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OBJECTIVES: This narrative review applies a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis to evaluate the current state of US pharmacy education, identifying critical areas for urgent reform to meet the demands of a rapidly evolving health care landscape. FINDINGS: A narrative review methodology was used to construct a comprehensive SWOT analysis of pharmacy education. Pharmacy education demonstrates notable strengths, including program diversity, strong accreditation standards, and expanding experiential learning opportunities. However, weaknesses in pharmacy education, such as inconsistent competency standards, fragmented professional identity, curricular overload, and slow responsiveness to technological advances, threaten the profession's future. Opportunities exist to implement competency-based education, leverage digital innovation, strengthen interprofessional training, and reform professional identity development strategies. Yet external threats (including declining enrollments, perceived job market saturation, health care system disruption, and scope-of-practice variability) underscore the urgent need for coordinated action. SUMMARY: Pharmacy education stands at a tipping point. To secure its future relevance, this work suggests that the Academy embrace a national, competency-driven, lifelong learning model and intentionally reform professional identity development. Institutions must assess readiness for change, foster innovation, and rigorously evaluate new educational models. This SWOT analysis provides a roadmap for transformation, urging academic pharmacy to move beyond resistance and lead boldly into a health care future shaped by societal needs, digital health, and interprofessional collaboration.
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Rhoney et al. (2025) studied this question.
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