Thursday, 16 March 2023

For modern times an ideal prescription should be a computerized printed form prescription with barcode or QR code

For modern times an ideal prescription should be a computerized printed form prescription so that it is legible opposite to oftenly an illegible physician's handwritten prescription. So that automization of dispensing of prescription medicines is possible by using modern technology like a computer scanner attached to pharmacy vending machines eg Script Pro Unit Dispenser. 

Filling Area     
Scriptpro – Automated Filling,Barcode Scan, Manual Count or Robotic Count , Attach Additional Label for Sp drugs

ScriptPro's SP Unit Dispenser (SPUD) and SP Automation Center (SPace) automatically load, store, and deliver unit-of-use medications, with SPace also capable of dispensing tablets/capsules.

They process up to 225 prescriptions and 375 prescriptions per hour respectively.

Like all ScriptPro systems, SPUD and SPace utilize:

integrated barcode scanning
screen display verification
prescription and auxiliary label printing

Mini SPUD/ScriptPro's SP Unit Dispenser (SPUD)/SP Automation Center 200 (SPace 200)/SP Automation Center (SPace) is a compact robotic system that combines prescription filling, labeling, verification, and dispensing for tablets, capsules, and unit-of-use medications at one workstation. It literally organizes all dispensing steps within the operator's reach.

SPace delivers filled and labeled prescription vials directly to the operator for verification and capping. Unit-of-use medications are delivered to the operator for automated labeling after a barcode scan match.

It holds 100 of the pharmacy's top selling tablets and capsules and up to 300 unit-of-use medications

SPace is an efficient, productive solution, uniquely designed for pharmacies that have a requirement to do a maximum amount of dispensing in a small footprint.
Handwritten prescriptions in India often pose significant risks due to their potential for misinterpretation. The diverse linguistic landscape of India, with multiple languages and scripts, adds to the complexity of deciphering these prescriptions accurately. Common issues include illegible handwriting, which can lead to confusion between drugs with similar names or incorrect dosing instructions. This is particularly problematic given the wide range of medications available and the critical importance of precise dosages.

Moreover, handwritten prescriptions sometimes lack essential information such as patient history, allergies, or specific instructions for drug administration. In a healthcare environment where pharmacists play a key role in the safe dispensing of medications, these omissions can lead to serious health risks.

The situation calls for a more robust system, possibly incorporating digital prescriptions, which can ensure clarity, accuracy, and traceability. Standardizing prescription formats and embracing electronic health records could greatly mitigate the risks associated with handwritten prescriptions, leading to safer and more effective patient care in the Indian context.

Friday, 24 February 2023

Drug and Cosmetic act and Pharmacy Practice Regulations Act

Drug and Cosmetic act 1940 and Pharmacy act 1948 and Pharmacy Practice Regulations Act 2015 all are different and are mismatch.

KNOW (Y)OUR PHARMACY ACT & ITS WEAKNESS:

1.. The Act was enacted in 1948 to which the States can frame Rules. Rules should be in compliance with and without prejudice to the Act 
Weakness: Not updated to current scenario and needs. States and state councils are working with total disregard to the Act as if it is their own registered association.
2. The Act provides for constitution of Central council and state councils. Since ER is in force there is no provision to form Tribunal for RRegistation.
3. Act provides for elected and nominated and ex-officio Govt official members in the council.
Weakness :
a. Both central and state councils are dominated by traders and academicians.
No reservation to have representation from Industry, Clinical trial, hospital and clinical pharmacists and women.
3. All members except those from Medical council, UGC etc should be Registered pharmacists as per the Act.
Weakness:
Since neither the Govt nor the PCI is supervising the council:
a Many councils including Central council are running with members who are not Reg Ph as per the Act. .
b.There are councils headed, presided over  and administered by non pharmacists.
- How can the resolutions be considrd valid under the Act.
4. There are clear guidelines to convene and conduct meetings.
Central council passes hundreds of resolutions in just 4 to 6 hours- Amazing that Limka and Guinies book of records has not noticed.
Weakness: 
All meetings and deliberations are under mutual understanding, obligation and for self-esteem aggrandizement. 
Real professional interest and professionalism are nowhere seen or felt. There is no one to verify and pull up the violation.
5. The term of office of members is only 5 years.
Weakness:
Elections are delayed due to vested interest on one side and due to deviation in awarding registration.
Most of the times, the voters (reg Ph) do not get information on election schedules.

Voter should send the marked ballot paper by Reg.post a/d only.
Weakness:
a. It was good in 1948. Now it is outdated and has made easy way for the interested contestant to collect personally and mail by reg post on behalf of the Ph. Returning officer sinceerly accepts all ballot papers rceived by rreg post and declardeclares rsult.
Obvious name/s get elected.

Remedy:
Besides the Amendments needed the following measures would help:

All councils should publish on their website all documents:
a. Names of members, Reg.No with State, Validity and Govt nomination Notifications.
2. Meeting calendar for the year.

3. Proceedings of the meetings. Since all decisions except the administrative issues are related to profession publishing the same cannot be refused.
All resolutions should quote the section, clause and Rule No. under which the the decision was taken like, In exercise of the powers conferred under section...., Clause ....., Rule No. ....

4. List of Reg Ph. and List of names removed due to non renewal and names restored.

5.  D&C Act and Pharmacy Act mismatch with each other.:
a. Pharmacy Act and PPR 2015 doesn't mention SALE of drugs. D&c act do not recognize pharmacy practice.
b  Regulatory does not work in support of the council and do not share their inspection report extract with the council

6. The drugs controller should publish the name and address  of the licensee, Name of the approved pharmacist and his registration no. on their website

.

Thursday, 8 October 2020

Pharmacists cannot open clinics to diagnose disease & prescribe medicine; clarifies PCI

Clearing the doubts on pharmacists can open pharma clinics to treat common disease and prescribe medicine, Pharmacy Council of India (PCI) has recently notified that the pharmacists cannot open clinics to diagnose the disease and prescribe the medicines.

PCI has clarified that there is no provision in the Pharmacy Practice Regulations (PPR), 2015 which allows the pharmacists to practice medicine. Under the said Regulations, the registered pharmacist is required to dispense medicines on the prescription of a registered medical practitioner and can counsel the patient or care giver on medicine to enhance or optimise drug therapy.

The elements of patient counselling includes, name and description of the drugs;the dosage form, dose, route of administration, and duration of drug therapy; intended use of the drug and expected action; special directions and precautions for the drug; common severe side effects or adverse effects or interactions and therapeutic contraindications that may be encountered, including their avoidance, and the action required if they occur; techniques for self monitoring drug therapy; proper storage of the drugs; prescription refill information; action to be taken in the event of a missed dose and to ensure rational use of drugs.

Dr. B Suresh, president of PCI informed that there are few groups of pharmacists who are claiming that they are doctors and there are various messages being circulated on social media, e-mails, WhatsApp etc. that pharmacists are empowered under PPR, 2015 to open pharma clinics to diagnose the disease and prescribe medicines.

We would like to clarify that there are no such provision under PPR, 2015 which allows pharmacists to diagnose and prescribe medicine. PPR, 2015 only allows the pharmacists to practice pharmacy and not medicine, they can counsel the patient or care giver and dispense medicines on the prescription of a registered medical practitioner but cannot prescribe medicines to the patients

He further adds, “Under no circumstances, the registered pharmacist is empowered under the Pharmacy Act, 1948 and PPR, 2015 to practice medicines or open clinics to provide medical care.


BUT, My query is : Can a registered pharmacist(PHARM D) approved with Clinical Pharmacy Council give PHARMA CARE in his PHARMACY? Services like prior authorization and refill authorization for prescription drugs is permitted?

Monday, 5 October 2020

Medicotherapeutic approach vs Pharmacotherapeutic approach

Therapeutics: In medicine, the branch that deals specifically with the treatment of disease and the art and science of healing. In pharmacology, therapeutics accordingly refers to the use of drugs and the method of their administration in the treatment of disease.

Thursday, 10 September 2020

5 Famous Pharmacists to Inspire You

5 Famous Pharmacists to Inspire You
  • 1) Alexander Flemming. Contribution: The discovery of penicillin. ...
  • 3) John Pemberton. Contribution: Created Coca-Cola. ...
  • 4) Hubert Humphrey. Contribution: USA Vice President (1965 – 1968) ...
  • 5) Friedrich Serturner. Contribution: Discovered Morphine.

Saturday, 6 July 2019

PHARM D

Doctor of Pharmacy (Pharm.D.New Latin Pharmaciae Doctor) is a professional doctorate in pharmacy. In some countries, it is a first professional degree, and a prerequisite for licensing to practice the profession of pharmacy or to become a Clinical pharmacist. In many countries they are allowed to practice independently and can prescribe the brand of drugs directly to the patients. Pharm.D program has significant experiential or clinical education components in introductory and advanced levels for the safe and effective use of drugs. Experiential education prepares graduates to be practice-ready as they already spent a significant amount of time training in areas of direct patient care and research. A Pharm D graduate can also use the prefix 'Dr' along with their name. [1]

Africa[edit]

Algeria[edit]

In Algeria, Doctor of Pharmacy degree replaced the state's diploma of pharmacist in 2011, thus concepts on clinical pharmacy and pharmaceutical care were taught for the first time.

Egypt[edit]

Pharm.D is a postgraduate professional degree offered by many faculties of pharmacy in Egypt. It is a professional degree after earning a B.sc in pharmaceutical science. The duration of the program consists of two calendar years. The first year consists of many didactic and pharmacotherapy, pharmacokinetics, pharmaceutical care of many diseases. The second year consists of rotations in hospitals in many specialties from the universities that offer this degree, such as faculty of pharmacy Cairo University, faculty of pharmacy Ain Shams University, faculty of pharmacy Alexandria University.

Ghana[edit]

Pharm.D is a 6-year course offered in Ghana from the academic year 2012/2013, initially by the Kwame Nkrumah University of Science and Technology (KNUST). It leads to the award of the Doctor of Pharmacy certificate making one eligible to qualify, register and operate as a licensed pharmacist. An aggregate of 06 in the WASSCE results is currently the acceptable cutoff point. Also, a year Top-up program was rolled out in the 2017/18 academic year for practicing pharmacists with the Bpharm qualification to obtain the Pharm.D qualification which will soon become the minimum degree for licensure. The University of Health and Allied Sciences (UHAS)-Volta Region (2016/17 academic year), The University of Ghana-Legon and Central University College-Miotso (both in 2018/19 academic year), have also rolled out the Pharm.D program.
The first graduating group of the Pharm.D course in Ghana graduated in 2018. Much is expected of them to change the practice of pharmacy in Ghana to be more patient-centered than drug-centered and they are anticipated in various hospitals all over the country.

Morocco[edit]

Pharm.D. is a program offered at the Faculty of Medicine and Pharmacy of Rabat.[2] and the Faculty of Medicine and Pharmacy of Casablanca.[3]

Nigeria[edit]

Presently, there are only two universities in Nigeria offering the Doctor of Pharmacy (Pharm-D.) program. These are the University of Benin, Benin City, Nigeria and Bayero University Kano Nigeria. The University of Benin commenced the program in 2001 following the approval given for the commencement of the program by the regulatory government agency for pharmacy education and practice in the country, Pharmacists Council of Nigeria (PCN). It was not until 2016 that the overall regulatory government agency for all university degree programs in the country, National Universities Commission (NUC), formally approved the Pharm-D degree program. The University of Benin PharmD is a six-year undergraduate program. On successful completion of the program, students are awarded both the Bachelor of Pharmacy (BPharm) degree and the Pharm-D. Prior to the commencement of the program, the university offered a five-year BPharm degree program which commenced in 1970. In the PharmD program, students are given extensive didactic preclinical/professional clinical preparation as well as clinical training (including pharmaceutical care) in different hospitals and community pharmacies.Student are prepared to have knowledge about patients counselling,Drug information, pharmaceutical care, ADR reporting, pharmacovigilance and much more. Pharmacy council of Nigeria and the national professional body of pharmacists, Pharmaceutical Society of Nigeria (PSN), have envisaged that in the near future, Pharm-D degree will become the minimum educational qualification for the registration/licensing of fresh graduates of Nigeria's pharmacy schools for practice in the country. Through the efforts of the PCN, most pharmacy schools in Nigeria are now intensifying their preparations to commence the Pharm-D degree program.

South Africa[edit]

Since 2006, Pharm.D is a post-graduate course being offered by Rhodes University.[4]

Tunisia[edit]

The Pharm.D program has been available in Tunisia since 1975.

Asia[edit]

Bangladesh[edit]

At present a five-year professional degree is offered in various public universities in Bangladesh. Previously, it was a four-year degree (Graduation) and a one-year degree (Post-Graduation) in Pharmacy is offered in numerous universities of Bangladesh. The study material is taught in English. The textbooks, exams as well as thesis are also provided in English. The universities are the University of Dhaka since 1964, Jahangirnagar University since 1982, University of Chittagong, Rajshahi UniversityKhulna UniversityJagannath UniversityPabna University of Science & Technology, Jessore University of Science & Technology and Noakhali Science & Technology University. All of these are government universities. There are also 20 private universities in Bangladesh offering pharmacy education. Among them BGC Trust University Bangladesh (BGCTUB), Southeast University(SEU), East West UniversityNorthern University Bangladesh since 2003, Daffodil International University , University of Science and Technology Chittagong (USTC), Stamford University Bangladesh (SUB), Manarat International University (MIU), The University of Asia Pacific, International Islamic University ChittagongNorth South University, ASA University Bangladesh (ASAUB) and University of Development Alternative (UODA) are the top rated private universities. It is the best for home and abroad students. The B.Pharm is completed in 4 years and the M.Pharm in one year. Pharmacy Council of Bangladesh (PCB) is the Professional Regulatory Authority for Pharmacists in Bangladesh.

India[edit]

Pharm.D course introduced by the Government of India and Pharmacy Council of India in 2008. The Pharm.D program is a pre-PhD, post-graduate professional doctorate of 6 years. It was introduced to improve clinical pharmacy services in India and it is the only pharmacy service which is in direct contact with patient health care system. The first batch of Pharm.D post baccalaureate students graduated in August 2011 and 1st regular batch graduated in June 2014. The Pharm.D degree requires five years of classroom and hospital based didactic study (two years didactic post-baccalaureate course), followed by one year of internship training in hospitals in addition to ongoing practicals and research project.[5]With reference to Clarification on Pharm.D qualification,[6] it is clarified to all universities that Pharm.D is a post graduate degree and passing students can directly register for Ph.D From 2012.

Nepal[edit]

Nepal started three years post baccalaureate Pharm.D in 2010 in Department of Pharmacy, Kathmandu University, Dhulikhel, Kavre. It is the first batch in Nepal pursuing the degree. The first batch is now currently involved in a 1 years internship at different well established teaching hospitals of Nepal. The students are enrolled in Manipal Teaching Hospital, Pokhara, College of Medical Sciences Bharatpur and KIST medical College, Lalitpur for their internship of 1 year. Kathmandu University has already enrolled the next two batches for further continuation of the Pharm D program.

Pakistan[edit]

Pharmacy Council of Pakistan (PCP) is the professional regulatory authority for Pharmacists in Pakistan.[7] Earlier (before 2003), pharmacy degree was a 4-year undergraduate B.Pharmacy (Bachelor of Pharmacy) that focused mainly on drug manufacturing and pharmaceutics but later in 2004, Higher Education Commission of Pakistan and Pharmacy Council of Pakistan collaboratively changed the syllabus and upgraded the B.Pharmacy degree to Pharm.D. Pharm.D (Doctor of Pharmacy) is a 5-year professional degree in Pakistan. Admission requirements for Pharm.D is 12-years of schooling or HSSC (Higher Secondary School Certificate) in pre-medical subjects (Biology, Chemistry and Physics etc.) or A-levels in similar subjects. Passing an aptitude test is mandatory for getting admission into Pharm.D program. As compared to B.Pharm, Pharm.D is a more clinical and research oriented program. Some pharmacy institutes have collaboration with hospitals for providing clinical clerkship during 4th & 5th Professional year. In 2008, first batch completed Pharm.D program.

Philippines[edit]

Centro Escolar University Makati offers the degree Doctor of Pharmacy (Pharm.D.). The degree requires the completion of 52 units of formal course work and 36 units of clinical rotation done at the Makati Medical Center and The Medical City. It is a 2-year postbaccalaureate degree open to licensed pharmacists in the Philippines.

Taiwan[edit]

In Taiwan, Doctor of Pharmacy (Pharm. D.) program was first introduced in National Taiwan University since Fall 2009.
Pharm. D. program in Taiwan is a six-year academic program, while Bachelor of Science in Pharmacy (BSc. Pharm.) is a four-year or five-year program. Students taking either Pharm. D. or BSc. Pharm. program are all eligible to take the pharmacist licensure exam. The universities offering Pharm. D. program or BSc. Pharm. program are listed below.
UniversityPharm. D.
(6-year program)
BSc. Pharm.
(4-year program)
BSc. Pharm.
(5-year program)
Notes
National Taiwan UniversityVStopped offering in fall 2014.Currently only Pharm. D. program is available.
National Yang-Ming UniversityVSince fall 2016.
Taipei Medical UniversityVVPharm. D. program is available since fall 2013. Currently both programs are available to students.
National Defense Medical CenterVStopped offering in fall 2015.Currently only Pharm. D. program is available.
National Cheng Kung UniversityVSince fall 2015.
China Medical UniversityVVStudents can select whether they want to join Pharm. D. program after admission.
Kaohsiung Medical UniversityStopped offering in fall 2019.V (since fall 2019)5-year program will start in fall 2019.
Chia Nan University of Pharmacy & ScienceStopped offering in fall 2018.V5-year program started in fall 2018.
Tajen UniversityVVPharm. D. program is available since fall 2016. Currently both programs are available to students.

Thailand[edit]

In Thailand, Doctor of Pharmacy (Pharmaceutical Care) program first curriculum in Asia was established at Faculty of Pharmaceutical Sciences, Naresuan University in 1992. The Pharm.D. Program (Pharmaceutical care or Industrial Pharmacy) is a six-year academic program.

Europe[edit]

Belgium[edit]

The education of pharmacists in Belgium requires a minimum of five years of university study. EU-harmonisation has led to division into three bachelor and two master years. A bachelor title is, however, not used at all professionally. Belgium considers the educational level of their current (M.Sc.) degree in pharmacy to be comparable to the Pharm.D. title used in the United States. To become a hospital pharmacist, a three-year residency program has to be completed after obtaining the M.Sc. in pharmaceutical sciences.

Czech Republic and Slovakia[edit]

In both countries, the PharmDr. (Pharmaciae doctor) diploma can be obtained by pharmacists who have previously graduated in pharmacy (Magister, Mgr.) (the undergraduate study of pharmacy takes five years). Applicants must defend a research or experimental thesis, and pass a rigorous examination. The PharmDr. title is highly prestigious and written in front of the name. It is different from the postgraduate Ph.D. degree.

France[edit]

In France, Pharm.D studies can only be accessed through a competitive examination ("concours", with numerus clausus) happening at the end of the first year of health studies. Most candidates hold a Scientific Baccalaureate from the equivalent to high schools (lycée). In case of failure, it is possible to retry once. Yearly success rate depends on the university's current numerus clausus and the number or registered students, ranging from 10 to 30% bearing in mind that second-time participants are three to four times more likely to succeed than students trying for the first time.
In order to obtain the state diploma of "Doctor of Pharmacy", the studies last a minimum of six years, or nine years for students choosing residency (hospital pharmacy or medical biology). It is accessible through another competitive exam, even more selective. It lasts four years and gives another diploma of specialist like in medicine (DES for "diplôme d'études spécialisées" ). Students must specialise when entering the 5th year, and choose between dispensing pharmacy, pharmaceutical industry or hospital residency. In any case, a 12-month part-time hospital externship is mandatory during the fifth year, although some flexibility is possible for students choosing industry.
Sixth year for industry is generally dedicated to further specialisation with a former Professional master's degree or a former Research master's degree including internship.
In France, since the harmonization of European Union in September 2005, the student who chooses the industry/research orientation have a six-month period of part-time hospital externship, and 3 to 6 months of full-time training in a pharmaceutical industry or a research lab.

Hungary[edit]

In Hungary, pharmacists obtain their master's degree, after five years of study. In the fifth year, students must undergo a professional training, that lasts for two+two months (autumn and spring) in a public pharmacy and one month in a hospital. At the end of this period, the student must pass a nationwide exam to be legally entitled for practicing the profession of pharmacy, after acquiring the pharmacist work license. According to the new law in 2008, which is valid from 2009, all pharmacists, who have acquired the master's degree of Pharmacy, are entitled to the Doctor of Pharmacy.

Italy[edit]

In order to obtain the state diploma of "Doctor of Pharmacy", the studies last a minimum of 5 years, or 9 years for students choosing residency (hospital pharmacymedical biology) or pharmacology. In Italy the Professional degree in Pharmacy lasts 5 years, which includes a 6-month professional training in a public pharmacy or hospital. At the end of this period, the student must pass a nationwide exam to be legally entitled to practise as a pharmacist. The subscription to "Pharmacist's Order", or in Italian "Ordine dei Farmacisti", is required for working in private and public pharmacies or hospitals. It is not required if the pharmacist is working at a pharmaceutical company. Besides the professional degree in Pharmacy, the title of Doctor of Pharmacy can be achieved in Italy by obtaining a MSc in Medicinal Chemistry and Pharmaceutical Technology (Chimica e Tecnologia Farmaceutiche, CTF) and then subscribing to the "Pharmacist's Order".

Malta[edit]

In Malta, the warrant to practice as a pharmacist is given after the Master of Pharmacy course is completed successfully. The University of Malta, however, offers a Level 8 Postgraduate Degree known as the Doctorate in Pharmacy (Pharm.D.) which expands the pharmacist's knowledge on clinical, pharmacoeconomic, and regulatory aspects. The Doctorate in Pharmacy course is offered in collaboration with the University of Illinois in Chicago and uses a mixed-approach learning programme including theory and practical experience.[8][9]

Netherlands[edit]

The education of pharmacists in the Netherlands requires a minimum of six years of university study. EU-harmonisation has led to division into three bachelor and three master years. A bachelor title is, however, not used at all professionally. The Dutch consider the educational level of their current (M.Sc.) degree in pharmacy to be comparable to the Pharm.D. title in use in the United States. Before the harmonization a four-year Master of Science was superseded by two more years of university education preparing for pharmacy practice. To become a hospital pharmacist, a four-year residency program has to be completed after that.

Portugal[edit]

In Portugal, pharmacy studies consists of four years of basic school, five years of preparatory school, and three years of high school, where afterward the student is submitted to nationwide exams. The process is the same for every degree the student chooses, from medicine to engineering. The student takes the master's degree in Pharmaceutical Sciences (equivalent to the PharmD program) in one of the nine Pharmacy faculties with their own respective numerous clausus which comprises a six-year rigorous study (5 with the uniformities in EU teaching). Finished the degree, the academic title of Doctor of Pharmacy is issued. The graduate can then enroll in the regulatory institution for the Pharmacist profession in Portugal called, "Portuguese Pharmaceutical Society" or, in Portuguese, "Ordem dos Farmacêuticos". After the enrollment, the title of Pharmacist is issued. Afterwards, Pharmacists can start their career in a limitless number of professional areas that range from community pharmacies, drug development, fundamental or applied research, biotechnology to areas such as forensic sciences, toxicology, regulatory affairs, clinical analysis, law enforcement (scientific police), bromatology, drug marketing, regulatory authorities, university teachers, etc. The Pharmacists can also choose to become a specialist in one of following areas of activity: Pharmaceutical Industry, Regulatory Affairs, Hospital Pharmacy, and Clinical Analysis. Each specialization requires an additional 5-year professional study program guided by a tutor in the respective area of knowledge. This training includes regular evaluations by the professional competent authority ("Ordem dos Farmacêuticos"), which also requires an exam at the end of the 5-year training. After the success at the exam, the Pharmacist then becomes a specialist in its area of expertise.

Spain[edit]

In Spain, Pharmacy studies can be accessed after completing five and a half years of university college (with at least 6 months of initiation to Pharmacy Practice). The Licenciado en Farmacia or Grado en Farmacia (equivalent to the Pharm.D. program) English degree is the only title that allows holders to practice the profession of Pharmacy in Spain. To become a Hospital Pharmacist a person with a degree in Pharmacy must enter a selection process (national selection process called FIR) to initiate a Pharmacy Residency period of professional training during 4 additional years (including one full year of advanced clinical practice in different medical wards). Apart from the professional degrees, like with any other university studies, Pharmacy degree allows holders to pursue an academic career by enrolling master's and doctorates programs (MSc and PhD) in several scientific fields (pharmaceutical technology, pharmacokinetics and biopharmaceutics, biomedical sciences, cosmetics & pharmaceutical industry, pharmaceutical and organic chemistry, physical chemistry, food sciences, pharmacology, toxicology, public health, etc.). Master's usually lasts 1–2 years and PhD no less than 4 years.
In summary, in Spain an entry-level pharmacy degree lasts 5 years and a Hospital Pharmacy Specialist needs 9.5 years of education and/or training. Hospital Pharmacy residents are paid during their residency period. There are other residencies available to pharmacists such as Medical Biology, Clinical Biochemistry, Immunology, Microbiology, Radiopharmacy, Pharmaceutical Analysis, and Industrial Pharmacy lasting from 2 to 4 years.
Pharmacists usually work as retail pharmacists (private practice), hospital pharmacists, primary care pharmacists, medical biologists, scientists (private and public biomedical research institutions), as university professors (Pharmacy, Medicine, Biology, Food Sciences, Biochemistry, Veterinary, Nursing, etc.), and as technicians and executive managers (pharmaceutical and biotechnology companies and governmental institutions).

Sweden[edit]

Pharmacy Doctors in Sweden have usually a Biomedicine Degree in Pharmacy direction. Biomedicine program is a 5-year education (3 years candidate + 2 years master) with a labor market in the pharmaceutical industry, biotechnology and healthcare. The biomedicine program with Pharmacy / Pharmacology direction offered by universities in Gothenburg, Umea and Uppsala in Sweden.
In Sweden, the pharmacist (Apotekare) are not presented as a pharmacy doctors. Pharmacists (Apotekare) have the largest labor market in pharmacies or hospital pharmacies and can also work closely with health care to improve drug (Clinical Pharmacy). For example, in pharmacy business may pharmacists also work with education and teaching.

Middle East[edit]

Iran[edit]

In 1930 Tehran University changed the Pharmacy degree from master's to doctorate, and the duration of the study was increased to 5 years. Graduates need to present and defend their theses in different fields of pharmacy, and this adds another year to their studies, and generally after 6 years students can graduate as Doctor in Pharmacy. The master's degree in Pharmacy was available in Tehran University since 1926.

Israel[edit]

In Israel the Pharm.D program is offered only by the Hebrew University of Jerusalem.[10] Unlike European countries, in order to practice community pharmacy in Israel, only a bachelor's degree is required.

Jordan[edit]

In Jordan, the Pharm.D. program is offered by the University of Jordan and Jordan University of Science and Technology at the undergraduate level. This program is not to be confused with the BSc. in Pharmacy program even though both programs are still offered today. Students complete 5 years of academical work and 1 year of clinical practice to earn the degree. This program is offered at public universities only: at the University of Jordan and Jordan University of Science and Technology. The University of Jordan calls this degree BSc. in Doctor of Pharmacy, which is granted after a successful completion of 216 credit hours.[11] The Jordan University of Science and Technology has a similar credit hour requirement and calls the degree the BSc. of Doctor of Pharmacy degree.[12]

Lebanon[edit]

Pharmacy degree is awarded by several Lebanese universities (upon a decree by the Lebanese government).

Palestine[edit]

At Al Najah, University of Palestine and Birzeit University[citation needed]

Qatar[edit]

In Qatar, pharmacy degrees are offered by the new College of Pharmacy at the Qatar University. Students were accepted into the 5-year BSc (Pharm) program commencing in 2007. Students will be accepted into the final year of the 6-year Pharm.D program in 2011. Accordingly, the first graduates of the Pharm.D program are expected in 2012. The program adopts a Canadian curriculum and received early accreditation by the Canadian Council for Accreditation of Pharmacy Programs (CCAPP) in February 2009. This is the first international program to undergo review and receive accreditation by this sole Canadian accreditation agency.

Saudi Arabia[edit]

Started in 2001 at King Abdulaziz University, then in 2005 at Ibn-Sina National College, then 2006 at KFU, then 2007 at Qassim University. In 2008, KSU College of Pharmacy at Riyadh, College of Pharmacy at Kharj, and Taif University. In 2009, Almaarefa College started their Pharm.D. program, and Shaqra University in 2011.
The degree duration in Saudi Arabia is six years in total, including one academic year of clinical rotations. According to the Saudi Commission for Health Specialties, if a student graduates with a (minimum six years) Pharm.D. degree, then the graduate has the chance to further develop himself. This can be achieved by taking an Accredited Residency Training Program that is at least one year long (for a total of seven years, minimum). Upon successfully completing both the Residency program and the Pharm.D., the graduate can apply for Professional Equivalent (only equivalent in practice) to the master's degree in Pharmacy.
The Pharm.D degree is now offered by almost all pharmacy colleges in Saudi Arabia. This is a transitional period as this degree will replace the conventional Bachelor of pharmacy degree in near future and the old bachelor's degree will be phased out.

United Arab Emirates[edit]

The Doctor of Pharmacy program started in 2008 by the College of Pharmacy, at Gulf Medical University, Ajman.

North America[edit]

Canada[edit]

Currently, in Canada, the BPharm (and not Pharm.D.) is the minimum qualification required to practice pharmacy. In Canada the Pharm.D. program is offered in both English and French, and as a first professional degree as well as a postgraduate degree. Students enrolled in the program must have graduated from a CCAPP (Canadian Council for Accreditation of Pharmacy Programs) or an ACPE (Accreditation Council for Pharmacy Education) school with an accredited teaching program or must have obtained a Certificate of Qualification from PEBC.
As of 2007, the Pharm.D. professional degree program in French is offered at the Université de Montréal and, as of 2011, at the Université Laval. The Université de Montréal was the first Canadian university to offer the Pharm.D. program as a first professional degree instead of the BPharm in pharmacy. In 2013, the University of Alberta would be offering a Pharm.D. as a post-professional degree, and a BPharm is required for admission into the program. The University of Toronto replaced their entry-level BPharm curriculum with an entry-to-practice Pharm.D. curriculum in 2011, with approval being granted[by whom?] in 2013.
The Pharm.D. degree is also offered as a postgraduate degree at the University of British Columbia and the University of Toronto. However, by the year 2020, most, if not all Canadian Pharmacy schools will have changed their Entry-To-Practice programs that awarded successful graduates with a Bachelor of Pharmaceutical Sciences to Entry-To-Practice Pharm.D. as the scope of practice for pharmacists continue to expand and change. Once this change is implemented, UBC will no longer have a separate 2-year Pharm.D. Program that is currently offered.
On January 23, 2013, the government of Ontario approved the University of Toronto and the University of Waterloo applications for the entry-to-practice Doctor of Pharmacy (Pharm.D.) program. Students graduating in 2015 will be the first cohort under this new undergraduate Pharm.D. program.
Dalhousie University (Halifax, Nova Scotia) is in progress of transitioning to the Pharm.D. program. Undergraduate applicants will require a minimum two years of prerequisite courses.
In the Fall of 2017, Memorial University of Newfoundland (St. John's, Newfoundland and Labrador), also replaced their BPharm program with the Pharm.D. program, with the first graduating class expected in 2022. This program requires one full year of prerequisite courses.

United States[edit]

In the United States, the Doctor of Pharmacy (Pharm.D.) is a professional degree that offers opportunities in research, teaching, clinical practice, industry, manufacturing, judicial, and a multitude of other areas.
After completing the required prerequisites or obtaining a transferable bachelor's degree, pharmacy school is another four years. In general, the total collegiate timeline to become an entry level pharmacist is six to eight years; three to four years undergraduate prerequisite work/bachelor's degree then three (accelerated track) to four years professional doctorate.
Acceptance to a Pharm.D. program is competitive. Along with excellent natural science grades, most schools require students to take a pharmacy college admissions test[13] (PCAT) and complete 90 credit hours of university coursework in the sciences, mathematics, composition, and humanities before entry into the Pharm.D. program. Due to the extensive admission requirements and highly competitive nature of the field, many pharmacy students complete a bachelor's degree before entry to pharmacy school. Some institutions still offer six-year accelerated Pharm.D. programs (similar to six-year MD programs).
Residency is an option that is typically one to two years in length. Graduating candidates typically apply their final year of the Pharm.D. program. The accrediting body for most residency positions is the American Society of Health-System Pharmacists. Applications are submitted through the Pharmacy Online Residency Centralized Application Service; which opens 3 November each residency year. Residency sites interview candidates and a ranking occurs prior to a match process. "The match" is facilitated via the National Matching Services Inc. in conjunction with Pharmacy Online Residency Centralized Application Service website portal. A residency is useful; especially for new graduates who do not yet have adequate patient care experience or potentially seeking accelerated and additional experiential training.
An ACPE Accredited doctorate of pharmacy (Pharm.D.) is currently the only degree accepted by the National Association of Boards of Pharmacy (NABP) to be eligible to "sit" for the North American Pharmacist Licensure Examination (NAPLEX). Previously, the United States had a five-year bachelor's degree in pharmacy. For pharmacy graduates holding the Bachelor of Science degrees currently licensed in the United States wishing to attain the Pharm.D., there are programs available to bridge that gap. These programs are fully accredited by Accreditation Council for Pharmacy Education (ACPE), but they are only available to current B.S.Pharm. graduates with a license to practice pharmacy in the United States.
The current Pharm.D. degree curriculum is considerably different from that of the prior B.S. in pharmacy. It now includes extensive didactic clinical preparation, hands-on clinical practice experience in a wider array of healthcare settings, and a greater emphasis on clinical pharmacy practice pertaining to pharmacotherapy optimization. Requirements in the US to becoming a pharmacist include graduating from a Doctor of Pharmacy from an ACPE accredited program, conducting a specified number of hours in internship under a licensed pharmacist (i.e. 1800 hours in some states), passing the NAPLEX, and passing a Multistate Pharmacy Jurisprudence Examination (MPJE).

South America[edit]

Brazil[edit]

In Brazil the title of pharmacist is awarded after completion of certified graduate studies; while the term Pharm.D. is not formally regulated it can be used and is commonly added to the graduate's professional license (issued by the regional pharmacy (Conselho Regional de Farmacia)).
Many universities award sub-titles or co-titles including Biochemist and Industrial Pharmacist. University of São Paulo and a few others have awarded specialization titles for many years for their Pharmacy and Biochemistry graduate students, including toxicological and clinical analysis, food and nutrition and industrial pharmacy, which are also equivalent to different degrees in the US and Europe.
Whereas Bachelor of Pharmacy takes a minimum of 4 years, the Pharmacist-Biochemist degree is completed by 4 and 1/2 years of full-time studies with at least 720 hours of internship. The student can opt to get the degree during evening and it takes 6 years with Saturday classes (full day) and also at least 720 hrs of internship.
Although many universities grant a degree of Doctor in Pharmaceutical Sciences or Doctor in Pharmacy after completion of original research dissertation, those are not professional but a post-graduate course and do not grant permission to work as a pharmacist.

Chile[edit]

In Chile, the title of Pharmacist (Quimico Farmaceutico) is granted after completing 10 or 11 semesters of full-time studies in an accredited University. The Pharmacist degree is a Professional Degree, awarded after finishing 5 years of study (Bachelor in Pharmacy), and then finish an internship of 6 months on the specialization area of the student (Pharmaceutical Lab, Community Pharmacy, Hospital Pharmacy).
The pharmacist can get a Master in Pharmaceutical Sciences (MSc), of 2 years, or a Doctorate in Pharmacology (PhD), of 4 years after finished the Bachelor, but these are Academic Degrees, needed for scientific career on investigation, but are not required to work in other professional areas.

Colombia[edit]

In Colombia, the title of Pharmacist (Quimico Farmaceutico) is granted after completing 10 semesters of full-time studies in an accredited University. The Pharmacist degree is a Professional Degree. While the term Pharm.D. is not formally regulated it can be used and is commonly added to the graduate's professional license (issued by the Colegio Nacional de Quimicos Farmaceuticos de Colombia).