Three tips to those pursuing pharmacy residencies - A response to a new study (Mar 2018) that suggests high rates of depression among Pharmacy Residents
By Jangus Whitner, R.Ph., PharmD
(Original article published on LinkedIn Sunday, March 4, 2018)
As I am nearing the end of my second post-graduate year (PGY2) residency in Ambulatory Care, I frequently take time to reflect on the ups and downs of my time as a resident. There is much to learn from reflecting on the journey as a new practitioner navigating one's way through the demands of residency while attempting to maintain a steady (and hopefully healthy) work-life balance.
Yesterday, an article came through my feed that caught my attention: Rates of depressive symptoms among pharmacy residents, published by Williams and colleagues in the March 2018 issue of the American Journal of Health-System Pharmacy (AJHP). The results are unsettling and come just days before "rank list" submissions are due for those students in their final year of pharmacy school (APPE students) and those PGY1 pharmacy residents who are pursuing a residency for the following year.
"In a nationwide survey, pharmacy residents self-reported levels of depressive symptoms higher than those reported among medical residents and likely indicating a rate of depression higher than rates reported in the U.S. general population." [emphasis added]
The results also suggest that the rate of severe depressive symptoms increased as the residency year progressed. I am not happy this is our reality as pharmacy residents, and I feel it is my duty to take advantage of the timing of this study's release to reach as many candidates as I can before the official rank list due date.
I am aware all candidate interviews are completed and many of you have your rank lists solidified already. Regardless, I genuinely urge you to briefly revisit your list to reflect on and consider intangible factors in your decisions. If you haven't already, give these three factors weight when ranking your programs:
An additional factor worth considering: programs where you would have at least one co-resident to share in the residency journey. This depends on the person, but for the most part I feel that everyone could use a buddy to joke with and vent to throughout the PGY1 or PGY2 year! (Quick shout out to my co-residents from PGY1 and PGY2 - sharing laughs during the stressful times has meant the world to me! Thank you all for everything!)
For those choosing to pursue a residency, realize that no matter what program you end up in there will be stress, long hours, etc. Therefore, if you do not prioritize programs on your rank list that value intangibles, like the three mentioned above, you are doing yourself a disservice. Every program will not be perfect in all of those items I mentioned, and that's okay. Rank them holistically.
Lastly, I'll address the difficult question that has been lingering in some of your minds for the past few minutes: Yes, it is perfectly okay and acceptable to not rank a program that you interviewed at. In fact, if you have a program on your list that is negative or lacking in many or all the items I mentioned above, I would urge you to reconsider ranking that program at all. By prioritizing the intangibles, you are making yourself and your mental health a priority. A program might still be a good program, just not a good program for you... and that's okay!
Trust your gut and value your mental health, your future self will thank you!
Best of luck,
Jangus Whitner, PharmD