US Pharm. 2006;5(Student suppl):18.

While pharmacy school graduates are usually focused on taking the NAPLEX following graduation, what happens after the big test is over and the license is in hand? Some graduates will begin residencies and have more time to adjust to their new careers. Others, however, will immediately make the transition from intern to pharmacist. New pharmacists should address several important issues and ask certain questions as they enter the profession--but how can they identify which issues and questions these are? Pharmacists who have made the transition in recent years can provide new graduates with valuable advice and thus are a great resource.

The first major issue that pharmacy graduates will face is where to begin their career. Interns approaching graduation should ask themselves two important questions: Where will I be working? and Is it truly where I want to be as a pharmacist? Since, unfortunately, graduates must often pay back a sizable amount of money in student loans, this debt can influence whether they will accept a particular job offer over another. As a result, deciding where to begin a career becomes primarily about money instead of about where the new pharmacist will be happiest and able to make the biggest impact. This is one of the reasons some graduates choose not to complete a residency following graduation. While salary is, of course, important, sometimes new pharmacists miss out on good opportunities because they "see dollar signs."

Understanding that roles and responsibilities will change is another important issue for new pharmacists. Graduates can go overnight from assisting a pharmacist to becoming a supervisor. Suddenly, there is no one for them to turn to and ask for advice when they do not have an answer or must make an important decision. New pharmacists should seek employment where they can be properly trained or prepared for their new position. There may be instances when the authority of the new boss will be tested. The pharmacist must be both fair and steadfast. New pharmacists should ask themselves how they would handle conflicts that could arise--before they occur.

A new concern among pharmacists who work in the community for a retail chain pharmacy is whether they will have a proper amount of technician support. These pharmacists may have to adjust to a higher workload due to the chain's reduction in budgeted hours for technicians in their pharmacies. This problem raises the risk of medication errors and other mistakes, which can make things very difficult for a new pharmacist trying to make the transition from being an intern. Before accepting a job, graduates should ask potential employers whether the proper amount of support help will be provided in the pharmacy.

Making the transition from intern to pharmacist can be as smooth or as tough as one chooses to make it. New graduates should do their homework before going to work. They should ask themselves what they need to be a successful pharmacist in their new pharmacy, not what they want. And again, the best resource is the pharmacists who have already made the transition and can tell you what they wish they had known when they started out.

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