Pharmacists in Family Medicine 4.26.06 презентация

E. Delzell, Jr, MD, MSPH
L. Brian Cross, PharmD, CDE
Michelle Hilaire, PharmD, CDE
Oralia Bazaldua, PharmD
John Tovar, PharmD
Jeremy Thomas, PharmD
Andrea Franks, PharmD, BCPS

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

Issues
How are we funded?
Audience Discussion
Final thoughts

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

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

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

Question
Are pharmacists taking over the WORLD?

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.

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

Med 2002;34(9):653-7.

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.

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

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.

= 1,888

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

maintenance
Pharmaceutical representative interactions
Didactic / evaluative program coordination

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

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

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

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

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

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

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