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Vol 278 No 7447 p423
14 April 2007

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Letters to the Editor

Pharmacy degree

We should not allow the “dumbing down” of pharmacy education

From Miss S. Vize

Through his Broad spectrum article (PJ, 17 March, p306), Stuart Anderson certainly will have stimulated debate surrounding the future of pharmacy education. No doubt its content has stirred emotive reactions similar to those that must have been felt by some when women were first allowed to register as pharmacists, or when the concept of accredited checking technicians was first proposed. Fortunately, these examples of change (at the time controversial proposals) have proved to be worthwhile with hindsight. The author rightly states that radical thinking is now needed, but this is because he has proposed such radical changes, to which, I imagine, much of the profession (and student body) would rightly be opposed. One reason for opposition is the views of patients and the public.

The public expect easy access to their pharmacists. Do they not expect this professional to be a highly educated and trusted “scientist on the high street” who has developed, over five years, the necessary knowledge, skills and attitudes that underpin this highly responsible role? They may not wish to be redirected to their “prescriptionist”, a former technician who has been on a fast-track course, when requesting to see the pharmacist. Where will community pharmacists be if not in community pharmacies? It seems Dr Anderson envisages “tier three” pharmacists employed in the hospital sector and “tier two” prescriptionists running community pharmacies supported by “tier one” pharmacy technicians in (as far as I can make out) an as yet undefined role.

Another reason for opposing these ideas is our standard of education. The pharmacy degree was extended to four years, in part, to provide for the extended services that were planned 10 years ago. A four-year degree does not constitute master’s level, as some PJ correspondence has stated. Many courses are now offered as four-year master’s programmes, eg, physics. It is the nature of the final year — critical evaluation and thinking — which constitutes a master’s level and there are criteria for this level which must be met for the MPharm to be awarded. The author implies that a master’s degree is wasted on a community pharmacist. This is not only demoralising for hardworking students (and pharmacists), but it devalues the efforts of our lecturers.

Dr Anderson states that many current technicians would perform well in the pharmacist’s shoes and I agree, but this transition must be made properly. As a fourth year MPharm student who before university qualified as a technician, I would say to anyone finding themselves in a similar position, with the desire for career progression and academic satisfaction, to take “A”-level chemistry and apply for entry to the MPharm.

It cannot be desirable to create a tier of semi-qualified “prescriptionists”, lost somewhere between the roles of technician and pharmacist. Equally we should not allow the “dumbing-down” of pharmacy education.

I believe the current training for pharmacists needs to be improved. One option may be to complete a training year in practice in the fourth year, then return to university to complete the MPharm, since this would provide students with a wider appreciation of the world of pharmacy in advance of qualification and, importantly, put the course into context, as is the case for technicians who decide subsequently to become pharmacists.

Sarah Vize
Portsmouth

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