Presentation on theme: "Pharmacy as a Profession"— Presentation transcript:
1Pharmacy as a Profession Pharm-CORPPharmacy Career OpportunityMahalia HarrellTamara Dixon
2What do pharmacists do?This is the image that most people think of when they hear the word Pharmacist, but…
3Careers from Retail to Research (and everything in between) Pharmacists held over 250,000 jobs in the USNeed for pharmacists is expected to grow faster than the average for all occupations through the year 2018When you think of pharmacy the image of the drug store pharmacist probably jumps to mind. But in reality, pharmacists held approximately 243,000 jobs in 2006 and many of those jobs were in settings that were not retail, including hospital and government positions.Recession resistant
4Factors Influencing Pharmacy Aging population and increased Rx useExpansion of retail outlets & 24 hour storesDirect to consumer advertisingGene and Individualized therapiesExpanding roles in traditional and non-traditional settingsIncreased involvement of pharmacists in cost containmentRobotics and AutomationWhen you think of pharmacy the image of the drug store pharmacist probably jumps to mind. But in reality, pharmacists held approximately 243,000 jobs in 2006 and many of those jobs were in settings that were not retail, including hospital and government positions.May expound on gene therapyTraditional vs non traditional. Not just counting pills. Now we have mtm, consultation, clinical pharmacistCost containment through formulary management, cost saving alternatives
5Pharmacists are Everywhere!!! HospitalClinicalHome CareLong-term CareConsultantManaged CareCommunityDrug InformationAcademiaPharmaceutical Science/ResearchIndustryMail orderAssociation ManagementDrug Use Safety & PolicyMTMThese are just a few of the many venues in which pharmacists can be found…
6Hospital and Clinical Pharmacy (approx Hospital and Clinical Pharmacy (approx. 22% of pharmacists are employed in this area)Work directly with physicians, nurses, and patients. Participate in patient rounds.Manage medications after diagnosisCounsel patients on discharge medsCritical Care (ICU)Hematology/OncologyIntravenous therapyDrug and poison informationAs of 2006 about 23% of all pharmacists were employed in hospital pharmacies.A career in hospital pharmacy can be very rewarding because the pharmacist gets to work directly with other healthcare providers (doctors, nurses, etc.) to provide the best care possible to their patients.Hospital pharmacists have the opportunity to specialize in many areas including nuclear pharmacy, IV therapy, drug and poison information, and many others.In addition to these specialty areas, many hospitals have outpatient clinics in which the pharmacist can work with specific disease states like diabetes, hyperlipidemia, hypertension, and anticoagulation. They are able to counsel patients directly on the management of their medications.career_opps_pharmacy_printed.pdf
7Home Care/Long-Term Care Facilities Create drug therapies with physiciansPrepare medications and infusions for use in the homeEducate patients and caregivers on medication regimensBubble-packmedications to ensureaccurate deliveryPharmacists in this field work with patients and their caregivers to make sure that they understand their drug regimen. They work with physicians to modify these regimens to improve the quality of life of their patients.
8Consultant Pharmacist Monitoring medication use in extended care facilities to help reduce adverse effects due to complicated regimensAssists in forming individualized care plans for patientsRecommends treatmentoptions to physicians-usually not the pharmacist that actually dispenses the medications, just monitors drug regimen and therapy
9Academic Pharmacy Colleges and schools of pharmacy Serve as teachers and researchersServe as a model for the best practices of pharmacists, now and in the futurePharmacists working in academia help to shape the future of their profession. They inspire future pharmacists to make the most of their degree and advance their profession.
10Pharmaceutical Company Help with medication researchDrug discovery, delivery, and analysisParticipates in sales and marketing of drugOffers educational programsAverage cost to develop a new drug?Pharmacists in this area often serve as the experts on their drug, because they follow it from the research stage to the marketing stage.Cost of development: a billion dollars. Research, trials, approval process.
11Industrial/Sales/Marketing Overseeing drug productionSelling products to physicians and retailersMarketingPublic RelationsGovernment regulatorsCan talk about the new laws that forbid drug reps from giving merchandise (pens, notebooks, etc.) to doctors or pharmacists so the reps have to come up with new creative ways to make their pitch.
12Mail Order/ Direct-to-Consumer Oversee filling of prescriptionsServe as a liaison for patientsCan talk about the hotlines that these pharmacies have to answer questions about drugs.
13Drug Information Centers Provide Hotlines for patients, physicians, and other healthcare providersResearch and dispense information for professional and personal useMalissa’s slideAnswer questions from doctors, pharmacists, and the general public.
14Association Management Many national and local organizations have pharmacist needsWork on regulatory issuesEx: National Association of Chain Drug Stores Foundation is working to advance pharmacy nationwide pharmacy practice.Another opportunity is to act on association boards such as APhA, NCPA, NACP, AMCPAssociations that work to promote and advance the field of pharmacy
15Community/Retail Pharmacy Fill PrescriptionsCounsel PatientsCompound MedicationProvide ImmunizationsSource of Medication InformationPrescriptionOTCHerbal/Natural Products
16Independent Ownership Ability to be own bossAbility to tailor services to patient population’s needsStock prescription and OTC products specific to region or townNiche, compete with retail, can you do it?
17Other Fields Federal, state, and professional positions United States Public Health ServiceFood and Drug AdministrationDepartment of Defense-branches of the armed servicesVeterans AffairsBureau of PrisonsPharmacists in these fields often are central to implementation of new laws and regulations in order to improve patient safety.
18Should You Be A Pharmacist? Do You Like?Chemistry, Biology, and Math?To help people?To solve problems and Puzzles?Are You?Dependable? Organized?Detail-Oriented?Able to communicate well with others?If you answered yes, you should consider pharmacy as a career!
19Timeline What happens Apply via PharmCAS in Fall of sophomore year 2 years of pre-pharmacy workPCAT after freshman yearApply via PharmCAS in Fall of sophomore yearComplete Supplemental Applications for each schoolInterview in late Fall/Spring of sophomore yearAcceptance letters in SpringPharmCas: a nationwide application in a central database to submit one application for multiple schools.pharmacy.umkc.edu
20UMKC PreReq CoursesGeneral Chemistry I & II (with labs) General Biology I & IIOrganic Chemistry I & II (with labs) Cell BiologyHuman Anatomy (with lab) Microbiology (with lab)Medical Terminology Calculus IPhysics I (with lab) English Comp I & IIPublic Speaking US Constitution Course AP courses that count towards UMKC pharmacy prerequisites are Calculus AB and BC, Chemistry, English Language & Composition, Physics B, US Government Politics, and US HistoryYou are not wasting your time with these pre-req’s even if you change you mind. These pre-req’s are general to an area of healthcare for the most part.Only 1:4 people who apply get into the med school. Compared to med school this is cake.pharmacy.umkc.edu
21Residencies Managed Care Community Pharmacy Critical Care Oncology AmbulatoryInfectious DiseasePediatricsNuclear MedicineMy slide ***Expound on the progression of pharmacy towards possibly requiring residenciespharmacy.umkc.edu
22Money Community Hospital Other pharmacy.umkc.edu Annual income in community: KHospital: 85K w/o residency, 90K with residencyOther: successful independent, potentially 120K maybepharmacy.umkc.edu
23Advice Admissions Career Life pharmacy.umkc.edu What I wish I’d known before….Check out pharmacy schools…..pharmacy.umkc.edu
24Patient Case“ I can’t walk as far as I used to, and this cough is really bothering me” HPI: 67 yo male presents to clinic for a follow-up visit for his COPD. He states he had been doing okay until 3 days back when he couldn’t walk daily anymore and started getting short of breath at rest. He states he has been compliant with all his medications. He also reports that he has been coughing up a lot of “green stuff” too. He had pulmonary function tests about 6 months back, but he states he never found out the results.HPI: History of the Present IllnessAcute exacerbation
25Patient Case PMH: COPD x 3 years GERD x 5 years SH: 45 pack-year history of smoking (patient quit 4 years ago to help improve his symptoms of GERD) Lives with wife (children grown); retired coal miner(-) EtOH Meds: Albuterol MDI 1-2 puffs q 4 hours PRNSalmeterol 1 inhalation BIDOmeprazole 20 mg po dailyVaccination status: Last influenza vaccine (9/08); Last pneumococcal vaccine at age 45 yo Allergies: NKDACOPD: Chronic Obstructive Pulmonary DiseaseGERD: acid reflux. Gastroesophageal Reflux DiseasePMH: Patient Medical HistorySH: Social HistoryMDI: Metered Dose InhalerPRN: As NeededBID: twice a dayNKDA: No Known Drug Allergies
26Patient CaseROS: Pulmonary: (+) SOB with chronic cough; (+) fatigue; (+) dyspnea on exertion; (+) sputum production Cardiovascular: (-) palpitations; (-) chest pain PE: Gen: Mild respiratory distress after walking to the end of the hall to reach the exam room; hunched over to breathe with accessory muscle use Pulmonary: Tachypnea with prolonged expiration; decreased breath sounds; no rales, rhonchi or crackles Cardiovascular: regular rate and rhythm, no murmurs, rubs or gallopsROS: Review of SystemsSOB: Shortness of BreathPE: Physical Exam
27Patient CaseVS: BP 125/64 P 93 RR 26 O2 sat 91% (room air) Weight 71kg Height 5’11” Labs: CO2- 35 mEq/L (normal= mEq/L) PFT: (six months ago): Prebronchodilator FEV1 1.6L (3.55L predicted) Prebronchodilator FVC 3.2L Postbronchodilator FEV1 1.72L (baseline- at diagnosis) Prebronchodilator FEV1 2.84L (3.55L predicted) Prebronchodilator FVC 4.4L Postbronchodilator FEV1 2.9LVS: Vital SignsBP: Blood PressureRR: Respiration RateO2 sat: oxygen saturation in bloodPFT: Pulmonary Function Test
28Mahalia firstname.lastname@example.org “Pharmacy is a diverse profession. Where there is a medication to be used or discussed or a disease to be prevented, your imagination is the limit of what you can do with your degree.” –Dr. LindseyQuestions?MahaliaChange contact info to who ever is presenting that day