In this interview with Dr. Jim Thigpen, Associate Professor of Pharmacy Practice at East Tennessee State University Bill Gatton College of Pharmacy, we discuss his pharmacotherapy course and how to succeed, leadership in pharmacy, and Dr. Thigpen's favorite pastime: fly fishing!
You're in too big of a hurry fishing, you're not going to do well. And if you're in too big of a hurry as a pharmacist, you're going to make mistakes. And that's dangerous. And so learning to be patient and taking your time is important.
Welcome to White Coat Radio, a podcast from East Tennessee State University Bill Gatton College of Pharmacy in Johnson City, Tennessee. Each episode, we cover a wide range of topics about the pharmacy school experience, from study tips to deep dives with faculty and student pharmacists. I'm one of your hosts, Doctor Michele Williams, assistant professor and director of academic success.
And I'm Stephen Woodward, marketing and communications manager. Today we're joined by Doctor Jim Thigpen, associate professor of pharmacy practice, a pediatric pharmacist by trade whose practice site is Ballad Health’s Niswonger Children’s Hospital, which is located right next to the college. Doctor Thigpen has been with the college essentially from the beginning, starting in 2008 after working as a clinical pharmacist for nearly 15 years.
He is originally from Charleston, South Carolina, and attended Clemson University before going on to pharmacy school at the Medical University of South Carolina. He moved to Johnson City in 1993. Doctor Thigpen coordinates Pharmacy Practice V and Pharmacotherapy III, as well as an Advanced Pediatrics elective course. We hope you enjoy today’s interview.
What would you like students to know about being successful with your material that you wish they knew—something maybe you don't say out loud in class?
Don't be intimidated by it. You know, don't think that it's that different than what you've learned. About 70% of all the children in the U.S. are cared for by pharmacists that are
not pediatric specialists. There are 200 children's hospitals in the United States, and I’d ballpark maybe 2,000 pediatric specialists who work in those hospitals.
But here there’s four in East Tennessee. And so the vast majority of children are going to be seen by pharmacists that are not pediatric‑trained. They all have to have some level of comfort taking care of a child and recognizing the bad things—when they need to go to the ER right now, or when it's something they don’t need to worry about at that moment.
I hope by being exposed to pediatrics through the program, they develop a comfort level so they can say, “Yes, you need to call your doctor,” or “You need to make an appointment,” or “Yes, you need to go to the emergency room,” or “No, we can treat that with Tylenol.”
And just develop a level of comfort with children because you
will be somebody’s pharmacist, and somebody will call you at 4:00 in the morning and say, “My son has a fever. What should we do?” And you need to know what to do.
What are the steps that a student right here at Gatton would need to take in order to become a pediatric pharmacist?
You need to get involved with the national organization. If you're serious about pursuing residency in pediatrics, join pediatric pharmacy groups such as the Pediatric Pharmacy Association. They love students—they welcome them at national meetings. Meet people and figure out if that’s what you want.
Pediatrics is limited. Tennessee has children’s hospitals in Johnson City, Knoxville, Chattanooga, Nashville, Memphis. That’s it. You can't be a pediatric pharmacist anywhere—you have to live in a city with a children’s hospital.
Thirty years ago we were in high demand—and still are—but you may have to move.
If you want to do pediatrics, talk to me and talk to preceptors like Robin Modern. Pharmacy is a small world; pediatrics is even smaller. People know each other. It’s about connections and making a good impression.
Residency often means moving. I was going to leave Charleston for a residency at VCU, but we found out we were having a baby, and I didn’t want to take my eight‑months‑pregnant wife to a strange city. That’s the only reason I stayed. I recommend going elsewhere for residency—it’s a good learning opportunity.
We were talking just a minute ago about the pharmacotherapy series. That’s where your course content primarily lives, right? During the P3 year?
If I were a student about to start the spring P3 year, what advice would you give me to be successful with your course content?
Don’t worry about it. There are probably only three or four drugs that are exclusive to pediatrics. The rest are used in adults and then used in children. About 25% of drugs are FDA‑approved for children; the rest aren’t, but we still use them.
There are only a handful of drugs you’ll need to learn that you don’t already know.
People think pediatrics is so different—it’s really not. A lot of diseases are the same; the drugs are the same. It’s just a little different for children.
You need to develop comfort with acute issues in kids—things you need to be able to recognize. I
will drill that into you. If someone calls you in the middle of the night about their kid, you need to know what to tell them—and say it in a way that doesn’t terrify them.
You need to talk to parents—help them give medicine effectively, or explain the importance of managing something like type 1 diabetes. You need to communicate clearly.
Some parents are afraid of vaccines. You need to understand the facts and communicate them
without offending them.
Outside of those differences, pediatrics isn’t that different. I highlight the key differences. Don’t be intimidated—but I’ve been doing this for 40 years, so of course I say that.
A few months ago I had the privilege to shadow you in the hospital. I think we often think of pharmacists in the background, but you were in more of a leadership role. Nurses, medical students—they were looking to you for answers. Can you talk about that leadership role?
Well, not trying to be funny, but I'm probably older than everybody there. So it's natural to look up to the old man.
But anyone who’s known me would not say I'm the smartest person in the room. They
would say that if they needed help, I’d give it. Brian O’Toole and I worked together for years, and we always tried to help people and make their job easier.
People know I’m someone you can ask without feeling stupid. Medical students especially—they get far less pharmacology than our students do. Some pharmacists make them feel bad for not knowing something. I try very hard not to do that.
I want them to understand the details and feel like they can ask me anything. I try to break the ice—ask where they're from, talk about baseball or fishing or Clemson football—so they don’t see me as “the guy in the white coat.”
For all pharmacists: you're part of the team. You develop a reputation. Students, nurses, doctors—they know whether you’re approachable.
Almost every time I take a student into the NICU, one of the doctors walks up and says, “I’m so glad you’re here—I’ve got a question for you.” It's not scripted—it just happens. They know I’ll help.
It’s not leadership; it’s reputation. If you're nice, people want to ask you questions. If you're not, they'll avoid you.
Don’t ever treat providers condescendingly. They will avoid you forever. Even if they're really messing up, don’t make them feel like they’re messing up. We’ll teach you those skills.
I’ve never thought I was smarter than anybody. I’m usually the dumbest person in the room—but at least I'm willing to help.
Were you Mr. O’Toole’s specialty?
He was internal medicine. But he was a special person. If you knew him, you loved him.
I better stop before I get emotional.
Well, that’s a great transition to fly fishing.
Yeah, gives me a chance to clear my throat.
Everyone knows you love fly fishing. What is it about fly fishing that pulls you?
I always liked fishing—bluegills and catfish as a kid. I never fly‑fished until I moved to Tennessee. A pharmacist I worked with took me in 1993. First time out, we fished for a while with no luck, and then suddenly the fish went nuts. I caught six in 15 minutes and said, “I’m done, I need to buy a fly rod.” It was magical.
Fly fishing is technical. It’s rhythmic—like in
A River Runs Through It. It’s comforting. And trout live in beautiful places—the Watauga, the South Holston, Beaver Dam Creek. It’s just pretty.
There have been days I've caught more fish than I can count—and days I’ve caught one or two, and felt just as rewarded. Catching fish is gravy.
It sounds like you’d recommend fly fishing. What could a student pharmacist learn from fly fishing that applies to the profession?
Attention to detail. That’s important for pharmacists. Fly fishing requires the right size, the right color, matching the insect. You need patience. If you're in too big of a hurry fishing, you won’t do well. If you're in too big a hurry as a pharmacist, you'll make mistakes—and that's dangerous.
You need to pay attention. Sometimes I wasn’t catching anything and realized I wasn’t paying attention to which insects were around. I kept using the wrong fly. Then I switched and suddenly caught fish.
Attention to detail and taking your time—both are important as a pharmacist.
When you talked about matching the fly to the insect, it made me think about pharmacists finding “just the right” answer.
Yes. In a perfect world you always use the best option—but the world’s not perfect. Sometimes the patient can’t afford the best medicine. You have to figure out what will get the job done. It’s problem-solving.
We want students to develop critical thinking. Same with fishing—you use something similar if you don't have the perfect fly. Sometimes you choose something that isn’t your first choice but fits the situation.
You should use that with pre‑pharmacy students. Can you talk about advice you give students interested in pharmacy?
I've had this conversation hundreds of times. I never sugarcoat the profession. You don’t have to be a chemistry expert. I made two Cs in organic chemistry and was glad to get them. You
do need problem‑solving skills.
Most importantly, you need to communicate. Patients, parents—you must explain what you're thinking in a way they understand and feel heard.
Talk to as many people as you can about the profession. See what you're getting into. Maybe get a job in a pharmacy. There are many paths—you don’t have to work retail. I never did. I worked in hospital pharmacy.
But healthcare carries responsibility. If my son messes up at his job and loses the company half a million dollars, he might get fired—but he didn’t kill anyone. Healthcare is different. The stakes are higher.
The most rewarding parts of my career: seeing parents relax because I'm helping their doctors make good decisions, and seeing students or residents understand something better because of my teaching. Being part of the team for 35 years—that’s rewarding.
I enjoy interacting with the doctors, nurses, everyone. We all help each other and support each other when bad things happen.
That really came across when I shadowed you. It was incredible to watch.
Experience helps. I’ve been there a long time. Only one pharmacist at the medical center has been there longer than me. I've been here 32 or 33 years. I don’t know how it happened.
It really comes across—you still have enthusiasm and passion. Students love working with you.
I try to have fun along the way. Serious business, but jokes and cutting up with people make difficult days more tolerable. I encourage students to get to know the team—it makes everything more rewarding.
Were you an inaugural faculty member?
Not the first group. They started July of ’07. I started March of ’08.
The college is celebrating its 20th anniversary. Can you talk about how you came to Gatton?
I moved to Johnson City in ’93. I’d been doing the same job for almost 15 years and knew I didn’t want to be an administrator. I didn’t have anywhere else to go in that position.
Larry Calhoun is the reason I came to Johnson City. I thought it’d be fun to work with him again. Maybe they’d need a pediatric specialist. I had taught some at the College of Nursing and College of Medicine, so I felt comfortable teaching.
It was a transition from full‑time clinical to full‑time academia with clinical work. It wasn’t a big change—but it was a good opportunity. People said, “You just wanted to work with Brian O’Toole again.” That was a bonus.
If the College of Pharmacy hadn’t opened, I’d still be at the med center. I never would have left—because we love living here. Coming to Gatton was probably the second-best decision of my life. The first was moving to Johnson City.
Well, Doctor Thigpen, we really appreciate you coming.
Certainly. It’s good to be here.
It’s a great conversation—no surprise at all.
Everybody says, “Do you have a story for every drug?” And I say, pretty much. If you've done it long enough, you have an experience for everything.
And a good story too, I’m sure.
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