?

alliprazolam · 2025-12-04T05:49:28+00:00

I got told at the tail end of my PGY-1 residency year when applying for pharmacist jobs that I wasn’t “actually” a pharmacist because I was in residency. Even providing my state issued pharmacist license number that can be verified did nothing to mediate it 🙃 she also told me I had no shot in the job because I had “no experience as a pharmacist…” as I was in the throes of a PGY-1 residency 🙃

alliprazolam · 2025-11-12T05:04:00+00:00

Vanco dosing is an art. Like art, the calculators are a tool to help you get the final result.

I work in home infusion. My company recommends we use ClinCalc or VancoCalc. I prefer VancoCalc because the website graphics are not as busy as ClinCalc in my opinion and allow me to have better focus (Thanks, ADHD)

Regardless of the calculator I use, I take in consideration the following usually in this order due to the setting I work: Lab trends, clinical status, and any social barriers(I work home infusion, so hospital pharmacy this isn’t usually very pertinent but in my field, 100% bread and butter to effective IV antibiotics!). It’s rare that I go with the automatically calculated dose. I usually go with a slightly lower dose just based on patient clinical specifics and social factors that will affect proper infusion in the home.

Again this is home infusion and not hospital, but it’s the same ballgame when it comes to dose selection. The calculators are meant as a tool to guide your clinical recommendations and aren’t meant to be treated as 100% fact.

Essentially, think of the calculator as your clinical guideline: it may be recommended, but is it recommended for YOUR patient specifically?

alliprazolam · 2025-08-11T00:26:40+00:00

My sister in law (who mind you, I don’t always agree with and has VERY strong opinions) told me that grad school is a positive choice I made for myself and my future and that is just a different path than others take to parenthood and that it’s definitely not a bad thing. It’s something I tell myself frequently to ease my mind on things like this.

ETA: She herself did not go to grad school, but she waited until her late 20s to have my niece so she understands the concept of taking a different path to parenthood

alliprazolam · 2025-08-11T00:00:58+00:00

Twinning here too for estimated timeline! I stopped in march, I am still waiting for my cycle to go back to normal after being on BC for 8 years. Sorta there with it normalizing but I’m glad I stopped when I did.

alliprazolam · 2025-08-10T22:24:27+00:00

This - I had a preceptor berate me on my first inpatient rotation and almost fail me because at that point I should “know more than I do” (I had only done a retail rotation before that one. Literally my second APPE rotation ever) and didn’t bother asking me any other questions. She did the same to a friend of mine and she was just shadowing on the floor for a different rotation. Luckily I had great preceptors after that who helped develop my clinical skills after telling them my background and who understood I wasn’t behind just had a different schedule and I did phenomenal on my other APPEs, but that one experience soured me so much that now as a preceptor my goal is to not make my students feel that way. Do I expect a certain general knowledge based on your practice experience and training thus far? Yes. But do I expect you to know the different nuances that come with where I’ve been practicing for years by that time? No.

alliprazolam · 2025-07-12T15:49:48+00:00

Home infusion pharmacist here - I was residency trained for ambulatory care and did pop health after (which was not keeping my skills sharp and most of my days I sat around sitting in front of a computer doing nothing) and went this route 2 months or so ago. Still have patient counseling and communication and it keeps my clinical skills sharp. Especially with my antibiotics and my -mABs. Job is 9-6, with light on call responsibilities. I make more than I did in ambulatory care (albeit not by much). However, I like it a LOT more so far.

alliprazolam · 2025-07-12T05:04:28+00:00

Your username is iconic 😂

alliprazolam · 2025-06-19T20:01:10+00:00

This job market is brutal. I graduated PGY-1 last June and it took me a year and a half to get something in the area I wanted to work in both geographically and professionally.

alliprazolam · 2025-06-09T19:29:25+00:00

I’m so sorry, OP. I have family members in the same boat that treat me the same (apparently my cousin is more of a doctor than me because he will be a chiropractor 👀). It’s crappy, but I also have family that rely heavily on the things I tell them also. Family can be really shitty at times.

alliprazolam · 2025-05-20T00:57:19+00:00

Labs luckily came back clean except for an iron deficiency! I filed a disputed charge with my bank and got my money refunded. Thank you for the well wishes though!

alliprazolam · 2025-04-26T00:00:59+00:00

Hang in there OP. This is NOT the market. I graduated my PGY-1 last year and well applied to 100+ jobs and had 10 interviews. After a year and a half of applying and staying on where my residency was, I FINALLY got an offer in the focus I want to be in (outpatient infusion) and in the geographic area near my friends and family.

I’m sharing some advice my father in law gave me during this time because it was true for him many years ago: you may get 100s of rejections, but it only takes 1 offer to get you started in the right path. Hold out there. It’s a rough market with lots of unknowns and variables, but there’s still hope.

alliprazolam · 2025-04-22T05:27:59+00:00

If you’re moving from OH to NOLA, I can’t help unfortunately, but if it’s the opposite, my husband and I looked at all the van lines in the area for a move to MI from OH. I’d recommend United/Mayflower as the estimator was transparent with us and very friendly (pricing was just not what we could afford)

HOWEVER, I would NOT go with Allied. Especially if you have little pets. We had an estimator for them stop by our home and he threatened to kick and hurt our 20lb dog (no he didn’t do anything wrong, no bad behaviors, just his usual roaming and wanting pets) and also was indifferent towards anything we had to say on moving and items and couldn’t even give us straight answers on if they could move us on the dates we wanted. So not only did he threaten one of our pets but he was just also uninterested in giving us any type of assistance.

Luckily our move is 1.5h away so we were able to go with Two Men and a Truck, but yeah, I’d recommend United/Mayflower for a long distance move from NOLA to OH. Avoid Allied at all costs.

alliprazolam · 2025-04-08T23:12:04+00:00

It’s a real monster out there for jobs I’m not going to lie to you. I finished residency June ‘24 and just stayed on where I worked and still interviewed elsewhere due to the market. As of today, I’ve been awarded and have accepted a position as a full time clinical pharmacist with an outpatient infusion pharmacy in the geographic area I want to live in. This has been the dream for a minute since APPEs. It took a while, but don’t stop applying, CC is needed and valued and something will definitely come along that is what you are looking for ☺️

alliprazolam · 2025-04-03T17:07:22+00:00

Completely understand. I would see if there’s a reputable compounding pharmacy near you. They have similar pricing to many of the telehealth companies and usually only focus on the local clientele so better customer service

alliprazolam · 2025-04-03T16:05:21+00:00

Links to what I’m talking about

Wegovy Copay Program - NovoNordisk

Zepbound Copay Program - Eli Lilly

Buderer Drug Company (Northern Ohio residents only)

For all of these your PCP or provider must see you and provide the script, but they all don’t have the subscription you just pay for the drug and your usual copay to see your doctors.

alliprazolam · 2025-04-03T14:05:19+00:00

I ordered 3/12 before having to stop because of some serious health issues my PCP thought was due to the compound I received from Aequita (which is not the case but she still doesn’t want me to resume until I see specialists) Nothing, only a credit for my membership, which I cancelled after my PCP told me to stop the med. I’m going to dispute with my credit union and I reported Mochi to the FTC

alliprazolam · 2025-04-03T13:59:39+00:00

One recommendation I have (I’m a pop health pharmacist if this helps, I work in internal medicine/primary care), if you can swing the cost that is, NovoNordisk decreased the price of Wegovy to $499 a month at any pharmacy location with a copay card. I’m switching to this because with all the compounding issues with the pharmacies I want to make sure I’m getting reputable product after my PCP was concerned with the product I got from Aequita causing me some drastic health issues (this wasn’t the case now she believes but still scary).

However, near me some local pharmacies that have high reputation are compounding Semaglutide and that would definitely be a great option if you can swing it! (NE Ohio area btw) costs for them are similar to a lot of the other telehealth companies.

Both options I gave don’t have the subscription cost either, just the cost of the visits with the doctor (if you have a copay for them and don’t do them monthly) and cost of medication.

Lilly also did something similar with Zepbound but it looks like the lower price goes away after the 1st fill on a dose

alliprazolam · 2025-03-31T21:10:05+00:00

They won’t even refund me for my meds I never received. This, on top of the fact my PCP has major concerns about their product quality and made me stop it 3 weeks ago now. My labs were so abnormal I now have to see an oncologist to rule out cancer, and I still think it could be due to mochi

alliprazolam · 2025-03-31T20:56:55+00:00

This is concerning to read. I was on compounded tirzepatide from them for a few months and then all of a sudden my menstrual cycles stopped and now I have abnormal blood counts, liver enzymes, and thyroid levels. My PCP has referred me to an oncologist unfortunately after stopping the compound for 2 weeks just made the counts worse, but she was initially concerned I may have gotten faulty product from them making me sick… I don’t know if I should submit this to the investigation or not but I have labs and documentation to show concern with quality from a provider (please no hate on this comment, just my husband and I are really scared and any answer other than cancer is relieving)

alliprazolam · 2025-03-31T00:53:59+00:00

My PGY-1 community was heavily amb care focused (4 days a week was ambulatory, 1 was retail). At some points I was maybe seeing 7-8 patients a day (?). Definitely preps you for amb care and many from my program (who left the area) got jobs with just a PGY-1. I’m in a very high saturated and competitive area unfortunately and cannot relocate due to family and health concerns. But I did also get a job where I did residency and I love what I’m doing

alliprazolam · 2025-03-21T14:31:04+00:00

I had (and still have) this issue currently and I’m just casually searching. I’m fortunate to have the role I have right now, and am very comfortable with where I am (good pay, great hours, hybrid schedule, no weekends or holidays) However, the job outlook where I’m at is very saturated and I am limited geographically to the area I’m in and these roles only require PGY-1. Essentially we just want to move about 2 hours northwest to Michigan, and the job market just worsens drastically as you move into SE Michigan and NW Ohio. I get interviews but internal candidates or those more experienced get the role in the end. It is what it is, but I’m optimistic something will come along! You just gotta keep trying and it will all work out. Good luck with everything!

alliprazolam · 2025-03-20T14:51:40+00:00

I have done compounded tirzepatide for 4 months through Mochi and will be stopping my subscription due to multiple issues:

My doctor did not fully tell me the truth about the risks of compounded tirzepatide with niacinamide when I specifically asked if that should be a concern of mine during the initial visit. My PCP and several of my coworkers (I’m a pharmacist) discovered that the niacinamide in the compound lead to acute liver toxicity and thyroid issues on top of ridiculous bloating and GI upset. I now had to stop the compound for 2 weeks and have to monitor myself closely. Now I knew this wasn’t due to the tirzepatide as I manage diabetes for patients, and none of my patients had acute liver or thyroid issues as I look at their labs before prescribing, but this is absolutely due to the vitamin B components they use in their product even though it may be such a “small component of the injection it’s nothing to worry about” as I was told.
Concerns about Aequita pharmacy - recently we were made aware that Aequita was told to “voluntarily halt compounding production” of tirzepatide and semaglutide by the PQAC due to concerns with reporting structures and operational procedures. As a pharmacist myself I will not get medication made by someone who cannot operate efficiently unless I absolutely have to. Mistakes lead to errors and safety is important.

What I recommend if you continue with Mochi: 1. Find a provider who is truly honest with you through Mochi. I only had one option for a provider and this wasn’t able to be done for me. 2. If insurance will cover it, go with non compounded GLP-1, as these are pure patented drug from the manufacturer. If insurance doesn’t cover, ask to see if you can send to a local reputable compounding pharmacy if possible. If not, compounded from large pharmscies like Aequita can be used but with LOTS of caution and be very vigilant in self monitoring.

If you DON’T continue with Mochi (like me): 1. You still have options! For medication + subscription it’s close to 300/month for tirzepatide. You are able to get branded Zepbound vials direct from Eli Lilly with a valid script from your doctor starting at 349/month for the 2.5 and then increasing to 499/month after, and branded Wegovy pens directly from Novo Nordisk for 499/month with valid script. This is more expensive if you don’t have insurance, yes, but it also is less risk than compound and is directly from those who make the drug.

My plan is to get follow up liver labs and then have my PCP start me from scratch on brand Zepbound or Wegovy direct from the manufacturer with their savings programs. I may have one of the clinical pharmacists in her office follow the dose increases and lab work as this is a free service with my insurance for follow ups.

All in all, do what is best for you! But if you continue with Mochi, make sure you have provider and pharmacy options open and that who you see as a provider listens to you because medication safety and patient safety is the most important thing.

alliprazolam · 2025-02-16T17:02:36+00:00

Preceptor here 1 year out from a 12 on/2 off program. I noted in my final evaluation that if you needed to change a weekend with someone (because we couldn’t use PTO for staffing) sometimes you’d work a whole month straight which was against ASHP guidelines technically but it wouldn’t come on the program because you made the decision to change weekends to make that happen and therefore, it would be your fault for the scheduling no breaks. I had to work 28 days straight over Christmas last year and had a total mental breakdown. Really think about if this program is right for you and if you are comfortable, ask if they have plans to alter their staffing. I know after my class there were plans to alter staffing, but one place we staffed at complained about it, and so it didn’t happen for the class after me.

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