The Pharmacy Chick

Flying the Coop in Retail

To all you new pharmacists who know everything…

Filed under: Uncategorized — pharmacychick at 10:11 am on Tuesday, April 8, 2008

This is specifically for new pharmacists, or at least those who might have been practicing for a short period of time…ok and even interns who are just about to take their boards.

Smartly dressed with a crisp white jacket with a gleaming new “RPh” after her name, she was overwhelmed by the reality of working in a busy retail store. She snapped at the techs, got lippy with a customer. She was disorganized and didn’t take constructive assistance very well. It was her way or the highway. The problem is, she wasn’t experienced enough to have a “way” that worked well. She was also floating, a position fraught with difficulty already. I heard all about the day.

When you became a pharmacist you probably figured it out right away: its completely different than when you were an intern. Overnight, all the rules changed. No longer could you hide behind a counting tray while the pharmacist ironed out all the messes. You now hold the iron. Gone are the days of being the “extra” person. You work alone. Forget about coming in late or leaving early for dinner plans/a play/a wedding/CE seminar..whatever. Tag! you are IT! Welcome to Jail: Do Not pass Go, do not collect $200. Most likely you weren’t quite prepared for it. No newbie is. I certainly wasn’t. I waved my just-arrived-license in the air and the pharmacist dropped his spatula and announced “I am taking the rest of the day off”. Once I picked my chin off the floor I realized he was serious. He grabbed his coat and left. Just like that, he was gone. Whoa.

The safety net was gone.

I have a few words of advice for the newly minted pharmacist (or rph soon-to-be)

1. Pharmacy school only gets you a license, it does not teach you to BE a pharmacist. That takes time and a good mentor. You are not done learning just because you passed your boards. In fact, you are just starting. Everything in school was black and white. In reality, everything is a thousand shades of gray. What works for one person will fail miserably with another. Don’t expect to have a policy that works in all situations. It won’t and when you understand that, you will have a better chance of surviving your career. Be flexible or you will get broken.

2. You are not better than everybody just because you make 6 figures now. You may have all sorts of facts and figures memorized, know every therapy course for every disease state, but you have nothing on Clyde the 60 yr old pharmacist who has a following that can only be described as “cult”. He takes care of them. They love him back. He may not have the most current protocol in the anti-coag clinic memorized like you do, but he has the respect and admiration of a thousand people. Try to pull that out of your palm pilot!

3. A haughty attitude will get you nowhere. Trust me. I learned the hard way. If you have chip on your shoulder, somebody is gonna knock it off. You will not command respect or believability simply because you got the white coat. In fact, expect that people will look to your OLDER techs for advice instead of you until you age a bit. It will be harder on you if you are young and female than if you are young and male. You are gonna look like children playing dress up to some senior citizens. Get over it and move on.

4. Look at people thru different eyes. People tend to see what they want to see. If you train yourself to find some good in everybody, you’ll be able to forgive them when they disappoint you, and more importantly, they will forgive YOU when you disappoint them.

5. You never have the right to be rude. N.E.V.E.R. Unless you are signing your own paychecks, you will always have a higher authority to answer to and rudeness will never be defended by your boss, even if its seemingly justified. You will just end up looking like a dink.

6. It is rarely the message that offends somebody, its usually how you say it. If there is one thing I would teach in Ph- school is Effective Communication. Don’t talk at somebody, Talk WITH them. Use your ears, and not your mouth. Its ok to say to somebody “If I understand you correctly, you are saying…..” If they think you understand them, you have won half the battle. Empathize. If somebody believes that you are on their side, they will likely not give you as much grief. For example: Nobody likes to hear that their refills aren’t ok’d by the dr and its been 2+ days. But to curtly drop the news on the table like a sack of potatoes will irritate the patient. Try this: “I understand your frustration! I makes us crazy too–who needs that kind of time? It seems way too long doesn’t it? We have asked them twice and they still have not responded. Perhaps you might like to ask them, since its your dollars that pay their wages huh?” If the patient in my previous post had heard that (instead of the curt response he did hear) I’d likely not have had to spend a half hour listening to him chew my rump.

7. Read How to Win Friends and Influence People by Dale Carnegie. I mean it. READ IT. Twice. Its a small pocket book with a wealth of information. It changed my practice forever. His principles are timeless and people will pay $1500 for a seminar teaching his techniques.

8. Be friends with your customers. Do not create an adversarial relationship with them so when you mess up, and you WILL mess up, they will be less likely to sue your butt into poverty. They will also be more inclined to do things your way if they LIKE you! Think of this common example: if you grab a dog by the collar and pull towards you, what is gonna happen? He is going to resist! Its his nature. So it is with people.

9. Your techs are your ass-savers. They can make or break you. Some are better than others, but try going it alone for a few hours and even the sketchiest of techs help you more than you know. Just because they don’t have a degree doesn’t mean they aren’t valuable, so don’t condescend to them. Actually dont treat anybody condescendedly.

10. Don’t drop the ball. If you say you are going to do something for somebody, then you better do it. And if you couldn’t do it, then you better have tried everything in your power before you failed. You will be called to be accountable for what you do or don’t do, and you will look darned silly if you drop the ball. I can honestly say that if I couldn’t do something for a patient, they KNOW that I have done my best.

11. Don’t roll the dice: you will be surprised at who knows who in the community. I’ve always been surprised at the few degrees of separation some of my patients have. People I would have thought had no connection whatsoever are best friends, or neighbors, or go to church together, etc. Its often AFTER the fact that I hear from a (sometimes challenging) patient (that I would have liked to get rid of) “Thanks, Joan Jones sent me here”.. Whew..that was a close one.. I go to church with Joan…SEE?

I guess what it boils down it is live the golden rule when you step behind the counter. Your patients may not be as good to you as you are to them, but they’ll never have the upperhand on you if you keep your composure, have realistic expectations, learn your limits, behave properly, and become their advocate.

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5 Comments »

343

Comment by Pharmacy Mike

April 8, 2008 @ 3:17 pm

This is a great post. Your advice to new pharmacists is spot on. It’s funny because if I had to write advice to pharmacists, I’d write almost exactly what you did.

I haven’t even been licensed for 2 years yet, so I still have a TON of learning to do. I tell everyone that pharmacy school teaches you everything about pharmacy except how to be a pharmacist. The thing with me is that I knew that right from the start, so I was always looking to learn and improve with each passing day.

I think that’s really the most important thing. You have to realize that immediately after getting your license you don’t know everything. You won’t know how to handle certain situations. You’ll make mistakes (and I don’t mean prescription errors as much as I mean mistakes in dealing with the customers). You just have to learn from each mistake you make and try not to repeat them.

I also think it’s a great idea to try to work with an experienced pharmacist that you really respect. You’ll learn how to handle situations through observing his/her interactions with the customers, insurance companies, doctors, etc. I was lucky enough to be placed in a store where the manager had been in the same location for 23 years, and one of the staff pharmacists had been there for 17 years. Those two had seen and handled every situation imagineable, so I couldn’t possibly have had better mentors.

Anyway… Great post, great advice.

344

Comment by pharmacychick

April 8, 2008 @ 5:04 pm

Thanks Mike, I love your blog too. Sometimes I just wanna grab my interns and shake em. (and it would probably sound like the last tic-tac in the pack). They have so much knowledge and so little common sense. I try to give them a lot of advice before they leave my employ. I just don’t know how much of it is taken :-)
I may not be the brilliant mind I’d like to be, but I am a much better pharmacist now than I used to be.

349

Comment by The Ole' Apothecary

April 9, 2008 @ 1:01 am

This post has officially endorsed by The Ole’ Apothecary (BS in pharmacy, 1976; 32 years in practice, retail and hospital). Chick, you can tell the ACPE that what you have written is now required reading for every new pharmacy grad, especially with regard to Dale Carnegie!

495

Comment by Kym

April 17, 2008 @ 2:22 pm

Pharmacy Chick,

You write a hell of a great blog. I am glad I found your site. These words of wisdom are great. Lately I have run across one or two new people who think they know everything. It was actually surprising as I had not come in contact with this much over the past 20 years that I have been practicing. My guess is that it has become much more pronounced with PharmD’s than it used to be pre-Pharm-D. I could be wrong about that as it is also a personality trait that some have and some don’t. The know-it-all gene.

I loved the “tag-you’re-it” line. Welcome to jail! They never really tell you that in pharmacy school, eh? Lately I have been missing the days when I was a tech for just that reason. Less of a jail.

Thanks for a thoughtful and useful post. For all of us. Not only the new. Actually, I would love it if you submit it to a journal for publication. Drug Topics or something. More people need to read it.

Comment by Ryan Glaze

September 9, 2008 @ 8:34 am

I promote the Dale Carnegie book for my students who do rotations with me.

Excellent book…again…and again…and again. Everyone can benefit by embracing the concepts in the book and applying it to everyday relationships.

The book is loaded with stuff that JUST MAKES PLAIN SENSE!!

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