You are on page 1of 10

Official Journal of the Society of Hospital Pharmacists of Australia

RESEARCH ARTICLE

Pharmacists’ perceptions of career opportunities in Australia


Hayley Taylor, BPharm(Hons)1, Greg Kyle, BPharm, MClinPharm, PhD2, Lynn Cheong, BPharm, PhD1
1 Discipline of Pharmacy, The University of Canberra, Canberra, Australia
2 Discipline of Pharmacy, Queensland University of Technology, Brisbane, Australia

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.

INTRODUCTION support or refute that this perception is held by pharma-


cists within Australia.
In the past two decades, various factors have influenced Current publications surrounding this topic discuss
the employment market for pharmacists and interns. the increase in pharmacy schools generating a ‘graduate
Until 2007, the pharmacy media routinely reported an oversupply’ and a consequent shortage of job opportuni-
Australian and international shortage of pharmacists ties in metropolitan areas.6–8 In contrast, some publica-
and not enough graduates to meet demand.1,2 Since tions also describe an undersupply in rural areas.6,7 The
2007, a ‘doom and gloom’ outlook of graduate employ- increase in pharmacy schools was triggered by an inter-
ment opportunities has been expressed, with graduate national shortage of pharmacists from 2003 until 2007,
oversupply becoming the new buzzword for current which was the stimulus for this increase.8 Among the
and future pharmacists.3,4 This generates a belief that countries that increased pharmacy graduates, Australia’s
the workforce is saturated, and there is a surplus of increase was most prominent. Some believe an increase
pharmacists looking for work.5 Little data exist to in the pharmacist population is threatening; however,
other literature states that increasing graduate numbers
Address for correspondence: Hayley Taylor, Discipline of Pharmacy, is actually beneficial to the profession by enabling phar-
The University of Canberra, University Drive, Bruce, Australian Cap- macy to address its clinical and primary healthcare
ital Territory 2617, Australia.
roles, and expand professional roles.9
E-mail: u3068347@uni.canberra.edu.au
Mak et al.10 conducted a small-scale research project
Subjects provided informed consent and this research was
approved by the UC Human Research Ethics Committee (approval in 2010, which investigated the pharmacist workforce
number: [UC-HREC file number: 15–215]) employment status, practice profile and job satisfaction

© 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

Table 1 Descriptive statistics of respondents

Pharmacy Board data18


Survey responses (where available)

Age of respondent (n = 306)


18–24 years 22% 9%
25–29 years 31% 21%
30–34 years 18% 19%
35–39 years 8% 13%
40–44 years 6% 9%
45–49 years 4% 7%
50–54 years 3% 7%
55–59 years 6% 6%
60–64 years 1% 4%
80+ years 1% 5%
Male-to-female ratio 33%: 67% 39%: 61%
Primary registrable pharmacy degree (n = 306)
BPharm 83%
MPharm 15%
Other 2%
Current employment situation (n = 306)
Full-time in the pharmacy profession as an employee 68%
Full-time in the pharmacy profession as an owner/partner 3%
Full-time but not in the pharmacy profession 2%
Part-time in only the pharmacy profession as an employee 20%
Part-time in only the pharmacy profession as an owner/partner 1%
Part-time partly in the pharmacy profession and partly outside 3%
pharmacy
Unemployed/ no longer working (but not retired) 3%
State /territory predominately working in (n = 306)
ACT (18) 6% 3%
NSW (91) 30% 31%
NT (11) 4% 1%
QLD (60) 20% 20%
SA (21) 6% 7%
TAS (6) 2% 2%
VIC (75) 24% 25%
WA (24) 8% 11%
Main areas of work (participant could select all that apply) (n = 306)
Direct patient care in community pharmacy or hospital setting (245) 80%
Independent consultant pharmacist work (30) 10%
Practice or business management (27) 9%
Retail, non-professional activities (38) 12%
Industrial pharmacist activities (10) 3%
Academic work (16) 5%
Research activities (14) 5%
Post-graduate study in pharmacy (13) 4%
Other post-graduate study (12) 4%
Government or regulatory (14) 5%
Pharmacy owner (6) 2%
Administration activities (20) 7%
Other (30) 10%
e.g. medicines information, project management, healthcare
consultant for health IT company, clinical trials, pharmacist with
ICON cancer care, consultant and advisory role in health IT and
director pharmacy services.
Any additional pharmacy qualifications (n = 306)
No 54%
Yes 46%

© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
4 H. Taylor et al.

Table 1 (continued)

Pharmacy Board data18


Survey responses (where available)

PhARIA of main place of employment (n = 306)


Category 1 (highly accessible) 60%
Category 2 (accessible – group A) 6%
Category 3 (accessible – group B) 4%
Category 4 (moderately accessible) 5%
Category 5 (remote) 3%
Category 6 (very remote) 1%
Unsure 21%
Estimated distance from primary residence to primary site of practice Mean: 14.9 km
(km) Range: 0.3–1000 km
Early career pharmacist or experienced (n = 306)
Early career pharmacist (212) 69%
Experienced pharmacist (94) 31%
Average years registered: 23 years
Maximum: 42 years

PhARIA = Pharmacy Accessibility Remoteness Index of Australia

(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

Table 2 Comparison between intern and pharmacists’ results

Intern (n) % Pharmacist (n) %

Total (n = 306) (53) 17% (253) 83%


Type of professional practice position
Full-time permanent salaried position with benefits, e.g. car (5) 11% (74) 29%
Full-time permanent salaried position without benefits (20) 41% (64) 25%
Multiple part-time salaried positions all with benefits, e.g. car (0) 0% (3) 1%
Multiple part-time salaried positions, only some with benefits (0) 0% (9) 4%
Multiple part-time salaried positions without benefits (0) 0% (16) 6%
Full-time contract position <6 months duration (1) 2% (5) 2%
Full-time contract position >6 months duration (17) 34% (12) 5%
Other (e.g. locum, casual, as needed, etc.) (2) 4% (37) 15%
Single part-time job with benefits, e.g. car (0) 0% (10) 4%
Single part-time job without benefits (4) 8% (23) 9%
Expectations for type of professional practice position(s) align with actual position itself?
Very satisfied with alignment (13) 30% (43) 18%
Satisfied with alignment (19) 44% (114) 50%
Unsatisfied with alignment (7) 16% (53) 23%
Very unsatisfied with alignment (4) 10% (20) 9%
General satisfaction with quality of first professional practice position
Very satisfied with quality (13) 30% (44) 19%
Satisfied with quality (21) 49% (108) 48%
Unsatisfied with quality (7) 16% (54) 23%
Very unsatisfied with quality (2) 5% (24) 10%
Reflecting on salary expectations before starting current position, how does your salary reflect those expectations
Higher (5) 11% (25) 11%
About the same (18) 42% (93) 40%
Lower (20) 47% (112) 49%
Length of job search time required to secure professional practice position
<1 month (21) 49% (112) 49%
1–3 months (13) 30% (59) 25%
3–6 months (4) 10% (18) 8%
>6 months (5) 11% (41) 18%
Number of hours worked per week of pharmacy employment across Mean: 39.2 Mean: 36.9
all practice sites (n = 43/230) Range: 20–40 Range: 0–90
Expectations for hours/week employment align with your actual hours/week employment
Very satisfied with alignment (10) 24% (50) 22%
Satisfied with alignment (28) 65% (119) 52%
Unsatisfied with alignment (4) 9% (46) 20%
Very unsatisfied with alignment (1) 2% (15) 6%
Expectations or preferences for geographic location of primary site of practice align with your actual geographic location
Very satisfied with alignment (20) 47% (88) 39%
Satisfied with alignment (11) 25% (95) 41%
Unsatisfied with alignment (10) 23% (37) 16%
Very unsatisfied with alignment (2) 5% (10) 4%
Changed primary residence specifically for the purpose of Yes: 30% Yes: 25%
employment No: 70% No: 75%
If yes, estimated distance moved (km) Mean: 446 km (20–2774 km) Mean: 1073 km (8–5000 km)
Overall general satisfaction with employment and practice conditions
Very satisfied (16) 37% (34) 15%
Satisfied (13) 30% (96) 42%
Unsatisfied (12) 28% (64) 28%
Very unsatisfied (2) 5% (36) 15%
Number of advertisements/recruitment notices applied to prior to Mean: 7.5 (0–60) Mean: 4.8 (0–200)
securing current position (n = 35/157)
Number of unsolicited telephone calls (cold calls) made to prospective Mean: 3.8 (0–30) Mean: 3.1 (0–200)
employers (n = 30/152)
Number of job interviews attended (n = 40/178) Mean: 3.0 (0–6) Mean: 2.9 (0–200)

© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
6 H. Taylor et al.

Table 2 (continued)

Intern (n) % Pharmacist (n) %

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

What are the main issues currently 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’

them in the government budget. Two hospital pharma-


Hospital Pharmacists’ Perspectives
cists interviewed expressed concerns about ‘being over-
In the hospital sector there were views that there are worked, understaffed and with huge pharmacist-to-
plenty of jobs available for pharmacists, but no room for patient ratio’. These ratios for example were as large as

Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia
Pharmacists’ perceptions of career opportunities 7

Table 4 Sample quotations from follow-up semi-structured interviews (n = 11 participants)

Interview guide prompt Sample quotations

Tell me about the kind of practice ‘I work in a community pharmacy in Brisbane’


environment you are working in right ‘I work in a public hospital pharmacy. I have a split position where I work as a
now? rotational pharmacist, and working in clinical trials as the clinical trials pharmacist,
dispensing clinical trials medications and managing all of the special access’
‘For me, it was within the same pharmacy group that I’ve actually worked with as a
pharmacy student and now intern’
‘I applied for a few places and applied at this place at the recommendation of a friend
and went for the interview and I basically got the job after that’
‘Straight from uni, I applied for an internship at this same hospital. In the December of
my intern year, I applied for a permanent position and got it’
How would you describe the current job ‘To give you an idea, I’ve got two clinical pharmacists for 180 beds. I feel really sorry
market for pharmacists in Australia? for them, they are being worked to the bone, beyond their ratios, beyond what they
could possibly fit in to the working week’
‘Internships are especially not hard to come by if you are prepared to move out of your
comfort zone, and more than 10 km away from where you live’
‘Compared to other health professionals pharmacists have quite reasonable job
prospects after graduation’
‘If you are unsuccessful finding a job where you want to work, you just need to be
prepared to look outside the area you were wanting’
‘Huge amounts of applications, particularly for intern positions where there might only
be one or two positions available and over 100 applications. This begs the question,
where do all these interns go when they can only take one or two?’
What advice would you give someone ‘If you have some key contacts you can find employment’
looking for a job as a pharmacist in ‘Many jobs go unadvertised, and it is through the word of mouth that pharmacists
Australia right now? have found employment’
‘It is important in this career to establish networks and get to know people who then
may be influential in providing you opportunities when they arise’
‘You can’t just be lazy and expect all the opportunities to come to you’
‘Go where you can. Get the experience. Get those opportunities from perhaps those
smaller hospitals that are needing pharmacists’
Looking back on the process you took to ‘I would have applied to a lot of places a lot earlier. I would have applied to mainly
get hired, what would you have done hospital pharmacies, and so when it wasn’t successful for those roles, then I started
differently? applying for community pharmacies’
What are the best and worst things about ‘The pressure to do more, and that employers expect an unsafe number of dispensing
your current main job? from staff with long hours’
‘Owners/managers treating pharmacists like slaves – that graduates are entering a
workforce that is generally understaffed and highly pressured’
‘I would say the best is absolutely the customer contact that I have in community
pharmacy’
‘The best part of my job is I think probably 90 to 95% of my shift I’m actually talking
to patients as opposed to behind a desk’
Why do you believe that pharmacists are ‘The pay rate for the community are deplorable for such highly trained health
unwilling to negotiate better salary, professionals and the availability of hospital jobs is so thin on the ground you could
despite an apparent disappointing very well end up working as a tech instead of a pharmacist’
salary? ‘The power is with the employer at the moment and pharmacists and interns don’t feel
like they have the grounds to negotiate for a better salary as the employer will just
hire someone who will accept the offer as is’
‘Pharmacists and interns are being given such poor wages, considering the
responsibilities they hold and the years of university they have completed’
Have you ever-changed geographic ‘I feel that the market is saturated in urban environments, but when you go to regional
locations based on career progression? and rural areas, there are a lot more opportunities. Also, a lot of these areas need
pharmacists’
‘People are not willing to move to regional or remote areas due to a fear of a potential
inability to obtain a position in a city when they decide to return’

© 2018 The Society of Hospital Pharmacists of Australia Journal of Pharmacy Practice and Research (2018)
8 H. Taylor et al.

Table 4 (continued)

Interview guide prompt Sample quotations

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’

90 patients to one pharmacist. Many also described


Those Who Do Find It Hard to Find Jobs
‘long hours, no breaks and overtime’. The participants
expressed the dangers surrounding the long hours, with In contrast, many pharmacists believe that there is an
tired and pressured pharmacists meaning a greater oversupply of pharmacists and not enough jobs avail-
chance for errors to occur. able. Some participants expressed that ‘they have never
been out of a job, but if they were to want to change jobs
they would find it very hard’. At metropolitan hospitals
Community Pharmacists’ Perspectives
it can be more difficult finding a job with ‘huge amounts
When participants were allowed to express themselves of applications, particularly for intern positions where
in the open-text question during the survey, many par- there might only be one or two positions available and
ticipants working in community pharmacy expressed over 100 applications. This begs the question, where do
concerns around ‘the pressure to do more, and that all these interns go when they can only take one or two?’
employers expect an unsafe number of dispensing from
staff with long hours’. Twenty-six participants expressed
Pay Rate
concerns with workloads. Others voiced concerns such
as: ‘owners/managers treating pharmacists like slaves – One topic that received the most mentions with the
graduates are entering a workforce that is generally majority of pharmacists and interns in agreement, is low
understaffed and highly pressured’. wages. The survey discovered that the majority of phar-
macists and interns reported a lower salary than
expected, but did not negotiate for a better salary. This
DIFFERENT PERSPECTIVES
was further explored during the follow-up telephone
interview where participants stated that the rate, espe-
Those Who Had No Issues Finding Employment
cially in community pharmacy, is ‘deplorable for such
Five of the 11 participants reported no problems finding highly trained health professionals’. They stated that
employment, and often see many opportunities arise for ‘the power is with the employer at the moment and
pharmacists. Two of the three interns interviewed agreed pharmacists and interns don’t feel like they have the
that ‘internships are especially not hard to come by if grounds to negotiate for a better salary as the employer
you are prepared to move out of your comfort zone, will just hire someone who will accept the offer as is’.
and more than 10 km away from where you live’. The They have also expressed their disappointment that
job opportunities seen were not just in rural areas but ‘pharmacists and interns are being given such poor
often jobs advertised for metropolitan areas too. A par- wages, considering the responsibilities they hold and
ticipants stated that ‘compared to other health profes- the years of university they have completed’.
sionals pharmacists have quite reasonable job prospects Many pharmacists acknowledged the shortage of
after graduation’, and ‘If you are unsuccessful finding a pharmacists in rural areas and that ‘employers are find-
job where you want to work, you just need to be pre- ing it difficult to find pharmacist for full or part time
pared to look outside the area you were wanting’. It positions in regional areas of Australia’. Participants
appears there is still a positive view that if ‘pharmacists said ‘people are not willing to move to regional or
are competent professionals and are committed to being remote areas due to a fear of a potential inability to
a pharmacist, there is [sic] some great opportunities’. obtain a position in a city when they decide to return’.

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.

Further research into the evolving nature of pharmacy REFERENCES


is needed to explore the extent of under-service in rural
areas and saturation in metropolitan regions. Additional 1 Goodman M. Mentoring future pharmacists. Aust Pharm 2007; 26
workforce data would be valuable in workforce plan- (11): 892–3.
2 Paterson G, Naunton M, Rasiah R. Pharmacy students career
ning for mechanisms such as location-specific registra-
aspirations and attitudes towards their chosen profession. Aus
tions. This may mitigate graduates being concentrated in
Pharm 2003; 22(5): 391–7.
major cities and could be implemented by having new 3 Cooper J. Graduate over supply concerns grow. Aust Pharm 2012;
registrants (or other volunteers) receiving a Pharmacy 33(1): 24.
Accessibility Remoteness Index of Australia (PhARIA)- 4 Agostino X. Are too many pharmacy graduates diminishing the
specific registration for a specified time, or indefinitely, profession. Aust J Pharm 2015 [Internet]. Available from <https://
before being granted unrestricted registration. Incentives ajp.com.au/columns/opinion/australia-is-producing-too-many-pha
rmacy-graduates-thus-diminishing-the-profession-writes-napsa-pa
such as reduced registration fees could be used to
st-president-xavier-agostino/>.
increase uptake. Furthermore, international pharmacists
5 Haworth D. From the coalface. Aust Pharm 2006; 29(6): 445.
could also receive PhARIA-limited registration before 6 Brown D. From shortage to surplus: the hazards of uncontrolled
being eligible for non-specific registration; to better dis- academic growth. Am J Pharmaceut Ed 2010; 74(10): 185–8.
tribute the available workforce according to need. 7 Swain L. Still plenty of pharmacy jobs in the bush. Aust Pharm
2012; 33(12): 936.
8 Nation RL. Pharmacy Schools in Australia: When is enough,
CONCLUSION enough? J Pharm Pract 2009; 39(3): 174–5.
9 Low J. Pharmacist Oversupply – Myth or Mission? J Pharm Pract
Res 2010; 40(4): 262–4.
This study is the first to show Australian pharmacists’
10 Mak VSL, Clark A, March G, Gilbert AL. The Australian
and interns’ perspectives on employment prospects. It pharmacist workforce: employment status, practice profile and job
has provided valuable insight into the Australian phar- satisfaction. Aust Health Rev 2013; 37(1): 127–30.
macist workforce by improving understanding of phar- 11 Gregory P, Austin Z. Postgraduation employment experiences of
macists’ and interns’ opinions on employment prospects, new pharmacists in Ontario in 2012-2013. Canadian Pharm J 2014;
experiences and satisfaction with current employment 147(5): 290–9.
opportunities. Overall, pharmacists’ and interns’ opin- 12 Eiland LS, Flowers SK, Andurkar SV, O’Brocta R, Prabhu S,
Medon PJ. A comparative study of student and faculty
ions are mixed as they are satisfied with professional
perspectives regarding career opportunities in pharmacy
practice positions but express concerns over the growing academia. Curr Pharm Teach Learn 2010; 2(1): 39–51.
number of graduates, a maldistribution of jobs in 13 Carvajal MJ, Popovici I. Pharmacists’ wages and salaries: the part-
metropolitan versus rural areas, and growing concerns time versus full-time dichotomy. Res Social Admini Pharm 2016;
for the future of the profession. 12(2): 341–6.
14 Noble C, O’Brien M, Coombes I, Shaw PN, Nissen L, Clavarino A.
Becoming a pharmacist: students’ perceptions of their curricular
ACKNOWLEDGMENTS experience and professional identity formation. Curr Pharm Teach
Learn 2014; 6(3): 327–39.
The authors are particularly grateful to the participants 15 Carvajal MJ, Armayor GM. Inequalities in the distribution of
for completing the survey, and to the Pharmaceutical pharmacists’ wage-and-salary earnings: indicators and their
Society of Australia (PSA), The Society of Hospital Phar- development. Res Social Admin Pharm 2013; 9(6): 930–48.
macists of Australia (SHPA), Australian Association of 16 SPSS statistics for windows. Armonk, NY: IBM Corp, 2015.
Consultant Pharmacy (AACP), and the Pharmacy Guild 17 NVivo qualitative data analysis Software; Melbourne: QSR
International Pty Ltd. 2016; version 11.
(Guild) for helping distribute the survey. Funding: the
18 AHPRA. Pharmacy registrant data: March 2016. Available from
authors gratefully acknowledge the University of Can- <www.pharmacyboard.gov.au/About/Statistics.aspx>
berra, Discipline of Pharmacy, for providing financial
support for this project. Received: 26 February 2017
Revised version received: 27 June 2017
Accepted: 19 July 2017
Conflict of interests statement
The authors declare that they have no conflicts of interest.

Journal of Pharmacy Practice and Research (2018) © 2018 The Society of Hospital Pharmacists of Australia

You might also like