Job market after PGY1

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RxWildcat

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This has been weighing heavily on my mind for the past week or so. I have had in my mind for awhile that I want to do at least a PGY1 residency and possibly a PGY2, but more recently I feel like I just want to get to my "real" job and just be DONE. I'd like some input as to what the job market looks like for someone who has done a PGY1 without doing a PGY2. I mean, would having a PGY1 under your belt make much of a difference in the jobs available to you as opposed to someone who has not completed a residency at all?

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This has been weighing heavily on my mind for the past week or so. I have had in my mind for awhile that I want to do at least a PGY1 residency and possibly a PGY2, but more recently I feel like I just want to get to my "real" job and just be DONE. I'd like some input as to what the job market looks like for someone who has done a PGY1 without doing a PGY2. I mean, would having a PGY1 under your belt make much of a difference in the jobs available to you as opposed to someone who has not completed a residency at all?

Some people misconcept that you will have a clinical job after doing pGY1/PGY2. The answer is Yes, maybe, but it isn't guaranteed! I have known severe pharm.D completing PGY2 and they just now work as staff pharmacists in hospitals. One even ended up working for walgreens fulltime now. Reality sucks. But i guess it's their own choice, if they want, they still can do clinical stuff, ID....but in a different geographical areas! Just imagine USC alone 70% going into residency, not including UCSF, etc...Now where are the jobs for all of these peeps???
 
This has been weighing heavily on my mind for the past week or so. I have had in my mind for awhile that I want to do at least a PGY1 residency and possibly a PGY2, but more recently I feel like I just want to get to my "real" job and just be DONE. I'd like some input as to what the job market looks like for someone who has done a PGY1 without doing a PGY2. I mean, would having a PGY1 under your belt make much of a difference in the jobs available to you as opposed to someone who has not completed a residency at all?


PGY1 Generalized residency will almost NOT get you any job opportunities. However completing a PGY2 will open your doors. Of course ID is the best field to specialize in right now and the demand is pretty darn good.
 
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PGY1 Generalized residency will almost NOT get you any job opportunities. However completing a PGY2 will open your doors. Of course ID is the best field to specialize in right now and the demand is pretty darn good.

So how the hell does one become a clinical pharmacist, just with a PGY2 and no less?
 
So how the hell does one become a clinical pharmacist, just with a PGY2 and no less?

Depends on the hospital. I am sure there are a few clinical spots for PGY1, and even some for pharmacists who wants to be trained but dont want to do a residency. However in my opinion, most hospitals especially for North East wants pharmacists with PGY2s. . . like ID, oncology, etc.
 
it all depends. I've got a job offer for a clinical position with no residency - but I've been an intern there for 3 years.

Sometimes you can get a clinical position without a residency, if you do a rotation there and impress them or worked there prior to graduation.

But for me, I don't want to stay where I went to school. And I feel like to increase my chances of getting the job I want, anywhere I might end up, I need to have the residency on my CV. If I didn't plan to move (and had no idea as to where I want to go) I might skip it.
 
it all depends. I've got a job offer for a clinical position with no residency - but I've been an intern there for 3 years.

Sometimes you can get a clinical position without a residency, if you do a rotation there and impress them or worked there prior to graduation.

But for me, I don't want to stay where I went to school. And I feel like to increase my chances of getting the job I want, anywhere I might end up, I need to have the residency on my CV. If I didn't plan to move (and had no idea as to where I want to go) I might skip it.

I'm kinda in the same boat. I don't currently work at a hospital but I'll be moving ~800 miles or so away after I graduate so I won't really know many people to get an "in". Do you see any PGY1s being hired at your institution for positions that are usually not available to joe schmoe pharmacist?
 
PGY1 Generalized residency will almost NOT get you any job opportunities. However completing a PGY2 will open your doors. Of course ID is the best field to specialize in right now and the demand is pretty darn good.

I somewhat disagree with this statement but I have a few things to offer:

1.) My hospital currently has a combined model. This is becoming more popular among institutions in this economic climate. 95% of our dayshift pharmacists round with the services they cover and enter orders. We have a few specialists who round and do administrative activities.

2.) With the above being said if you want a day shift position at my institution you have to have a pgy1 residency or significant experience. On evening shift I would say 80% of our pharmacists also have 1 year of residency. You are at a severe disadvantage getting a job at my institution unless you want night shift if you have no residency.

3.) PGY2 residencies provide you with many opporunities besides working in the hospital. Many become specialists, but you can also go work for the government, academia, big pharma, pbms, medical writing etc. You have a specialized knowledge set that many people will pay you for. But like I said a lot of institutions in the southeast here are rolling everyone into one group in terms of the hospital pharmacy. Specialties like ID, oncology, critical care, and mine (transplant) tend to have more specialist opportunities in hosptials. These patients need more monitoring and are at risk for complications from meds. Many of the physicians want a specialized pharmD to round.

4.) IF you are not sure just work. I worked for a year but wanted a better knowledge set and possibly other opportunities so I went and did 2 years of residency training. I wasnt ready for a 9-5 job. I dont know any pgy2 people who go and work for walgreens or CVS unless thats what they like better.
 
PGY1 Generalized residency will almost NOT get you any job opportunities. However completing a PGY2 will open your doors. Of course ID is the best field to specialize in right now and the demand is pretty darn good.

Are any of these overly generalized statements based on anything other than opinion?
 
I somewhat disagree with this statement but I have a few things to offer:

1.) My hospital currently has a combined model. This is becoming more popular among institutions in this economic climate. 95% of our dayshift pharmacists round with the services they cover and enter orders. We have a few specialists who round and do administrative activities.

2.) With the above being said if you want a day shift position at my institution you have to have a pgy1 residency or significant experience. On evening shift I would say 80% of our pharmacists also have 1 year of residency. You are at a severe disadvantage getting a job at my institution unless you want night shift if you have no residency.

3.) PGY2 residencies provide you with many opporunities besides working in the hospital. Many become specialists, but you can also go work for the government, academia, big pharma, pbms, medical writing etc. You have a specialized knowledge set that many people will pay you for. But like I said a lot of institutions in the southeast here are rolling everyone into one group in terms of the hospital pharmacy. Specialties like ID, oncology, critical care, and mine (transplant) tend to have more specialist opportunities in hosptials. These patients need more monitoring and are at risk for complications from meds. Many of the physicians want a specialized pharmD to round.

4.) IF you are not sure just work. I worked for a year but wanted a better knowledge set and possibly other opportunities so I went and did 2 years of residency training. I wasnt ready for a 9-5 job. I dont know any pgy2 people who go and work for walgreens or CVS unless thats what they like better.

Thanks for the info. I had a mild freak out the other day about money and I started to question whether I could afford to do a residency, I tried to convince myself it wasn't 100% necessary but to put myself in a position that I want to be in I really should do at least a PGY1. Hopefully once I get out of the classroom and onto rotations I'll get really into it and not look back. Another concern I have is say I did specialize: do the PGY2 programs typically offer their residents jobs after they graduate? I don't think my wife could handle being dragged around the country (again lol).
 
Look at it this way.

PGY1/2 is not a guaranty for a clinical job. But neither is a lack of PGY1/2. Which one provides you with a better chance?

Let me give you an analogy.

Money doesn't buy happiness. Neither does poverty.

Common sense rules!
 
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I did a pgy-1 with emphasis in am care and i got a clinical position..all 5 of my fellow residents did as well and my freinds from pharm school did as well...

i can't offer any concrete advice on non-amb care.. but i suspect it wouldnt be easy.. but not impossible.
 
and make sure you take out enough in loans to cover the travel expenses where you want to interview - I'm afraid to tally up my flights + hotels + rental cars!
 
I have heard of people doing PGY-1s and not being able to find hospital jobs in this market.
 
I have heard of people doing PGY-1s and not being able to find hospital jobs in this market.
I know pharmacists of many different tracks adn experiences not being able to get their dream job. However, hospital job depends on whether or not you are willing to move. Plenty of places recruiting for clinical hospital jobs out in southeastern Washington, for example, or in western Nebraska, and the like, at least there were in December.
 
A residency was not required for my current position, but I'm really glad I did one because it's allowing me to do a lot more than I would have otherwise. For example, starting an MTM clinic. Yes, it really can happen. :eek: My position isn't 100% "clinical" but I wouldn't want that anyway, I have job ADD and need variety.
 
I am only applying for positions that REQUIRE 2 years of residency. Keeps me away from the peanut gallery. I am not having any trouble at all finding a job, by the way. Just sayin'. And, yes, I know what the thread title is.
 
do you speak from experience? :smuggrin:


Mmmmm...not really. I'm pretty thrilled with where my career's heading.

Sometimes I'll wonder where I'd be had I gone on with the PGY1/2 as I always planned, but I'm happy with where I am. Undoubtedly though...I do think it's important to pursue a specialty you love, stand out from the crowd, and make yourself invaluable.
 
I am only applying for positions that REQUIRE 2 years of residency. Keeps me away from the peanut gallery. I am not having any trouble at all finding a job, by the way. Just sayin'. And, yes, I know what the thread title is.


If I do 2 years of residency, you better believe that I'm only going to apply to jobs that require the 2 years...no way would I want a job I could have had without the additional training.
 
I did a PGY1 and it was crazy intense living through it (it really was 3 years worth crammed into 1 at ours!), but I am glad I did. So doing a PGY1 did help me. It helped me get the position I am in now, which is going to depend on which hospital you go. Mine is a teaching hospital where they have hybrid staffing/clinical pharmacists along w/ clinical specialists who've done a PGY2 in a select specialty. I participate in rounds, do pharmacokinetic monitoring/dosing and process orders in one day. Also, when applying, I was offered choice of certain positions that new grads were not. The one thing that really helped me from doing a residency that is not so technical is the confidence it gave me.

Most places that have residents like to keep them on board if they have positions available. One of the reasons places have residencies is for recruitment and retention. As a resident, you will also have networking, job advice, and connections through your preceptors and boss.
 
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I guess it really depends on how flexible you are. I've met a pharmacist at a kind of dinky hospital in a clinical position. That hospital was willing to take the time to train her and she was planning on moving up from there.

It depends on what you want, where you want to go, and how long you want to take to get there ;).
 
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