The Community Pharmacy Practice Externship course at the School of Pharmacy, National Taiwan University, offered through collaboration with chain pharmacies, has been in place for the years. A total of 178 students (31.8%) and 63 pharmacies have participated in the course thus far. Course development is reviewed, and the difficulties and problems encountered over the past years are identified with a view to strategies for future improvement. To date, several pharmacy schools in Taiwan have implemented a similar arrangement so that they can offer it as an elective course for students. Room still exists for improvement, such as the addition of community pharmacy related courses, the use of criterion-guided selection of externship sites and preceptors, and the provision of appropriate encouragement for participating pharmacists. It is hoped that near future community pharmacy practice courses such as this can be acknowledged by pharmacy educators as an integral part of professional training.