Today, students must have a few years of university completed before they can apply some already have one degree , and the more common degree granted is doctorate-level, the Pharm.
The clinical training has been bulked up and the practical training is much more rigorous. I see all this as positive change, as the practice of pharmacy has changed along with the education standard. Many find positions that allow them to leverage their drug-related expertise to other areas of the healthcare system.
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Public surveys on trust show pharmacists lead other health professionals on this measure. It should also not be a surprise that pharmacists can be quite influential in shaping drug use, particularly when it comes to advice about complementary and alternative medicine CAM , especially when it is used with conventional, science-based drug treatments.
If there was a plausibility limit to what this pharmacy would sell, I never saw it reached. I gave the best science-based advice I could, but eventually left due to my concerns about what was on the shelves.
But my time in that setting showed me the opportunity to improve care: the pharmacist is well positioned to advise on the evidence for or against any particular treatment, as well as the describe the potential risks with combining CAM with evidence-based treatment approaches. Almost exclusively the criticism of pharmacy and its role as a purveyor of CAM tends to come from outside the profession , with rare, but notable, exceptions.
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Mark Crislip has mused that surveys on CAM seem to be an easy path to getting published, given the thousands that exist. The survey included 62 questions and was distributed to first, second, and third-year pharmacy students at 10 schools of pharmacy across the United States. There were complete and usable responses. The average student was 25 years old, white, and female.
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I would rather not have ASHP spend tens upon tens of thousands of dollars for a keynote speaker. MAYBE a keynote speaker is not needed and lower the registration cost a few bucks. I listened to the CHF talk online. Physicians told me for decades that guidelines are not rules. Somehow, pharmacists have not come to the same conclusion.
I wanted to know why a patient would be on amiodarone AND warfarin. Then why continue amiodarone.
If in NSR, why is the warfarin still continued? Two drugs that have potential major harm and there was no discussion.
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The pharmacists have not been able to assert themselves or even stop playing second fiddle to physicians and recently assistants and nurse practioners. Everyone including the Congress see you as pill pushers and counters. The head of pharmacy was the only one of us who reported to a nonpharmacist, that being the CEO.
The store manager was told he was never to come behind the counter unless there was an emergency. Doctors would call with questions and I would often consult the library of reference books I kept along the pharmacy wall and get back to them.
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For customers who had insurance, I often had a habit of chatting them up while the dial-up modem worked on filing their claims. In the days before mandatory counseling, I found more than one inappropriate prescription that way.
A couple years later I got a memo congratulating me for topping the deli department in sales. I was insulted. Mandatory counseling is here, and when I left the chains to buy my own store I had less time to talk to patients than I ever did in the age of that dial up modem.
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