Pharmacy education: An update from APhA

February 6th, 2010

Luckily, our Board of Trustees met at APhA headquarters in Washington the last weekend of January, not this snow-stricken first one of February. Among the progress made by our Trustees was a review of the current status of pharmacy education.

During our meeting, we were briefed by representatives from the Accreditation Council for Pharmacy Education (ACPE) on the state of the rapidly changing world of education. New schools, rising standards, IPPEs (introductory pharmacy practice experiences) and simulation, and the enhanced continuing professional education credit criterion were all topics of discussion. We also reviewed the evolving concept of Continuing Professional Development, or CPD. You’ll be hearing more about all of these topics in coming months and years.

We are fortunate to have ACPE working to ensure that our country’s pharmacists and future pharmacists maintain the highest educational standards. ACPE is an incredible organizations run by dedicated individuals. Sometimes their rules may seem inflexible or illogical. When that occurs, constructive public debate follows and the process gets better. Ultimately, our patients benefit. Here’s a tip of the hat to a group of dedicated folks at ACPE.

Our staff members at APhA are also working hard to assimilate new rules, criteria, and standards to ensure that we maintain the excellent pharmacists our educational efforts are expected to produce, as measured by the new standards of education and outcomes measurement. Come see what I mean at APhA2010, coming up in Washington from March 12 to 15. And don’t worry–the snow will be gone by then!

In a few days, I’ll be presenting at the American Association of Colleges of Pharmacy (AACP) Interim Meeting 2010. Those attending this meeting are the folks most intently focused on ongoing improvement in our education of pharmacists. It will be a privilege to visit with them and to learn about their innovations intended to better our profession and patient care. This group is especially creative, so I expect to receive information I can use on Capitol Hill to make our case for pharmacists’ services.

We have a winner: JMOB

February 4th, 2010

A few weeks ago I put the challenge out for pharmacists to describe what you do as if you were trying to be clear to an eighth grader. We got a number of great responses, including this one that our staff committee of pharmacists and nonpharmacists picked as their favorite:

“Pharmacists help people get well, stay healthy, feel better, and save money. We help people safely use vaccines that prevent infections, medicines that cure diseases or prevent them from getting worse, and vitamins, supplements, or special foods to improve health and wellness. But most importantly, we’re near your home, easy to talk to, good at answering questions, and care about you and your family.”

The winner, JMOB, will receive a copy of The Practitioner’s Quick Reference to Nonprescription Drugs, by Cindy Knapp Dlugosz.

The Practitioner’s Quick Reference to Nonprescription Drugs contains information from the American Pharmacists Association’s comprehensive Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care, 16th edition. The information has been edited and formatted to include only the content that practitioners are most likely to need during self-care consultations with patients. The book covers 25 common self-treatable conditions including acne, common cold, cough, fever, and headache. The Practitioner’s Quick Reference to Nonprescription Drugs is a must-have resource for busy health practitioners!

Thanks to everyone who submitted their job descriptions!

Jimmy Mitchell, APhA’s Honorary President and servant leader

February 3rd, 2010
Jimmy Mitchell Addresses the APhA Board
Jimmy Mitchell Addresses the APhA Board

One of the very great things about this job is that I get to interact with really wonderful people.

This weekend our Board of Trustees had the privilege to spend time with our Honorary President, Jimmy Mitchell, Director of the Health Resources Services Administration Office of Pharmacy Affairs. In his well-known Mississippi accent, he briefed us on his vision and lifetime of service to the medically underserved.

What was remarkable about the presentation was the obvious affinity and devotion he brings to his work, which in simple terms is to ensure that the medically underserved get the best possible pharmacy services available in America. At one point in his presentation the Board and staff gave him a standing ovation in recognition of his lifetime of leadership. We all have a lot to learn from him, and we will continue to draw from his wisdom long after he completes his term as our Honorary President.

Thanks to Pharmacist Mitchell’s work, thousands of pharmacies now have relationships with community health centers to meet the needs of this population. We’re grateful to him for that.

French-speaking pharmacists for Haiti: APhA responds

February 2nd, 2010

The US Department of State’s Emergency Plan for AIDS recently contacted APhA about its need for French-speaking pharmacists in Haiti. Help was needed in managing French-labeled antiretroviral medications in Port-au-Prince.

A facility where medications were stored withstood the January 12 earthquake. It has been repurposed to serve as a medication-distribution point for earthquake-relief efforts. The medications are being distributed through the existing structure for serving AIDS clinics.

The public is flocking to those clinics for help since they know medical care is available there. Staff members in the clinics are working to arrange food and shelter for volunteers, possibly in tent cities with other medical personnel.

What is amazing is that thanks to earlier pleas, we were able to pull from our database of hundreds of pharmacists who volunteered a list of 19 French- and Creole-speaking pharmacists ready to go to Haiti for stints of 2 weeks or longer. For updates on pharmacists’ involvement in Haiti, see the homepage of www.pharmacist.com.

Thanks for stepping up. Your profession is proud of you!

“Don’t walk away from reform!”

January 28th, 2010

Those words, spoken by President Barack Obama during his State of the Union address on January 27, were intended to spur Congress to continue its deliberations until health care reform is achieved. How Congress will respond will be the topic of speculation, conjecture, and debate for weeks. I have concerns about how we’ll pay for reform, but even more serious concerns about what will happen if we don’t.

My personal views on the “whether or not” are unimportant. What is important to you as a pharmacist in America is that we are working for you to ensure you have the opportunity to practice what you’ve been trained to do and to provide the services you’ve asked us to promote for you.

APhA will continue to pursue with Congress, CMS, AHRQ, FDA, and managed care organizations the principles we’ve so often articulated: consumer access to quality pharmacist-provided medication therapy management (MTM) services. We will continue that fight because it is the mission we set about achieving 20 years ago and the mission that the Joint Commission of Pharmacy Practitioners (made up of all pharmacist-member national associations) articulated for 2015.

I’m willing to accept criticism that APhA is too focused on this mission! And believe me we do receive criticism. We get it from folks who feel stuck in jobs that don’t allow them lunch breaks, let alone the time to conduct MTM. And we get it from pharmacists who don’t think immunization is the purview of pharmacists. We sometimes hear that our pursuits aren’t realistic to young practitioners who enter a practice that isn’t yet progressive enough to allow them to practice as they were trained. The criticism is healthy. If someone is feeling beaten up by the “system,” no one can say they are wrong.

Yet, what really energizes me are the conversations I have with practicing pharmacists who have incorporated MTM in their daily practice through use of technology that allows their review and entries into electronic medical record systems. I get energized when I talk with large pharmacist employers who have awakened to the power of their pharmacist workforce. These leaders are conducting training, providing additional certifications or education, and promoting services to employers and others.

If you are a pharmacist who hasn’t yet talked with someone in an empowered practice, there’s an opportunity to do so just around the corner. Please join us in Washington, DC, March 12–15 for APhA2010, the must-attend pharmacy conference of the year. If you are open to new ideas and want to get turned on by the possible, I promise you won’t be disappointed.

You have a choice: Grumble about how bad things are, or join us in creating a brighter future.  We need your support. Don’t walk away from reform!

Pharmacists respond to disaster in Haiti

January 20th, 2010

Our team has had numerous discussions with the UN and other agencies involved in Haitian relief efforts. In an unbelievable response to our call for volunteers over the weekend, the Global Action Foundation received 2000 emails and about 600 calls from APhA members. To say the least, the group’s staff members are thrilled but overwhelmed, especially given the chaos and uncertainty on the ground in Haiti and to some degree the Dominican Republic they are also dealing with.

To those pharmacists who volunteered, please know that the Global Action Foundation is working to compile a list of available pharmacists and make decisions on how to proceed. Because of the chaos, priority is being given to volunteers with disaster response experience. But this will be a long-term effort, so the information on all volunteers will be valuable for months to come.

At APhA, we will receive appropriate information so that we can assist the Foundation. We are also exploring ways we can share permissable information with other agencies or organizations that are looking for pharmacists to volunteer for medical missions in the future.

APhA will place a message in Monday’s Focus e-mail newsletter updating everyone on this situation and thanking those who volunteered.

Thanks to those who expressed interest. Stay tuned, and bless you!

What do you do—Your answer could win a very nice gift

January 14th, 2010

So far, we have two comments on my earlier blog post that challenged readers to describe what you do in terms an eighth grader could understand. We’ll be taking your descriptions through the weekend, and then will award a copy of The Practitioner’s Quick Reference to Nonprescription Drugs to the best one.

In case you are unfamiliar with the “prize,” The Practitioner’s Quick Reference to Nonprescription Drugs contains information from the current edition of APhA’s more comprehensive Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care. Information in the quick reference has been edited and formatted to include only the content that practitioners are most likely to need during self-care consultations with patients. The book covers 25 common self-treatable conditions including acne, common cold, cough, fever, and headache.

Take a shot! We look forward to reading your descriptions.

Crisis in Haiti: Let’s step up!

January 14th, 2010

As I write this, we continue to hear more and more stories of the utter despair felt by the people of Haiti in the aftermath of the horrible earthquake they suffered. We all express our sympathy.

But in additon to our prayers, let’s also provide tangible support. Posted on www.pharmacist.com is a link to the American Red Cross. If you would like to help the Red Cross in their relief efforts, donate online, or text HAITI to 90999 to donate $10 to the Red Cross.

We will continue to monitor the situation and look for additional opportunities to help.

International Response   Fund

What do you do? Answer by Jan. 15!

December 30th, 2009

What do you do? This question was posed to me by my nephson’s 14-year-old friends—Cal Conner, Nick Zinni, and Roman Mykyta—as I drove them home from a get-together with Alex at our house.

It seems like a simple question. But after I shared a little bit about my work at APhA, it got me thinking. How would the people who read this blog answer that question simply and accurately enough that an eighth grader would understand?

It’s not good enough to say “I’m a pharmacist.” You could get away with it, but would it really answer the question? Or would it perpetuate the questioning kid’s own own inaccurate impression of what pharmacists do? Remember, that kid will be voting in 4 years!

APhA uses the tagline, “Improving medication use, advancing patient care.”  Whether in education, advocacy, or information provision, to a large degree, that phrase nails what my work at APhA entails. But 14-year-olds need a little more and need it simple if they are really going to get it.

So, as we start the new year, I”m issuing a challenge to all of you. In 300 words or less (about the number of words in this blog), describe what you do as a practicing pharmacist in language simple enough for an eighth grader. The only rule is that you, the pharmacist, must be describing a pharmacist’s role with direct patient care. You can simply write your description as a reply to this blog. I’ll come up with a suitable prize in the next week or so, and I’ll ask APhA’s staff personnel committee, made up largely of “nonpharmacists,” to be the judges together with my new focus group of middle school kids. Your deadline is January 15.

Happy New Year!

Personalized medicine: What does it mean to you?

December 29th, 2009

For many, “personalized medicine” is the product of compounding a specific medication into a dosage form and strength that meets a specific patient’s needs. For a growing number of folks, however, the term is being applied to the application of pharmacogenomics knowledge to drug therapy. With a genetic profile, we can predict a growing number of predispositions to diseases as well as predictable responses to certain medications.

In my December editorial in Pharmacy Today, I reflected on how understanding and management of drug interactions became the purview of pharmacists in the early 1970s. As we enter a new decade, it is clear to me that pharmacists have an opportunity to “own” responsiblity for integrating patient care and knowledge with this growing body of information about the genetics of drug response and predisposition to disease.

Can you see yourself in this role? What do you need to get there? I’d love to hear from you—share your impressions of the pharmacist’s role in genomics and personalized medicine by replying to this posting.