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Vol 272 No 7299 p605
15 May 2004

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Letters to the Editor

Pharmacy education

Pharmacy degree is not a passport to nowhere

From Mr C. P. Butler, FRPharmS

I was interested to read your analysis (PJ, 1 May, p530) of the reported interview with Robert Dewdney, head of education, Royal Pharmaceutical Society (PJ, 1 May, p531). You correctly highlight the need for an increase in the number of pharmacy graduates leaving university who are intent on developing careers within the UK.

For more than 10 years there has been a shortage of pharmacists with the appropriate qualities to develop into quality practitioners with up-to-date skills. Sadly it was only some five years or so ago that the Society reluctantly agreed with members that this was the case. The situation was made considerably worse as a result of the so-called “fallow year” and at that time a large number of preregistration places went unfilled, in many cases to be replaced by the recruitment of additional (non-graduate) support staff. That position can be reversed and I know a number of employers in community practice who are now planning to make preregistration places available again, as soon as an opportunity arises to rearrange staffing and skill mix.

Dr Dewdney is reported as suggesting that a national plan for pharmacy education is required but he claims the Society, as regulator, is not in a position to do this on its own. This may of course be true, but I find it astonishing that Dr Dewdney appears to support a “do nothing” policy. I would have expected the Society’s head of education to have been proactive in formulating such a plan in consultation with all major stakeholders. I believe members deserve to be told what Dr Dewdney has achieved in this direction during his tenure because I am shocked at the admission that such an important plan does not exist.

Recently, I attended an interesting meeting at the University of Reading, one of a series being held with employers and other members of the profession, during which the planned programme for launching a new school of pharmacy at Reading was spelt out. An important part of the approach at Reading is to ensure that employers, including the NHS, are supportive of the establishment of the school and that undergraduates are introduced at an early stage to the “pharmacy family” locally. There appeared to be unanimous enthusiasm around the table for the new school and I heard no mention of a potential problem for preregistration placements.

I was puzzled that Dr Dewdney raised a question about the existence of a limited pool of pharmacy academics to teach in the new schools of pharmacy. Since employment is largely a matter of supply and demand, I would have found it strange if an excess of pharmacy academics had in fact currently existed. The new schools of pharmacy may have to sell themselves hard to attract high-calibre academics to teach pharmaceutics and practice, but similar problems may not necessarily exist with other subjects such as chemistry, biosciences, genomics or law. Certainly, at Reading, it appears that a huge pool of scientific and other talent already exists around the campus which can be relied upon to assist in the development of its school of pharmacy. If the Society’s education division had in the past been sufficiently proactive in bringing together a national plan for pharmacy education, then there may already have been some nascent academics honing their pharmacy-specific skills in preparation for a career spent educating and influencing the development of future practitioners.

I welcome the trend to educate and produce more pharmacy graduates but, while you are right to raise the question, I do not consider the pharmacy degree will become a passport to nowhere. On the contrary, against a background of portfolio careers and an increasing awareness of what pharmacists have to offer the nation, I believe that a bright future is ahead for the profession. I hope the Society does not let us down.

Charles Butler
Chairman, Chiltern Region,
Royal Pharmaceutical Society

 

ROBERT DEWDNEY, head of education, Royal Pharmaceutical Society, replies:

The primary responsibility of the regulator in this arena is to quality assure education and training, prequalification and, increasingly, postqualification as well. This is particularly important in the case of the Society, because it is more open than any other regulator to charges of self-interest in restricting entry to the profession (it also being a membership body). Government policy in health and education has, for as long as I have been at the Society, been for a free market in the supply of pharmacists. The Society has lobbied at various times over those years, particularly over the past two years, for a different arrangement, up to now without success.

I stand by my comments, with only a slight modification: the present pace of unplanned expansion is potentially detrimental to the quality of pharmacy education in this country. My slight modification is in the qualifier, the present pace. Clearly, the labour market in and for pharmacy academics (particularly those who are pharmacists themselves) could improve over a period of several years, although there we run into another problem which the Society has sought to address several times: uncompetitive pay rates, particularly for junior staff, in higher education.

With respect to plans for pharmacy education, on “my watch” we have reformed pharmacy education from top to bottom, side by side with considerable market-led expansion of numbers over the whole of that period (numbers of students entering schools of pharmacy during my time at the Society). The success of that venture has contributed to the wider success of the profession and to its practitioners being so sought after. The debate that needs to be opened is “if, how and where?”. Greatly accelerated expansion at undergraduate level should take place. What has been achieved will be at risk if that debate is not joined and its conclusions taken seriously by national politicians. I certainly do not advocate a “do nothing” policy — quite the opposite.

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