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Description
Compound and dispense medications following prescriptions issued by physicians, dentists, or other authorized medical practitioners.
Job Outlook
Very good employment opportunities are expected for pharmacists over the 2004-14 period because the number of job openings created by employment growth and the need to replace pharmacists who leave the occupation or retire are expected to exceed the number of degrees granted in pharmacy. Enrollments in pharmacy programs are rising as more students are attracted by high salaries and good job prospects. Despite this increase in enrollments, job openings should still be more numerous than those seeking employment. Employment of pharmacists is expected to grow faster than the average for all occupations through the year 2014, because of the increasing demand for pharmaceuticals, particularly from the growing elderly population. The increasing numbers of middle-aged and elderly people, who use more prescription drugs than younger people, will continue to spur demand for pharmacists in all employment settings. Other factors likely to increase the demand for pharmacists include scientific advances that will make more drug products available, new developments in genome research and medication distribution systems, increasingly sophisticated consumers seeking more information about drugs, and coverage of prescription drugs by a greater number of health insurance plans and Medicare. Community pharmacies are taking steps to manage an increasing volume of prescriptions. Automation of drug dispensing and greater employment of pharmacy technicians and pharmacy aides will help these establishments to dispense more prescriptions. With its emphasis on cost control, managed care encourages the use of lower cost prescription drug distributors, such as mail-order firms and online pharmacies, for purchases of certain medications. Prescriptions ordered through the mail and via the Internet are filled in a central location and shipped to the patient at a lower cost. Mail-order and online pharmacies typically use automated technology to dispense medication and employ fewer pharmacists. If the utilization of mail-order pharmacies increases rapidly, job growth among pharmacists could be limited. Employment of pharmacists will not grow as fast in hospitals as in other industries, because hospitals are reducing inpatient stays, downsizing, and consolidating departments. The number of outpatient surgeries is increasing, so more patients are being discharged and purchasing their medications through retail, supermarket, or mail-order pharmacies, rather than through hospitals. An aging population means that more pharmacy services will be required in nursing homes, assisted-living facilities, and home care settings. The most rapid job growth among pharmacists is expected in these 3 settings. New opportunities are emerging for pharmacists in managed care organizations where they analyze trends and patterns in medication use, and in pharmacoeconomics, the cost and benefit analysis of different drug therapies. Opportunities also are emerging for pharmacists trained in research and disease management, the development of new methods for curing and controlling diseases. Pharmacists also are finding jobs in research and development and in sales and marketing for pharmaceutical manufacturing firms. New breakthroughs in biotechnology will increase the potential for drugs to treat diseases and expand the opportunities for pharmacists to conduct research and sell medications. In addition, pharmacists are finding employment opportunities in pharmacy informatics, which uses information technology to improve patient care. Job opportunities for pharmacists in patient care will arise as cost-conscious insurers and health systems continue to emphasize the role of pharmacists in primary and preventive health care. Health insurance companies realize that the expense of using medication to treat diseases and various health conditions often is considerably less than the costs for patients whose conditions go untreated. Pharmacists also can reduce the expenses resulting from unexpected complications due to allergic reactions or interactions among medications.
Job Nature
Pharmacists distribute 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 the 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. Most pharmacists work in a community setting, such as a retail drugstore, or in a health care 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 the patient's diet, exercise, or stress management or about durable medical equipment and home health care supplies. In addition, 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 also are trained to administer vaccinations. Pharmacists in health care facilities dispense medications and advise the medical staff on the selection and effects of drugs. They may make sterile solutions to be administered intravenously. They also assess, plan, and monitor drug programs or regimens. Pharmacists counsel hospitalized patients on the use of drugs 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 health care 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 by means of drugs). Most pharmacists keep confidential computerized records of patients' drug therapies to prevent harmful drug interactions. 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. Pharmacists also frequently oversee pharmacy students serving as interns in preparation for graduation and licensure. Increasingly, pharmacists are pursuing 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 work for health insurance companies, developing pharmacy benefit packages and carrying out cost-benefit analyses on certain drugs. Other pharmacists work for the government, public health care services, the armed services, 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.
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