Pharmacyforward

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Sinopse

A podcast about advancing pharmacy practice by transforming knowledge into action.

Episódios

  • Professional Identity Formation (Part 1)

    17/08/2021 Duração: 24min

    Special Host Kristin Janke, PhD - Senior Associate to the Dean and Professor, University of Minnesota College of Pharmacy - and Special Guests Jessica L. Johnson, PharmD, BCPS - Associate Professor, William Carey School of Pharmacy - and Karen Kopacek, BPharm, MS - Associate Dean and Associate Professor, University of Wisconsin School of Pharmacy - talk with us about professional identity formation, how our identities are formed, and why they are important. Key Lessons Our identities shape our sense of self ... which influence our values, beliefs, and actions All of us have multiple identities ... including a professional identity Professionalism and professional identity are related but distinct concepts Students and residents may feel uncomfortable or experience identity conflicts as they form their professional identity — assimilating the values and norms of the profession Our professional identities are developed through interactions with colleagues and mentors A strong professional identity can he

  • Getting Started with Collaborative Practice Agreements

    13/07/2021 Duração: 24min

    Charmaine Rochester-Eyeguokan, PharmD, BCACP, CDCES - University of Maryland School of Pharmacy - and Jeffrey Tingen, PharmD, MBA, BCPS, BCACP, CDCES - VCU Health, Department of Family Medicine & Population Health - talk to use about the ins and outs of collaborative practice agreements. Key Lessons Collaborative practice is governed by state law and regulations; it is important to be familiar with the specific rules for constructing collaborative practice agreements (CPA) in your state. Many states require pharmacists to have specific training and experience in order to enter into a CPA - but some states have relatively few requirements or none at all. CPAs are useful tools to enable greater efficiency by granting the pharmacist greater autonomy to carry out certain patient care functions; however, a CPA is not required to perform many functions that are ordinarily a part of a pharmacist's scope of practice. It's important to have a significant level of rapport and trust with your providers crafting

  • Accepted! Writing, Submitting, and Publishing Manuscripts in Journals

    08/06/2021 Duração: 29min

    Alan J. Zillich, PharmD — William S. Bucke Professor and Head of the Department of Pharmacy Practice, Purdue University College of Pharmacy — talks with us about getting your work published; from identifying great ideas, collaborating, writing, and revising your manuscript. Key Lessons: From review articles to meta-analyses, from case reports to observational studies and controlled trials, getting your work published is immensely gratifying.  But it requires many months (and sometimes years) of effort. Working with a mentor who has experience producing scholarly work and getting published is a great first step. Good research questions arise from practice.  When there are gaps in our knowledge, that's where a scholarly project that's potentially publishable often emerges. Working with an authoring team - bringing together people with different skills - can really improve the quality and rigor of your scholarly work. Use explicit criteria to determine who qualifies as an author on a paper.  Be sure to ack

  • Finding a Meaningful Side Gig

    11/05/2021 Duração: 16min

    Jessica Louie, PharmD, BCCCP — president of Clarify Simplify Align, the host of the Burnout Doctor podcast, and Associate Professor of Pharmacy Practice at West Coast University — talks to us about developing a meaningful side gig to reinvigorate your passions. Key Lessons: Every career has ups and downs ... and health care professionals are prone to burnout.  Burnout is a syndrome of emotional & physical exhaustion, cynicism about work, and a lack of a sense of personal accomplishment. Overcoming burnout takes time to address -  examining your emotional, physical, and spiritual needs. Learning how to "own" your time and being intentional with your energy is critically important. Starting a small business can be very gratifying so long as the activity aligns with your core values and passions. The ten pillars of life can enhance one's sense of wellbeing.  A meaningful side gig can enhance the sense of wellbeing by address several of the life pillars. Surround yourself with like-minded people who ar

  • Working Remotely - Making Remote Work, Work

    13/04/2021 Duração: 17min

    Christie Nemoto, PharmD, BCACP - Clinical Pharmacy Specialist in The Queen's Health Systems - Queen's Clinically Integrated Physician Network (QCIPN) - talks to us about providing care to patients at a distance and creating an effective work environment at home. Key Lessons: Health professionals had to learn new skills in order to deliver care to patients and interact with colleagues at a distance over the past year.  Remote work became the new norm during the COVID-19 pandemic. Clinical care models in Hawaii have evolved over the years to support patients at a distance.  Hawaii is an archipelago of islands and access to health care services is enabled by a variety of technologies. Pharmacists play a critical role on the healthcare team, even more so in the digital age. Remote communications with patients are challenging - particularly written patient education sheets and post-visit summaries. Clinicians need to rely on verbal clues (rather than visual clues) to ensure patient understanding. When worki

  • Pharmacists and Point-of-Care Testing

    16/03/2021 Duração: 23min

    Donald Klepser, Ph.D., MBA - Professor and Associate Dean for Academic Affairs at the University of Nebraska Medical Center College of Pharmacy - and Michael Klepser, Pharm.D. - Professor of Pharmacy Practice at Ferris State University College of Pharmacy - talk to us about the role of point-of-care testing in disease state management and to achieve public health goals. Key Lessons: Point-of-care tests (POCT) can be performed in non-laboratory settings, such as the patient's home or in a community pharmacy, and provide clinical data to make treatment decisions. The sooner test results can be made available, the sooner treatment can be initiated.  This is particularly important for many infectious diseases because the outcome is closely tied to how rapidly the treatment is started. When deployed in community-based pharmacies and clinics, POCTs help increase access to care, particularly in rural and underserved areas. POCT can be used to test for influenza, SARS-CoV-2 (aka COVID-19), Streptococcal pharyngi

  • Pharmacists and Population Health

    18/02/2021 Duração: 20min

    Amanda Schartel, PharmD, BCACP - Clinical Pharmacy Specialist with ChristianaCare CareVio - talks with us about the roles and responsibilities of a population health pharmacist. Key Lessons: Population health involves holistically evaluating the health needs of a population and bringing together the resources and expertise needed to address those needs. Population health teams often include practitioners that many patients in primary care settings don't ordinarily have access including social workers, respiratory therapists, and clinical pharmacists. Sophisticated data analytics and remote monitoring tools help population health practitioners proactively identify patients who may need additional services or whose health status may be changing. Patient encounters are often conducting using videoconferencing technology and text-messaging can quickly capture patient experience data.  The role and responsibilities of the population health pharmacist often extend beyond what an ambulatory care pharmacist mig

  • Pharmacists and Public Health

    27/01/2021 Duração: 23min

    Rear Admiral (RADM) Pamela Schweitzer - retired Chief Professional Officer of Pharmacy for the United States Public Health Service (USPHS) - talks to us about the roles and responsibilities of pharmacists during a public health crisis.  Dr. Schweitzer was responsible for providing leadership and coordination of USPHS pharmacy programs for the Office of the Surgeon General and the Department of Health & Human Services from 2014-2018. Key Lessons: Pharmacists play a critical role in the USPHS because they have a unique skill set. A pandemic, like COVID-19, requires a coordinated effort between the public and private sectors to address mass vaccination efforts as well as shortages of medications, testing, and personal protective equipment using an incident command structure. USPHS pharmacists are deployed to the hardest-hit zones to provide medical and scientific assistance.  With the COVID-19 pandemic, USPHS officers have been helping set-up community testing and mass-vaccination sites as well as provid

  • Social Media to Make Professional Connections (II)

    08/07/2020 Duração: 23min

    Ashley Barlow, PharmD (MD Anderson Cancer Center) & Brooke Barlow, PharmD (University of Kentucky Chandler Medical Center) - @theABofPharmaC and PGY2 Pharmacy Practice Residents - talk to us about developing their professional brand using Twitter and why creating an online presence can help you achieve your career goals. Key Lessons: Social media, especially Twitter, has become an increasingly important forum for connecting with professional colleagues and engaging in dialog about cutting edge issues that impact patient care and pharmacy practice. To get started, read this brief article by Robert Pugliese entitled How Twitter Has Made Me a Better Pharmacist. Consider maintaining separate professional and personal social media accounts. Instagram, Facebook, LinkedIn, and Twitter are the most commonly used social media platforms for professional networking purposes. Everyone should purposefully develop their professional brand online.  Your digital footprint ultimately reflects your reputation. Your

  • Social Media to Make Professional Connections (I)

    03/06/2020 Duração: 21min

    Dave L. Dixon, PharmD, BCACP, BCPS, CDE, CLS  - Virginia Commonwealth University School of Pharmacy and - Brent N. Reed, PharmD, BCPS, BCCP  - University of Maryland School of Pharmacy - talk with us about using social media for professional development and staying current with the latest evidence to support your practice. Key Lessons: Social media includes a wide range of online applications intended to interact with other users in a public setting. Social media, especially Twitter, has become an increasingly important forum for connecting with professional colleagues and engaging in dialog about cutting edge issues that impact patient care and pharmacy practice. Social media use should be done in a systematic, thoughtful way - you need to decide what your goals are, who to follow, and how frequently to check your social media feeds. Being a passive recipient of social media posts (aka being a "lurker") is a great way to get started but eventually, you may wish to share and comment on content you find v

  • Expanding the Frontiers of Pharmacy Practice (III)

    05/05/2020 Duração: 23min

    Casey Tak, PhD, MPH - University of North Carolina Eschelman School of Pharmacy and - Karen Gunning, PharmD, BCPS, BCACP - University of Utah College of Pharmacy - talk with us about hormonal contraception and how pharmacists in community and ambulatory care settings can increase women's access to care. Key Lessons: A variety of contraceptive methods have been available through pharmacies for decades but many states now permit pharmacists to directly "provide" hormonal contraception without a prescription. A state-wide standing order is the most common mechanism for authorizing pharmacists to provide hormonal contraception directly to patients, but state laws and regulations vary. The CDC Guidance for Healthcare Providers - US Medical Eligibility Criteria do not require a woman to have a pelvic exam prior to receiving hormonal contraception. The pharmacist needs to ask about and document the patient's medical and medication history, take the patient's blood pressure, and inquire about contraceptive prefer

  • Expanding the Frontiers of Pharmacy Practice (II)

    16/04/2020 Duração: 22min

    Kristin Wiisanen, PharmD - Clinical Professor and Director of the Graduate Program in Precision Medicine at the University of Florida College of Pharmacy - talks with us about using genomics to guide therapeutic decisions. Key Lessons: Precision medicine and personalized medicine are synonymous terms. Pharmacogenomics is a tool to personalize treatment decisions.  However, it is not the only tool.  Other readily available and routinely collected clinical information has been used to personalize therapy for decades (e.g. blood type, serum creatinine, CV risk score). While creating a separate pharmacogenomic service can help ease practitioners into using pharmacogenomic tests, learning how to integrate genetic information as a routine part of clinical decision-making is the ultimate goal. Pharmacists have a unique role (and responsibility) to know when and how to use the results of pharmacogenomic tests. Teaching students, residents, and fellows to use pharmacogenomic information should be done in an inte

  • Expanding the Frontiers of Pharmacy Practice (I)

    20/03/2020 Duração: 14min

    Lucas Berenbrok, PharmD, BCACP, TTS - Assistant Professor of Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy - talks with us about hearing loss and the important role pharmacists can play as OTC hearing aids become available in 2020. Key Lessons: Most older adults have some degree of hearing loss and it can significantly impact the quality of life There are many causes of hearing loss including medications, infections, cerumen, and aging A screening exam for hearing impairment is part of the Welcome to Medicare Exam, but hearing aids are not covered by Medicare. OTC hearing aids are predicted to be a far more affordable option for patients with mild-to-moderate hearing loss. Pharmacists have an important role in assessing patients and referring them to an audiologist for hearing exams. Pharmacists can assist patients select an appropriate OTC hearing aid To find an audiologist: American Academy of Audiology

  • Gender Identity & Transgender Care (III)

    18/02/2020 Duração: 25min

    Cheyenne C. Newsome, PharmD, BCACP and Jessica Conklin, PharmD, BCACP, CDE, AAHIV — passionate advocates for the role of pharmacists in the care of transgender persons — talk with us about the need for patient and provider education and about the benefits and risks of gender-affirming treatment. Key Lessons: Gender-affirming therapy is highly effective, improving the quality of life in more than 80% of patients. Hormonal therapy is the cornerstone of gender-affirming therapy.  Testosterone is used for masculinization by trans-men.  It is traditionally given by intramuscular injection but subcutaneous injections are easier to administered and may have a smoother effect (e.g. lower peak effect).  Side effects from testosterone are common including body and facial hair growth (you don't get to pick!), deepened voice (irreversible), clitoral enlargement, acne, menstrual irregularities, and weight gain from increased appetite. Estradiol (preferred estrogen) is used for feminization by trans-women. In additio

  • Gender Identity & Transgender Care (II)

    21/01/2020 Duração: 19min

    Abby Frye, PharmD, BCACP, Dawn Fuke, PharmD, BCPS, and Justin Bachman, PharmD, BCACP — Clinical Pharmacist Specialists in Primary Care from the Providence Medical Group in Portland, Oregon — talk with us about creating gender-affirming care environments. Key Lessons: Current estimates suggest that about 1 million adults in Adults in the United States don't identify with the gender assigned to them at birth  - but this is likely an underestimate. Transgender and gender non-conforming individuals face enormous and persistent stigma within our (and many other) cultures. Social stigma is associated with higher rates of anxiety, depression, and substance use disorders. Health professionals have a responsibility to take pro-active steps to counteract the discrimination that patients from vulnerable and marginalized populations face. Self-awareness and self-examination about communication practices are critical - this includes the information collected on patient intake forms and electronic health records as w

  • Gender Identity & Transgender Care (I)

    18/12/2019 Duração: 20min

    Nicole Avant, PharmD, BCACP - Assistant Professor at the University of Cincinnati and Founder/CEO of Avant Consulting Group - and Tennille McKinney - HIV Educator and Consultant with Avant Consulting Group - talk with us about gender expression/identity, cis-privilege, and transphobia. Key Lessons: Sex and gender are not synonymous.  Sex is based on biology and gender is a social construct. Sex is determined by genes and assigned at birth. Gender is influenced by cultural norms and internal sense of self. Transgender persons identify with a gender that is different from the sex that was assigned at birth.  Cis-gender persons identify with the gender that is congruent with the sex assigned at birth. Some transgender persons, but certainly not all, seek medical and/or surgical gender-affirming treatments to express their gender identity. Cis-privilege includes the rights and advantages that cis-gender persons enjoy.  This includes respect for one's gender identity and freedom from harassing comments or in

  • Social Determinants of Health and Healthcare Delivery (II)

    22/10/2019 Duração: 20min

    Lea Eiland, PharmD, BCPS, BCPPS - Clinical Professor and Associate Department Head, Department of Pharmacy Practice, Auburn University Harrison School of Pharmacy — talks to us about the impact of generational differences ... and why these differences influences our patients' communication perferences, beliefs, and expectations. Key Lessons: Our patients and workforce are more diverse than ever - including their generational experiences that influence their expectations related to work, healthcare delivery, and communication. Generational differences are generalizations - so not all people within a generation fit the stereotype and we need to be careful to not make assumptions. The generations currrently in the workforce and healthcare delivery systems are Traditionalist, Baby Boomers, Gen-X, Millennials, and Gen-Z/iGeneration. Comfort levels with digital technology and communication formats vary by generation.  Older generations tend to prefer face-to-face and long-form written communications ... while

  • Social Determinants of Health and Healthcare Delivery (I)

    24/09/2019 Duração: 22min

    Magaly Rodriguez de Bittner, PharmD, BCPS, CDE - Professor and Associate Dean for Clinical Services and Practice Transformation, University of Maryland School of Pharmacy - talks to us about the impact of culture on behaviors and health outcomes ... and why healthcare practitioners need to develop cultural awareness and move toward cultural proficiency to achieve optimal outcomes for the patients they serve. Key Lessons: Culture is the characteristics, knowledge, and beliefs of a group of people including their shared language, religious/spiritual beliefs, habits, and values.   Culture impact beliefs about diseases, medications, and healthcare. Many patients are reluctant to tell healthcare providers about their culturally-related health behaviors for fear of being judged or may believe such information is irrelevant. Behaviors and beliefs, regardless of source, can impact health outcomes and can augment, detract, or have no impact on the recommended treatment plan. Openly discussing beliefs and behavior

  • Marijuana Use - Medical, Health, and Legal Issues (III)

    15/08/2019 Duração: 17min

    William J Stilling, BS Pharm, JD - Founding Partner, Stilling & Harrison, PLLC and Clinical Associate Professor, Department of Pharmacy Practice at the University of Utah College of Pharmacy - talks to us about some of the legal issues related to the medical and recreational use of marijuana. Key Lessons: Marijuana (in its raw form) is a schedule I substance under Federal Law.  However, the US Congress has prohited the Department of Justice from using its funds to enforce Federal law superceding State laws related to marijuana. Medical marijuana is typically legal to use under State laws only in specific "use cases" or "qualifying conditions."  Physicians and other prescribers can't legally prescribe marijuana because it would violate their DEA issued license but may "recommend" or "authorize" the use of marijuana. Healthcare instutitions need to consider the use of marijuana for therapeutic purposes by their patients and develop clear policies and procedures on how marijuana use will be accommodated

  • Marijuana Use - Medical, Health, and Legal Issues (II)

    18/07/2019 Duração: 25min

    Laura Borgelt, Pharm.D., BCPS - Professor, Departments of Pharmacy Practice and Family Medicine at the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences - talks to us about the recreational use of marijuana and its potential health consequences. Key Lessons: Cannabis (marijuana) use has increased substantially in the past decade.  Young adults are the most likely to report using marijuana in the past year or month but use among older adults (age > 65 years) is growing as well. Its important to ask patients in a non-judgmental, open-ended manner about their cannabis use including the intended purpose(s), frequency of use, and forms used. Numerous cannabis products are available. Inhaling (smoking or vaping) remains the most common method for use.  Edible products are available in a wide variety of food-like delivery systems (e.g. baked goods, candies).  Topical products are more commonly used for medical purposes. The THC concentrations found in cannabis products today are much

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