Pharmacy News

Entries for December 2016

That Student or Resident is Really a Present: Incorporating Students and Residents into your Practice

By Dean Van Loo, Pharm.D., associate professor, Ferris State University

 

Finally you have a moment to sit down and prepare for the upcoming week. Reviewing your email, you receive a note from a resident asking you what they should prepare as they begin rotations with you next week. There is a chance you have been planning on the resident, or perhaps you completely forgot and have to scramble. In any case, do not view that resident as another responsibility, when in reality, they are a gift. Although students and residents come into your practice with variable degrees of ability, they can all provide a benefit to you. Here are a couple things to keep in mind for preceptorship.


First, be positive. If you are enthusiastic and excited about the activities you perform in service of your patients, your residents will be too. From there you can then identify those tasks for residents that will provide development of skills and enhance the services provided in your practice.

Interacting with patients is a very important skill. Students are generally eager to talk to patients and the patients seem to open up more readily to students. Whether it is discharge, counseling, medication reconciliation or a comprehensive medication history, students can expand your reach to patients and improve their satisfaction.

 

The core focus of most clinical rotations is the patient “work-up” and pharmaceutical care plan. Although I feel pretty comfortable in my ability to work-up patients, I am always surprised by how many additional items of note the residents identify. Of course, not all suggestions are valid changes to be made, but those then become a teaching opportunity for why that approach may not be the best option. There is a reason the multidisciplinary approach has proven effective: having multiple eyes on the same problem ensures that things are not missed. I appreciate the different perspective a resident may give and that they challenge assumptions I do not really think about anymore.


Finally, and perhaps most importantly, students and residents force us to explain why we do what we do. Many of the physicians and other disciplines accept our recommendations without question because they have learned to trust us. Students are there to learn, so they will often challenge us without even trying because they just want to understand what and why we do what we do. I rarely have a rotation with students or residents where I don’t have to change a long held (and routinely taught) belief. They force me to justify what I have just said, and I then go through the humbling process of having to change what I say in teaching that particular topic (often relaying the story of how I was wrong). Even though these are some of the toughest situations, I always thank them for keeping me from continuing to make the same mistake while teaching. Even though this is difficult, I find it actually strengthens the relationship between me and the student when you are willing to admit mistakes.


I hope you will find the joy in having students and residents participate with you as you take care of patients. When you treat them with respect as colleagues and encourage them, they can provide the synergy that will supercharge your service.

 

Posted in: Member News
Southeastern Michigan Society of Health-System Pharmacists Update

By Lynette Moser, Pharm.D., SMSHP president-elect, clinical associate professor, Wayne State University, southeastern regional representative

The Southeastern Michigan Society of Health-System Pharmacists (SMSHP) has had a productive autumn. September 2016 was our first regular meeting after the summer break which highlighted the inaugural “Exemplary Resident Lecture Award.” In order to recognize the excellent work of the residents in Southeast Michigan, we have initiated this award to highlight a continuing education (CE) lecture provided by a recently graduated resident. Each residency program is invited to nominate a CE presentation for this honor. This year, the Exemplary Lecture was presented by Julie Francisco, Pharm.D., who completed her residency at William Beaumont Hospital in Royal Oak. Her topic was “Opioid Induced Constipation.” We are looking forward to continuing this practice and recognizing our area residents for their hard work.

The Annual Residency Showcase was part of our October 2016 meeting. We were pleased to host residents from all over Michigan and even a few from other states. Students from the University of Michigan and Wayne State University had the opportunity to interact with residency preceptors and residents as they learned about opportunities to advance their training. A CE program was also provided by Mary Burkhardt, M.S., R.Ph., FASHP, FSMSO titled, “It’s only Human … Factors that is (Medication Safety).” The presentation reminded us to evaluate processes and acknowledge the impact of human factors related to medication safety. Mary provided examples from engineering disciplines to human factors that impact safety in a variety of environments.

Our November 2016 meeting was the final meeting before the New Year. This was our annual Award Banquet. We treasure the opportunity to recognize the contributions of our local pharmacists and pharmacy technicians to the profession and the care of individual patients. For the 2016 year, we honored:

Exemplary Student Scholarships ($500)
Maxwell Norris (University of Michigan)
Rachael Fuller (Wayne State University/Beaumont LAPP)

Student Research Award
Kaylin Braekevelt (Wayne State University/SJHMC LAPP)

Technician of the Year
Chadi Abbas, C.Ph.T (University of Michigan Health System)

Resident of the Year
Insaf Mohammad, Pharm.D. (Harper University Hospital)

Preceptor of the Year
Stephanie Edwin, Pharm.D. (St. John Hospital and Medical Center)

Pharmacist of the Year
Jona Lekura, Pharm.D. (Henry Ford Hospital)

Innovative Practice Award
Henry Ford Hospital Department of Pharmacy
Emily Blum, Pharm.D. and Amber Lanae Smith, Pharm.D.

Community Service Award
Sara Brown, Pharm.D. (St. John Hospital and Medical Center)

Committee Service Award
Denise Propes, C.Ph.T (Pharmacy Technician Committee)

Additionally, new officers and Board members were sworn in to begin their service in January of 2017: Gladys Dabaja as president-elect, Stephanie Edwin as secretary and Carrie Nemerovski and Joanne MacDonald as Board members. We appreciate the service that was provided by all elected board members as well as committee chairs and members. As an organization that is 100 percent supported by volunteers, the service of these individuals and the willingness of our pharmacy community to rise to leadership positions is invaluable.

   
   
Annual Residency Showcase
Posted in: Member News
MSHP Student Membership

By Tyler Fenton, 2017 Pharm.D. candidate, University of Michigan

Two years have passed since I made the decision during my P2 year of pharmacy school that I needed to get more involved in the profession of pharmacy in Michigan. While evaluating my options, the obvious choice seemed to be joining Michigan Society of Health-System Pharmacists (MSHP) and also be part of the Michigan Pharmacists Association (MPA). The MPA website did a good job of informing me about the various member benefits including discounted education materials and a reduced registration fee for the MPA Annual Meeting & Exposition. Interestingly, the value I eventually came to see in this organization was far beyond any of the monetary savings. The greatest value for me has come from the networking interactions I have had with the organization’s staff, as well as with other members from around the state.

The more I became involved with MSHP/MPA, the more I came to realize that its employees work tirelessly to represent our profession in the best possible way. I have had the pleasure of working with Amanda Lick, the MPA director of government relations, on various occasions, and every time I am amazed by her depth of knowledge and involvement pertaining to politics on the state and national level. As we continue to advocate for provider status and expansion of our scope of practice, it is important to have someone lobbying for the interests of Michigan pharmacists, and Amanda Lick does an incredible job of that. Another wonderful ambassador to the organization is the Chief Executive Officer himself, Larry Wagenknecht. Over the past 33 years, Larry has built MPA into one of the largest and most influential state pharmacists associations in the country. He has done this while continuing to represent our profession by actively participating in various state healthcare task forces and committees. Even with all of the work they do, Amanda and Larry continue to find the time to meet with pharmacy students from around the state through events at individual pharmacy schools, or through larger scale initiatives like Pharmacy Day at the Capitol.

I have also had the opportunity to attend several meetings of the Wayne County Pharmacists Association and serve as a student representative on the MPA/MSHP Membership Committee. These experiences have given me the chance to network with a plethora of pharmacists from around the state who, like me, are passionate about working for the advancement of pharmacy practice. I have been told many times about how small the profession of pharmacy is, and every time I attend an event associated with MPA, that statement becomes more and more evident. From the student’s perspective, it is nice to recognize familiar faces whenever I attend a pharmacy event in this state, or even in other state.

As I progress towards graduating with my Doctor of Pharmacy in the spring, I can say that one of the best decisions I made during my time as a graduate student was to become a member of MPA. I plan on maintaining my membership because of the great experiences I have had as a student in this organization. It feels great to know that my yearly membership dues allow for important work to be done toward ensuring that I am practicing in a state where pharmacists will be continuing to expand the profession. I encourage any student pharmacists and new practitioners to join me in being part of this wonderful organization and continue to bring the voices of pharmacy together in advancing the profession.

Posted in: Member News
2016 MSHP Annual Meeting: Updates in Pharmacy

By Katie E. Stollar, Pharm.D., PGY-1 pharmacy resident, Beaumont Hospital, Royal Oak

This year’s Michigan Society of Health-System Pharmacists (MSHP) Annual Meeting took place Oct. 28, 2016, at the Crowne Plaza in Grand Rapids. The meeting agenda was filled with topics applicable to health-system pharmacists, technicians and student pharmacists. New this year was an afternoon track geared toward residents who attended the annual meeting.

The morning began with a continental breakfast followed by a keynote speech. The keynote speaker was Joseph M. Hill, director of the government relations division at the American Society of Health-System Pharmacists. His presentation on “The Road Behind and Path Ahead” addressed the journey that provider status has taken over the past few years and any possible future directions.

Following the keynote speaker was the Town Hall Meeting. During this meeting, new MSHP Board of Directors and officers were sworn in and Committee chairs were applauded for their accomplishments throughout the year. The annual MSHP award recipients were also announced. The following 2016 award winners were congratulated:
  • MSHP Pharmacist of the Year Award Recipient: Michael Ruffing
  • Joseph A. Oddis Leadership Award Recipient: Margaret (Peggy) Malovrh
  • President’s Award Recipient: Hae Mi Choe
  • MSHP Professional Practice Award Recipient: Michael Dorsch

A general session was held following the Town Hall Meeting. The general session was presented by Amber Lanae Smith, Pharm.D., assistant clinical professor at Wayne State University and Emily Blum, Pharm.D., PGY-2 pharmacotherapy resident at Henry Ford Hospital. A brief overview on asthma/ chronic obstructive pulmonary disease (COPD) inhaler devices was presented, along with practical advice regarding affordability and insurance coverage for these devices. During the second half of the presentation, the audience was able to participate in a hands-on learning experience with the different inhalers.

This year’s meeting offered a unique track for pharmacy residents to attend in the afternoon. First, the residents were welcomed to a sit-down lunch with the opportunity for fellowship and networking. Following the lunch was an insightful peek into the world of scholarship and writing. The audience heard presentations from Dennis Parker Jr., Pharm.D., associate professor at Wayne State University, and Curtis L. Smith, Pharm.D., professor at Ferris State University, who both offered advice on developing and submitting articles for publication. In addition, the audience also heard from the managing editor at the Annals of Pharmacotherapy, Gene Sorkin, Pharm.D., who discussed his perspectives on how to increase the chance of becoming a published author. The final resident session was presented by the directors of pharmacy, John S. Clark, Pharm.D., of the University of Michigan and James S. Kalus, Pharm.D., of Henry Ford Hospital, as well as Robert J. Weber, administrator of pharmacy services at the Ohio State University Wexner Medical Center. Health-system pharmacist credentialing was described and the utility of the process was further discussed.

The afternoon clinical track started off with current literature practice updates. Whitney E. Aultman, Pharm.D., PGY-2 pharmacy resident at Beaumont Hospital, presented updates in ambulatory care. Courtney L. Carroll, Pharm.D., PGY-2 pharmacy resident at Spectrum Health-Helen DeVos Children’s Hospital, discussed existing gaps in pediatric pharmacy practice and its related implications in healthcare. Lastly, Lauren M. Wolf, Pharm.D., PGY-2 pharmacy resident at Detroit Medical Center, addressed updates in emergency medicine. The clinical track concluded with a review of opioid use in cancer pain by Claire Saadeh, Pharm.D., professor of pharmacy practice at Ferris State University College of Pharmacy. Dr. Saadeh spoke to the necessity of individualizing pain regimens and the place in therapy for different pain modalities for cancer patients.

The afternoon leadership/management track was a blend of speakers. The first speaker was Timothy A. Pletcher, D.H.A, executive director of Michigan Health Information Network Shared Services, who disccused an update on statewide health information sharing. Following this presentation was Allen Flynn, research analyst at University Michigan Medical School, who discussed the “Knowledge Grid” and addressed the growing medication-use gap in pharmacy. The session ended with Michael Smith, information technology security engineer at Bronson Healthcare Group, about protecting health information.

In conclusion of the event, the leadership/management track presented “Will You Be Compliant with the Antibiotic Stewardship Program Requirements by 2020?” The session was moderated by Michael E. Klepser, Pharm.D., professor of pharmacy at Ferris State University. Panel participants included Gregory A. Eschenaur, Pharm.D., assistant professor of pharmacy at University of Michigan College of Pharmacy, Donald J. Scott, Pharm.D., clinical specialist at Spectrum Health, and Derek J. VanderHorst, Pharm.D., PGY-2 infectious diseases resident at Munson Medical Center.

Thank you to all attendees and sponsors of the MSHP Annual Meeting! It was a productive day of networking and continuing education. We look forward to seeing you all again at the 2017 meeting, set for Oct. 27, 2017, at the Kellogg Center in East Lansing!

Posted in: Member News
Changing Seasons for the "Changing Gears" Focus
Changing Seasons for the "Changing Gears" Focus
by Jesse Hogue, Pharm.D., education coordinator, Bronson Methodist Hospital, MSHP immediate past-president

It seems fitting to write one last time about the Changing Gears focus considering our entire nation is preparing to “change gears” after the recent election results. While you may or may not be happy about national election results, I am sure we can all agree that the outcomes from the Michigan Society of Health-System Pharmacists (MSHP) over the last year have been great! We may not have achieved our goal of bringing the provider status bill for pharmacists to a hearing and a vote, but we made significant gains in garnering support and building the framework for a successful push in the next legislative cycle. As I will highlight briefly below, our MSHP Committees did a great job in their various efforts to advance our practice and prepare us for provider status and what comes after its achievement.

  • Ambulatory Care Pharmacy Practice Committee: We know that with provider status, our practice in ambulatory care settings will be even more important. As a tool to support the growth of this practice, the Ambulatory Care Pharmacy Practice Committee continued its important work to put the final touches on the Ambulatory Care Toolkit which was launched this fall – check it out here! The Committee also has ambitious plans for 2017, hoping to coordinate a seminar to help organizations complete the American Society of Health-System Pharmacists Ambulatory Care Self-Assessment Tool and to provide useful resources – stay tuned for details!
  • Antimicrobial Stewardship Task Force: The Antimicrobial Stewardship Taskforce was also very active this year, as it coordinated an excellent educational session at the MPA Annual Convention & Exposition as well as launching a very helpful Antimicrobial Stewardship resource on the MPA website. Recognizing how important antimicrobial stewardship is vital to our practice in all settings, I am pleased to announce that the Taskforce has been “promoted” to a Committee starting in 2017!
  • Public Affairs Committee: The Public Affairs Committee continued their great work expanding our “Pharmacists as Providers” resource, adding a section on medication therapy management (MTM) services and adding to our offerings to the “That’s My Pharmacist” campaign ultimately including an informational piece related to primary care and another related to transitions of care. Similar to some of the other committees, the Public Affairs Committee was also active in creating valuable content for the website, developing a Community Engagement Toolkit to help members engage with the public to provide education and to promote our profession.
  • Residency Committee: The Residency Committee handled the curve ball we threw at them this year by successfully transitioning from planning and hosting a stand-alone residency conference to coordinating a residency lunch and afternoon program in conjunction with the MSHP Annual Meeting this fall. Additionally, they also did a great job spearheading a new Preceptor’s Corner section in the MSHP Monitor – I hope you enjoyed this nice addition!
  • Informatics and Technology Committee: The Informatics and Technology Committee worked hard to grow and promote the MSHP Informatics and Technology listserv. Informatics and technology will certainly play a key role as we continue to expand our pharmacy services, and it is hoped that this listserv will be a useful tool for collaboration and problem solving in this arena.
  • Organizational Affairs Committee: This year, the Organizational Affairs Committee continued its important work promoting the accreditation of technician training programs. We feel this is an important strategy to ensure we have a well trained, reliable technician workforce which, of course, will be critical as we move toward provider status. The committee also took the first steps in the crafting of a vision statement for MSHP. This work will continue in 2017, along with refreshing and modernizing our mission statement.
  • Membership and Professional & Legal Affairs: As always, the Membership Committee and the Professional & Legal Affairs Committee did a great job keeping the membership engaged and up to date on relevant issues. If you haven’t noticed already, the Membership Committee is trialing some exciting new strategies for member recruitment and retention – I’m sure they would be happy to hear feedback from members regarding what you like and what you think could be improved further. Key areas the Professional & Legal Affairs Committee focused on this year, aside from provider status-related topics, were compounding and tech-check-tech – these will continue to be important areas of interest in the coming year, so the ongoing updates from the committee are appreciated.
  • Publications and Educational Affairs Committees: Finally, I am very pleased with the work the Publications Committee and the Educational Affairs Committee did this year. I hope you all were as impressed as I was with the great articles in every issue of the MSHP Monitor this year! And to round out a great year, I think it’s safe to say that the Educational Affairs Committee put together one of our most successful Annual Meetings ever, in terms of both programming and attendance. Thanks to all who participated! I hope you were informed and inspired by the provider status update given by Joe Hill from ASHP, and got just as much out of the programming the rest of the day. Come back next year to our 2017 meeting, taking place Oct. 27, 2017, at the Kellogg Center, East Lansing. Don't forget to bring a friend!

I would like to conclude by thanking each and every one who was involved in the work of our Society throughout 2016. I continue to be blown away by our active and engaged membership which has made us such a vibrant and successful organization. While it is hard to predict what the legislative change in gears will mean for healthcare in the years to come, I am confident that we will be successful in our quest to move our profession forward. I look forward to working with all of you again in 2017 as we continue to prepare for provider status with 2017 President, Dana Staat!


Posted in: Member News
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