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Government Affairs Report
New Practitioners Network
Board of Pharmacy Update
My Year as Student Chapter Co-President So Far
Summer Camp, Anyone? SIUE Healthcare Collaboration at its Finest
What Questions Do You Have For Me?
Welcome New Members!
Officers and Board of Directors
ICHP Pharmacy Action Fund (PAC) Contributors
Illinois Council of Health-System Pharmacists
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Phone: (815) 227-9292
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Official Newsjournal of the Illinois Council of Health-System Pharmacists
ASSISTANT MANAGING EDITOR
EXECUTIVE VICE PRESIDENT
VICE PRESIDENT - PROFESSIONAL SERVICES
DIRECTOR OF OPERATIONS
CUSTOMER SERVICE AND
PHARMACY TECH TOPICS™ SPECIALIST
Jo Ann Haley
ICHP Mission Statement
Advancing Excellence in Pharmacy
ICHP Vision Statement
ICHP dedicates itself to achieving a vision of pharmacy practice where:
- Pharmacists are universally recognized as health care professionals and essential providers of health care services.
- Patients are aware of the training, skills, and abilities of a pharmacist and the fundamental role that pharmacists play in optimizing medication therapy.
- Formally educated, appropriately trained, and PTCB certified pharmacy technicians manage the medication distribution process with appropriate pharmacist oversight.
- Pharmacists improve patient care and medication safety through the development of effective public policies by interacting and collaborating with patients, other health care professionals and their respective professional societies, government agencies, employers and other concerned parties.
- Evidence-based practices are used to achieve safe and effective medication therapies.
- There are an adequate number of qualified pharmacy leaders within the pharmacy profession.
- Pharmacists take primary responsibility for educating pharmacy technicians, pharmacy students, pharmacist peers, other health professionals, and patients about appropriate medication use.
As an integral publication of the Illinois Council of Health-System Pharmacists, the KeePosted newsjournal will reflect its mission and goals. In conjunction with those goals, KeePosted will provide timely information that meets the changing professional and personal needs of Illinois pharmacists and technicians, and maintain high publication standards.
KeePosted is an official publication of, and is copyrighted by, the Illinois Council of Health-System Pharmacists (ICHP). KeePosted is published 10 times a year. ICHP members received KeePosted as a member benefit. All articles published herein represent the opinions of the authors and do not reflect the policy of the ICHP or the authors’ institutions unless specified. Advertising inquiries can be directed to ICHP office at the address listed above. Image disclaimer: The image used in the Pharmacy Tech Topics™ advertisement is the property of © 2015 Thinkstock, a division of Getty Images.
Copyright © 2015, Illinois Council of Health-System Pharmacists. All rights reserved.
The Many Different Types of Intelligence
by Jen Phillips, PharmD, BCPS, ICHP President
It was October 1st, and I sat staring at a piece of paper showing my first-grader’s MAP (Measures of Academic Progress) scores. He did not do as well as I had hoped he would do. I had been told by other mothers that this is the test that determines my child’s future. If he does well, then better classes and better teachers await. If he does not do well… “best of luck to him”. I turned from the paper and looked at my son and thought about how many talents he has, including many that I, myself, wish I had. He is sweet-natured, caring, funny, and very charismatic. But there are no standardized tests for those characteristics. Is it true what the other mothers were telling me? Does my child really need to get in the 90th percentile or above to be successful? I was starting to get worried about my son’s future.
A few days later, we were selling popcorn for our local Cub Scout pack, and I was able to watch my son “in action”. At six years old, many of the other boys hid behind the table and were afraid to approach the customers. But my son approached every customer with a big smile and a cheery hello. He was eager to point out the new packaging and flavors available. He was so earnest, sincere, and polite that people couldn’t help but stop and entertain his proposal. Everyone who met him loved his outgoing and cheerful personality. Many commented on how professional he sounded. It was a very successful and productive day for him, and I was very impressed at his approach and his ability to reach so many people. I realized then that he is going to do just fine in this world.
What this experience and many others has reminded me of is that there are many different types of intelligence that need to be considered and all play a unique role in helping an individual (and an organization) achieve success.
Intellect. This is what we typically think of when the word “intelligence” is mentioned. Intellect deals with an individual’s ability to comprehend and analyze abstract or academic issues. This type of intelligence is easy to measure using standardized evaluation measures like multiple-choice tests. Of course, this type of intelligence is important for ensuring that pharmacists have the knowledge and reasoning capacity to be able to practice safely. However, being an effective pharmacist requires much more than just intellect. Knowledge is useless unless it is shared – with physicians, colleagues, patients, family members, etc. And having the ability to effectively navigate the complexities of relationships in today’s interprofessional world and successfully execute a pharmacy intervention/recommendation requires integration of intellect with other types of intelligence.
Emotional Intelligence. Emotional intelligence deals with an individual’s ability to accurately identify complex emotions in oneself and others and manage them effectively. There is a common misconception that emotional intelligence is related to personality and therefore, not changeable. However, many data suggest that emotional intelligence concepts are not only teachable, but necessary for success.1,2 I was privileged to be the keynote speaker at the student leadership retreat this past summer, where we discussed the concepts of emotional intelligence and worked through strategies to help mange emotions so that they work for us and not against us. The book “Emotional Intelligence 2.0” served as the basis for the program.3 It is a great how-to text you may want to consider if you are interested in honing your own emotional intelligence skills.
Positive Intelligence. ICHP’s leadership retreat this November focused on the tenets of positive intelligence, as outlined in the book “Positive Intelligence”.4 This book takes the concepts of emotional intelligence one step further and offers guidance on how individuals can identify “threats” (known as saboteurs in the book) to effective emotional management (e.g., being a stickler, controller, worrier, pleaser) and minimize their impact. This book also provides guidance on how teams with diverse personalities can work together more harmoniously. This process, referred to in the book as the “sage process,” involves stressing the importance of empathy, exploration, innovation, and navigation in the decision making-process. We utilized the concepts of the sage process at our retreat by dividing participants into diverse personality groups and having them work through complex problems affecting the profession and ICHP. Many participants found this exercise valuable. I encourage you to try this strategy at your workplace as well!
Too often, we focus on how “smart” someone is by considering test scores or GPA or how quickly they can rattle off drug facts. However, what I have come to learn over time is that true intelligence embodies much more than that. I am pleased to see that recent ACPE standards place more emphasis on personal development of students.5 However, before we can begin to educate our students on these other types of intelligence, we must master them ourselves. Therefore, I am working with ICHP to try to have educational sessions at meetings that focus on these other necessary skills, like emotional intelligence and leadership. I look forward to seeing you there.
Have a wonderful holiday season!
- Romanelli F, Cain J, Smith KM. Emotional intelligence as a predictor of academic and/or professional success. Am J Pharm Educ. 2006;70(3):Article 69.
- Sy T, Tram S, O’Hara LA. Relation of employee and manager emotional intelligence to job satisfaction and performance. J Vocat Behav. 2006;68(3):461-73.
- Bradberry T, Greaves J. Emotional Intelligence 2.0. San Diego, CA: TalentSmart; 2009.
- Chamine S. Positive Intelligence. Austin, TX: Greenleaf Book Group Press; 2012.
- Accreditation Council for Pharmacy Education. Accreditation Standards. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf Accessed October 28, 2015.
Oh, the Things You’ll Learn!
by Scott A. Meyers, Executive Vice President
If you are part of Generation X, a Millennial or a Boomer with children or grandchildren, you are certainly familiar with Dr. Seuss’ “Oh, the Places You’ll Go!” Like all of Dr. Seuss’ books, it not only tells a story but provides a lesson for the reader. In the case of “Oh, the Places You’ll Go!” it is that you (the reader) will be a success in life if only you make up your mind to be a success!
The title of this column, “Oh, the Things You’ll Learn!” is my way of telling you (the reader) what will happen if you just take time to read each issue of KeePosted! Right now KeePosted can be accessed through the ICHP website, but it is on the password protected side of the website. If you can’t remember your password or find your membership card, feel free to call the office and our staff will be happy to help you log on. Then you can easily change your username and password, so you won’t have to remember your membership number in the future.
Here’s what you could have learned about in the 10 issues of KeePosted published in 2015:
- Medication Safety and Education Pearls
- Promoting Situational Awareness and a Culture of Safety: The Daily Pharmacy Safety Huddle – Amy Secord and Jen Phillips
- Tricyclic Antidepressant Related Adverse Effects Based on Neurotransmitter Modulation: Selection of Adjuvant Analgesia – James Blazier, Lindsey Reno, and Chris Herndon
- Improving Tdap Vaccination Rates Among Infant Caregivers – Zachary Pentoney and Despina Kotis
- Naloxone for Pre-Hospital and Layperson Administration to Reverse Opioid Overdose – Elizabeth Messana and Gary Peksa
- Health Literacy in Pharmacy – Renee Papageorgiou
- Preceptor’s Corner: Managing Difficult Situations – Jen Phillips
- Board of Pharmacy Updates – 6 reports from the Bi-Monthly Board of Pharmacy Meetings
- 10 Government Affairs Updates by Jim Owen and Scott Meyers
- 8 President’s Columns by Linda Fred
- ASHP Midyear in Review – Collaborating With Your Peers
- New Year’s Resolutions
- Interdisciplinary Rounding – Collaboration at the Patient Care Level
- Pharmacy Residencies
- Welcoming a New Grad
- Lifelong Learning
- Collaboration Gone Wrong
- The Year in Review
- 2 President’s Column by Jennifer Phillips
- Leadership: It’s Not Just For Leaders
- The Many Different Types of Intelligence
- 10 Directly Speaking Columns by Scott Meyers, ICHP Executive Vice President
- PTCB’s Tech of the Year: A Great Concept and Technician!
- The Other Side of Addictions
- Be All That You Can Be: In Your Life
- Where’s the Beef?
- The ENE Society: How Fun and Networking Can Go Hand in Hand
- Hey Linda, I Think We All Need to Share Your Message!
- PTCB: Where are We and Where Are We Going?
- Annual Meeting Town Hall
- How Do You Manage Your Own Life Long Learning?
- Oh, the Things You’ll Learn!
- New Practitioner Columns
- Remaining Fiscally Responsible in Times of Change
- Performance Board – Getting Colleagues Engaged – Arpit Mehta
- A Small Step to Help a Big Cause – Bibek Shrestha
- Crucial Conversations in Hospital Pharmacy Practice: Relevance to the New Practitioner – Michael Cusumano
- More Than a 9 to 5 Pharmacist: Adding Value to the Team – Heather Malcom
- Riding the Literature Tsunami: Strategies for Staying Current in Practice – Shubha Bhat
- New Frontiers: Emergency Medicine Pharmacy – Kris Valenti
- What I Wish I Would Have Known: Reflections of a PGY-1 Resident – Mary Lenefsky
- NPN Volunteers at Ronald McDonald House at Lurie Childrens’ Hospital – Rachael Freeman
- Leadership Profiles
- Megan Metzke – President, Sangamiss Society of Health-System Pharmacists
- Gary Peksa – President, Northern Illinois Society of Health-System Pharmacists
- Noelle Chapman – Northern Region Director, ICHP
- Alicia Juska – Residency Program Director, Swedish Covenant Hospital
- Matt Nelson – Student Chapter Faculty Advisor, Roosevelt University College of Pharmacy
- Elizabeth Greenhalgh – Manager of Clinical Services, Loyola University Medical Center
- Tara Vickery-Gorden – Co-Southern Region Director, ICHP
- Lynn Fromm – Co-Southern Region Director, ICHP
- Charlene Hope – ICHP President-elect
- College Connections
- Poster Presentation at Midyear – Jessica Peng
- Getting Involved: Defining the Future Practice of Pharmacy – Rubi Doctolero
- Mentorship Program: Establishing Professional Connections for Student Pharmacists – Jessica DePisa
- It’s Never Too Early to Have a Strategic Plan – Bernice Man
- A New Spin on Student/Teacher Interaction: The Faculty Auction – Taylor Hunt and Hannah Sheley
- It’s a Small World After All – Neha Kapur
- Ronald McDonald House – Saba Hamid
- Knowing the Potential of Our Future Career – Gary Chu
- Legislative Day – Julia Sapozhnikov
- The Transition from President-elect to President – Whitney Maher
- 6th Annual Residency Panel Held at Chicago State University – Hanh Nguyen
- APPE Tips From A Seasoned Student – Alex Mersch
- Pharmacists’ Evolving Role in Diabetes Management – Amy McGlin
- Philanthropic Opportunities – Neha Kapur
- Student-Faculty Networking Social – Dalila Masic
- One Year, Two Missions, Three Lessons – Traiana Mangum
- Welcome the New E-Board! – Saba Hamid
- Benefits of Working During Pharmacy School – Elizabeth Eitzen
- Introductory Pharmacy Practice Experience and Leadership Growth – Anolan Garcia Hernandez
- Addiction is a Disease – Tina Messenger and Jenny Kasen
- What Questions Do You Have for Me? – Priyank Shah
- Summer Camp, Anyone? SIUE Healthcare Collaboration at its Finest – Yasmyn Knight
- My Year as Student Chapter Co-President So Far – Trevor Luman
- Call for Best Practice Award Nominations
- CPRN Collaborative Research Project
- Call for Candidates for ICHP Office
- Call for Candidates for Delegates to ASHP House
- Call for ICHP Award Nominees
- Best Practice Award Winner
- Passing of Dr. David Slatkin and Toby Clark
We want you to read KeePosted because we believe that you will find a plethora of valuable information, not to mention learn a thing or two. We are working to make access even easier, but remember, you pay membership dues for this information, and we don’t want you to lose that value! Oh, the Things You’ll Learn!
ICHP is sad to announce the passing of Dr. David Slatkin, Founding and Emeritus Dean of Chicago State University College of Pharmacy on Monday, November 16th after a long battle with Parkinson’s Disease. Dr. Slatkin was also the founding Dean of Midwestern University, Chicago College of Pharmacy in Downers Grove in the early 1990’s.
ICHP member, Carrie Sincak, co-authored The Pharmacist's Guide to Antimicrobial Therapy and Stewardship, available for purchase from ASHP.
Congratulations to William Alegria and Haley Spaulding from Rosalind Franklin University College of Pharmacy for winning the ASHP Clinical Skills Competition at Midyear! Also pictured are Frank Hughes, Associate Professor, Vice Chair of Pharmacy Practice and co-advisor for the ICHP student chapter and Kevin Rynn, Vice Dean and Associate Professor.
Congratulations to the University of Illinois Hospital & Health Sciences System for being a finalist for the 2015 Award for Excellence in Medication-Use Safety with their project titled Novel Pharmacist-Led Personalized Medicine Program Improves Patient Safety, Clinical and Health-Care Utilization Outcomes!
Government Affairs Report
by Jim Owen and Scott Meyers
In 1914 and 1915 there were unofficial Christmas truces along the Western Front of World War I. It seems that we may be in that same phase with the Illinois budget battle in December 2015! There will be meetings between the Governor and General Assembly leaders, but it is anticipated that no serious action will occur until sometime in January when the General Assembly reconvenes in its regular session and the overtime ends.
During the overtime, the House needs 71 affirmative votes, and the Senate needs 36 in order to pass any legislation including the budget. So far those numbers have been hard to collect. In January, the numbers drop back to 60 and 30, respectively for the House and Senate to move important legislation. These numbers will be much more readily reachable; however, any legislation passed at that level that isn’t favored by the Governor will again require the 71 and 36 votes to override any veto.
Most of those who have been impacted by the budget battle have already felt the full effects, and while an eventual budget agreement could help many, some have been impacted beyond repair. Many non-profit service organizations have shuttered their facilities for the last time, and many former employees have found other work opportunities. It is extremely unfortunate that this political wrangling has taken such a toll, and the outcome is still far from certain. What it has accomplished, hopefully, is that more Illinois citizens are aware of the dire straits our State is in financially and that “government as usual” cannot be sustained.
It is important for every citizen of voting age to watch and learn as much as possible about the current budget standoff and the issues behind it. It is important to know and remember how your own State Representative and Senator vote on the crucial issues. It has never been more important for every pharmacist, pharmacy technician and pharmacy student to be informed of what happens in Springfield in the next month or two because there will be ramifications for some with the March primary election and the November general election in 2016.
The Illinois Pharmacy Practice Act sunsets in 2017, and this year’s budget battle may help us identify which legislators will survive to be involved when we sit down to hammer out new changes to the Act. Which ones are reasonable and which ones aren’t! Enjoy the peace of December and pray for success in early January just like they did in Europe nearly a century ago!
Preceptor’s Corner: Managing Difficult Situations
by Sheron Chen, Assistant Professor, Roosevelt University College of Pharmacy; Jen Phillips, PharmD, BCPS, Associate Professor, Midwestern University Chicago College of Pharmacy; Amy Lullo, BPharm, Director of Experiential Education, Midwestern University Chicago College of Pharmacy
The act of precepting pharmacy students can provide a rewarding experience for both the student and the preceptor and is, undoubtedly, an essential component to each student’s professional training and development. It is wonderful to see the growth in confidence, knowledge, and ability of your students as you coach them through their daily activities and challenging projects.
While we hope that every student we precept will be well-balanced, prepared, and eager to learn, this does not always happen. There may be times when, despite our best efforts, our students’ behaviors fail to meet expectations. The purpose of this article is to provide tips and advice in the event that preceptors find themselves in a situation where a student’s behavioral choices are adversely affecting the quality of the learning experience. This article will focus on 3 common detrimental behaviors that may be encountered by preceptors and describe what preceptors can do to help ameliorate them: unprofessional behavior, poor time management skills, and/or disinterest.
Professionalism is an integral component of the success of any future pharmacist’s career. Professionalism can be defined as the general demeanor of a pharmacist towards their patients, peers, and other health care professionals and is determined by their courteous, respectful, appropriate, and empathetic attitudes and behaviors.1 Students have heard of the importance of professionalism throughout their career as a pharmacy student. Most students do not aim to act unprofessionally during their rotations, but unfortunately, preceptors may occasionally encounter unprofessional student behaviors.
Some of these situations can be avoided by setting clear expectations. One of the best times to do this is on the first day of the rotation, as the preceptor is reviewing the syllabus. Expectations should be reviewed for a variety of topics including, but not limited to: dress code, cell phone usage, tardiness, patient confidentiality, e-professionalism, and time spent outside of the rotation working on rotation-related responsibilities.1 Typically, these expectations are also reviewed in detail with the students by their school’s office of experiential education before they begin their rotations.
E-professionalism describes how students conduct their online personas, particularly through social media and email. Although many of the social media sites are intended for light-hearted networking, students should understand that inappropriate comments (e.g., those regarding patients or preceptors, those that reveal patient information) will negatively reflect upon their professionalism, regardless of what setting the comment originated from. If their comments or behaviors are found to be a violation of HIPAA, they are subject to the consequences of that violation such as failure of the rotation or academic dismissal.
Preceptors can invite students to take a more proactive role in developing their professionalism by helping to set clear expectations, or asking students to describe what they view as professional behavior to start off the conversation. Prompt and specific feedback should be given thereafter at frequent intervals and at the first sign of unprofessional or undesired behavior from the student. The feedback should clarify why the action was not professional, explaining that it will not be tolerated in the future without repercussions (e.g. being sent home from rotation, not being able to take part in specific site activities such as rounds, failing the rotation). It is also important to give students the opportunity to provide feedback to the preceptor regarding their experience and progress. This promotes fairness and provides the students an opportunity to voice their thoughts and concerns. Of course, preceptors must model the behavior they expect from their students. The way in which the preceptor conducts him or herself will set the tone and environment for the entire rotation.
POOR TIME MANAGEMENT SKILLS/ORGANIZATION
Next to professionalism, time management and organizational skills are also vital to a student’s success in any pharmacy rotation. Students need to be able to juggle their various projects, patient care, site-specific activities, as well as actively learn throughout their entire experience. Students who lack these skills will undoubtedly have trouble meeting the expectations of their preceptors as well as those of their future employers. However, just as students learn clinical skills, they can also learn how to improve upon their time management skills. With the following tips, preceptors can provide helpful advice to help guide their future colleagues in mastering the art of time management.
Hammer describes a stepwise approach to improving time management within the book Pharmacy Management, which is outlined in Figure 1.2
Figure 1. Improving Time Management Flowchart
Students should be instructed to set “SMART” goals – ones that are specific, measurable, achievable, realistic, and timed.2 Goals that are specific, for example, would quantify that a student would like to conduct a minimum of 3 patient medication reconciliations per day (increased from their previous one per day) instead of simply stating that they would like to increase their patient interactions. Setting deadlines for these goals (i.e., “timed” goals) will increase the likelihood that they will be met. Amidst all of this, students must also schedule appropriate time to take care of their personal needs, i.e., getting adequate sleep, preparing/eating well-balanced meals, and taking some time in between studying to relax and take breaks.
There are many other practical tips that may be usefully employed by students seeking to improve their time management and organizational skills. Students should set personal deadlines for projects that are earlier than the actual deadlines, to give themselves more than enough time to meet those deadlines. By doing so, students can avoid missing deadlines or completing projects at the last minute. For example, if they estimate that it will take them one day to finish an assignment, they should give themselves at least 2 days to complete it. Many times, students underestimate the amount of work that may be required to complete a project, resulting in a last-minute rush to turn in an assignment that is not reflective of students’ best work. Students should create an organized system specifically catered to their preference and lifestyle. Nowadays there are a variety of organizational tools to choose from including the more traditional paper planners or calendars to the newer electronic calendars and reminders which can be set to a cell phone, tablet, or laptop.
Advise students to create to-do lists – one for their student life and one for their personal life. Prioritization of tasks and responsibilities is an extremely important skill for students to practice. They need to realistically discern what needs to be completed now versus later. They can do this by writing out all of the things to do and labeling each one based on the time in which they need to be completed (i.e., urgent/now, soon, or later). This can help them redirect their time and energy towards tasks based on each one’s importance and urgency.
Some students may be placed with a site or a preceptor they did not choose. Or a student may have already secured a position with a company in one area of pharmacy practice (e.g., community pharmacy), but they are still required to do a rotation in a completely different area (e.g., ambulatory care, hospital pharmacy) in which they have little to no interest. In some instances, this may result in a situation where the student appears to be unmotivated to learn. Strategies to help motivate the student to succeed are outlined below.3
- Set realistic goals for the students. Some students may adopt a stance of indifference because of too much or too little self-confidence or self-efficacy. In these instances, preceptors may consider initially moving the bar to a more “reachable” level. If a goal is too far above a student’s baseline ability, it may be perceived as de-motivating; if it is too low, the student will be bored. Try to pick a goal that is slightly above a student's ability and as the student progresses, continue to raise the expectation in an incremental fashion.
- Give specific, detailed, timely, feedback. You do not have to wait until the midpoint or end of a rotation to give feedback. Immediate feedback is the most useful to any learner. In addition, feedback should be specific and include relevant examples as well as strategies for improvement. Finally, feedback should consist of both positive and negative feedback. Rewarding a student with positive feedback helps reinforce desired behaviors and builds confidence.
- Customize the learning experience. Ask the student what they are interested in and what skills they want to improve and try to expose them to relevant experiences. You don’t have to change the rotation completely to do this! There may be a committee that you are on, for example, that is looking at issue of interest to the student. If so, you may want to consider involving the student in the activities of this committee – perhaps substituting it for another activity – to help maintain interest and engagement in the rotation.
- Think about the way you are “marketing” the rotation. For example, if a student has accepted a job in a community, it would not make sense for you to tell them “you are going to have to know how to do a journal club when you are practicing”. Focus instead on the skills that the students are learning as a result of the activity, not the activity itself. You may want to highlight to the student, for example, that presenting a journal club gives them opportunities to develop their analytical and communication skills, which will be helpful for them regardless of which area they end up practicing in. This may help the student value the experience more, if they feel like they are getting something out of it.
OFFICE OF EXPERIENTIAL EDUCATION
Remember that you also have the support of the university’s office of experiential education. Do not hesitate to contact them for assistance when dealing with issues that are complicated or unfamiliar to you. They will review the comments recorded on your midpoint and final evaluation but if an issue comes up anytime before then that you believe is important, they should be notified immediately. Delaying notification may result in a delayed ability for the college to work towards a solution. They may be able to offer helpful advice or further guidance and resources that can also be offered to the student, if appropriate (e.g., counseling).
Also remember the importance of documentation. As they say in the medical field: “If you didn’t document it, you didn’t do it!” Any and all unprofessional or undesirable behavior should be documented in a specific, descriptive, and objective manner by the preceptor. This way, when the preceptor provides feedback to students, they can provide more concrete “evidence” or examples of the undesired behavior – this is particularly helpful if the student is initially reluctant to accept the criticism. For example, it is more helpful for a student to understand their preceptors’ concerns if they state “On Monday, Tuesday, and Thursday of this week, you arrived to clinic 15 minutes late”, rather than “You are almost always late.” The resultant actions taken by the preceptor to address the issue with the student should also be documented. It will also be helpful to document any improvement or positive behavior changes of the student in order to maintain an objective and balanced evaluation of their progress. Documentation is a valuable technique to employ when dealing with challenging situations while precepting. This documentation is essential to the office of experiential education in the event of the need for discipline or a failing grade.
As preceptors, our job is to help students become “practice ready.” This involves helping them master the knowledge and technical skills they will need to be an effective pharmacist. However, it also involves ensuring that graduates have the soft skills necessary to effectively implement that knowledge into practice. Taking inventory of each student’s specific skill set at the start of the rotation may help you identify areas to target on the rotation. Using strategies outlined in this article to help modify behavioral concerns will help preceptors ensure that students not only have the knowledge, but the emotional competence needed to practice.
- Hammer D. Improving student professionalism during experiential learning. Am J Pharm Educ. 2006;70(3):1-6.
- Hammer DP. Chapter 10. Time management/organizational skills. In: Desselle SP, Zgarrick, DP, Alston GL, eds. Pharmacy Management. 3rd ed. New York: McGraw-Hill; 2012.
- Fitzsimmons DS. Motivating and challenging students to enhance their performance. In: Cuellar LM, Ginsburg DB, eds. Preceptor’s Handbook for Pharmacists. Bethesda: American Society of Health-System Pharmacists; 2005. p.116-22.
New Practitioners Network
NPN Volunteers at Ronald McDonald House at Lurie Childrens’ Hospital
by Rachael Freeman P3, ICHP UIC Student Chapter and Colleen Bohnenkamp, PharmD, BCPS
After a week of early morning alarms and longer than desired commutes, it can be hard to find the motivation to get out of a warm bed on a Saturday morning. Luckily for me and about 20 other ICHP members, we ignored the beckoning of Netflix and made our way to the Ronald McDonald House at Lurie Children’s Hospital (RMHC) to make brunch for the visiting families.
Ronald McDonald House Charities is an organization that provides temporary housing for families who travel long distances to get medical treatment for their children. The houses seek to provide a true haven for families experiencing trying times. Resident families get the compassion and community that they experience in their own homes and neighborhoods, while also receiving a comfortable hotel stay for an affordable price. Families only give what they can afford in the form of a donation.1
After arriving in Streeterville, we all walked into the impressive high-rise and checked in at the front desk. We soon got down to business in the expansive chef’s kitchen for a breakfast that many of us would not soon forget. After about an hour of cooking, we laid out a spread of eggs, pancakes, sausages, breakfast casseroles, pastries, and fruit. As the guests trickled in, the buffet trays quickly began to dwindle. Our response was a coordinated effort to replenish supplies.
We worked for about one hour more and then enjoyed the spoils of our efforts. While devouring a delicious breakfast we each got to know each other and share our experiences in the pharmacy world. Students from Midwestern, Roosevelt, Chicago State, and UIC got the chance to learn from newly practicing pharmacists from institutions such as Northwestern Memorial Hospital and Presence St. Joseph Hospital. The conversation was lively and enriching.
Later, once the dishes were cleared away and cleaned, and the counters wiped down, we got the opportunity to tour the 15- story edifice. The excursion brought us to behold one of the rooms a family might stay in, the recreation rooms, the tranquil meditation room, as well as the rooftop gardens. The families we happened to encounter were comfortably at home and it was clear that this organization’s vision had been realized.
I think I can speak for my fellow volunteers when I say that it was humbling to be a part of such a worthy cause. I am grateful for this amazing opportunity that ICHP provided and hope that it will not be my last experience with RMHC.
- Mission [web article]. In: Ronald McDonald House Charities of Chicago and Northwest Indiana [online]. Oakbrook, IL: Ronald McDonald House Charities (accessed 2015 Nov 11).
The group of ICHP volunteers in the Ronald McDonald House kitchen.
Left: Northwestern pharmacist and ICHP volunteer, Taylor Chuich, flips pancakes for brunch at RMH.
Right: UIC Student Chapter member, David Silva, is caught off guard while cleaning up at the RMH brunch.
What is your current leadership position in ICHP?
What benefits do you see in being active in a professional association such as ICHP?
ICHP supports professional development throughout one’s entire career starting as a pharmacy student right through to retirement. One has the opportunity to attend live and/or participate in CE programming from home, participate in the various Divisions or Committees or simply read the ICHP KeePosted. From my prospective, some benefits of ICHP include opportunities to:
- Develop leadership skills
- Foster professional networks
- Give back to the profession through volunteering
- Strengthen the profession
What initially motivated you to get involved in ICHP?
I was member of the e-board of our student chapter when it was first established Midwestern University Chicago College of Pharmacy. I remember attending the ICHP Student Leadership Retreat. I still remember it to this day – it was my first time going to the Chicago Botanic Garden, and we had dinner at Ed Debevic's! If you rummage around my office, there are still a couple of left over handouts on time management tips that I still refer to occasionally.
Where did you go to pharmacy school?
I attended Midwestern University Chicago College of Pharmacy. At the time, it was the second pharmacy school in Illinois, and I was in the third graduating class. There were only a 100 students in the class at the time.
Where have you trained or worked?
I completed a PGY-1 Pharmacy Practice Residency at Michael Reese Hospital, which, before it closed, was one of the largest and oldest hospitals in Chicago. It closed officially in 2009. I practiced as a Clinical Pharmacist for about 5 years before becoming a clinical pharmacy manager. Since that time, my career has been focused on clinical pharmacy leadership working with pharmacy directors in various hospital settings to develop and manage their clinical pharmacy programs. One of my positions required me to travel, which was a great learning experience for me. I have been to small 25 bed hospitals in rural areas throughout the Midwest and have been as far as Puerto Rico where I worked with pharmacists who were interested in starting an Antimicrobial Stewardship Program. The most rewarding position was working for a safety net hospital on the west side of Chicago. For the resources available to us, we were able to build a great pharmacy practice there that had an impact on the community.
What special accomplishments have you achieved?
I had the opportunity to work on a national initiative promoting pharmacy services in the primary care setting for underserved communities: Healthcare Services and Resources Administration (HRSA) Patient Safety and Clinical Pharmacy Collaborative (PSCP) 5th Cohort (5.0). Our team at Norwegian Hospital won a Leadership Award. Most recently, I graduated with a Masters in Healthcare Quality and Patient Safety from Northwestern University.
Describe your current area of practice and practice setting:
My current area of practice is the field of Healthcare Quality and Patient Safety. I currently support the Pharmacy Quality and Medication Safety Program at 4 community hospitals in the Chicagoland Area (MacNeal, Weiss Memorial, West Suburban and Westlake). My practice focus is primarily in three key areas: Medication Safety, Quality Assurance (compliance with regulatory standards TJC, USP 797, etc.) and Quality Improvement (using evidence based practices to improve pharmacy services). Each hospital serves different communities and patient populations, and naturally each pharmacy department is unique with its own culture. It is great to be able to work with the different sites and have the opportunity to learn from one another.
Is there an individual you admire or look up to, or a mentor that has influenced your career?
Early on in my career, Mary Ann Kliethermes, who I first met when I served as Director of Educational Affairs, was a mentor to me. Even back then she had a great vision of what ambulatory care pharmacy practice could be and what we were capable of as pharmacists if we advocated more for ourselves. We had a lot of great discussions back then. Honestly, I have had many mentors from my colleagues I have worked with, clinical pharmacy specialists, pharmacists, pharmacy technicians, pharmacy directors and even the pharmacy students I have precepted have and continue to influence me throughout my career.
What advice would you give to student pharmacists?
- Don’t underestimate the power of your network from the moment that you get accepted into pharmacy school and throughout your career. I continue to be amazed on how small the pharmacy world is. There is a theory of the “six degrees of separation,” which states that everyone and everything is six or fewer steps away, by way of introduction, from any other person in the world, so that a chain of "a friend of a friend" statements can be made to connect any two people in a maximum of six steps. I often tell people, in Pharmacy, it’s more like three degrees.
- Try to stay up to date with what is going on in the healthcare industry and within the profession from a global level. It can be helpful in guiding decisions as you start to plan your career path.
What pharmacy related issues keep you up at night?
- The overwhelming number of new initiatives and practice changes as a result of the Accountable Care Act; not to mention, staying on top of unpredictable skyrocketing drug prices and drug shortages.
- Healthcare IT and newest version of emerging clinical decision support tools. The latest software I recently had the chance see provided antibiotic recommendations based on the hospital formulary and unit-specific antibiogram which included the dosing recommendations based on the creatinine clearance.
- The rate of innovation and healthcare startups that are doing a lot of cool things around medication management; however, there are very few pharmacy-trained entrepreneurs starting these new companies.
Do you have any special interests or hobbies outside of work?
Gardening, going to the movies, and traveling. I like a good road trip!
Do you have a favorite restaurant or food?
I am a total foodie! I have no favorites; for me, it is all about exploring and experiencing new restaurants. However, I have had a repeat visit to Doc B’s Kitchen in the Gold Coast recently.
What is your favorite place to vacation?
Florida – my family and I vacation there every summer.
What is the most interesting/unique fact about you that few people know?
I figured skated for 12 years, but my professional skating career was cut short.
What 3 adjectives would people use to best describe you?
Passionate, Dedicated, Persistent
Board of Pharmacy Update
Highlights from the November Meeting
by Scott A. Meyers, Executive Vice President
The November 10th Board of Pharmacy Meeting was held at the James R. Thompson Center at Randolph and LaSalle Streets in Chicago. These are the highlights of that meeting.
New Board Member – The Board welcomed new member Denise Carpelli to the Board, replacing Ron Weinert, whose term had expired. Ms. Carpelli works for Walgreens.
Board Elections – The Board elected Yash Amin to continue as Board Chair and Ned Milenkovich to continue as Board Vice Chair. Both gentlemen completed their first years in their respective offices at this meeting.
Draft Compounding Rules – The Board was given the opportunity to discuss the first draft of new compounding rules. The draft will be distributed to interested parties for review following this meeting. There was brief discussion, but no significant concerns with this draft.
Pharmacies conducting lab tests – The Board discussed whether pharmacies should be conducting lab tests that are not directly related to Medication Therapy Management agreements they have with physicians or physician groups. There is question whether this falls within the pharmacist’s scope of practice. Changes to the Practice Act may be necessary to allow for broader CLIA-waived testing in pharmacies if they are not ordered by a physician.
Self-Inspection Forms now available online – Onsite Institutional Pharmacy self-inspection forms are now available online at http://www.idfpr.com/profs/pharm.asp along with several other practice specific self-inspection forms. Click on the Resources and Publications tab to find the form you need. Self-inspections are now required at least annually by all pharmacies and completed forms must be maintained for 5 years. Inspectors will ask for the forms when they come in and currently use the same form to conduct their inspections.
Pharmacy Ticket – A draft of the new “Pharmacy Ticket” was shared with the Board and the audience. While not finalized at this point, the Department intends for their inspectors to begin issuing these tickets to pharmacies they find with minor infractions such as food in the medication refrigerator, expired medications on the shelf, or unsanitary conditions. These types of infractions have usually been found to be non-disciplinary orders that do not go on the pharmacy’s permanent record, so the Department will provide a ticket to the pharmacy (does not implicate any pharmacist or the pharmacist-in-charge), and the owners may sign the ticket and return it to the Department with a pre-determined fine or they may ask for a disciplinary hearing which takes more time, usually an attorney and is much more costly. The intent of the ticket is to save the pharmacy and the Department both time and money. It is not intended to be a revenue generator for the Department. Repeated violations that relate to the initial ticket will result in disciplinary hearings and Board action. The tickets will be piloted for a few months to determine effectiveness, and then the Department will determine if they need to be formalized in statute.
Department Newsletter – The Department has now issued two quarterly issues of the re-established newsletter to all pharmacy registrants with up-to-date email addresses. The next issue of the Newsletter will be released in February. Members of the public (pharmacists, technicians, students or patients) may submit articles for review and possible publication in future issues.
Legislative Update – I provided the November Legislative Update and reported that activity in the Capitol was limited over the past two months and did not impact pharmacy. Unfortunately, it appears that an effort during the next session to make pseudoephedrine containing products prescription-only, is planned. ICHP, IRMA and IPhA will be working together to fight this initiative again (a bill was introduced two years ago with the same intent). Making pseudoephedrine containing products prescription-only will increase the costs related to treating the common cold and respiratory infections dramatically.
Open Discussion – Garth Reynolds, IPhA Executive Director filed a formal complaint with the Board and Department asking that all medical marijuana dispensing organizations not be allowed to use the term dispensary in their signage as it is prohibited by the Pharmacy Practice Act. The Board and Department staff are aware of the issue and may be handcuffed by language in HB1 from two years ago. Any dispensing organization that uses apothecary in its name will be asked to cease and desist.
Doug Higgins, compounding pharmacist from Paxton, Illinois provided the Board with a comprehensive summary of recent proposed federal regulation and standards revisions.
Next Board of Pharmacy Meeting – The next meeting of the Illinois Board of Pharmacy will be held at 10:30 AM on Tuesday, January 12th at the Thompson Center in downtown Chicago. Announcements and agendas are posted at least 14 days in advance on the IDFPR pharmacy website. The profession is welcome to attend the open portion of this meeting.
My Year as Student Chapter Co-President So Far
by Trevor Luman, P2, ICHP Co-President, University of Illinois College of Pharmacy at Rockford
Working as Co-President of the ICHP UIC College of Pharmacy student chapter on the Rockford campus has had some interesting twists and turns in the beginning, to say the least. After becoming Co-President-Elect at the end of the previous school year, I looked forward to having a whole year to prepare myself during my P2 year to become President at the beginning of my P3 year. Unfortunately, the incoming Rockford campus Co-President had some extenuating circumstances arise at the beginning of the school year and they needed to step down as Co-President. This left me to take over as Co-President of the Rockford campus a year ahead of schedule. The task seemed daunting, especially since I had not had any leadership positions of this magnitude before. Instead of learning gradually over a year in preparation about being Co-President my P3 year, I had to learn how to do it “on the job”. I knew I had to be up to the task because the student chapter needed leadership during this critical period. This pressing need compelled me to be an effective leader to the best of my ability. Luckily, I had strong support from many different sources. Thanks to the advice and help from the faculty advisors of our UIC chapter, the previous Rockford Co-President, as well as the current ICHP Co-President on the Chicago campus, I have not had to go through it alone.
In just these few short months, I have learned a lot about being a leader from the most effective way to learn anything: from experience. Coordinating all of the activities of ICHP has helped me refine my time management skills even further since my tasks would otherwise quickly pile up to an insurmountable level on top of all of the schoolwork that I needed to do. Throughout my life, I have always tried to be a very easygoing and cooperative person, so it felt strange, at times, to give my fellow executive board members tasks to do. However, I have tried to look past that strange feeling since the student chapter would flounder without decisive leadership.
Despite the adversity we have had to face, there have been some early successes within the chapter. In the face of strong competition, our student chapter won the ICHP Student Chapter Video Contest this year, filming a five-minute video illustrating the importance of interdisciplinary collaboration between pharmacists and other health professionals. We also teamed up with another student organization on the Rockford site to hold a student and pharmacist mixer as a social event for students to start making connections.
Our student chapter has big plans for next semester as well. As part of our lung health initiative, we will offer inhaler training to students for the first time ever on the Rockford site. This training will allow students to go out and teach the general public on how to use their inhalers to maximize the benefits of their inhalers. As a leader, I cannot rest on the laurels of early success. There is always room for self-improvement, and while I can never be perfect, that should not deter me from pursuing this goal. So in closing, or for those who skipped to the end of this article, one of the most important characteristics a leader can have is perseverance.
Summer Camp, Anyone? SIUE Healthcare Collaboration at its Finest
by Yasmyn Knight, P3 Student, SSHP ASHP Liaison and Sarah Lance, P2 Student, SSHP President Elect, Southern Illinois University Edwardsville School of Pharmacy
The Southern Illinois University Edwardsville School of Pharmacy promotes its annual Healthcare Diversity Summer Camp for rising high school sophomores, juniors, and seniors from a plethora of diverse backgrounds within the St. Louis Metropolitan Region. The summer camp is one week long and is free of charge for each student participant. It also includes a complimentary Kaplan ACT Preparatory Course and CPR training certification. Throughout the week, the high school students are introduced to SIUE’s School of Nursing, School of Dentistry, and School of Pharmacy programs. The Healthcare Diversity Summer Camp is implemented by SIUE SNPhA to expose the students to a variety of healthcare careers that are offered at SIUE.
SIUE School of Pharmacy student leaders are encouraged each year to participate in the summer camp and serve as camp counselors, chaperones, and mentors for the high school students. Each summer there are several SIUE SSHP members in attendance who provide the students with knowledge about the expanding roles of pharmacists and the increasing opportunities for student pharmacists to impact the community. Two 2015-16 SIUE SSHP officers provided their personal reflection about how the Healthcare Diversity Summer Camp impacted them as pharmacy student leaders making an impact on their community.
“As one of the first participants of the SIUE Healthcare Diversity Summer Camp, in the summer of 2011, I can testify that my experience as a high school student solidified my decision to pursue pharmacy as the career for me in healthcare. Pursuing a profession within the healthcare field after graduating high school was always a goal of mine, but I found myself a bit discouraged by the low representation of African American physicians practicing within our society. After the first day of camp, my eyes were instantly opened to the endless possibilities that SIUE and the field of pharmacy had to offer. The SIUE School of Pharmacy faculty and student pharmacists encouraged the camp participants to get enrolled into pre-healthcare college courses and provided us with the necessary tools to succeed in college. It was very encouraging witnessing the faculty and student pharmacists take time out of their busy schedules to mentor high school students. One great piece of advice that the student pharmacists shared was to get involved in pharmacy student organizations. I definitely do not regret taking their advice and currently I hold two important student organizations positions, the 2015-2016 SSHP ASHP Liaison and the 2015-2016 SNPhA President. After the camp, I knew that I wanted to be a pharmacist and I was sure that I could count on the student pharmacists that I met to become many of my lifetime mentors.” - Yasmyn Knight
“Never having been a camp counselor before, this experience was a very exciting one. The students were very welcoming and we were able to bond so quickly. I believe the immediacy of the bonding occurred because a few years ago, I was in their shoes. Being on the counselor side was more than rewarding. For a few hours each night some of the other chaperones and myself would visit the students and just talk about school and previously unanswered questions they did not want to ask the faculty members. It was like an informative sleepover party, and they appreciated the unfiltered perspective of a pharmacy student. I was able to talk to all of the students, regardless of their preferred career path, about the collaboration and roles of pharmacists in the healthcare community. Being able to share the ever-expanding roles of pharmacists, outside of retail stores on every block, is important to me. While I grow into my future SSHP presidency, I realize my vision is to expand the public's perspective of pharmacists in all settings. Volunteering for the summer camp is my first step towards achieving that vision. I’m so proud of my school for having this camp program, encouraging a relationship between students of minorities and our community of healthcare students and faculty.” - Sarah Lance
The SIUE Healthcare Diversity Summer Camp participants at the closing ceremony. Participants, their families, and the volunteers were invited to a lunch banquet to celebrate the students’ experiences over the week.
What Questions Do You Have For Me?
by Priyank Shah, P4, Chicago State University College of Pharmacy
“What questions do you have for me?” In every pharmacy student this question has been embedded in to our normal language. When we are done counseling patients, this is typically how we conclude our session. During my time at CSU-COP, I began to wonder if there a deeper meaning behind this question. I have come to the realization that I the answer is “absolutely”! I remember during first year orientation, the presenters would always ask this question at the end of their talks. I can recall sitting in the audience truly pondering that question. In retrospect, I realized that it is focused on self-reflection. I feel that this question gives greater meaning on how a student transitions through a rigorous pharmacy program.
During orientation, the first thing that came in to my mind was “am I ready for this?” To be honest, no one is 100% ready to start the journey through pharmacy school, so I continued with that notion. I was frightened yet excited about the realization that my goal is about to be achieved as I trend down the path to becoming a student pharmacist. While our curriculum helps to transition into this role, I acknowledge that the majority of change comes from within. After every struggle you are continuously asking yourself “am I really ready?” With the passing of each difficult situation, answering the question “are you ready” does get easier to address.
By your second and third year of school, things become a bit clearer. Although you are introduced to new challenges, you tend to navigate through them better. At that point, asking myself, “where would I most enjoying working when I am done with school?” became an important question. As I answered this, I began to sculpt my APPEs, organizational, and life experiences around where I would like to eventually practice. As the years progressed and many transitions occurred, I realized that the original reason I began the pathway to become a pharmacist had changed significantly.
Now in my fourth year of school, I am realizing how many times I have been confronted with the question - “What questions do I have?” This question allows an individual to do some serious thinking about the future and to reflect on how things may have been done differently in the past. Giving power to this question stimulates the progression from student pharmacist to clinician…and beyond!
Welcome New Members!
Officers and Board of Directors
JENNIFER TRYON Treasurer
Director, Educational Affairs
Director, Marketing Affairs
Director, Professional Affairs
CAROL HEUNISCH Director, Organizational Affairs
Director, Government Affairs
Chairman, House of Delegates
Chairman, Committee on Technology
Chairman, New Practitioners Network
Editor & Chairman, KeePosted Committee
630-515-7324 fax: 630-515-6958
Executive Vice President, ICHP Office
Regional Director North
Co-Regional Director South
TARA VICKERY GORDEN
Co-Regional Director South
President, Student Chapter
University of IL C.O.P.
President, Rockford Student Chapter
University of IL C.O.P.
President, Student Chapter
Midwestern University C.O.P.
President, Student Chapter
Chicago State University C.O.P.
President, Student Chapter
Southern Illinois University Edwardsville S.O.P
President, Student Chapter
Roosevelt University C.O.P.
President, Metro East Society (MESHP)
ICHP Pharmacy Action Fund (PAC) Contributors
Names below reflect donations between December 1, 2014 and December 1, 2015. Giving categories reflect each person's cumulative donations since inception.
ADVOCACY ALLIANCE - $2500-$10000
James Owen Consulting, Inc.
LINCOLN LEAGUE - $1000-$2499
CAPITOL CLUB - $500-$999
Mary Lynn Moody
GENERAL ASSEMBLY GUILD - $250-$499
SPRINGFIELD SOCIETY - $100-$249
GRASSROOTS GANG - $50-$99
CONTRIBUTOR - $1-$49
Tuesday, December 15, 2015 | 6:00pm
Procalcitonin, Antibiotics, and You! How this Biomarker can be Applied to Clinical Practice
Lyle Pratt, PharmD
Fire and Ale | Sherman, IL
Accredited for pharmacists and pharmacy technicians | 1.0 credit hour ( 0.1 CEU)
Wednesday, January 6
Poster Abstract Submission Deadline
Wednesday, January 20, 2016 | 12:00pm and
Tuesday, January 26, 2016 | 3:00pm
Change Drivers for Antimicrobial Stewardship
Scott Bergman, PharmD, BCPS
Champions Program | LIVE Webinar
Additional details coming soon.
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