James Buckley - Balancing Full Scope of Practice, Tourist Health and Day-to-Day Pharmacy Life in North Queensland

James Buckley is a Pharmacy Partner and Manager for Livelife Pharmacy group residing in Port Douglas, Far North Queensland. He has a passion for primary healthcare in the community setting and making a difference in every patient's life.

Graduating from James Cook University he has continued to be on the forefront of pharmacy healthcare by being involved in the PSA Early Career Pharmacists and branch committee for many years. Having a position on the National ECP leadership group and current QLD branch Committee member he is determined to engage and inspire young pharmacists to the exciting pharmacy profession.

Participating in the North Queensland Community Pharmacy Extended Scope of Practice Trial, he hopes to dramatically improve the healthcare needs of the community.

You can find James Buckley on LinkedIn.

Do you have questions about your pharmacy career? Then contact us or meet our team.

Transcript

0:01

Your Pharmacy Career podcast proudly brought to you by Raven's Recruitment Australia's Pharmacy recruitment agency

0:08

spotlights the Myriad of career paths available to pharmacists your host Krysti Lee Patterson and her esteemed guests

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will be sharing invaluable career advice that you can Implement at any stage of your career

0:21

Journey hello and welcome to your Pharmacy career podcast this podcast

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explores the inspiring journeys of Pharmacists in the f Pharmacy industry I'm your host Kristi Lee and today I am

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so thrilled to have James Buckley with us James is a pharmacy partner and

0:38

manager for Live Life Pharmacy in Far North Queensland in Port Douglas and

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he's someone who's really truly passionate about improving the lives of patients and so James I'm really excited

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to have you here welcome to the show hello hello Kristi Lee thank you for having me no worries so James let's Dive

0:58

Right In you've had quite the journey in Pharmacy but I want to go back to what

1:03

actually motivated you to become a pharmacist in the first place yeah and yeah what Drew you to this profession

1:11

basically how I found it in during high school it's hard to pick subjects and what you like and what you want to do

1:18

dictates the rest of your life but my teachers basically said pick things you like and pick things you're good at so I

1:23

thought I really want to be smart I really want to help people I love chemistry I love science stuff I want to

1:29

work in Healthcare I want to do all of those things combined so then when I applied for University I put Pharmacy

1:35

and I got it and I thought well I'm going to be the best damn pharmacist I can be I love that that is so great I

1:41

love that sometimes you cards and you think okay these are the cards I dealt with I'm just going to run with it yep

1:47

so when you started studying Pharmacy and then you graduated and started

1:52

working as a pharmacist yeah was it what you expected or was it a little bit

1:58

different yeah it was it bit different I didn't really know what to expect to start with but I thought when I moved to

2:03

Townsville to study Pharmacy I thought I'd have to get a job in Community Pharmacy because that's just what I'm

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going to do and literally fell in love with Community Pharmacy because I thought oh I want to do clinical I want

2:15

to do hospital and after working in the stores I thought no this is amazing we

2:21

can do so much for these people and I love talking to people and I love having the relationships with your customers

2:27

and patients and staff so I just the more that I did it the more that I love yeah I can definitely relate to that I

2:33

think Comm pharmacy is really special because you get to see so many different

2:40

not just like disease dates for different types of people and it's clinical but then it's also fun and you

2:46

can people and you can almost just create your own role as well and what I

2:53

mean by that is like with you can pick a topic or a disease state that you're really passionate about and then create

2:59

a Serv around it 100% ingu the limit now in Community Pharmacy people are implementing all kinds of services for

3:06

what they're passionate about and what their area of community needs for example we have some stores that

3:12

specialize in sleep apnea some stores specialize in healthcare and some stores

3:17

like my own specialize in primary healthare tourist Pharmacy and acute conditions so it's a very exciting that

3:25

is very exciting and just one little point that you mentioned just then your own father y so that's a pretty

3:31

remarkable Milestone you're still pretty young so yeah to be a partner in a

3:36

pharmacy that's really cool and you also mentioned tourist Health that sounds

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really interesting so tell me a little bit about that yeah for sure so first how I well became a partner to is such

3:50

an honor and such an incredible journey basically I found myself aligning with

3:55

values of a particular company and I said to them I said this is my dream this is always what I've wanted to do

4:01

this is always what I want to be is that person in the community that people come to I'd love love love to be a part of

4:07

the businesses so we basically worked really hard and trained up in an opportunity to came up to join the other

4:14

partners up here in Port Douglas to help run the stores so that was absolutely perfect for me because I love patient

4:20

centered and being in front of the patients as their first point of contact basically so yes tourist Pharmacy it's

4:29

funny because people don't often think how complex it can be but it's time and a place in a need that people have in

4:35

terms of medications people come away all the time without their regular medications um they go away they're

4:41

doing different activities that they would usually do than at home so for

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example when they're on holidays they're going hiking they're going walking they're going snorkeling they're going diving they're going flying they're

4:52

going 4x4 in the bush they're going to the rainforest they're going doing all these crazy things that they wouldn't

4:59

use usually do at home and as a sense unfortunately you know sometimes injure

5:05

themselves or develop infections or develop ear infections or respiratory viruses not to mention when you actually

5:13

travel getting um respiratory viruses from airports is that's just what happens so everyone comes away they feel

5:20

sick they could have been at their work working really really hard and now they've come away and their body's

5:26

catching up to them and they fall sick because they've been so stressed and now they go away oh I'm all run down because

5:32

well now I'm on holidays and it catches up with them so it's quite interesting there's a variety of different

5:37

conditions that we see I imagine that yeah I don't know I was just reflecting when you said that when people on

5:44

holiday say do things they wouldn't normally do and yeah I feel like when I go on holidays turnning into a different

5:50

person I'm like yeah I want to get up at 7: a.m. and go for a hike like never do that things I want to experience it yeah

5:59

food as well try different things going drinking indulging a little bit more so

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you can get a lot of types of aders addictions to those activities that's

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right yeah definitely need to yeah look for maybe the Hydra or something to that next day come up for weddings all the

6:16

time and it's like everything's all concentrated stress and pressure oh my god I've got a wedding and this has

6:22

happened and my toes got infected and my this and then my that and it's like oh my God it's going to ruin the day yes

6:29

quite interesting what we see and I think yeah being in North Queensland my

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family actually live in maai but I've never actually lived in North Queensland so but I did do a loc stin both in maai

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and in K yeah and even just the difference in some of the conditions

6:50

that you see in North Queensland than what you would down here on the east coast of New South Wales is so different

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and even just it's a lot warmer and tropical so like when I was doing the

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loc shift like I don't know how many people were having like buung infections ear infections and even like scabies so

7:12

that was like skin infections we see all the time infestations um even tropical

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bino queening diseases tropical diseases like ulcers or Tigo or skin conditions

7:24

are way more common up here I think that's a really good segue into chatting

7:30

about extended scopo practice Y and Queensland has been leading the way well

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North Queensland even has been leading the way in scop of practice and for

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those listening scop of practice I think it's always going to be a a Continuum

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and so what scop practice looks like for a pharmacist today is going to be very different to what a pharmacist practice

7:53

looks like in 10 years time but you are actually a graduate of the I don't know

7:59

what the official term is but the scope of practice training yeah training and so I'd love to hear about your

8:07

experiences with that like yeah how long does it take to become accredited or

8:12

whatever the word is yeah tell us all about it so just a bit of background for the listeners if people don't know the

8:19

Community Pharmacy scopo practice pilot contains 20 different conditions that we

8:24

can autonomously assess diagnose and manage including prescribing additional

8:30

S4 medications that we didn't have access to so it's a fully autonomous and

8:36

with collaboration if the patient has pre-existing conditions with their regular doctors of course but I find

8:43

that the conditions that were chosen were like so specifically designed and

8:49

for presentations in North Queensland because they did the studies with the most common presentations to Ed that

8:56

don't necessarily need to be treated in ed it's the perfect types of conditions so this includes well hormonal

9:03

contraception of course and we have a lot of traveling and backpacking patients that come around and need that

9:09

service ear infections skin infections including shingles impero eczema

9:15

psoriasis and otitis media and otitis externa are probably my most common ones

9:21

that we see in addition to that the other services can include smoking sensation cardiovascular health and

9:28

weight management just to name a few so there's 20 in total but oh and of course

9:33

travel travel travel that we've done as well so I've

9:38

basically touched on most of them I'd say by now almost completing almost 100

9:44

consults so far and what time is that how long have you been able we started this in April wow so in four months just

9:53

under months yeah those are the ones that I actually sit down record with the closed door consultation that this do

10:01

include on the floor cons on the floor 5 minute brief interactions that you have

10:06

that may or may not require further assistance right so we bring people in all the time to the console room for

10:12

various reasons but even just pumping those actual proper consults and the

10:17

pilot have been so rewarding yeah I can imagine how do we get to this stage yes

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you we get here so it's a two-part course currently there's a prescribing

10:31

component which goes through all the background of assessing patient needs and completing the prescribing cycle so

10:38

diagnosing and understanding patient history and coming up with the management plan and communicating that

10:44

plan doing that safely and effectively with all the different prescribing steps then you have the clinical component of

10:50

the 20 different conditions that pharmacist do know we know these things but it adds another layer of complexity

10:57

when people come in with undifferentiated ated symptoms that may or may not fit into your protocols so a

11:04

patient could come in with a cough could be anything they could come in with symptoms of reflux they could come in

11:10

with wheezing or shortness of breath and it's up to you to do a full assessment and a comprehensive assessment including

11:17

physical examinations then making up differential diagnosis that it may or may not be then

11:25

ruling them out then creating your diagnosis then that's where the management

11:31

actually starts so once you have your condition then pharmacists know right we know how to treat otus externa we know

11:37

how to manage that appropriately but it's getting to that point there's a lot that we need to know and need to assess

11:45

even before you start thinking about scripts it's wild that's actually I hadn't actually really thought about it

11:51

in that way of yeah assessing it and all that preor almost before you get to that

11:58

diagnosis and and yeah traditionally people come in and most of the time they

12:03

know what problem they have exact and so we're just treating that end State rather than trying to figure out like

12:10

they could be coming in like you said what they think but maybe what they think is completely wrong and you have

12:16

to try and figure out that that's right so even when like as pharmacists our job starts when we receive the script when

12:22

the diagnosis is well hopefully been made accurately but now our job is

12:28

making Mak sure that it's nothing no red flags are present and giving you the

12:34

responsibility that that's your patient and you're looking after them holistically what am I trying to say the

12:41

responsibility that you have the duty of care sorry duty of care that you have to that patient is significantly increased

12:48

so you want to make sure that what you're giving them is right you really have to be thorough with your your

12:54

assessments yeah and so has that been difficult in it's it's almost changing

13:00

the way that we approach our Pati right and even the conversation it's almost

13:06

and I haven't done the expended scope training but I've always thought that

13:11

pharmacists were really great at counseling but Consulting is something completely different so ballpark so

13:18

basically we're asking questions and it's changed the way that I practiced completely so I'm saying one thing and

13:24

I'm asking them questions in the back of our minds we're thinking okay it's not Fe fever and it's not menitis and it's

13:31

not sjs and it's not this but you're asking these questions and you're automatically trying to rule out other

13:38

things so I describe it when doing the training is it's almost like learning

13:44

backwards to what we thought that how this would go so you have to sort of

13:49

relearn so coming from a pharmacist perspective it's it's quite tricky to unlearn certain habit can relearn them

13:56

different ways and it's just given me so much more respect for the GP profession the doctor profession and the

14:03

prescribing professions because they're doing these things that we had so they

14:08

consider so many things that we didn't and now we have to so that's really great and I think the fact that you said

14:14

that yeah you've now I know you personally so I know you have great respect for GPS and other prescribers but understanding what they have to go

14:21

through there's a lot of work yeah yeah now I understand why they need to study

14:27

for as long as they do considering we're just what doing just under 30 conditions

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yeah exactly and it's not more what the condition is it's what is it not yeah so

14:39

the amount of tests or blood tests or assessments that you have to learn it's completely valid y absolutely that's

14:46

really cool so I think if anyone is yeah interested in being an expanded scope

14:52

practice pharmacist yeah it sounds like the road to get there it's not necessarily easy very challenging can

14:59

talk to a little bit more in terms of what else is required yeah that'd be great so during the coursework you have

15:05

like assignments and lectures that you sort of attend but you also have a have to do supervised hours by a registered

15:12

prescriber so you have to work under their Supervision in terms of I had to do 120 hours of logging cases and

15:20

conversations and making sure that they're mentoring you for what's relevant in your scope right I found

15:26

that quite challenging to find a um a prescriber because that's a lot of time and effort to put into someone so I was

15:33

lucky enough to find someone external and we could communicate virtually and talk about our experiences and we did

15:39

that every week or every fortnite for months on end and I said I would log

15:45

activities or log cases that I had at work and I would say okay well if I was the prescriber I would consider this

15:51

this this and this and my management would be this and then she basically would say did you consider this or would

15:58

you do this and she goes why didn't you consider pancreatitis and I was like oh clearly it's panc

16:06

obviously you right yeah well I didn't even think to do that and but do you know the one that gets me every time and

16:12

I wrote a big thing about it it was I've just got some nausea just nausea and asked all these questions and I was like

16:18

I've asked all the question I still have no idea what it is so what do you do and she goes and I go well what blood test

16:24

would you order and she go okay we check their thyroid we check their iron levels we check their be 12 levels would check

16:30

if they're pregnant would check their all these things that you wouldn't really necessarily think of straight

16:35

away it also like just using that example of nausea that traditionally

16:40

when people come in with nausea it kind of like a a minor element as call it and

16:46

and you're just you're treating that symptom but nausea can manifest because

16:52

of a number of different reasons and like you said you've got to try and figure out what it's not and what could

16:57

be causing it so all of a sudden we're not just treating the symptoms we're treating the person we're treating the patient so you

17:04

have to get to the bottom of it almost yeah that responsibility yeah exactly

17:09

but I think that's really exciting and it helps us to almost step back and take that extra time with the patients as

17:16

well like you mentioned that it it's completely changed the way that you practice and so do you find that from

17:22

this new training it's has changed the way that you just address normal OTC

17:27

requests abely y I'm already asking specific questioning and when people present with a rash like you can stand

17:33

at the dispensary and sort of look at it I am getting down on my hands and knees and I'm examining that rash so

17:39

specifically in terms of the configuration and the color and the

17:44

onset and taking into consideration all the social history factors and really I

17:50

even describe it to the patient I said okay so I can see that it's got a demarcated border and there's some

17:56

inflammation present and minimal discharge and it's not itchy and you don't have systemic symptoms and because

18:03

of these reasons sounds like you may or may not have this rather than people going I've

18:10

got xma I'm like do you though do you though

18:15

yeah yeah you'll be surprised with what people find out with their social history too so there's always a reason

18:22

if you give patients 2 minutes to just let tell you stuff you'll be so surprised what they say they t at

18:29

prescribing school I call it sit pretend to sit on your hands zip your lips for 2 minutes and let them talk that's

18:35

actually really and it just triggered something cuz my husband he is a police

18:42

officer and we quite often chat about how he interviews people and he said the

18:49

number one technique and hopefully I'm not giving away any secrets here but I'm not allowed to but anyway yeah he says

18:56

that they just don't say anything but what do they say like you'll be

19:01

surprised at what people say when you are silent so that yeah when you

19:06

mentioned I thought yeah I think I feel like as pharmacists we're always traditionally trained we're very like

19:13

let's get all the information out and ask questions but and sometimes they don't know it straight away you have to

19:19

give them time to think and I even say that in my consults and I do this very intentionally I say I'm going to type

19:26

some notes now and give you a minute to think if you have any questions or anything else you want to add please

19:32

feel free and I intentionally type and that gives them a time to really think and they go oh I forgot to say this or

19:39

or if you ask them a question they might not know straight away and you give them 30 seconds and it's it's hard not to

19:45

jump in with your answer CU you want it to speed up but they're thinking they're going am I

19:51

pregnant yes they're like and they're think and they're going literally when was my last H and they like get out

19:57

their phone and everything yeah yes but that's so true right like because yeah you do need to give them time to think

20:03

of course yeah so you can't rush but what about when say someone's coming in

20:09

and they just are expecting quite a quick transactional approach how do you

20:15

differentiate between just a OTC encounter and then actually

20:20

transitioning them to participate in the service correct that's a good question so the trick is here and also training

20:27

your staff to do it well and your interns to do it well is what I call taking a brief history so it's getting

20:34

out key information a few topic sentences to determine well number one

20:40

eligibility number two is the patient willing and accepting for this type of

20:45

care cuz some people just want their next em in to go right which is fair enough if they make up to their decision

20:51

making and then so they ask a few questions okay is your ear okay it's blocked is it painful how long has it

20:57

been there for great you may benefit from having a sent down consult with the pharmacist would you like to do that and

21:04

they go oh my God what you can do that every time and they're like yeah we've got a oscope camera and we can do

21:11

examinations that's they're like what that a lot of the times they will say no but sometimes they'll say oh I've got to

21:17

be on my next bus tour in two minutes yes and I'm okay I don't need to see you

21:22

it's fine it's your next year see you later so you got to really you've got

21:28

that first brief interaction you've got 1 minute basically to decide and also in

21:33

yourself as a practitioner what else is happening in your day you've got vaccinations over here you've got a

21:38

broken arm over here you've got six scripts over here a Webster pack over here you've got to balance your time

21:45

appropriate to you you say okay well unfortunately I don't have time to see you right now would you be available for

21:50

a consult this afternoon yeah book them in for 2 p.m. book them in for whatever your time is worth money now they go can

21:57

I see the pharmacist I go do you have an appointment literally though you know it depends on the topic and you got to be

22:03

quite good of how you can triage your time so it's our crucial role as a pharmacy and as a pharmacist now is

22:10

triaging these primary conditions even more than what we did before because we can't fob it off to the doctors because

22:17

they're not going to see anyone can't say I'm too busy that's not an excuse yeah I love it yeah okay end of

22:25

discussion just y love it but you also mentioned yeah not only are you being a

22:32

prescribing pharmacist but you've got your day-to-day job as well right and

22:37

that can probably come with its own challenges as well so I'd love to find out if well I'm I'm sure everyone faces

22:45

challenges just sometimes we just don't talk about them have you dealt with any

22:51

challenges in the pharmacy or professionally that you yeah you could maybe chat about today yeah of course so

22:57

this is tricky because is uh upon taking on this prescribing role as a managing pharmacist and a partner in the business

23:04

I actually look after three stores and so we've got to make time to talk to all

23:10

our staff members participate in organizational management you've got to find time to do the rosters you got to

23:17

be a pharmacist so do you know what my trick and I tell people now is it's the best thing just wear a different colored

23:23

shirt so then you know and other people know what you're doing that day yes this

23:28

is my Consulting shirt I do consults mainly on Mondays and Tuesdays or other days only if it's really urgent so then

23:36

I they come in they go oh you're a pharmacist today great I'm going to ask you about this OTC question or if I come

23:41

in in a corporate shirt I go I just be completely transparent I said guys today I'm working on rosters I'm going to be

23:48

sitting in the office or whatever come and talk to me about these type of things that's a really it's a simple

23:54

really simple thing but that would be really helpful I know everyone else knows what you're doing so they're not

24:00

trying to pull you in 50 different directions you've got different hats literally wear different hats or different

24:05

shirts this is my this is my Friday shirt actually nice nice but yeah you're right

24:12

like that communication is really important and because we're going to be doing so many different things now like

24:18

we really have to be organized as a team and communicating on Whose role is what

24:24

and what they're doing what their responsibilities are so and your assistant are so vital in this so

24:30

keeping them in the loop keeping them up to date with their training with qbp but also extended scope assistant training

24:37

is available yeah I have seen that so assistants can now actually do some training to help support as well so they

24:44

become your receptionist they become your first point of call before the first point of call yeah y the first

24:51

point of call before yeah yeah you're right as much as we would love to say as pharmacists that we speak to every

24:58

single person walking through the door we're not the first people that they see it's the assistant and so you mentioned

25:05

before having them being able to triage yeah or even then as well for an example

25:11

A lot of people skull around the store and they teach us how prescribing school they come in for something but they

25:16

actually mean something else so they have or they don't have the confidence or there's something that's on their

25:22

mind but they're not brave enough to say it you could have that person lurking around the fragrances but really she's

25:28

actually after the morning after pill yes I love you not get yes and then so it's up to your other staff because

25:35

you're obviously on the computer on the phones you've got 50 things happening they walk in the front door the

25:40

assistants greet and acknowledge every patient because that's what we do in Pharmacy there's no pharmacies that

25:45

don't greet and acknowledge their patients right yes definitely as as soon as they walk through the door you greet them politely they're going to say hi to

25:52

them first so they might give them the confidence and yes oh I'm buying this fragrance oh but actually do you mind if

25:59

I can try and talk to the pharmacist about this yeah and you're right they do lurk

26:04

around when as soon as they come in yeah it's like no they're not trying to steal Sly they just want to speak to the

26:10

pharmacist yeah and even in consults right they could be coming in for example hormonal contraception and they

26:18

talk about the pill but what they really need help with is their sexual health or what they really are having trouble with

26:23

is it in the M back your miners is this a risk of DV domestic violence or is is this a risk of is this are we trying to

26:30

pick up things that they're not telling me is it depression is it thid dysfunction is it anemia is it do they

26:36

come in for their chest infection and yet the teenager has blaringly obvious

26:43

horrible acne and then they're saying oh but look at this thing on my toe you know what I mean but then really they

26:49

want to tell you something it's giving that opportunity to I say this every time before I go back out so at the end

26:57

of the consult I've WR the script or whatever I'm doing and I sit there and I go okay before we go back out into the

27:03

wild because we'll get interrupted out there and I've got a closed door with you now is there anything else that you

27:09

really need to tell me today M that's a really nice way to say it totally because then they have closure cuz the

27:15

worst thing is if you finish an appointment and you don't feel like you got out what you wanted to get out of it

27:20

yes they could be trying to say this thing the whole time during the whole consult and then they go actually there

27:26

is one more thing that's really bugging me on my mind I'm glad you me because we would have this time and now I

27:33

understand why sometimes when patients were com to the pharmacy and they're like oh I forgot to ask a doctor this

27:39

and you're like what do you mean you forgot to just there just there then they think of things afterwards or they

27:45

think of things during it that they weren't brave enough to say so exactly that's right so it sounds like you've

27:51

been pretty busy with not only looking after the three pharmacies and then becoming a prescribing Pharmacy

27:58

I bet you you probably need to have a good support network around you to be

28:04

able to do this and I think like for me

28:09

like starting business and studying and doing all this stuff I'm so lucky to have yeah a a partner that is so

28:15

supportive and can help pick up this like at home and so how do you kind of manage that balance yeah who's your

28:23

abely yep so I do have an amazing amazing partner we've been together now almost 10 years can you believe wow what

28:30

that doesn't seem no way has been 10 years almost so me and we've been

28:36

together for a long long time he's literally been my absolute Rock so he brings me down to earth sometimes when I

28:42

go on these amazing Pharmacy land tangents and the day-to-day work as a

28:48

partnership with your partner you've got to do the washing and the shopping and make time to do activities separate from

28:55

your business work so we do a lot of beach walks we do a lot of Adventures

29:01

every year I promise him to do a overseas trip of some description so that's our thing and we always have

29:07

something planned or something in the works to plan that apart from my partner that I come home to every day I've got

29:13

really good friends outside of Pharmacy and also inside Pharmacy too because I live and work with the people that I

29:20

live and work with sometimes it is difficult so I've got lots of friends across all Australia now being in the

29:26

pharmacy industry for a long feels like a long time like yourself they we catch up occasionally at conferences that you

29:33

see and Friends within my company within live life we've got such a strong bond

29:38

with the other partners we basically grew up together so before I moved we had a tighten a group after I moved it's

29:45

stay the same I can call them phone a friend I know they're in the same positions as me running stores and

29:53

getting the hard questions so we actually call each other all the time and even in the farm Pharmacy and my staff members I don't often answer my

30:01

like mobile phone but if another Pharmacy partner calls you you answer like at what it is and even just

30:08

for a chat too and then we morally support each other and say okay what are you doing outside of work you talk about

30:14

video games you talk about other Hobbies I'm really into running at the moment I've just smashed a new PB so well done

30:21

make sure you do other things to keep yourself sane I think that's so important and yeah especially

30:28

I think I don't know if it's all pharmacists but most of the pharmacists I know like we just we live and breathe

30:35

Pharmacy right and it almost becomes our Personality yeah but so it is really

30:40

important to make sure that you have that separation and go and do things outside of the pharmacy world I know I

30:48

find those moments really yeah really worthwhile and having something to look forward to like you mentioned about

30:54

having an overseas holiday each year whatever that is I think when you you know something's coming uh something

31:01

exciting even if it's just something as simple as I booked a weekend away or a stay vacation definitely it just you've

31:09

got something to look forward to then so you're not just getting down in The Daily Grind because it's very easy to

31:14

just day by day sleep work even if it's few hours too like I specifically have

31:21

times I go right this afternoon absolutely nothing to do with work even

31:26

if it is 5 or 6 hours and that's it yeah sometimes that's all you need but everyone's different right everyone's

31:33

different that's right and yeah I'm very much the same I try and schedule in some

31:38

times yet to separate your work and life as well which it can be tricky cuz life

31:44

just gets life just gets in the way but yeah really making sure like no you know what yes it's Sunday afternoon I don't

31:50

need to do anything else I'm going to take my little dog for a walk and we're going to go get puppuccinos

31:59

there and maybe just watch some cadash or something when I get right like it's

32:05

just switch off it's been an absolute pleasure speaking to you James and I feel like we could probably create our

32:12

own series and delve into all these different areas that we've talked about

32:17

I think that would be quite fun but is there anything else you wanted to mention or any passing advice you'd like

32:24

to leave for our our listeners yep so always come back to this what would you tell yourself 5 years ago basically keep

32:32

doing what you're doing making the connections finding people that have similar values work hard people often

32:38

strive for recognition or to be the best that they can be but my advice is work

32:44

hard first then the energy will come to you so you know what you're doing you

32:50

love what you do opportunities come to that say yes to Opportunities when someone says do you want to be on a

32:56

podcast you say yeah I do does anyone want to speak yes I want to do this push yourself to grow and the rest will just

33:03

follow and make sure you find a good Mentor yes yeah people that believe in

33:09

you and want to see you succeed just remember you have to hang around the

33:14

most successful people to become like them as well I love that I've heard a similar thing where like you're in a

33:21

circle or the people that you spend most of your time with you become like them

33:27

yeah it say you're the the most average person in the five people that you hang out with so if you want to be who you

33:33

want to be find people that are like that yeah absolutely I think that's great advice well thank you so much

33:38

James I've really enjoyed our chat and I hope all the listeners have as well and

33:44

I would love to have you back on the show again soon and but yeah thank you

33:50

and I hope to to see you soon make sure everyone likes and subscribes exactly thank you you took my

33:57

line thank you so much James bye thank you bye you've been listening to Your

34:03

Pharmacy Career podcast brought to you by Raven's Recruitment don't miss our next episode where we continue to

34:09

explore the multifaceted world of Pharmacy careers make sure to subscribe and share

34:16

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