Showing posts with label Walgreens. Show all posts
Showing posts with label Walgreens. Show all posts

Friday, March 19, 2010

A Meetup with the Walgreens District Manager - Part 3


[Note: Here's the final part. A quick talk about career paths, Q&A, and some closing comments. The responses are of course not word for word. Just paraphrased as best as I could manage.]

Rhonda: I wanted to work with people, so I chose community pharmacy. That's what attracted me as opposed to hospitals. There are hundreds of career paths as a licensed pharmacist. Once you finish, once you pass the board of pharmacy exam, from there the world of pharmacy is open to you. A lot of pharmacy students don't become aware until their third year at how open the world is. There's research, academia, compounding, nuclear, pediatric, and geriatric. You'll never be bored. If you don;t like it you can move on. Some of you will go onto a residency for special training for an additional year. There's ambulatory care, acute care, inpatient. You'll figure that out when you do your rotations. From there you can choose your path.

Any questions?

Q: Do you have any interesting stories?

A: (Stephanie) - You meet a lot of different people, meet a lot of different populations. I did compounding in a mental health clinic. You see a lot of interesting patients and will be able to apply a lot of stuff from class to real life situations. I got to do a lot of vaccinations and immunizations. You learn how to guide your interview differently with different patients. That takes experience and what I got through the rotations. They weren't all one on ones with the patient, sometimes one on one with their nurse or doctor.

Q: I passed the PTCE and am waiting for my license to arrive. Should I wait for the physical license to arrive before applying? Or should I just apply now? [Asked by me if you couldn't tell.]

A: You should apply now, just make sure to mention when you sent in your application. Some managers are planning out a couple months in advance. But for some reason, lately, our pharm techs have had to wait 4 to 5 months for their license. Until you get it, you might work as a cashier or a clerk. Or you might just be answering phones, but you'll still get experience from that.

[Note: 4 to 5 months! That was certainly shocking/disappointing information. However, even with that tip to apply now, I might still wait. More on that in a future post.]

Q: Healthcare reform has been all over the news. What are your opinions on this? [Note: I didn't mark down in my notes when the response changed from Stephanie to Rhonda, so I just made my best guess.]

A: Stephanie - In one of my classes, we're debating the healthcare reform bill and wanting to reduce costs. In the end you'll still have pharmacists. It'll be competitive in terms of profitability, but we have an aging population, and people are living longer. The need for medication will still be there. The role of pharmacists will still be there.

Rhonda - It's also evolving and changing. We're not just dispensing. We do things like MTM and other things that add value to our services as pharmacists. This one seriously impact our career in our lifetime. There won't be an overabundance of pharmacists due to that aging population. There is a hazard, but from what I can see, it goes in a cycle. Sometimes we're totally short. We just finished that cycle. For the last 10 years we were scrambling. Hospitals, Walgreens, everybody. In the last two years we have not been scrambling. But that's not to say that the unemployment rate isn't high. But it comes in cycles and right now you're 4 to 5 years away so there's time for things to change again.

Q: Are people hiring pharm techs?

A: Maybe not hiring as fast or as much as 2 or 2 1/2 years ago. Reimbursement rates from insurance is decreasing rapidly. And the techs are the first to go. It's a little bit tight right now, but certainly not totally impossible. Apply to as many places as you can. All chains and independent pharmacies.

If there aren't any more questions, I'd like to end with a few words.

I'm excited for you guys. I think it's a great profession. I've really enjoyed it these past 20 years. I've never regretted it. It's been really rewarding from one to one interaction, to now, which is less so. It's a great profession. I think you'll really enjoy it. Starting salary has always been way up there. You won't starve as a pharmacist, so that will be good. And it's very flexible. Don't let the cost of pharmacy school deter you.

Something that I see a lot are people being really focused on "I need to stay in California. I need to stay in SF." I see a lot of my techs applying to only two schools. Some apply to more, but it's usually UCSD and UCSF. I know it's costly, but throw in two or three out of state schools. At least you'll have an option and you're not standing there for a year wondering what to do.

Thursday, March 18, 2010

A Meetup with the Walgreens District Manager - Part 2



- PharmCAS - It opens in June.  There are multiple deadlines for things such as LORs and when you need to submit your transcripts. It costs $150 for your first app, then $40 for each additional school you want it sent to.
  
- PCAT - Happens four times a year.  Usually around May, July, September, and December.

- Interview - You want to rehearse, but not over rehearse. Use bullet points so you can still keep it as a conversation. I can tell when someone I'm interviewing has been searching for a summer job. Make sure to answer key points but don't sound rehearsed. As an employer it doesn't sound good because communication is an important part of the job. And as a pharmacist you are an educator. You inform them how to use it, possible side effects and drug interactions.  That's your role.

Possible Questions:
- Why do you want to be a pharmacist?
- What areas of pharmacy interest you the most and why?
- What do you plan on doing withyour degree and why?
- What do you do for fun?

(Stephanie) UCSF, UoP, and UCSD, all asked similar questions. Do mock interviews. A lot of questions are to see what kind of person you are. How active you’ve been during your undergrad. They might ask hypothetical or ethics questions.  Take a look at other sample questions.  


Currently in Retail

- MTM Services - Medication Therapy Mangement.  It's about reviewing patient profile and medications and advising. Taking a look at all their prescriptions and checking if there is anything wrong, duplications, etc then making recommendations to their physician for dosing or other changes.

Often a pharmacist makes an appointment, they meet one on one, then run interventions with physician.  45 min to an hour process. Billing services to insurance company.

MTM is designed to:
Improve care
Enhance communication among patients and providers
Improve collaborations among providers
Optimize medication use
Improved patient outcomes

Core Elements:
Medication therapy review (MTR)
Personal med record (PMR)
Medication action plan (MAP)
Intervention and referral 
Document and follow up

- Immunization Advocacy – In the last several years, pharmacists have been able to give immunizations.  A lot of them deal with travel.  

Vaccines available at Walgreens:
Seasonl influenza
 H1N1
 Zoster
Typhoid fever
Hep B
Hep A
Pneumococal
Tet/dip/tertussis
Varicella
Poliomyelitis
Tet/dip
HPV
Japanese encephalitis
Yellow fever
Rabies
Meningitis

Community Health Fairs – Giving health care to people who may not have access and to education the community.

Brown Bag Day – a day where pharmacists will be there and people will bring their medications in a brown bag. Then have a MTM one on one with pharmacist advising them.

Outreach – To places like Senior Centers

Wednesday, March 17, 2010

A Meetup with the Walgreens District Manager - Part 1


No, I didn't call up the Walgreen District Manager myself, this was an event set up to the Pre-Pharmacy Association.  Gotta get that outta the way.  The event was last week, but my focus on my psy lit review (I got a 44/45 by the way.  That was an extremely quick turn around on grading by the professor.), got me to put it off until now.

Short Bio: Rhonda went to pharmacy school in school in St. Louis Missouri.  Worked in various settings, but mainly in retail.  She started at Walgreens as an intern which led to work there as a pharmacist.

Along with the SF district manager was a UCSF student pharmacist, Stephanie.  She's finishing up her final year, and is doing a six week management internship with Rhonda.  (I assume that means she's in the Health Policy and Management pathway.  Something I'm definitely interested in.)

Well... for the beginning of the talk, there was a lot of repeated info.  I'm not going to type it all out this time, but here's some quick points: Have good time management (prioritize, to do lists, etc.), talk to your advisors and do your research on the schools to plan out the pre-requisites you need, ask for good letter of recommendations, and make yourself well-rounded.

Now for some useful new info, or at least not frequently repeated info:

ACPE.  The Accreditation Council for Pharmacy Education.  The site to go to check the accreditation status on new schools.  Just click on "Students" and then "Which programs are accredited?"  They check on the curriculum, faculty, and staff, to make sure it meets the standards.  (Tuoro has reached full status, while Northstate is still in candidate status.)

A way to get experience is to become involved with a national pharmacy organization or a pre-pharmacy club, or mentoring program.  There is also job shadowing and employment at a pharmacy.  Here's a list of orgs to check out:


ASHP, AMCP ASCP APhA,

American society of health system pharmacists
Academy of Managed Care pharmacy
American Society of Consultant Pharmacists
American Pharmacists Assocation

In UCSF, they’ll intro you to these orgs, and you’ll likely have to join most of these.  Unfortunately I didn't write down exactly what role pre-pharmacy students can have in these, but she mentioned something brief.  There are of course events that they throw that you can participate in.
  
Now for student groups:

CSHP, CAPSLEAD, NCPA, SNPhA, LAPS

California Society of Health System Pharmacists
California Pharmacy Student Leadership
National Community Pharmacists Association
Student National Pharmaceutical Association
Latino Association of Pharmacy Students

And we'll close out Part 1 with some suggested resources. Some are repeats, but I'm still putting them here just to show what she thought was important to share: