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Dear Abby PharmD, is AI Replacing My Degree?

Introducing a Brand-New Column to The RxFILL Newsletter

Dear Abby PharmD,

Our health system just deployed an AI “clinical decision support” platform in the pharmacy, and I’m starting to feel like an extra in my own dispensary. It checks interactions, flags renal dosing issues, predicts stock levels, and I’m pretty sure it silently judges my caffeine intake.

The residents already joke that “the bot” catches things faster than we do. I know, in theory, it’s supposed to help us, but I can’t shake the feeling I’m training my future replacement. Surveys say a lot of pharmacists are worried AI will reduce jobs, and I’m starting to see why.

I didn’t get a PharmD to become a human override button for a computer. Should I be polishing my CV for a nice, low‑tech apothecary somewhere — or is there a future for actual pharmacists in a world of bots and algorithms?

— Nervous About Being Refilled by a Robot

A letter that reads "Dear Abby PharmD" is shown on a dark wooden table. A University of Utah Health Pen is rested on top, and a red College of Pharmacy notebook is just to the left of the letter.

Dear Nervous,

Before you flee to a Wi‑Fi‑free mountain pharmacy, let’s look at what the data — and not just the drama — say.

Studies on AI and clinical decision support show these tools can reduce medication errors and improve prescription appropriateness, especially when embedded in CPOE systems. That means the bot is very good at catching the tedious, pattern‑based stuff that keeps you up at night doing mental CrCl math.1

But here’s the twist: recent pharmacy literature and professional commentaries forecast AI as a workload shifter, not a pharmacist eraser. Reviews of AI in clinical pharmacy suggest that automating technical tasks (like dispensing checks, inventory, and basic verification) frees pharmacists to spend more time on high‑value clinical work — direct patient care, complex therapy decisions, and interprofessional collaboration.2,3,4

Your worries aren’t unique: in a national survey, over half of pharmacists feared AI could decrease jobs, yet nearly two‑thirds believed it could enhance their effectiveness and productivity. In other words, we’re anxious, but we also see the upside.5

So don’t treat AI like your replacement; treat it like the world’s nerdiest intern: fast, literal, occasionally annoying, but ultimately there to make you look good — as long as you stay in charge of the clinical judgment.

Keep your brain sharp, your skills patient‑facing, and your humor intact. The pharmacists who thrive will be the ones the bots can’t imitate: the ones patients ask for by name.

— Abby PharmD

A professional headshot of Abril (Abby) Atherton, PharmD Class of 2007, BCPP. Abby is in a black dress shirt and posing in front of a blurred photo of interior industrial style windows and tables.

References

  1. Armando LG, Miglio G, de Cosmo P, Cena C. Clinical decision support systems to improve drug prescription and therapy optimisation in clinical practice: a scoping review. BMJ Health Care Inform. 2023;30(1):e100683. doi:10.1136/bmjhci-2022-100683
  2. Hamishehkar H, Shahidi M. Impact of Artificial Intelligence on the Future of Clinical Pharmacy and Hospital Settings. J Res Pharm Pract. 2025;14(3):87-97. Published 2025 Oct 6. doi:10.4103/jrpp.jrpp_51_25
  3. Wong A, Flanagan T, Covington EW, et al. Forecasting the impact of artificial intelligence on clinical pharmacy practice. J Am Coll Clin Pharm. 2025;8(4):302-310.
  4. Merative. The rise of artificial intelligence in pharmacy practice. Published May 15, 2025. Accessed April 14, 2026. https://www.merative.com/blog/ai-in-pharmacy
  5. Gustafson KA, Rowe C, Gavaza P, et al. Pharmacists' perceptions of artificial intelligence: A national survey. J Am Pharm Assoc (2003). 2025;65(1):102306. doi:10.1016/j.japh.2024.102306