My first few weeks as a pharmacist prescriber
Published: 19 October 2026
As a student and President of the British Pharmaceutical Students’ Association (BPSA), I was involved in many conversations regarding the ‘new generation’ of pharmacists who would qualify as prescribers from the point of registration.
After five years of education and training, finally starting my career as a pharmacist brought a real mix of emotions. I felt nervous stepping into a role I had worked so hard to reach but also excited to begin my journey in a profession that continues to evolve and create new opportunities.
Putting learning into practice
My first few weeks in practice have already shown me how quickly classroom learning translates into real-life practice. They have also reinforced just how important every clinical intervention can be.
One patient came in with a target-like rash after an insect bite and was looking for antibiotics through the Pharmacy First infected insect bite pathway. While that may have seemed straightforward at first, recognising some potential red flags prompted me to refer them for further assessment.
Another memorable moment was when a patient asked why their medication delivery contained a different acid reflux medicine instead of their usual one. Looking at their record, I immediately realised the change had been made because they had recently started a medicine to help prevent blood clots. Some acid reflux medicines can interact with this type of medicine, so choosing a suitable alternative is important. It was a full-circle moment as this was one of the first clinical scenarios I remember learning about at pharmacy school. Being able to explain the reason for the switch gave me a real confidence boost and reminded me how much knowledge we build during our training.
These experiences have reminded me that, as a newly qualified pharmacist, I often know more than I give myself credit for. At the same time, it highlighted the importance of continuous learning. Some of the most valuable lessons come from listening to colleagues and patients.
Stepping into responsibility
One of the biggest adjustments has been getting used to the level of responsibility that comes with being the pharmacist.
Returning to the same pharmacy where I completed my foundation training year has made that particularly clear. Only a few months ago, I was turning to the pharmacist for advice on patient management. Now, I am the pharmacist colleagues come to with clinical questions and for guidance on patient care. It has been both exciting and humbling.
Writing my first prescription
Writing my first prescription was another huge milestone.
I prescribed a weight loss medicine for a patient who was already taking a contraceptive pill and wanted to increase their dose of the weight-loss medication. After carrying out a clinical assessment and reviewing their medical history, I felt it was appropriate to prescribe.
Because the patient was using an oral contraceptive, I also discussed the importance of using barrier methods for the first four weeks, as the specific weight loss medicine prescribed can affect the absorption and effectiveness of oral contraceptives.
That consultation really highlighted the value pharmacist prescribers can bring. We are able to assess and manage patients clinically while also drawing on our expertise in medicines to provide personalised advice and support.
Finding confidence through support and mentorship
Something I have learnt quickly is that confidence doesn’t develop overnight.
Making use of the resources available to me, such as the College’s resources for newly qualified pharmacists, reflecting on my experiences and recognising when I need support have all helped me navigate this transition. It’s also taught me that being a confident practitioner is not about having all the answers. It’s about knowing where to find support and being willing to ask for help when needed.
Mentorship has played a huge part in that. Pharmacy offers so many different career paths, and speaking to pharmacists from different sectors and at different stages of their careers has given me valuable perspectives and encouragement. Learning from those who have already navigated similar challenges has been incredibly reassuring.
Looking ahead
I am excited to see where this next chapter takes me. For now, my focus is taking each day as it comes, continuing to learn from the people around me and making the most of every opportunity – one of those being the Pharmacy Enhanced Practice Pathway. I know there is still a lot to learn, but I am looking forward to continuing to build my confidence, develop my skills and grow into my role as a pharmacist prescriber.
Explore our resources for newly qualified pharmacists.
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Building confidence as a pharmacist prescriber
Why support matters after you qualify as a prescriber.
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