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I recently attended the European Association of Hospital Pharmacists meeting in Cannes, and my wife and I took the opportunity to visit family in Europe and the UK and get a little sight-seeing in. London is one of our favorite cities to go sight-seeing. This time we visited a place called the Royal Mews, behind Buckingham Palace, which is the location of horse stables and a series of carriages (“coaches”) used by the Royal Family for State activities.  The coach collection is impressive, spanning centuries of the monarchy and generations of individuals dedicated to building, maintaining and operating the coaches. One of the oldest coaches is the Gold ...
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On my first day of rotation at ASHP new headquarter, I was so nervous that I could not answer the question “who is your point of contact” when asked by the front desk security guard. After signing in, I was escorted by the security guard to the ninth floor. While waiting in the elevator, I remember thinking to myself, why so fancy! After my first day of rotation, I can honestly say ASHP is one of the best places to work and the people here are extremely welcoming and all had a great sense of humor. For one whole month, I had the opportunity to meet and hear many stories and pieces of advice from ASHP staff members. After each and every meeting I always ...
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Ohio legislators recently passed statute allowing pharmacists a greater scope of practice under a consult agreement with licensed Ohio physicians. Changes for pharmacists consist of adding, modifying and discontinuing drugs and ordering blood and urine testing to assess the effectiveness of the collaboratively managed drug therapy.   Also included in this statute and within State Board of Pharmacy issued consult agreement rules is the requirement that consult agreement policies and procedures establish "training and experience criteria for pharmacists to manage drug therapy pursuant to the consult agreement. These criteria may include privileging or credentialing, ...
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The evolution and expansion of the pharmacist’s role, via recent legislative progress and additional post-graduate training, has allowed for the broadening of pharmacist services offered to patients and their ability to positively impact the primary care provider shortages currently challenging our healthcare system. A pharmacist’s expert knowledge of medications allows them to play an integral and valuable role in patient health and safety outcomes in various settings such as inpatient practice and ambulatory care. The Practice Advancement Initiative (PAI) aligns its recommendations to advance the pharmacists’ role by becoming decentralized and supporting a ...
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The Pharmacy and Medically Underserved Areas Enhancement Act is a bipartisan legislation that would allow pharmacists to provide care in federally defined medically underserved communities (https://bhw.hrsa.gov/shortage-designation/muap). In early 2017, it was reintroduced in both the United States House of Representatives (H.R. 592) and Senate (S. 109). There are several potential advantages that could become available to pharmacists with the passage of this bill. These include, but are not limited to: The ability to provide services authorized under state pharmacy practice acts to Medicare patients Administer immunizations, conduct wellness ...
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“Others don’t make you mad.  You make you mad.  You make you scared, annoyed, or insulted.  You and only you create your emotions.” – Patterson  et al ., Crucial Conversations Crucial Conversations is a text that I have read multiple times; I have used it as an instructional tool for my residents and students time and again.  The text has driven many insightful topic discussions surrounding how we can more effectively communicate, both on the job and in our personal lives. Perhaps one of the most insightful messages from this text – the one that seems to consistently elicit an “ah-ha!” moment from those new to the material – is the idea that we create ...
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6 Critical Career Missteps

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Jo Miller in 6 Critical Missteps That Hurt Your Career Advancement offers the following advice. Let’s face it: it isn’t easy to break out and establish yourself as an up-and-coming pharmacist/leader in today’s pharmacy world. In fact, some days you can feel like the best kept secret. Be sure to avoid the following 6 Critical Missteps That Hurt Your Career Advancement: Misstep #1: Waiting to be promoted Your management might have said that if you “work hard” and “do a good job,” you’ll be recognized but if you’ve already tried that route, you’ll know that it can bring mixed results at best. You can’t afford to delegate responsibility ...
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ASHP provides many great opportunities for students to become involved whether it is within the student society, writing a student column for AJHP, or joining the Executive committee, a council, or advisory group. The advisory groups are a great way to network with students from around the country and provide ASHP with a student’s perspective on some of the programming and resources available to students. The ASHP pharmacy student forum has six advisory groups with fifteen students appointed to each. Each advisory group is split up into smaller work groups with one person in each work group serving as the lead. Being a member of an advisory group requires working ...
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As part of ASHP’s yearlong 75th anniversary celebration, I will be recognizing our three former Chief Executive Officers: Drs. Henri R. Manasse Jr., Joseph A. Oddis, and Gloria Francke. This blog will recognize our most recent CEO, Dr. Manasse, who served ASHP from 1997 to 2011. Dr. Manasse came to ASHP after a long and illustrious career as a leader in academic healthcare. He was Vice President for Health Sciences at The University of Iowa and Chairman of the Board of the University of Iowa Health System. Prior to that, he was interim Vice Chancellor for Health Services at the University of Illinois at Chicago Medical Center, and Dean and Professor of Pharmacy ...
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Most jobs in the pharmacy profession require three things: a job application, letters of recommendation, and a curriculum vitae (CV). The CV is the best way for an employer to become more familiar with an applicant. Your CV is a detailed, yet concise, record of your accomplishments, including academic records, past places of employment, research history, and involvement with professional organizations. Like stars in the sky, all CVs are different and should be unique to distinguish yourself from others.  Also, as time goes on, your CV will continue to change as priorities and experiences change.  It’s highly recommended to look over your CV every few months, ...
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Managing Your Self Talk

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Joe Tye offers us the following 7 Steps for Reprogramming Negative Self-Talk (Spark Plug). Nothing can sap your effective leadership than your own negative self-talk (internal dialog) so your challenge is to confront these self inhibiting notions before they interfere with your leadership Catalog by paying attention to all your negative self-talk. What do you say to yourself on your way home after work-is it what when right today or is it all the things you didn't get done Most of it will be in the second person such as “You idiot” “ You are not good enough to be a leader”, “I’ll never be good at leading” ,etc. Chances are you allow your ...
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“When you can do the common things of life in an uncommon way you will command the attention of the world.” George Washington Carver There are many hospitals and clinics performing advanced pharmacy practice activities. These practice sites commonly do pretty much the same basic things.  You could say that these clinical functions are common to all of us.   Our challenge is to do them uncommonly.  When we do this – consistently and for every patient – there will be no question about our profession’s legitimacy or value. The ASHP Pharmacy Practice Model Initiative (PPMI) Summit and subsequent Ambulatory Care Summit brought together many pharmacy ...
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Career Candy Land

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Career development is the process of taking your experiences to manage career transitions that will move you into the professional future you want. What does this mean? Am I too late on the bandwagon? What should I keep in mind going forward? Think of career development as the Candy Land board game. You have a career goal (getting to the end of the game) and you go through different life experiences moving you forward (spaces on the board). While on that journey you will be working at different places (Gumdrop Mountains, Lollipop Woods), meeting new people (Lord Licorice and Princess Frostine), and encountering opportunities that propel you forward (Gumdrop ...
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Ambulatory Care Self-Assessment: Leadership opportunity for residents! Clinical pharmacy services at Virginia Garcia Memorial Health Center (VGMHC) is comprised of six clinical pharmacists, four clinical practice faculty from Pacific University, two PGY1 community-based pharmacy residents, two PGY2 ambulatory care residents, and one clinical pharmacy technician. One of the longitudinal experiences shared between the PGY1 and PGY2 residency programs is a leadership and practice management rotation called the Virginia Garcia Residency Conference (VGRC). This is a joint session of all residents that takes place on alternating Thursday afternoons and provides ...
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Ambulatory Care Self-Assessment: Leadership opportunity for residents! Clinical pharmacy services at Virginia Garcia Memorial Health Center (VGMHC) is comprised of six clinical pharmacists, four clinical practice faculty from Pacific University, two PGY1 community-based pharmacy residents, two PGY2 ambulatory care residents, and one clinical pharmacy technician. One of the longitudinal experiences shared between the PGY1 and PGY2 residency programs is a leadership and practice management rotation called the Virginia Garcia Residency Conference (VGRC). This is a joint session of all residents that takes place on alternating Thursday afternoons and provides ...
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USP 800 Resource

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USP <800> have you baffled? Not sure how to move forward? A triad of free assistance is now available, all via the Compounding Today website: A completely revised USP <800> Preparation Checklist replaces an earlier version posted about a year ago. Based on additional research and experience, this tool will allow you to systematically evaluate your current compliance with 800, and plan how to close any identified gaps. A Hazardous Drug Consensus Statement (HDCS) , the collaborative product of a large number of experts, provides detailed guidance and recommendations on hazardous drug handling, especially topics ...
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the nursing shortage

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To everyone's surprise... a relatively short one... I read an interesting article and info-graphic suggesting that there will actually be a surplus of nurses by 2025. The article and info-graphic both posit, however, that the distribution of nurses will be uneven, with shortages remaining in high-population-density parts of the United States. What is, perhaps, more interesting is that these same documents posit that a knowledge gap will start to occur as nurses who entered the profession in the mid-1970's and 1980's begin to retire. The concern appears to be that such retiring will likely occur in a short period of time, and result in a nursing workforce ...
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One fork at a time. March is recognized as National Nutrition Month. As pharmacists, we know the benefits of a healthy diet and good eating and physical activity habits to reduce the complications associated with diabetes, hypertension, heart disease and hyperlipidemia. This years theme is Put Your Best Fork Forward, encouraging individuals to make small changes as these will add up over time to produce beneficial results. How can pharmacists play a role in helping patients managing chronic disease states apart from clinical management of pharmacotherapy? As our clinical opportunities continue to expand, we have earned new avenues to educate patients on ...
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A wise man once said, Do what you can, where you are, with what you have. We gain a variety of skills in pharmacy school, including learning how to effectively advocate for our patients. An advocate can be defined as; one who pleads the cause of another; or one who defends or maintains a cause or proposal. Yes, we speak up for patients all of the time whether it is by reaching out to a prescriber with a drug recommendation or helping a patient overcome barriers to medication adherence. I would argue that staying abreast of health policy and becoming involved with public policy on behalf of our profession utilizes those very same skills to help patients on an ...
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Id like to share a piece of advice that I found to be very valuable as a first year pharmacy student In one of my first year professional development seminars I was presented with information on how to develop a professional curriculum vitiate (CV). Only being familiar with a traditional resume before this class, I was a bit surprised about the average number of pages/sections that was expected for us to have on our CVs by our PY4 year in order to be competitive for residency and jobs. Being a well-rounded pharmacy student is a lot of work! The presentation outlined things that were typical sections on a pharmacy students CV such as education, APPE rotations, ...
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