Are Pharmacy Residents Getting A Raise?

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PolarPop

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I have been reading through this new overtime pay law from the president.

Under the new law, the salary threshold to get overtime pay doubles from $23,660 to $47,476.

There is this statement in the final ruling that seems like it would exclude medical residents, but I didn't find anything in there that applies to pharmacy residents.

"Workers not subject to the EAP salary level test include teachers, academic administrative personnel, physicians, lawyers, judges, and outside sales workers"

http://www.huffingtonpost.com/entry/obama-overtime-pay_us_5727b961e4b0bc9cb0442db9
https://www.dol.gov/whd/overtime/final2016/

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Named occupations: Workers in named occupations are not subject to the salary level or salary basis tests. These occupations include teachers, academic administrative personnel,98 physicians,99 lawyers, judges,100 and outside sales workers

The term physician includes medical doctors including general practitioners and specialists, osteopathic physicians (doctors of osteopathy), podiatrists, dentists (doctors of dental medicine), and optometrists (doctors of optometry or with a Bachelor of Science in optometry). § 541.304(b).

Looks like they need to update the code or pharmacists would qualify because they aren't on the list of named exceptions.

And it looks like the comment period has passed. I don't see how this doesn't end with pharmacy residency salary raises by the end of the year.
 
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HA!:heckyeah:
According to the Labor Department, PharmDs aren't even doctors.
Goes to show even the snooty, higher-than-thou "clinical" pharmacist organization is inept as f#$#.

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John and Paul must be leaking the yellow fluid now.

Good, now the ASHP can pay the residents overtime or give them a decent wage increase for the bull they force on them. Pharmacy Residency is such a scam; all they do is scut work and powerpoint presentations.
 
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I would be surprised if lawmakers even knew pharmacy residencies were a thing. A lot of them probably don't realize we even have to go to school.

This was the secret backdoor into provider status. Hospitals will demand pharmacists to be recognized so they don't have to pay them more.
 
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I would be surprised if lawmakers even knew pharmacy residencies were a thing. A lot of them probably don't realize we even have to go to school.

This was the secret backdoor into provider status. Hospitals will demand pharmacists to be recognized so they don't have to pay them more.
I highly doubt hospitals will lobby congress to get pharmacists recognized as providers. They'll just cut hours for the staff and clinical pharmacists in order to cover that budget hole.
 
Well, that actually really doesn't affect medical residencies all that much from the hospital's perspective. Since most are CMS DGME funded (there are privately and other funded residencies out there, just not common), it basically puts a much larger bill before CMS from the residencies but really doesn't affect hospital operating budgets outside of overtime (which honestly, they should pay anyway). No sweat for the modest pay hike as the bill for those increases pass to the federal government. Pharmacy residencies are not funded that way and most are funded out of hospital budgets, well, ASHP has to talk out of both sides of their mouth because they know the reality of the funding situation and the mess they created in avoiding negotiating with CMS those years ago. Stay classy, ASHP!

The big three pharmacy organizations have always talked a good game about trying for provider recognition. There's quite a bit of literature though on why they've not succeeded and it's really because they don't want to be successful. Think of it this way. If you're doing clinical pharmacy and having to compete for the same RVU's as other professionals, there's no way a clinical pharmacy visit is going to equal to even a normal NP visit for a condition. So, if the profession gets its wish and we are recognized as providers, you're either going to work like dogs just like the FP, IM, and Peds primary care physicians who live and die by the number of 15 minute visits they can squeeze in a day or you're going the way of the dieticians/physical therapists who ended up accepting a salary decrease when they got their RVU numbers. Either way, pharmacy if we do become providers is not going to be the somewhat cushy position of a salaried job when everyone else has to do piecework for the RVUs. I have this schadenfreude thought that if you think retail pharmacy is stressful and a factory run, try doing clinical pharmacy using primary care rates and having to mind an office on top of that. And then the clinical pharmacists would understand daily life on the primary care grind and how dehumanizing the pace is to most practitioners.
 
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I actually did get a raise after getting my offer letter, but my program director did give me a heads up for it when I was matched in April. But I think it's just my site that increases resident's salary on annual basis, so next year's resident will probably get higher pay. However, my salary is still in the mid-higher range of a typical PGY1 program.
 
Hi everyone,

I'm currently doing a community pharmacy residency at a teaching hospital/health system and am getting paid about $41-42k... which I know is pretty low compared to others. I thought this was the norm because community pharmacy residencies are still "new" (not many people seem to know about it still).

I was wondering if anyone else is getting paid this range?? Seeing the ASHP letter state a suggested salary of ~$50k definitely got me excited but I don't know if that actually applies to all residencies :/ Maybe it's because my program is still a Candidate (I'm the 1st graduating class)? Does anyone know? :(
 
https://grants.nih.gov/grants/guide/notice-files/NOT-OD-16-047.html

So, this is kind of the scale that is used as the baseline benchmark for medicine and PhD research. Most physicians are paid 120% over the scale for a given year (meaning if it says $43k, the physicians get $51-52ish) on account of their obscene hours (but better now that ACGME is hammering down on excessive abuse). CMS DGME will NOT pay less than those rates for medical, dental, and surgical residencies that are under their funding criteria, and neither will any federal agency that provides healthcare with civilian employees that is not HHS (VA, USAID, Department of State MFSO, Agriculture) by pay interchange agreements. Since pharmacy isn't given money by CMS DGME, the pay is set wherever the market would bear, but I'd consider two things and tell my students the following:

1. I would flatly not accept pay (as in money not money equivalents unless you agree explicitly) lower than the NIH 0th year with mandatory benefits (meaning if the job requires you to have health insurance, the offer must include the ability to purchase employee health insurance at the employee rate) as a resident or fellow, period and both universities I am affiliated with and the civil service are contractually bound not to pay below this level (the NIH level is used for every HHS and VA full civilian staff, this does not apply to uniformed services). That did have a local effect on my alma mater when the joint faculty who work in the civil sercice took that public position as we consider any offer less than that would be unacceptable and we should pull joint sponsorship in those areas as we cannot offer less than that ourselves with our NIH/NSF/VA agreements. I can definitely say that everyone in the metropolitan statistical area at least pays the 0th year now.

2. If you have to staff, take the number of required staffing hours in the year and multiply by the lowest tier of staff pharmacist salary. For example, a resident staffs 12 times a year for 2 days at 10 hours on a weekend. The lowest staff pharmacist salary is $60 with the weekend differential. So, 2 * 12 * 10 * 60 = $14, 400. If this is more than a 1/3 of your resident's stipend (so any less than $43, 200), I would not personally accept this, but take a less dogmatic position when it comes to negotiating as it is practice specific.

But, if you matched, you agreed to the terms beforehand. However, I actually do give this talk before the P4's go out because being too poor when you are a resident leads to an inability to concentrate on the tasks at hand.

(And to those who prejudge the 'higher' renumeration to postdoctoral trainees, please spare me the lecture that midcareer teachers in my metropolitan area top out lower than that at $38k and that $43k is a solid middle class wage for everyone. The circumstances that surround a traineeship are intentionally not to be where you necessarily settle, so the increased $ is to pay for the move to the area, the increased cost of having temporary arrangements, to deal with the real material sacrifices that starting the family are like, and the inability to have other employment or real private time during the traineeship. At least pharmacy doesn't have the idea of the eternal postdoc/resident yet. I'm just waiting for the day when I get to choose between a 9-year experienced resident like I do with the eternal postdocs today. For all medical professions, it's already a stressful enough time and they aren't exactly making retirement money off it.)
 
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Hi everyone,

I'm currently doing a community pharmacy residency at a teaching hospital/health system and am getting paid about $41-42k... which I know is pretty low compared to others. I thought this was the norm because community pharmacy residencies are still "new" (not many people seem to know about it still).

I was wondering if anyone else is getting paid this range?? Seeing the ASHP letter state a suggested salary of ~$50k definitely got me excited but I don't know if that actually applies to all residencies :/ Maybe it's because my program is still a Candidate (I'm the 1st graduating class)? Does anyone know? :(
What do you do in this residency?
 
Hi everyone,

I'm currently doing a community pharmacy residency at a teaching hospital/health system and am getting paid about $41-42k... which I know is pretty low compared to others. I thought this was the norm because community pharmacy residencies are still "new" (not many people seem to know about it still).

I was wondering if anyone else is getting paid this range?? Seeing the ASHP letter state a suggested salary of ~$50k definitely got me excited but I don't know if that actually applies to all residencies :/ Maybe it's because my program is still a Candidate (I'm the 1st graduating class)? Does anyone know? :(

I'm currently doing a VA residency. Ambulatory focused with some inpatient. My stipend is the same as yours.
 
What do you do in this residency?
I do a variety of community events (immunizations, education, teaching, etc.), the occasional staffing, lots of amb. care, and other longitudinal rotations.
 
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