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How should we prepare pharmacy graduates for a world in which the only certainty is change?

Pharmacists contribute to patient care in an increasingly interconnected and interdependent healthcare landscape. Clinical decision making is growing more complex and more diverse, despite technology-enabled systems to assist with the vast amount of new knowledge. We find that as practice evolves, the profession is forced both to consider how we enhance generic graduate capabilities and how to recognise disciplinary expertise and perspectives. This demonstrates the scale of the challenge facing schools of pharmacy today; correspondingly, it suggests the need for the profession to look ahead collectively, something the Pharmacy Forecast Australia project has endeavoured to facilitate, with its key findings presented in this issue of the JPPR. Technological advances will continue to have far reaching consequences not only at an individual level but also for society more generally. Amid these changes, the future of health and health care must be person-centred and socially accountable, focused on maintaining well-being. It should be enabled by digital transformation, increased availability of data, and steered by higher public expectations for accessible healthcare. Increasingly, to address chronic health concerns, patients require more complex medicines taken over longer periods of time and these current and evolving trends offer workforce challenges and opportunities to deliver high quality care now and in the future. Because of this, pharmacists and the pharmacy profession more broadly have an important and increasing role in ensuring safety and quality of care. Appraising the evidence base and applying clinical reasoning and professional judgement which optimise outcomes and minimises risk for the person are core competencies for pharmacists. Schools of pharmacy are challenged to produce practice-ready and team-ready pharmacy graduates – pharmacists not only fit to support safe medicines use today, but also prepared to influence emerging health challenges. The pharmacy profession’s scope of practice has been defined in the Competency Standards as: