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RESEARCH ARTICLE
Abstract
Background: Anecdotal reports of an oversupply of pharmacy graduates are a growing concern for Australian pharmacists. How-
ever, limited data exists regarding pharmacists’ employment experiences and perceptions of current career opportunities in Aus-
tralia.
Aim: To understand Australian pharmacists’ and pharmacy interns’ employment experiences by exploring their satisfaction and per-
spectives on current employment opportunities.
Method: An electronic survey was distributed to pharmacists and pharmacy interns across Australia between March and June 2016.
National professional organisations for pharmacists assisted with the distribution of the survey. Follow-up interviews were con-
ducted to further explore survey findings.
Results: A total of 306 individuals completed the survey (83% pharmacists; 17% interns). The majority of pharmacists and interns
reported high satisfaction with current employment and professional practice opportunities; however, there is a misalignment
between their rated satisfaction and their perspectives on future employment prospects. Key themes that emerged included personal
networks for employment, salary and location, and concerns for the future of the profession. The results suggested a confused work-
force that are glad to have jobs, but not confident that they could move to other positions if required, or further, that there will be
even fewer jobs available in the future.
Conclusion: This study provided valuable insight to the Australian Pharmacist workforce, by improving our understanding of phar-
macists’ employment experiences and perspectives. Further exploration of themes identified in this study is required to better inform
the future of pharmacy professional practice and employment.
Keywords: pharmacists, intern pharmacists, pharmacy workforce, pharmacy job market, Pharmacy Practice.
© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
doi: 10.1002/jppr.1377
2 H. Taylor et al.
levels in Victoria and South Australia. However, their Human Research Ethics Committee (approval number:
research was limited because the questionnaire was only [UC-HREC file number: 15–215]).
sent to registered pharmacists in two states; conse- To participate, pharmacists and interns clicked the
quently, their findings may not be nationally generalis- web-link and completed a 24-question online survey.
able. Furthermore, as the survey was conducted 7 years These questions were adapted from the Canadian
ago, the results may now be outdated. study11 but tailored to an Australian environment. The
In Ontario, Canada, a similar study into postgraduate question types included multiple choice, Likert scale rat-
employment experiences was conducted.11 This study ings and free-text boxes. Basic demographic information,
surveyed recent graduates from pharmacy programs in current professional practice position and employment
Ontario, with a follow-up telephone interview to discuss situation, main area(s) of work and comparison of
their experiences in greater detail.11 This study was also expected versus reality of professional satisfaction and
limited as it only sampled recent graduates and did not salaries were also requested. Pharmacists and interns
provide any indication of employment experiences of were asked to voluntarily provide contact details, if they
pharmacists at other career stages. consented to be contacted for a semi-structured tele-
There is a range of other literature that skirts around phone interview during late July 2016 (full consent form
these issues, but does not directly address current phar- was emailed and returned before the interview). There
macist employment opportunities and experiences in was no linkage possible between survey responses and
Australia.12–15 Findings from this research project will follow-up interview responses as no identifying details
provide valuable insights to fill the information gap, were requested in the online survey.
inform new graduates about the current situation for This project used a mixed-methods approach. The
employment, and add evidence to this space. quantitative data was analysed in Statistical Product and
No other studies were found about perceptions of Service Solution v.23 (SPSS)16, using descriptive statistics
and/or effects on pharmacist employment prospects and and Chi-squared analysis. The Chi-squared analysis was
career opportunities across career stages, demonstrating completed for the main four-point Likert scale on the
project novelty. overall satisfaction of professional practice position by
The aims of this project were to: collapsing and dichotomising the results to take the four
options (strongly agree, agree, disagree and strongly dis-
1 survey pharmacists and pharmacy interns across
agree) into two (agree or disagree). The qualitative data
Australia to determine their opinions about the
from the open text questions, and follow-up telephone
pharmacist employment situation
interviews were thematically analysed using NVivo
2 explore the reasons for these opinions in a sub-
v.11.17 The qualitative data and interview transcriptions
sample of respondents, and
were coded by investigator one (HT) and then reviewed
3 compare responses from early career (10 years or
by investigator two (LC) to develop consensus on emerg-
less pharmacist experience and interns) and more
ing themes and determine any recurring patterns using
experienced pharmacists (over 10 years registra-
repeated words by participants. Any discordance in cod-
tion).
ing was resolved by consensus.
METHOD RESULTS
An electronic survey was conducted between March and Of the 355 participants who attempted the survey, 306
June 2016. Australian registered pharmacists and phar- participants completed the majority of all questions. Of
macy interns were recruited through the Pharmaceutical the 306 respondents, 83% were registered pharmacists
Society of Australia (PSA), The Society of Hospital Phar- and 17% were interns, with the majority (71%) of partic-
macists of Australia (SHPA), Australian Association of ipants aged younger than 35 years. Two-thirds of partic-
Consultant Pharmacy (AACP), and the Pharmacy Guild ipants were female (67%), which is similar to data from
(Guild), to ensure the maximum breadth of pharmacists the Pharmacy Board of Australia (61% female).18
was included in the study to generate a representative Table 1 shows a good spread of completed surveys
sample. This involved advertising through their social from different states, not dissimilar to Pharmacy Board
media (e.g. Facebook), websites and sending the survey data. Despite the majority of participants being early-
link to their affiliated pharmacist and intern members via career pharmacists (10 years or less pharmacist experi-
emails and newsletters directly from the organisations. ence), 31% of respondents had been registered more
This study was approved by the University of Canberra than 10 years. Similarly, the majority of participants
Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia
Pharmacists’ perceptions of career opportunities 3
© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
4 H. Taylor et al.
Table 1 (continued)
(68%) worked full-time in the pharmacy profession as Table 4 includes selected examples of quotations from
an employee, with a minority of participants (20%) the follow-up semi-structured interviews.
working part-time. Full details are provided in Table 1.
The overall satisfaction with current practice positions
EMPLOYMENT/VACANCY
showed that pharmacists are slightly less satisfied than
interns (Table 2). When asked to reflect on salary expec-
Networks
tations, 49% of pharmacists and 47% of interns reported
lower salaries than expected. Participants were asked Many respondents reported that the pharmacy employ-
about any prior negotiations with their employer about ment marketplace was dominated by personal networks
securing a better package, with 66% of pharmacists and rather than jobs on merit. It was particularly noted that
91% of interns accepting employment offers without in the private sector ‘If you had some key contacts you
negotiation. could find employment’. Participants stated that ‘Many
Both respondent groups shared similar views when jobs go unadvertised, and it is through the word of
asked to reflect on the length of time taken to secure mouth that these pharmacists have found employment’.
their current position, with 49% of both respondent It was noted by many that pharmacy is a small industry
groups taking less than 1 month. and pharmacists need to create a personal brand for
In a free-text question where participants were asked themselves. If someone knows that you are hardwork-
about the main issues they think are currently influenc- ing, you could be recommended to an employer, or if
ing employment in pharmacy, 233 participants provided you are already within that pharmacy group it defi-
free-text comments. Some participants noted a ‘lack of nitely gave you an advantage. One participant stated
career progression’, while others acknowledged a lack that ‘It is important in this career to establish networks
of opportunity, but stated that ‘pharmacists need to and get to know people who then may be influential in
look outside traditional roles and seek to expand prac- providing you opportunities when they arise’. Many
tice into emerging areas’. Negative comments on excess interviewees reported getting their current job through
student numbers affecting the job market were also networking events, placements, working already in the
noted by 31 participants. However, respondents noted a same pharmacy group, getting involved in pharmacy
problem with pharmacists’ reluctance to move into rural organisations and essentially ‘just getting their name out
and remote locations by 17 participants, aligning with there’ and leaving an impression. Conversely, it was
other comments made stating that competition in the found that if pharmacists had not networked and did
job market is not an issue in these regions. Selected not know any contacts, then they found it more difficult
comments are grouped into themes and provided in to gain employment, as the employers seemed to use
Table 3. the pharmacists they knew.
Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia
Pharmacists’ perceptions of career opportunities 5
© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
6 H. Taylor et al.
Table 2 (continued)
Prior to finalising current position of employment, negotiated with employer to secure better salary, benefits, moving or car allowance,
payment of registration/examination fees, continuing education support, workplace/practice conditions or any other aspects of
employment
Successfully negotiated change in initial offer related to (0) 0% (49) 21%
employment
Negotiated but was unsuccessful in changing offer related to (4) 9% (30) 13%
employment
Did not negotiate any aspects of employment offer; accepted (39) 91% (151) 66%
offer ‘as is’
Satisfaction with quality of patient care services provided at current workplace
Very satisfied (10) 23% (51) 21%
Satisfied (26) 61% (108) 47%
Unsatisfied (7) 16% (43) 19%
Very unsatisfied (0) 0% (15) 7%
No direct patient care provided at my workplace (0) 0% (13) 6%
Table 3 Sample quotations from the free-text boxes around the main issues influencing employment in pharmacy
Employment opportunities
‘Over-enrolment of students leading to an excess of graduates’
‘Lack of opportunity – pharmacists need to look outside traditional roles and seek to expand practice into emerging areas’
‘Lack of career progression’
‘Very limited number of jobs for new pharmacy graduates/oversupply of pharmacists’
‘I would never have started my degree if I knew I couldn’t get into hospital pharmacy, and I knew that I was destined for community
pharmacy –hate having to help customers choose lipstick colours after 9 years study in total – hate community pharmacy’
‘Very poor community wages’
‘Older pharmacists are staying in the profession longer’
‘Pharmacy owners who are exploiting loopholes to own more than the legal amount of pharmacies and making it impossible for the
next generation of pharmacy owners’
Working conditions
‘Busy workplace reducing quality of patient care and forcing staff to overwork’
‘Money-hungry owners who overlook employees’ work satisfaction for monetary gains’
‘Poor working conditions’
Rural issues
‘People unwilling to move to rural areas to get work’
‘Competition in the job market, not so much an issue in rural and regional areas however’
‘New pharmacists are not willing to move to rural/remote locations’
Pharmacy profession
‘Pharmacy turning into a shop-keeping industry – losing respect as a health professional’
‘Erosion of the professional image of the profession from the promotion of discount pharmacy chains that focus heavily on cost and
profit margin’
‘The need to increase the scope of practice (which is happening but very slowly) to get back the professional pride that has been lost
(that is why most young pharmacists, such as myself, are using the profession as a stepping stone) – pharmacists feel like they are
dispensing monkeys’
‘Lack of management and leadership within the profession’
Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia
Pharmacists’ perceptions of career opportunities 7
© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
8 H. Taylor et al.
Table 4 (continued)
Anything else you would like to share ‘I have never been out of a job, but if I were to want to change jobs I would find it
regarding the job market or factors very hard’
affecting the job market in Australia? ‘Diversify as much as you can. Don’t pigeonhole yourself as a clinician, or as a
community pharmacist. Branch out and do as much as you can as possible whether it
be lecturing at universities or getting involved in PSA, SHPA activities’
‘I think a lot of these guys come through university expecting a job, but they just don’t
get it. I know a lot of people have gone into other fields like medicine or other careers
and whatnot. I think it’s very disappointing for those people personally. Universities
don’t promise people jobs, so there’s a disconnect between the educational institutions
and the employers’
Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia
Pharmacists’ perceptions of career opportunities 9
There is a perceived unwillingness of pharmacists to practice opportunities was also positive; however, the
move to rural locations. The survey showed that 70% of comments made about factors affecting employment
interns and 75% of pharmacists have not changed pri- prospects and current employment opportunities
mary residence specifically for the purpose of employ- revealed a negative undertone. The free-text responses
ment. Many pharmacists admit that there are jobs in parallel some negative views on graduate oversupply
rural areas and more opportunities, but they are unwill- expressed in pharmacy journals.3 There is a disparity
ing to move. There is an uneven spread of workforce in between the free-text comments and the Likert-scale
Australia, with pharmacists and interns alike not want- results, where participants made negative comments in
ing to move to fill those gaps. free-text fields, yet rated themselves as ‘satisfied’ in the
Likert-scales. Further questions asked participants if
they changed primary residence for the specific purpose
CONCERNS ABOUT THE FUTURE OF THE of employment, and interestingly, the majority of
PROFESSION respondents have not moved. These data reflect the cur-
rent shortage of pharmacists in rural areas, as discussed
When given the opportunity to comment on their future in the literature, whereby graduating interns and phar-
concerns for the profession the following topics were macists alike who grow up in metropolitan regions are
raised. more likely to stay in such areas.7
Issues with discount pharmacies: ‘Not only paying When comparing with Mak et al.’s10 research into job
low wages to their staff, but the overall effect of big dis- satisfaction, at the time of their survey 78% of pharma-
count pharmacies closing smaller pharmacies’. ‘They cists were satisfied with the profession. This appears to
encourage price promotion, rather than service leading still be a true reflection of the current employment situa-
to a single pharmacist pharmacy’. ‘They are eroding the tion. Mak et al.10 also discovered that 57% of pharmacists
professional image from focusing heavily on cost and who were dissatisfied with the profession were in their
profit margin’. early to mid-careers, and believed they had ‘no choice’ in
Another theme expressed by participants is that phar- work areas. However, this research found no statistical
macists and interns are not willing to travel for work. difference between early career and experienced pharma-
That ‘owners or recruiters have had people turn down cists, with both groups rating themselves as ‘satisfied’.
positions because they did not want to travel 40 minutes The Canadian study investigating post-graduation
across town to work every day’. employment experiences of new pharmacists11 discov-
Concerns for job security were expressed by early ered that fewer interns were securing full-time positions
career pharmacists and experienced pharmacists but not with benefits, and more were relying upon temporary
interns. They stated they had ‘fears for job security with part-time work with multiple employers. The interns
employment’; one stated that ‘I’ve been a pharmacist for were also taking longer to secure a position (2–
40 years now, and I’ve never been out of work. The 3 months).11 In contrast, this project found 52% of Aus-
employment prospects if I wanted to change a job, well tralian interns secured a full-time permanent position,
I wouldn’t get another job, I don’t think, not on the and 34% found a full-time contract position for more
coast, in this location’. than 6 months. Furthermore, Australian interns gener-
Too many graduates and not enough jobs, especially ally secure a position in less than 1 month. This sug-
in big cities was cited. ‘Too many graduates seeking jobs gests that the Australian pharmacy intern employment
in metropolitan locations’. market may have more full-time employment opportu-
Early career pharmacists were overall 65% satisfied nities than Ontario, Canada.
with their professional practice position. Experienced The main limitation from this research project is a
pharmacists reported 74% overall satisfaction response bias where those least and most satisfied with
(p = 0.131). This suggests that experienced pharmacists their professional practice positions may have been
may be slightly more satisfied with their positions; how- more motivated to participate. The survey responses
ever, statistically, the same proportion are satisfied. were also skewed toward a younger age group, with
early career pharmacists being predominant. Further,
the telephone interviews had limited numbers due to
DISCUSSION recruitment issues, with only a small number of partici-
pants consenting to participate. As this is the first
This study demonstrated that Australian pharmacists nationwide survey looking into Australian pharmacists’
and interns are generally satisfied with their current perceptions of career opportunities, no other data exist
employment. Their satisfaction with professional for direct comparison and validation.
© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
10 H. Taylor et al.
Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia