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r/pharmacy 2020 demographics survey results!
The pharmacy 2020 demographics survey results are here! There were 258 respondents this year. Please note that the numbers will not necessarily add up to 100%, since all questions were optional. Sorry in advance for the crappy Excel graphs. Location Most respondents hailed from the US (233; 90.3%), followed by Canada (10; 3.9%), United Kingdom (8; 3.1%), New Zealand (2; 0.8%), and 1 respondent each from Australia, Indonesia, Slovakia, Sweden, and Taiwan. Of the 233 Americans, the top 3 states were California (20; 8.6%), Pennsylvania (18; 7.7%), and Texas (18; 7.7%). The 10 Canadians were from Ontario (5; 50%), British Columbia (2; 20%), Alberta (1; 10%), Nova Scotia (1; 10%), and Quebec (1; 10%). Demographics Of the 258 respondents, 130 (50.4%) identified as female, 123 (47.7%) as male, and 3 (1.2%) as non-binary. Age distribution is shown in the below table. A few statistics: minimum 19, maximum 68, mean 29.0, median 28, mode 26. https://preview.redd.it/qxyxs2sj09c51.png?width=554&format=png&auto=webp&s=202bef88a53fa8596182435590ba9de8eb3646c9 In terms of race/ethnicity, the categories from most to least common were as follows: white (156; 60.5%), Asian (55; 21.3%), 2 or more races (11; 4.3%), black (9; 3.5%), Hispanic or Latino (8; 3.1%), Indian subcontinent (6; 2.3%), Arab (4; 1.6%), Native American or American Indian (2; 0.8%), and Armenian (1; 0.4%). General employment questions Of the 258 respondents, 169 (65.5%) were pharmacists, 55 (21.3%) were pharmacy students, 22 (8.5%) were non-pharmacist staff, and 8 (3.1%) were pre-pharmacy students. There were also 1 each of the following: corporate pharmacy compliance, pharmacy wholesaler, pharmacology student, and other healthcare professional. Most respondents (169; 65.5%) were employed full time (defined as > 30 hours/week), while 19 (7.4%) were employed part time. 49 respondents (19.0%) were full time students (not necessarily in pharmacy), 13 (5.0%) were unemployed, 4 (1.6%) worked outside of the field of pharmacy, 2 (0.8%) were self-employed, 1 (0.4%) was retired, and 1 (0.4%) was consulting/contracting. There was a nearly equal split between respondents working in suburban (99; 38.4%) vs. urban (97; 37.6%) locations, followed by 21 (8.1%) in rural locations and 15 (5.8%) working remotely (apologies - I should have made this question/response more clear, but based on a jump compared to last year's survey, I think people working from home temporarily due to COVID-19 may have chosen this option). A pie chart of primary place of employment is shown below, with the top 7 responses shown in the legend: community/retail (136; 52.7%), hospital including outpatient (48; 18.6%), pharmaceutical industry including CROs (11; 4.3%), mail ordespecialty/home infusion (9; 3.5%), unemployed (8; 3.1%), long-term care/hospice (8; 3.1%), and ambulatory care (5; 1.9%). Please note that the unemployed category includes non-working full time students. https://preview.redd.it/csyipt0hs9c51.png?width=297&format=png&auto=webp&s=3b91337feb634a61730ccfbdd09aa8a0fdda6d7a A small proportion (42; 16.3%) of respondents reported having a second job. Of these, the most common fields of employment were: hospital including outpatient (10; 23.8%), community/retail (8; 19.0%), and self employment/side hustle (7; 16.7%). Salary For the following charts, I only included those working full time. Below is a histogram for full time pharmacist salary worldwide, as well as a table showing some stats for global, US, and ex-US salaries. https://preview.redd.it/n16j31x1v9c51.png?width=447&format=png&auto=webp&s=624581f5b94c917c417ac39da92cf9eb4c77130c
Clinical Research & Development (including Clinical Operations)
Medical Science Liaison
The breakdown by level was as follows: PharmD Fellow (3; 27.3%), Associate/Specialist (6; 54.5%), ManageSupervisor (1; 9.1%), Director (1; 9.1%). Five respondents had completed or were currently completing a fellowship. Four of these 5 provided their salaries during their fellowships, with an average of $50,000. Pharmacy and pre-pharmacy students There were 63 respondents (24.4%) who reported being pharmacy or pre-pharmacy students. Of these, the top 3 desired fields upon graduation were: hospital including residencies (16; 25.4%), undecided (13; 20.6%), and community/retail (11; 17.5%). These 63 students attended (or planned to attend) 45 different schools worldwide. The 5 most common schools reported were as follows: University of Toronto (3; 4.8%), Feik School of Pharmacy (2; 3.2%), Ohio State University (2; 3.2%), Temple University (2; 3.2%), and University of Colorado (2; 3.2%). The breakdown by year was as follows: undergraduate/pre-pharmacy (8; 12.7%), PY1 (4; 6.3%), PY2 (18; 28.6%), PY3 (16; 25.4%), and PY4 (13; 20.6%). Of the 13 PY4 students, 2 reported having a job lined up after graduation, both in community/retail. Most students (45; 71.4%) were working in a pharmacy setting while in school. Stats for the number of hours worked weekly were as follows: minimum 3; maximum 34; mean 15.8; median 15. The most common duties interns were authorized to perform at their jobs were counseling patients (38; 84.4%), administering immunizations (24; 53.3%), and product verification (17; 37.8%). Note that interns could choose more than 1 option. Of the 63 students, 36 (57.1%) reported that they would choose to attend pharmacy school again if they could go back in time, knowing what they know now. Sixteen students (25.4%) reported that they would decide on a different career path, and 5 (7.9%) were unsure. Following pharmacy school, some students were considering pursuing the following degrees (top 3 listed): MPH (6; 9.5%), MD (4; 6.3%), and MBA (3; 4.8%). Results from additional questions are shown in chart form below. https://preview.redd.it/mls7e2139ac51.png?width=480&format=png&auto=webp&s=5db3ec80fd6e1934c787941278b7b755ad802a45 https://preview.redd.it/p9p44ifm9ac51.png?width=480&format=png&auto=webp&s=faf04b54ed228cc0cf110d06ed27bfd524ba894f https://preview.redd.it/8p7qq205aac51.png?width=464&format=png&auto=webp&s=ae5d53c284cd86ff787498dad58c4d625ae2afb1 Pharmacists There were 169 pharmacists, from 91 different pharmacy schools. The most common alma maters were Rutgers University Ernest Mario School of Pharmacy (RU RAH RAH!!) with 6 respondents (3.6%), University of Pittsburgh with 5 respondents (3.0%), and the following 5 schools with 4 respondents each: Northeastern University, Ohio Northern University, University of Colorado, University of Georgia, and University of Kansas. Most pharmacists (152; 89.9%) were currently practicing pharmacy. Five (3.0%) had practiced in the past but were no longer practicing, and 10 (5.9%) had never practiced after graduating. Of those currently practicing pharmacy, the statistics on the number of years in practice were as follows: minimum 0.1; maximum 35; mean 4.8; and median 3. Nearly half of pharmacists (75; 49.3%) said they would choose a different career path if they could go back in time, knowing what they know now, while 71 pharmacists (46.7%) said they would still choose to pursue pharmacy. Local practice standards About half of pharmacists (84; 55.3%) reported administering (or being allowed to administer) many types of immunizations, while 3 (2.0%) reported that pharmacists were not allowed in their location. A further 63 pharmacists (41.4%) did not administer immunizations simply because it was not part of their job description (eg, hospital inpatient). Regarding therapeutic interchange for non-controlled prescriptions, 63 pharmacists (41.4%) reporting being authorized to update a prescription only after consulting the prescriber. An additional 43 pharmacists (28.3%) were allowed to update a prescription as long as the prescriber was notified afterwards (ie, without prior permission), and 8 pharmacists (5.3%) were allowed per institutional protocol or collaborative practice agreement. Twenty-four pharmacists (15.8%) reported that a new prescription would be required and that no updates by the pharmacist were allowed. For controlled prescriptions, 24 pharmacists (15.8%) reported being allowed to change any/all elements of the prescription following consultation with the prescriber, and 4 pharmacists (2.6%) were allowed per institutional protocol or collaborative practice agreement. Sixty-six pharmacists (43.4%) were allowed to change certain (but not all) elements, while 40 (26.3%) could not change any part of a controlled prescription and required the prescriber to issue a new one. Regarding pharmacist prescribing, most pharmacists (110; 72.4%) were not allowed to prescribe medications. Nineteen pharmacists (12.5%) could prescribe for certain health conditions, 3 (2.0%) could prescribe for any health condition, and 2 (1.3%) could prescribe per institutional protocol or collaborative practice agreement. Results from additional questions are shown in chart form below. https://preview.redd.it/9q4wjmmg3bc51.png?width=281&format=png&auto=webp&s=cf2ec43db13f3fcbe4cb398b1c39808389f54572 https://preview.redd.it/945u7beklac51.png?width=480&format=png&auto=webp&s=e74267ca8c2d56dd0c7fc42497df2f0d42f14a3a https://preview.redd.it/yyd7su4tlac51.png?width=480&format=png&auto=webp&s=86e12e31c5de3b91a615add5dd28055f881beddc https://preview.redd.it/tk2msh41mac51.png?width=480&format=png&auto=webp&s=c091747118370117d3ecf35a8e9bffd54ac02805 https://preview.redd.it/9njkd9vemac51.png?width=346&format=png&auto=webp&s=ffe54bfc9ae206295f7e81685a361357c14a625a https://preview.redd.it/mywjx5nwmac51.png?width=444&format=png&auto=webp&s=1eb695e764c2bf7c1ffbfddd947fc297eed4f8ea Pharmacy residents Of the 169 pharmacists, 31 (18.3%) had completed or were currently completing a pharmacy residency. Of those, there were 6 current PGY-1 residents and 1 current PGY-2 resident. Of the 24 pharmacists who had completed their PGY-1 residencies, most (18; 75%) did rotational programs without a specific focus. The remaining 6 pharmacists specialized in the following areas during their PGY-1: ambulatory care (2; 8.3%), community pharmacy (1; 4.2%), managed care (1; 4.2%), pediatrics (1; 4.2%), and pharmacotherapy (1; 4.2%). Stats on their PGY-1 salaries were as follows: minimum $33,000; maximum $60,000; mean $44,325; median $45,000. These PGY-1 residencies were done primarily in an urban setting (18; 75%), followed by suburban (3; 12.5%) and rural (2; 8.3%). Of the 11 pharmacists who had completed their PGY-2 residencies, the specialties included: ambulatory care (3; 27.3%), psychiatry (2; 18.2%), and 1 each of administration, critical care, emergency medicine, infectious disease, oncology, and pharmacotherapy (9.1% each). Stats on their PGY-2 salaries were as follows: minimum $35,000; maximum $51,000; mean $45,625; median $46,500. These PGY-2 residencies were done almost equally in urban (6; 54.5%) and suburban (5; 45.5%) settings. The 6 current PGY-1 residents had the following plans immediately following their PGY-1: inpatient staff pharmacist (2; 33.3%), PGY-2 residency (2; 33.3%), inpatient clinical specialty pharmacist (1; 16.7%), and non-practicing pharmacist (1; 16.7%). Of those who had completed their residencies, their roles immediately afterward are listed in the table below.
Number of Respondents
Inpatient staff pharmacist
Inpatient clinical specialty pharmacist
Ambulatory care pharmacist
Outpatient pharmacist (eg, retail, mail order, long term care)
Stopped practicing but remained in the field of pharmacy (eg, industry)
Drug information pharmacist
Pharmacy organizations This question was directed toward American respondents. There were 96 respondents who reported being currently active members of an association, the most common of which were ASHP (39; 40.6%), APhA (38; 39.6%), and a local/state pharmacy association (29; 30.2%). There were 35 respondents who reported previously being members of an association, the most common of which were APhA (25; 71.4%), ASHP (15; 42.9%), and a local/state pharmacy association (13; 37.1%). Final comments Thanks again to everyone who took the survey, and especially those who provided feedback! I totally acknowledge that the survey is very US-centric, and for that I apologize. I did take some feedback from some people in this subreddit, but if anyone ex-US wants to provide feedback for any future surveys, I'm happy to speak with you offline about it. The same also goes for anyone in a "niche" field such as long-term care, ambulatory care, managed care, etc. I'm happy to add in new sections or questions for those fields - it's just that I have no idea what to ask, having no experience in those areas. There are probably a few questions whose answers aren't reflected here mainly because this is long enough already, but if you have any questions (eg, what's the average salary for a hospital pharmacist in a suburban area?), please feel free to ask! Thanks again!
A close examination of the story. Part 8: "Katarina Rostova." The personal angle: wife, daughter, lover, friend.
Tell the story as the narrative would have it, and what we are left with is a mass of contradictions and nonsense, the best indication of a charade. Most of those come from identity. "Katarina Rostova" is one of the sources of the confusion. In part 3 I examined the mythic spy, in part 2, her curious contradiction in Rassvet, about her treasonous status, in part 1 the bizarre abduction of "Masha Rostova" from her Canadian home, in part 4, the likelihood that there was no person born as "Raymond Reddington". Part 5 examines the curious Alan Fitch, and his relationship to Red. Part 6 looks at the real question Jennifer posed of Red, and why was she satisfied with the answer about the individual chased by both the CIA and the KGB, while part 7 deals with her bizarre way of showing Liz the bones, considering she knew well where Liz lived. In many ways, Red is like a magician, as Aram said. Going by the charade Dom accuses him of creating, "Katarina Rostova" was one of his magic tricks. "You were the architect of this charade". "she's a figment" But this myth had a family, friends, colleagues. And Red. but with young Katarina, and Fakerina, who is who. Was Fakerina one the other women inhabiting the myth? How do we distinguish? It is clear that all the others are referring to Dom's daughter, the character played by Lotte Verbeek as a young woman. BUT when it comes to Red, things are far more complicated, especially for the space where Liz, and her mother intersect.
For Constantin Rostov, Katarina was the wife who loved him:
I don't really know how we got here, Raymond. I remember being an honest businessman in a happy marriage until you came along.... Seduced my wife. To her credit, Katarina broke it off, but you couldn't let go.... I came home one night and they were gone my wife, my child. All that matters is that we had a family, and you destroyed it. We had a daughter, and you took her from us.
He describes the time when she and him met and how she seduced him, much like thrill seeker Elodie seduced Aram into a relationship with him:
When when we when we first met, there was this house near where she lived, a case study house built by this famous mid-century architect. Over dinner one night, she said she wanted to look at it. I thought she meant look from the street. But when we got there, she jumped the fence. The lights were on. People lived there. She didn't care. I stood there frozen, angry, nervous. Then I felt this rush of exhilaration. I climbed up, looked into the yard and she was justDancing.Unafraid. Daring. Being. I'd never seen anything like it.
A woman with a joie-de-vivre
She was more alive than anyone I knew.
He never believed she killed herself, so Constantin believes she is either alive or she was murdered, and she is still convinced that she loved him.
When I heard she killed herself I didn't believe it. I still don't. You're wrong. I didn't see what she wanted me to see of her, I saw her. And despite what happened, I know she loved me.
What happened to Constantin after Katarina left? Was he on the run too? We know he changed his name to Alexander Kirk, we know he started buying energy outfits cheap in the former USSR, but he was a billionaire before: https://preview.redd.it/zyd1hqr6dj451.png?width=1684&format=png&auto=webp&s=9e7d20c4dc5a5d95b10cf1e100eb5af36cda28ca Did he loose it all when Katarina left and he was forced to become someone else? Because he continued to operate in Russia, but under a different name. Did he have surgery? Or was the man known to the Russians as Constantin Rostov NOT him? Nobody tells him that they knew him as Constantin Rostov, when he takes the name Alexander Kirk, so that is a possibility. Red tells her that the KGB had trained Katarina in making people believe what she wanted them to. She had wanted Constantin to believe she was a wife in a happy marriage, that they had a child, and that she loved him. The truth is that she never even let him know she was OK, that she had not committed suicide. She had not let him know that "Masha" was not his daughter. Constantin is not even mentioned by her again, or by Kate, or by Dom. He was a useful idiot in a charade. I think Red is who gets to understand the depth of the turmoil that Katarina created in his life, when Rostov is on the roof about to jump, a turmoil that years later, he is still defined by a love of Katarina, who left him behind like yesterday's news, and the hatred of Red, who he blames for it all.
This is madness, Constantin. Because you cannot have that child, you're gonna take her forever from her mother? It's madness. Constantin, this needs to end now.
It is clear that the wife Constantin refers to is Katarina, Dom's daughter.
For Kate, Katarina was her best friend, her employer. A tragic figure who was a spy, and a loving mother.
My friend just died.... I think she was my best friend.
she made an uncalled for promise to protect Masha:
I made a promise to Elizabeth's mother to protect her girl at all costs.
she was a bit strange, advising her employer to terminate a relationship with an American, being aware that Katarina was a KGB agent:
KATE: Soviet Intelligence?
This means Kate, an American, was fine with aiding an abetting a soviet spy by caring for her daughter while she went and worked against America. And then she calls Red a traitor? Kate has to have been a Soviet sympathizer, or a sleeper spy. And since people tend to kill agents of the opposite side, it is likely Kate already knew that "Katarina Rostova" was a KGB agent. It may be that Kate used that killing to let Katarina know she knew. https://preview.redd.it/yzl18d6uuj451.png?width=432&format=png&auto=webp&s=a1466cc768eea5443117f75c2a687da8d9765faa There is that strange comment that Annie makes after hearing the story:
ANNIE: So what's next for you? You gonna find some more Russians to live with? KATE: I don't know. - I can't think about it right now. Masha and her family were my whole world for so long.
as if Kate's life had been going from one Russian family to another. Kate's life was back on track and then Annie is killed. Then she is sucked back for reasons unknown by Red, who in 1997 decides to hire her. Why? Was she starting to investigate Katarina, using the resources of Little Nikos, who could track people? https://preview.redd.it/ql2o8srbej451.png?width=360&format=png&auto=webp&s=8411e72aa8e919c1c90a9b8bdb937a41e193bd37 She seemed not to even give Constantin Rostov a thought. It never occurred to her to bring Liz to him. Red says Kate did not know about Dom (but she may have known about Oleander). Katarina kept many secrets from her.
For Sam, she was "Kat", obviously someone who trusted him
SAM TO KATE: I'm sorry you had to drive all this way. But I'm in no position to help here. - I told Kat - SAM TO KATE: Did Kat happen to mention that I'm a grifter? SAM TO KATE: I know Katarina is not coming back. She called me.
SAM: Where are you? What's going on? Do you know what they're saying about Reddington? KATARINA: Sam, I need to talk to her. SAM: Talk to her! You can come and get her.
Sam is the second person where Red and Katarina intersect. For those who do not believe Red is RR, Sam seemed to have been trusted by all three then. What is intriguing to me is this conversation Red and Sam have in his deathbed:
Oh, my God. I've never been more scared of a woman in my life. She was thrilling in bed. What a pair of legs. I think she played field hockey in college.
Could that woman be Katarina? It would be difficult to ascertain if both Red and Katarina knew Sam at about the same time, because we do not have a sense when Katarina met him. But we know Red told Liz
I've been friends with Sam for all of yours and most of my life. I loved Sam, Lizzy. Taking his life was of all the difficult things that I've done that may may be the most.
I have a feeling that Sam is a longtime friend of Red, and met Katarina later, but I have nothing to back it other than the ease at which they are laughing about things, when Sam is dying, contrasting with Sam's way of talking to Katarina, seemingly indignant about what is being said about Reddington, telling her to come back for Liz.
It is clear Dembe has met Liz's mother, he tells Liz so:
He's right. You remind me of her, too.
This is when Liz betrays Red, and tries to hide it. Dembe calls Katarina simply "Katarina":
Raymond I'm not sure Elizabeth will ever be ready to learn about what you did to Katarina.
It is Dembe who comes back in Season 6 telling Red that the Townsend Directive has been reactivated:
The Townsend Directive. Our friend in Miami says it's in play.... He says it's very important.
For Dom, Katarina was his daughter.
Dom always refers to her as "Katarina" or "my daughter". TO LIZ: Yes, I knew Katarina quite well TO LIZ: Last time I saw my daughter was in this rearview mirror nearly 30 years ago. If myKatarinawas still here, she would have let me know TO FRANKIE: I never betrayedKatarina . She betrayed me. EXCEPT when he is talking about the charade of blowing up Fakerina in Belgrade:
And there are witnesses. It's a mess! The world was supposed to seeKatarina Rostovadie, and instead all we've done is confirm that she's very much alive.
Ah, Katarina and I, we worked in the same building for a time. I never heard from Katarina after she left for America. For Katarina, it wasn't so easy. A few months after I made it to America, Katarina met me here on that sidewalk.... If my Katarina was still here, she would have let me know.
as he does to Frankie:
My daughter's. Katarina.... I never betrayed Katarina. She betrayed me.
Dom however, has a relationship with both Katarina and Fakerina. She says he asked her to help in keeping his daughter safe:
Dom promised me no one would get hurt. Said he loved his child and just wanted her to be safe.
and he betrayed her. But I find curious that he sends Ilya to ask Fakerina to deliver documents to Dom, when they set her up in Belgrade.
For Ilya, Katarina was a friend.
When we get to Ilya, we have a complex situation. Ilya is who Katarina reach out to in her hour of need, but he also has a relationship to Fakerina. He does not seem to have any real loyalty to Fakerina. Katarina is "Katarina". He certainly knows Dom, but does not seem to like him too much, but when asked, he betrayed Fakerina. Ilya is a childhood friend of Red, and if that part of Rassvet is true, he is also a childhood friend of Katarina (which does not mean Red and Katarina knew one another as children, but does not preclude it either.)
Katarina. I thought you were dead. It was myself, Katarina, Dr. Koehler.
YOUG ILYA TO KATARINA: The world thinks you're dead. ILYA TO SKOVIC: I thoughttheywere dead.
A contrast to Red's suicide speech in Cape May. Red was despondent, Ilya was just working. It is interesting to note that not once has Ilya referred to Fakerina by name, to her, or to Red:
ILYA ABOUT FAKERINA: Our friend in Paris made a series of payments to him under the alias of Constance Drucker. ILYA ABOUT FAKERINA: I underestimated her
But unlike Dom, he cries as he remembers the Belgrade incident. His distress seems sincere. Yet he sacrificed Fakerina to comply with Dom's plan to save "his own". What is the relationship to Dom and to Katarina, that Ilya is compelled to do so, even as it causes him pain. And like Dom, there is one time he uses the full name, and it has a strong whiff of charade:
He leaked that his daughter, that you, were staying at the inn and that you carried sensitive intel. This might be the last chance to catch the infamous Russian traitor Katarina Rostova.
I may not have told you what you want, but I told you all you need. You'll never find Rostova... She's a figment of the collective imagination... Some people in this world are soul mates. Katarina Rostova and I shared one. Betraying her would be like betraying myself.
He almost always uses always the entire name, as he did during most of the trial:
You know what else is possible? That I was framed byKatarina Rostova Have you ever heard ofKatarina Rostova? ... She was a KGB officer. Would it surprise you to learn that she and I had quite a complicated history? Sex, drugs, rock 'n' roll. Did I say "sex"? Sex.
But not always:
How about thatKatarinahid the fact that she was a KGB agent, stole the coordinates for the submarine U.S.S. Gideon, and passed them on to her superiors?
To the people in his inner circle, Dom, Dembe and Ilya, he talks about her as "Katarina" which is normal:
RED TO DEMBE: Not when she mentioned Katarina. Now Elizabeth will stop at nothing. RED TO DOM: You forgave Katarina..... The last time you saw Katarina was in the rearview mirror. RED TO DOM: I was just imagining young Katarina covered in glitter. RED TO ILYA: They're actively looking for Katarina.
As with Kate:
We shared the affection of Katarina.... Katarina was a traitor to two countries, both global superpowers. God willing, Katarina's daughter will live a private life of quiet courage.
But when it comes to Liz, he uses two ways to refer to her, one normal ("your mother")
Your motherwas a Russian spy, and now they've made it look like you are, too. Whenyour motherwas pregnant with you, it was terribly inconvenient. The Cold War was ending. Her country was falling apart. Your mother, despite what he'd done, she wanted him back. Lizzy,your motheris dead. Just because he wasyour mother's husbanddoesn't make him your father. Your motherloved that photograph. Represented everything she wanted but couldn't have. Not after she betrayed the KGB. Your mothercan't hurt you. Your motherwas not as bad as I understand why you might think she was, but she wasn't. You remind me so much ofyour mother. I don't remember if I've ever told you that before, have I?
and another highly contrived ("Katarina Rostova").
I knew her asKatarina Rostova.One of her many names. She was a KGB agent. There was a time in my life when I was quite sure I knew exactly what happened toKatarina Rostova. Katarina Rostovawas the cleverest, most resourceful woman I have ever known. Katarina Rostovawas a name that had been lost to history. Katarina Rostovacommitted suicide in 1990. Even saying the nameKatarina Rostovahas consequences, and now you see. Now you see what that name will make others do.
He has never referred to Katarina, when talking to Liz as just "Katarina", always as "your mother" or "Katarina Rostova." And that spells that when it comes to Liz's maternal situation there is something hidden. Put it together with the charade and the coyness of the CIA around her, and is clear. The situation is not as simple as Liz's biological mother is Dom's daughter.