The Pharmacist Shortage: An Unseen Threat Lurking Behind the Counter

July 16, 2024
Blog Post

At first glance, a staffing shortage in the pharmacy world might not seem like a matter of life and death. After all, it's not like we're talking about a lack of surgeons or fighter pilots here. But I'm going to argue that this apparently mundane issue is actually one of the biggest public health risks we currently face.

Think about it this way - when you go to pick up your prescription medications, you likely picture a highly capable pharmacist diligently checking every dose and instruction. A true professional safeguarding your health, right? Except increasingly, that's just not the reality.

With burnout and employment gaps rampant, pharmacies are running scared and scrambling to keep even minimally staffed. Overworked pharmacists are metric-crunched into robotic pill dispensers, frantically trying to keep up with volumes that would make an Amazon warehouse blush.

And here's the truly frightening part - the easiest way for an exhausted, demoralized pharmacist to keep that endless queue moving is to start cutting corners on double-checking doses, interactions, and warnings. Just a few milliseconds shaved off each script to stay sane.

What's the worst that could happen, right? Well, let me put it this way - if a commercial pilot got that blasé about pre-flight checklists just to keep their airline's on-time stats looking pretty, would you still feel comfortable flying?

Because that's essentially what a few skipped safety steps at the pharmacy could mean - hostile drug interactions, unintended overdoses, or deadly allergic reactions mistakenly unleashed upon unsuspecting patients. All due to the perverse incentives created by being penny-pinched into a staffing crisis.

The disturbing truth is that a single therapeutic misadventure enabled by overworked, understaffed pharmacists could easily cause more casualties than a passenger jet falling out of the sky. And we're just sitting around letting this utterly avoidable risk compound daily at our corner drugstores.

So why isn't this rampant staffing issue setting off national alarms? My theory is that we're spoiled by the incredible professionalism of our pharmacists. We're so used to taking medication safety for granted that we've forgotten how many lives rely on their withering attention to detail.

Perhaps it's time we stopped viewing pharmacists as just another faceless transaction in the Usual American Grind, and started treating them like the heroes in lab coats that they are. Because unlike most professions, their daily sacrifices and flawless execution are helping keep us all alive.

Of course, simply recognizing this threat is one thing - we need tangible solutions to defend against it. And in our modern era of digital possibility, I believe an intriguing answer may be found in the most millennial of concepts: the gig economy.

Enter a modern twist on pharmacist staffing through the power of the internet. The novel model is to leverage technology as a matchmaking layer, dynamically connecting available clinicians with pharmacies in dire need of overflow support and second-pair-of-eyes review.

With ShiftRx, pharmacists can pick up local or virtual "PRN" shifts from anywhere, anytime. Doubling up on order verification, consulting on complex cases, and relieving staffing crunches by seamlessly beaming in additional expertise on demand.  

Meanwhile, overloaded pharmacy managers would gain instantaneous access to a vast pool of highly qualified and vetted relief pharmacists. No more slogging through staffing agencies - with a few clicks, urgent gaps could be filled by an army of medication professionals.

For pharmacists burnt out by the relentless grind, our solution offers the unheard of luxury of true schedule flexibility. Trade in the tyranny of 12-hour shifts for the freedom to work a couple congenial telemedicine hours here and there at their convenience. All while feeling the moral satisfaction of actively patching a critical public health failure. 

On the other side, pharmacy operators would enjoy an overworked staff's sanity-preserving ability to lighten the load on-demand with surgical precision. No more sleepless nights stressing about inevitably thinly stretched holiday and summer weekend schedules.  

Most critically though, this represents a powerful counterpunch to that looming systemic threat I described earlier. With more eyes rigorously scrutinizing orders, catching missed hazards, and spacing out fatigued primary pharmacists from the precipice, suddenly those potentially nightmarish consequences of staffing scarcity could be largely averted.

Perhaps most promisingly of all, ShiftRx's model holds the key to directly addressing one of the primary drivers of rampant pharmacist burnout and staffing shortages: a soul-crushing lack of work-life balance and scheduling flexibility. 

When surveyed, pharmacists have made their collective priorities crystal clear - when it comes to addressing understaffing and retention, the ability to have greater control over their hours ranks as an even more powerful lever than direct pay increases. After all, what's an inflated salary worth if you're too buried under mandatory overtime to actually enjoy any of it?

Beyond just sanity-saving flexibility though, ShiftRx enables pharmacy workers to rotate through a vast array of different medication specialties, facility needs, and patient populations. One day spent cross-training on the cutting-edge immunotherapy regimens at a major cancer center, the next finessing dosing adjustments for neonatal intensive care units.

This sort of practical exposure and mental cross-training isn't just incredibly enriching from a personal growth perspective - it actively combats the skill atrophy and complacency that can creep in over years of repetitive task work. Pharmacists leveraging ShiftRx would inevitably become more agile, well-rounded medication experts as they cycle through constantly varied clinical challenges.  

And unlike the frustrating Catch-22 of traditional hiring, ShiftRx finally allows early-career pharmacists to build up practical experience in specialty areas often gated to new grads. Suddenly that dream job in pediatrics or pioneering gene therapy might no longer feel blocked by perpetual demands for prior experience.

Look, I'll be the first to admit there's a delightful contrarian irony in proposing to solve a healthcare dilemma by essentially just...making it somebody else's gig-esque side-hustle. But the more I ponder it, the more this kind of cross-functional relief valve dynamically linking supply and demand starts to seem perfectly sane.

After all, if we can use the likes of Uber and DoorDash to enable randos to deliver everything from rides to pizzas with remarkable efficiency...why not finally extend that fundamentally intelligent concept to something as paramount as ensuring every medicine we consume is dispensed safely? The swap here isn't part-time burger flipping - it's channeling elite clinical professionals into routinely rescuing each other from the perpetual staffing lurch.

We could have flooded this paper with frightening statistics to capture the magnitude of the current crisis. But what will this solve? Let’s rather shift our focus to what we can control and what actions we must take to actually evoke real — and impactful — change. 

When our vision becomes a reality, we will have a chance to revive the pharmacy industry — one crowd-sourced shift at a time.

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