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Student Careers

Pharmaceutical medicine: making the leap

BMJ 2004; 328 doi: https://doi.org/10.1136/sbmj.040266 (Published 01 February 2004) Cite this as: BMJ 2004;328:040266
  1. Dominic Smethurst, clinical pharmacology physician1
  1. 1AstraZeneca clinical pharmacology unit, Queen's Medical Centre, University Hospital, Nottingham

Ever considered working in the pharmaceutical industry? Dominic Smethurst offers an insider's guide

I was a research registrar in the department of dermatology at the Queen's Medical Centre in Nottingham when I made the leap into pharmaceutical medicine. For me, the main attraction was the mixture of science and business that the industry offered. But I was also beginning to feel embarrassed by the standards of NHS care, and I knew NHS research was poorly paid.

I now work as part of a team running and designing clinical trials of new drugs in healthy volunteers. I do not work for the NHS, though occasionally I work with NHS staff. I enjoy the business side of things in the industry, and unlike some NHS leavers who are troubled by the loss of contact with patients, I don't miss the clinic.

I now work in the research and development division of our company--not sales (I do not “carry the bag”). I read existing company protocols and decide how to help make clinical trials work on a day to day basis. I am trying to make them safer, faster, more accurate, and more relevant to patients. I assess ongoing trials and advise what doctors and patients might want, and, most importantly, I try to help the study team to understand how scientific findings translate to real life medicine.

What sort of doctor does the industry want?

Traditionally it's been said that the industry is full of burnt out general practitioners and “failed” medics. This is no longer true; the industry attracts all sorts of doctors with all sorts of backgrounds and skills--not unlike the NHS. Doctors in the industry range from world renowned, Nobel prize winning academics to more junior staff fresh out of membership examinations.

Hospital doctors

Most pharmaceutical jobs require a couple of years' experience in the health service, and preferably …

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