Pharmacy schools: To build or not to build? - Taking the plunge in uncertain times - ModernMedicine
Pharmacy schools: To build or not to build?Taking the plunge in uncertain times

Source: Drug Topics


Key iconKey Points

  • Factors to consider before opening new pharmacy schools: Will there be enough qualified applicants? Enough qualified faculty? Enough training sites?Will graduates be able to find positions?
  • Opportunities for experiential learning are lacking - especially at schools that cannot afford to pay for these opportunities.
  • Other challenges include finding, recruiting, and retaining adequate faculty.
  • Maintaining quality in the face of rapid expansion of pharmacy schools is becoming a matter of increasing concern.




Between 1955 and 1975, not one new pharmacy school opened its doors. From 1975 to 2005, the growth of new schools slowly increased. Particularly since 2000, the growth of new schools has accelerated dramatically. Within the past three years, plans to open nearly two dozen new pharmacy schools across the United States have been announced. By the fall of 2010, 110 pharmacy schools are set to be open across the nation, a gain of 18 new schools in five years.

The building boom has caused some pharmacists to ask whether there is really a need for all these new schools. In a recent online poll, Drug Topics asked readers whether they believe additional pharmacy schools are necessary. With 766 votes cast, more than 73 percent said no and 27 percent said yes.

The answer from industry leaders, the American Association of Colleges of Pharmacy (AACP), and some of the country's top pharmacy schools is "Yes, the need is there." The pharmacist shortage driving the trend is expected to continue; By 2030, according to the U.S. Department of Health and Human Services, the estimated shortfall will rise to 38,000 pharmacists.

"Pharmacists have become more involved in clinical activities in hospitals, clinics, and even in the community pharmacy, where diabetes and asthma programs have become quite common," said Katherine Knapp, PhD, dean of the new College of Pharmacy at Touro University–California. "These trends require [the skills of] pharmacists and are important drivers of demand." Touro University's College of Pharmacy in California opened in 2005; its first class will graduate this month.

Nonetheless, Knapp said, there is always the possibility of an "overshoot" — the threat that more programs will open than the market can support, she said. Factors such as a sufficient number of qualified applicants, the availability of qualified faculty, the ability of graduates to find positions, and the sufficiency of training sites are likely to affect the continued growth of new programs.


Wegmans School of Pharmacy, in New York State, was dedicated in 2006.
New programs aren't the only way to meet the shortage of pharmacists. Expansion of existing pharmacy schools contributes to the increasing number of pharmacy graduates each year, said Lucinda Maine, PhD, RPh, executive vice president and CEO of the American Association of Colleges of Pharmacy. The expansions that have taken place within the past few years weren't made as a competitive response to new pharmacy schools, she said. Instead, schools are responding to the need for a changed curriculum.

Experiential learning crunch

The proliferation of new pharmacy schools hasn't affected the numbers of students applying to existing schools, and the established schools haven't seen any reason to step up recruiting efforts in states with new pharmacy schools, such as California, Texas, Maryland, Pennsylvania, or Wisconsin. But the additional competition for resources has affected the area of experiential learning, said Mary Anne Koda-Kimble, PharmD, dean of the School of Pharmacy at the University of California, San Francisco.

Some of the new pharmacy schools have the resources to provide their students with opportunities to complete their experiential learning at local clinics and hospitals. But these facilities charge a fee for student participation, and many existing schools, such as UCSF, can't afford to pay, Koda-Kimble said.

Maine concurred. Pharmacy schools across the country have struggled to devise ways to offer their students opportunities for experiential learning, she said.

If schools are to continue to offer students strong experiential learning sites, they will have to cultivate new sites in new settings. The Accreditation Council for Pharmacy Education (ACPE) is firm about the number of rotations it requires, including those in community practice, another factor causing strain on opportunities for experiential learning.

Experiential learning isn't the only challenge schools face. "We've seen the greatest impact is in making sure there's an adequate faculty — new or existing," Maine said.

Jeffrey W. Wadelin, PhD, associate executive director and director of the ACPE Professional Degree Program Accreditation, told Drug Topics that currently there are 10 pharmacy schools with candidate status and 13 with precandidate status. He, too, commented on the challenge for new schools in finding, recruiting, and retaining faculty. And for new schools as well as for more established ones, he said, ensuring opportunities for experiential learning, is a challenge.


New York City's Touro College of Pharmacy has a capacity for 100 students annually.
"ACPE'S review and monitoring activities have focused on these key issues, and have increased in frequency and level of scrutiny to ensure quality," Wadelin said.


Comments from our Readers
 Posted Jun 24 2009 03:39PM
The appeal for pharmacy careers is the ease of finding a job and the competitive salaries. More schools mean more job applicants, harder to find positions and less competitive salaries. Then the schools will start to show a decline in students and some will end up shutting down. So why build.
 Posted Jul 23 2009 07:12PM
I find the author of this article to be both myopic and self-serving in his conclusion. THe majority of these colleges are opening pharmacy schools because it's profitable, PERIOD. They only care about need as long as it justifies filling their coffers. If need truly is the driver, why aren't there more medical schools? A quick survey of pharm web boards and blogs will inform the casual reader that metropolitan areas are becoming saturated with pharmacists as the need slowly levels off through consolidation and better integration via central filling, workload distribution (ie. Wags "POWER"), and mail order options. Read what the pharmacy students and professionals have to say at the Student Doctor Network if you want an informed counter opinion. Need will be met gradually and appropriately as more students graduate from the nation's existing programs. There's definitely not a need for 100+ more schools to open; absurd indeed.
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