Pharmacists in Family Medicine 4.26.06

Содержание

Слайд 2

Introductions John E. Delzell, Jr, MD, MSPH Department of Family Medicine

Introductions

John E. Delzell, Jr, MD, MSPH
Department of Family Medicine
Kansas University School

of Medicine
L. Brian Cross, PharmD, CDE
Holston Medical Group
University of Tennessee College of Pharmacy
Michelle Hilaire, PharmD, CDE
Fort Collins Family Medicine Residency
University of Wyoming
Oralia Bazaldua, PharmD & John Tovar, PharmD
Department of Family & Community Medicine
University of Texas Health Sciences Center at San Antonio
Jeremy Thomas, PharmD & Andrea Franks, PharmD, BCPS
Saint Francis Family Medicine Residency
University of Tennessee College of Pharmacy
Слайд 3

Outline for this Lecture-Discussion Survey Background Description of the speakers’ residency

Outline for this Lecture-Discussion

Survey
Background
Description of the speakers’ residency programs
Curricular Elements
Audience Discussion
Financial

Issues
How are we funded?
Audience Discussion
Final thoughts
Слайд 4

Audience Survey

Audience Survey

Слайд 5

Audience Survey Question #1 Does your hospital utilize clinical pharmacists? Question

Audience Survey

Question #1
Does your hospital utilize clinical pharmacists?
Question #2
Does your department

or residency program utilize clinical pharmacists?
Question #3
Have you worked with a pharmacist in the inpatient setting?
Слайд 6

Audience Survey Question #4 Have you worked with a pharmacist in

Audience Survey

Question #4
Have you worked with a pharmacist in the outpatient

setting?
Question #5
Does your hospital pay for a clinical pharmacist?
Question #6
Does your department or program pay for a clinical pharmacist?
Слайд 7

Audience Survey Question #7 Can a PharmD see patients independently? Question

Audience Survey

Question #7
Can a PharmD see patients independently?
Question #8
Can a PharmD

bill independently for patient care?
Question #9
Does your residency program have a formal curriculum for pharmacy teaching?
Слайд 8

Audience Survey Question #10 Are PharmDs involved in teaching your residents

Audience Survey

Question #10
Are PharmDs involved in teaching your residents or students?
Bonus

Question
Are pharmacists taking over the WORLD?
Слайд 9

Background

Background

Слайд 10

Background Clinical pharmacist involvement in FP training programs first described in

Background

Clinical pharmacist involvement in FP training programs first described in 1980’s
Increasing

involvement as teachers since that time
Clinical pharmacists in FP residency programs:
Improve medication prescribing
Improve patient satisfaction
Improve patient outcomes

1. Geyman JP. J Fam Pract 1980;10:21-2; 2. Johnston TS, et al. J Fam Pract 1981;13:91-4.
3. Robinson JD, et al. Postgrad Med 1982;71(1):97-103; 4. Carter BL, et al. DICP 1984;18:817-21.
5. Helling DK, et al. Am J Hosp Pharm 1979;36:325-9; 6. Wilt DM, et al. Pharmacotherapy 1995;15(6):732-9.

Слайд 11

Clinical pharmacists in non-FP ambulatory settings have improved outcomes in: Anticoagulation

Clinical pharmacists in non-FP ambulatory settings have improved outcomes in:
Anticoagulation
Asthma
Diabetes
Heart Failure


Hypertension
These studies have helped to support the role of clinical pharmacists as both teachers & clinicians in FP residency programs

Carter BL, et al. Ann Pharmacother 2000;34:772-86.

Background

Слайд 12

Dickerson LM, et al. Fam Med 2002;34(9):653-7. Dickerson LM, et al. Fam Med 2002;34(9):653-7.

Dickerson LM, et al. Fam Med 2002;34(9):653-7.

Dickerson LM, et al. Fam

Med 2002;34(9):653-7.
Слайд 13

Roles of Clinical Pharmacists in FP Residency Programs in the US

Roles of Clinical Pharmacists in FP Residency Programs in the US

Survey

of FPRPs to evaluate involvement of clinical pharmacists
579 programs identified
155 (27%) had a clinical pharmacist on faculty
56% in community-based programs
44% in university-based programs

Dickerson LM, et al. Fam Med 2002;34(9):653-7.

Слайд 14

Current State of Clinical Pharmacists in FP Residency Programs in the

Current State of Clinical Pharmacists in FP Residency Programs in the

US

130 pharmacists responded to a web-based survey
Allocation of time/activities:

43% teaching
37% patient care
12% research
12% administration
<5% drug distribution

Слайд 15

Ables, AZ. Fam Med 2002;34(9):658-62. Ables, AZ. Fam Med 2002;34(9):658-62.

Ables, AZ. Fam Med 2002;34(9):658-62.

Ables, AZ. Fam Med 2002;34(9):658-62.

Слайд 16

Description of Precepting Activities by Clinical Pharmacist Types of Questions Asked

Description of Precepting Activities by Clinical Pharmacist Types of Questions Asked

Identification 3%
Pregnancy/Lactation

2%
Med Assistance Programs 2%
Monitoring Therapy 2%
Patient Education 1%
Physician Education 1%
Other 1%

Drug Therapy 46%
Drug Information 12%
Dosing 9%
Side Effects 8%
Drug Interactions 6%
Availability 4%
Cost 3%

Ables, AZ. Fam Med 2002;34(9):658-62.

Слайд 17

Description of Precepting Activities by Clinical Pharmacist Questions by Post-Graduate Year

Description of Precepting Activities by Clinical Pharmacist Questions by Post-Graduate Year

n

= 1,888

Ables, AZ. Fam Med 2002;34(9):658-62.

Слайд 18

Other Clinical Pharmacist Responsibilities Scholarly Activities Clinical Research Quality Improvement Projects

Other Clinical Pharmacist Responsibilities

Scholarly Activities
Clinical Research
Quality Improvement Projects
Publications
Administrative Activities
Resident recruitment
Residency committees
Library

maintenance
Pharmaceutical representative interactions
Didactic / evaluative program coordination
Слайд 19

Group-on Pharmacotherapy 2005 Curricular Recommendations for Pharmacotherapy education

Group-on Pharmacotherapy

2005 Curricular Recommendations for Pharmacotherapy education

Слайд 20

Our Residency Programs University of Kansas Family Medicine John E. Delzell,

Our Residency Programs

University of Kansas Family Medicine
John E. Delzell, Jr, MD,

MSPH
University-based department and residency program
KU College of Pharmacy-located in Lawrence
PharmDs work with residents in hospital Family Medicine (& other) service
No formal curriculum
PharmD salary paid by COP and hospital
Слайд 21

Our Residency Programs Fort Collins Family Medicine Residency Michelle Hilaire, PharmD,

Our Residency Programs

Fort Collins Family Medicine Residency
Michelle Hilaire, PharmD, CDE
Community-based residency

program
University of Wyoming COP located in Laramie
PharmD works with residents in FPC and another PharmD who works with residents in the hospital
Incorporated into existing residency curriculum
PharmD salary paid by University of Wyoming COP
Слайд 22

Our Residency Programs University of Texas Health Sciences Center at San

Our Residency Programs

University of Texas Health Sciences Center at San Antonio
Oralia

Bazaldua, PharmD & John M. Tovar, PharmD
University-based department and residency
University of TX COP located in Austin
PharmDs work with residents in FPC & hospital
There is a formal curriculum
PharmD salaries paid by Hospital, FM Department & COP
Слайд 23

Our Residency Programs UT / Saint Francis Family Medicine Residency Program

Our Residency Programs

UT / Saint Francis Family Medicine Residency Program
Jeremy Thomas,

PharmD &, Andrea Franks PharmD
Community-based, University run residency program
University of Tennessee COP located in Memphis
PharmDs work with residents in FPC and hospital
There is a formal rotation
PharmDs salaries paid by COP
Слайд 24

Round Table Discussion Curricular Elements Pharmacotherapy rotation Required or elective Didactics

Round Table Discussion

Curricular Elements
Pharmacotherapy rotation
Required or elective
Didactics / conferences
Precepting in

Family Practice Center
Journal Club
Morning report
Consultations
Shadowing
Other educational opportunities
Слайд 25

Round Table Discussion What are the funding models that are out

Round Table Discussion

What are the funding models that are out there?
Hospital

funding
Department funding
College of Pharmacy funding
Joint arrangement
LIMITED clinical revenue generated
Слайд 26

Round Table Discussion Actual Pay Varies by institution Varies by experience

Round Table Discussion

Actual Pay
Varies by institution
Varies by experience of the pharmacist
Varies

by training (residency or fellowship training, advanced certification, etc)
Слайд 27

Audience Discussion

Audience Discussion

- Предыдущая
Внутренняя политика в 1894 - 1904 годах
Следующая -
Моделирование системы автоматического регулирования давления в рабочем пространстве методической печи

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