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Vol 277 No 7426 p572-573
11 November 2006

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Letters

· Pharmacy in Spain
· Controlled drugs
· Community pharmacy
· Prescribing
· Medicines use reviews
· Safety (2)
· Supermarket pharmacy
· The profession (4)
· The Council
· Statutory Committee
· Retention fee
· Section 60 Order
· The Society
· Pfizer products


Letters to the Editor

The profession

Encouraged and guided (Miss J. de Val)

Getting our image right (Mr D. G. Carr)

Does the title MPharm devalue the profession? (Mr D. Lee)

Falling on deaf ears (Dr J. Scott)

Encouraged and guided

From Miss J. de Val, MRPharmS

The importance of science in the study and practice of pharmacy has always been recognised by the British Pharmaceutical Students Association. It was with some interest then to read the comments by Alexander Florence (PJ, 28 October, p516–517).

It is clear that the role of pharmacy in health care, and the role of the pharmacist therefore, has changed a great deal in recent years. Thanks to the proactive members of our profession, we now have enhanced and advanced services under the new community pharmacy contract, we have the first pharmacist prescribers and we even have the first consultant pharmacist posts.Pharmacy students are aware of the highly varied career that they can carve out for themselves, working in any sector of pharmacy with the same degree and moving between these sectors to create a portfolio career. How does pharmacy education keep up with this? Perhaps there may be some responses to this as a result of the Royal Pharmaceutical Society’s education consultation.

Frequently newly qualified community pharmacists now manage their own pharmacy, often with little training in how to manage a workplace or staff. BPSA members have called for management training to be incorporated into the MPharm degree. These students realise that they are likely to be in a management role and wish to be prepared, so they may do it with excellence, not just competence. Management subjects are not desired because they are “softer options” but because they are what the profession has led us to believe we will benefit from.

Science in the MPharm degree is highly valued by the BPSA. The BPSA executive participates in the science working committee of the European Pharmaceutical Students’ Association, which encourages dialogue between European pharmacy students about science education and research. Perhaps wider use of this interesting tool should be a priority for the association. The BPSA also works with the Society to run a science-based programme for students’ day at the British Pharmaceutical Conference.

The BPSA executive and members are some of the most proactive pharmacy students and it is inevitable that they will go on to play an active role when they qualify and practise. They should be encouraged and guided because they are the profession’s future.

Jennifer de Val
President
British Pharmaceutical Students’ Association


Getting our image right

From Mr D. G. Carr, MRPharmS

Congratulations to Alexander Florence on his analysis of the public’s (and others’) view of pharmacy (PJ, 28 October, pp516–17).

In my early days after qualifying I spent six years in two reasonably upmarket pharmacies — glass bottle displays, drug runs, white demi and white coats — albeit supported by a good perfumery and photographic departments. Free time, however, was at a premium with a five-and-a-half-day week, a one in three rota and no time for sport. So I joined a pharmaceutical company as a medical representative and was horrified at the state of some of the pharmacies I visited.

No doubt things have improved somewhat since I “left the road” 25 years ago but our image is still blighted by displays of junk that should never see the inside of a pharmacy. If business is bad enough to require shoring up with non-medically related merchandise then the pharmacist should get out and find a proper professional position elsewhere.

Perhaps the Royal Pharmaceutical Society’s inspectorate could grade premises on its visits and issue some “improve or else” certificates where “or else” could be a doubling of the annual retention fee for the premises. Such a punishment would be better if the NHS was not so parsimonious but if we do not get our image right we will never improve our standing as a profession and get paid what we are worth.

D. G. Carr
Bookham, Surrey


Does the title MPharm devalue the profession?

From Mr D. Lee, MRPharmS

Are we devaluing the profession by describing graduates of a first degree course with the title master of pharmacy? I believed that a master’s degree was conferred after completing a postgraduate degree that included a thesis. Are we to believe that the fourth year of a pharmacy degree in the UK allows enough time for original research and the writing up of a thesis? In which other science degree could a master’s degree be gained in this way?

It begs the questions: how does the UK compare with other countries that have moved from a three- to a four-year pharmacy course? How does this description compare to other professional degrees awarded in the UK, such as dentistry, medicine and law? Are the pharmacy graduates who have gone on to complete a master’s degree happy with this decision, which in my view effectively negates their achievements?

Dan Lee
Queenstown, New Zealand


Falling on deaf ears

From Dr J. Scott, MRPharmS

The article summarising Alexander Florence’s valedictory address to Council (PJ, 28 October, pp516–7) brings to focus words and sentiments that we have heard expressed before, by Professor Florence and many others within academia.

Such is the familiarity with the messages made that one cannot help but feel that these words are falling on deaf ears. One can visualise the future demise of pharmacy as a profession distinct in its knowledge and expertise.

The pharmacist-prescriber will be seen as a “prescriber”, the dispensing-pharmacist will be seen as a “dispenser”. The pharmacist selling baby clothes, sandwiches and T-shirts will (and already is?) be seen as a shopkeeper. As Professor Florence says, the need for specialist knowledge on the development and use of medicines of the future will remain and indeed grow.

The gap created by the lack of pharmacist’s knowledge and expertise will be filled by others — the formulation scientist, the specialist adviser in post-genomics technologies. It is only a matter of time before Professor Florence and others will be able to say “I told you so”.

There are three clear responsibilities in avoiding the demise of pharmacy as a profession. The first lies with individual members of the profession and the corporations that employ most of them. They have to improve the public image of pharmacy through, as Professor Florence says, the image portrayed by all community pharmacies. The badging of pharmacies with NHS livery has made some start on this but there is a great deal more to be done.

The second responsibility lies with schools of pharmacy. We need to ensure that we underpin our degree schemes with relevant pharmaceutical sciences and, importantly, teach their application within pharmacy practice.

The third responsibility lies with those who employ our graduates as preregistration trainees and newly qualified pharmacists. It is during these early years that the foundations for professional practise are set. Our students need to be allowed to practice what is taught, encouraged strongly through exemplar mentors and tutors to maintain high standards, to take pride in their professional abilities and to identify and develop opportunities. This is not mutually exclusive from exploiting commercial development opportunities within health care commissioning.

It is only then that the profession stands a chance of moving forward in strength, with distinction and as a whole.

Jenny Scott
Lecturer in Pharmacy Practice
University of Bath

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