u/KRBY613

Ik this has probably been asked a lot but any advice for going into hospital pharmacy as a new grad without residency?

I just got an offer for a hospital pharmacist job at an inpatient rehab hospital. Still waiting for the actual compensation package so hopefully this is set in stone. Their pharmacy is very new (started last yr).

I'm covering for 2 locations: one has 60 (expanding to 100) and the other has 160 ish beds. They **dont do acute care stuff** (thank God). It's day and evening shift with rotating wkends. After training, i might have to be alone during the evening shift. They do **sterile compounding** (have no experience or certification) on one site but not the other. They **dont compound their own TPN**. I may also **have to do rounds** with the phsyicians/nurses and be able to **attend antimicrobial stewarship and P&T committee.**

I'm excited for this role since I feel like I'm going to experience all roles pharmacists can do in hospital. But I'm also nervous bc it's a fairly small team and I've never actually made IV sterile compounds (been in the room at least) and there's gonna be lots of responsibility.

**Also, how did you handle your mistakes? And what mistakes did u make when you were just starting out?**

Ik this has probably been asked a lot but any advice for going into hospital pharmacy as a new grad without residency?

I just got an offer for a hospital pharmacist job at an inpatient rehab hospital. Still waiting for the actual compensation package so hopefully this is set in stone. Their pharmacy is very new (started last yr).

I'm covering for 2 locations: one has 60 (expanding to 100) and the other has 160 ish beds. They dont do acute care stuff (thank God). It's day and evening shift with rotating wkends. After training, i might have to be alone during the evening shift. They do sterile compounding (have no experience or certification) on one site but not the other. They dont compound their own TPN. I may also have to do rounds with the phsyicians/nurses and be able to attend antimicrobial stewarship and P&T committee.

I'm excited for this role since I feel like I'm going to experience all roles pharmacists can do in hospital. But I'm also nervous bc it's a fairly small team and I've never actually made IV sterile compounds (been in the room at least) and there's gonna be lots of responsibility.

Also, how did you handle your mistakes? And what mistakes did u make when you were just starting out?

Saw a IG post about 0% down payment for a house if you have a doctorate.

I quickly googled it and it seems like it's called physician loan or something similar.

Has anyone have any experience with this type of loan? Is it better than other loans that offer 0% down payment (i think first home buyer offers that too idk)? What's the pros and cons of this vs other ways to get/pay for a house?

Im in FL btw.

I have an interview for a remote Staff Pharmacist position for Cigna. It's an offline or consult position (they'll let me know which position they'll place me if I get picked).

Any advice on the interview? What questions did they ask? And if you currently work this position, which position are you in (offline or consult) and how do you like it so far?

Has anyone said yes to having x years of experience in a certain field even if they didnt as a pharmacist?

Sometimes when I look at jobs, I think I meet the requirement then I try to complete the application and suddenly I don't match the experience...

Job description: 3+ yr experience in retail, community or managed care setting

Job application: do you have 3+ yr experience "as a pharmacist" in managed care setting?

How do yall find work life balance with weird hours?

I have 2 kids under 2 and am looking into nuclear pharmacy. They said hours are 2am to 11am.

Do yall have family to help you with the kids? If not, what's your routine with your partner?

Ik this has been asked before but how do people, without residency, go from retail to managed care?

Most pharmacist jobs for remote managed care require 1+ yr experience in managed care. How can you meet that requirement if you've just been retail? Do yall lie and say yeah I have X yrs in managed care bc you do insurance adjudications and deal with insurance crap people have? Or is it really depending on networking?

A healthcare recruiter texted me (not sure how they got my phone #) and said theres a remote pharmacist position in Rhode Island. I sent them my email and they emailed me the job details.

Not sure if it's a scam cuz it seems too good to be true. They're asking me to fill out the application, send them my internet speed test result but also my drivers license.

The role is "remote pharmacist-advisor medicare opportunity with CVS Health". I did apply to some CVS remote positions recently.

If you were to do part time or full time at either CVS or Walgreens, which would you pick? Why?

Which system is easier/faster to learn?

I did ~3mo rotation at Walgreens and briefly saw their verification/adjudication screens and it looked way complicated than CVS. But it's been 3yrs since I worked at CVS (as an intern) so not sure how much has changed there.

I'm a newly licensed pharmacist and previously worked for a hospital as a pharmacy intern for about 1.5yrs during school.

I applied to that same hospital and other locations of that same health system for pharmacist jobs.

I reached out to my former employer/pharmacy manager to see if they can give me insight for and tell them I applied for the jobs.

What's the best way to connect with former employer or even someone from the hiring team to maybe get your application through the interview/hiring process? What do you say?How do you also follow up about the initial email you sent (it's been about 2 weeks)?

I'm trying to find or talk to the hiring team for the jobs, if I find them, through linkeldIn. But I'm not the best at networking...

I worked with Walmart and Walgreens before so have done some OutcomesMTM stuff.

But i was wondering if anyone has actually worked with OutcomesMTM company. How was the workload and work environment? Was it worth it working there?

Can you list some questions that you ask the candidate in hospital pharmacist positions? Especially for new grads, not sure if you have different questions for them.

Also, what things do you look for on their resume before deciding to interview them?

And besides hiring process and staffing, what questions should a candidate ask during an interview that would increase their chance of being hired

I saw a position for a new hospital 30 mins away from where I live but it's night shift 7 on 7 off. As far as I know, the location will be operational come fall.

I'm gonna be post partum starting this month. And as a new grad, I'm not sure if I should even attempt to apply for this position.

What is it like to have 7 on 7 off night shift schedule? Is there usually more than 1 pharmacist and how many techs?

I saw a position for a new hospital 30 mins away from where I live but it's night shift 7 on 7 off. As far as I know, the location will be operational come fall.

I'm gonna be post partum starting this month. And as a new grad, I'm not sure if I should even attempt to apply for this position.

What is it like to have 7 on 7 off night shift schedule? Is there usually more than 1 pharmacist and how many techs?

Whats the process to change the last name on the license? Ik i have to go to the social security office to officially get it change but specifically wondering how to let NABP or the state BOP know of the change.

I definitely guessed on half of the questions lmao.

Anyone else feel like they failed it? My brain just kinda forgot everything I reviewed?

Edit: lots of people were asking what my exam focused on so here's what I remembered FROM MY EXAM (will be different for everyone):

2-3 questions on opportunistic infection ppx/tx.

3-4 TPN questions.

1-2 heparin related calc

• 1 was worded so weirdly and you have to play around with the numbers/wording to even get one of the answer choices. Just remember that tpn calories is made up of dextrose, lipids and protein and always take that into account (unless one of those ingredients isnt listed)

2-3 questions on oncology.

• one was Classification of a chemo drug but the class for that drug wasnt listed

3-5 questions on biostats (pretty easy for my exam)

• 2-3 were calculations. 1 question disnt use relative risk or odds ratio as a word. They used case fatal rate or something

4 questions on HIV including post/pre exposure ppx involving the partner.

3-4 ethics questions.

• Read over the definitions on thar erhics domain pdf thats on reddit. There was one question on that -What to do if kid doesnt want to take a vaccine?

3 questions on what to do if pt of certain age is delayed on a certain vaccine? (When do you give the next dose, if u can, and how many doses to give total)

2-3 lovenox dosing

2-3 TB questions

~5 questions on supplements

2 questions on toxicology

2-3 med error questions

• one question, i had to assume if the pts symptoms were caused by the error bc it doesnt directly tell u if it was.

2 questions on references

2 questions on preceptorship

2-3 HF questions

• One question was what else do u add to pts regimen

~5 ID questions

• monitoring parameter on certain drugs
• what abx to replace the abx the pt is currently on.
• organisms causing pt infection

2 sterile compounding questions

1-2 question on BUD/exp date.

1-2 question on excipients

Too much osteoporosis questions than I'd like

• one was formulation related

Lots of psych questions scattered all over

• MOA of a certain drug
• which drug causes a certain ADE the most

Thyroid questions also scattered

• one was specifically asking what to do with levothyroxine dose

Diabetes

• 2 questions on products
• 2 calc

2-3 calc questions related to PK

• one was about first order kinetics
• one had bioavailability given and youre supposed to know what interval would give the therapeutic dosing?

Math is my strong point so wasnt worried on it. Just figured it out based on dimensional analysis. Most of it was easier than uworld but i think there was 3 questions were it took me a long time to figure out which numbers i dont or do have to use.

For most of the questions, ofc theres no specific one disease state youre looking at. Know CrCl cut offs and for dosing, which body weight to use.

Reference sheet has everything INCLUDING drug therapeutic ranges, which i was thankful for. But honestly, I barely looked at it....i shouldve tbh.

Formula sheet only has TEE/BEE, BSA, correction formulas, weight formulas.

Taking UMPJE on Wednesday (June 10) and NAPLEX June 20.

So far my stats:

- NAPLEX Advantage - 90

- level 2 on Domain 2

- level 3 on Domain 3

- level 4 on everything else

- Pre-NAPLEX - 96

- Pre-UMPJE - 32/40

- PharmPrepPro NAPLEX - 170/225

- PharmPrepPro UMPJE - 97/120

I feel like I'm still guessing on lots of things. I just partially finished rereviewing Oncology and HIV. Tying to go through ID but honestly, at this point, I feel like my brain is blanking on whatever i read. I'm ok in math but have to review biostats more.

I have Uworld NAPLEX (book and the online qbank), PharmPrepPro UMPJE Guide, Dr. C UMPJE. I can really only study 3 days/week for 6-8h each since I have a 1yo to take care of (and I'm also pregnant, due the week after my NAPLEX)