In April 1994, South Africa underwent the most significant change in its recent history with the disbandment of the policy of apartheid and the attendant race-based politics, which affected most aspects of the country and, of relevance to this review, the education, health delivery, and career choices that race groups could pursue. In the past 28 years, the South African government has tried to implement policies in order to advance political and socioeconomic shifts toward a more equitable society. The healthcare sector was an early target for transformation that was aimed at increasing access to services and the expansion of primary healthcare and hospital facilities to previously underserved areas. This paper seeks to discuss these changes in broad terms, but with specific reference to general health care and pharmacy practice in particular. It will look at the changes in the legislative framework and pharmacy education and factors impacting the pharmacy practices in South Africa over the past 28 years. A discussion of the critical issues that have affected the profession in the last three decades will also be delineated, and future prospects for the profession as a whole, in terms of pharmacy practice and perspectives, will be discussed. We review the current aspects of the pharmacy profession in South Africa today and how the education of those future professionals is a major contribution to the pharmaceutical climate.

Introduction: The pharmacy profession is dynamic; continually expanding in new directions, offering interdisciplinary professional education and work- based learning opportunities. Many factors influence individual choices to study pharmacy and progression within the various sectors of pharmacy. Objectives: To review the career paths of Sefako Makgatho Health Sciences pharmacy graduates from the year 2015 to 2019, internship and community service placements and to explore current employment status. Methods: A descriptive and quantitative study design was followed using an online questionnaire that was originally developed using Google Forms®. The study sample included pharmacy graduates from 2015 to 2019. Researchers captured data from the questionnaires on Microsoft Office Excel™ (2016) spreadsheets. Key findings: The majority (78.1%) of the graduates are employed full time with only 5% unemployed. Most of the graduates felt well prepared for hospital pharmacy (64.2%) by the BPharm programmed offered at SMU with only a few graduates (5.3%) who felt that they were prepared for industrial pharmacy. It was also noted that 70.3% of the graduates are still at the operational level and only 4.4% are in executive positions. Recommendations and Conclusions: The response rate can be improved by allowing more time for graduates to respond. Graduates are advised to update their contact details on the SAPC register to facilitate communication with them. The pilot study demonstrated that the SMU School of Pharmacy had several graduates who are employed in the public sector as they felt best prepared for hospital pharmacy practice compared to any other sector.