“Welcome to the second blog! Today, we’re comparing my experiences with community pharmacy in Australia versus Singapore. During my third year of pharmacy school, I undertook several attachments, and I was assigned to community pharmacy within Western Australia. I spent approximately one week in a community setting and another week in a hospital setting. I found my experience working in the community pharmacy in Australia to be more motivating and enlightening because I learned more compared to what I knew back in Singapore.
In Australia, pharmacies offer more specialized services. For instance, in the community setting, they can provide emergency contraception and even emergency inhalers for people with asthma without a doctor’s prescription. They also offer opioid pharmacotherapy, a program designed to help individuals dependent on opioid abuse to eventually quit. This involves using a long-acting opioid and gradually tapering the dose. Opioid abuse is more prevalent in Australia than in Singapore, where it’s illegal and carries severe penalties. This likely explains why such programs might not be readily introduced in Singapore, which tends to be more conservative and prefers to deter drug use through strict laws rather than harm reduction programs. Implementing such programs in Singapore would likely face significant hurdles.
Aside from that, compounding pharmacy, while present in Singapore, is much more common in Australia. I found this aspect particularly appealing because it involves creating medications from scratch, much like cooking, and allows for personalized treatments tailored to a patient’s specific needs. This offers more variety and stimulation compared to the often routine and repetitive tasks in Singaporean community pharmacies. Unless one pursues a specialization, such as in a psychiatric ward, or seeks the challenges of inpatient pharmacy, the scope of practice in Singapore is generally narrower than in Australia.Even in areas like vaccinations, Australian community pharmacies are ahead, offering flu, COVID-19, and even MMR vaccines. Singapore is gradually starting to implement vaccinations in community pharmacies, beginning with flu vaccines, with plans to introduce others eventually. This suggests a move towards elevating the role of pharmacies in Singapore.
Furthermore, I observed a significant difference in the types of people who frequent community pharmacies in Australia compared to Singapore. In Australia, we were treated more like professionals, with people approaching us openly for advice and valuing our input. I also noticed that many customers enjoyed engaging in conversations, getting to know me personally, and making small talk. The level of engagement felt much higher than in Singapore, where my personal experience during my pre-registration training in a community pharmacy was quite negative. I encountered many difficult customers and, frankly, dreaded facing them. This experience ultimately steered me away from pursuing a full-time career in community pharmacy after obtaining my full registration.
I found Singaporean customers to be generally more impatient and sometimes even rude, especially if I couldn’t speak their language. As an Indian who primarily speaks English, with limited proficiency in my second language, I often struggled in neighborhoods where Mandarin was the dominant language.
Despite this, I would sometimes be placed in pharmacies in predominantly Chinese-speaking or Malay-speaking areas. While I understand some Malay, I don’t speak it fluently, and my Chinese vocabulary is very limited. Consequently, I frequently faced criticism for not speaking Chinese and occasionally encountered racist remarks. Surprisingly, I never experienced such issues in Australia, where English proficiency seemed sufficient. In Singapore, however, it often felt like Mandarin proficiency was necessary to earn respect, a notion I find outdated.
The focus of the job also seemed different. While sales are undoubtedly a part of community pharmacy everywhere, in Singapore, it sometimes felt excessive. I recall a time when my pharmacy was selling abalone, and I questioned why I, as a trained pharmacist, was selling something that could be found in a supermarket. It made the pharmacy feel less like a healthcare provider and more like a retail outlet. This was reinforced by customers frequently asking me for non-pharmacy items like dish soap, and I was expected to know the location of everything despite being the pharmacist. This lack of professional respect was a stark contrast to my experience in Australia, where I felt our profession was more valued.
While my overall experience in Singaporean community pharmacy wasn’t positive, I did have some lovely interactions with patients who genuinely benefited from my advice or appreciated my help with things like using glucose meters or blood pressure machines. So, I don’t want to paint everyone with the same brush.
However, my overall experience has made me hesitant to work full-time in a community pharmacy in Singapore due to the demanding public interactions and the feeling that my professional expertise isn’t always fully recognized. It sometimes felt like I was working in a general retail store rather than a healthcare setting.
That’s why I have a very positive impression of working in Australia, where I feel the pharmacy profession is more celebrated. However, I am optimistic that Singapore is working towards broadening the scope of practice for pharmacists, which could lead to more fulfilling careers here in the future. Hopefully, in the next five to ten years, things will change for pharmacists in Singapore.
So, that concludes today’s topic. Goodbye!”