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KeePosted Official Newsjournal of the Illinois Council of Health-System Pharmacists
EDITOR Jacob Gettig
ASSISTANT EDITOR Jennifer Phillips
MANAGING EDITOR Scott Meyers
ASSISTANT MANAGING EDITOR Trish Wegner
DESIGN EDITOR Amanda Wolff
ICHP Staff EXECUTIVE VICE PRESIDENT Scott Meyers
VICE PRESIDENT - PROFESSIONAL SERVICES Trish Wegner
DIRECTOR OF OPERATIONS Maggie Allen
INFORMATION SPECIALIST Heidi Sunday
CUSTOMER SERVICE AND PHARMACY TECH TOPICS™ SPECIALIST Jo Ann Haley
ACCOUNTANT Jan Mark
COMMUNICATIONS MANAGER Amanda Wolff
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.
KeePosted Vision 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.
Tis the Season to Celebrate You!
by Jen Phillips, PharmD, BCPS, ICHP President
December is a month of many holidays – Christmas, Hanukkah, Kwanzaa, Solstice Day, Festivus, and many others. It is the time of year that many of us look forward to – an opportunity to spend long overdue time with friends and loved ones. While many of us may be showering others with gifts and/or unwrapping beloved treasures ourselves, it is also a good time to take inventory of all of the intangible gifts we have in our lives that are so easy to take for granted.
There are many things I am grateful for. First of all, my family and friends. Life is so much easier when you can share the ups and downs of life with others in an environment of mutual respect and love. I am also grateful that I get the opportunity to go to my “dream job” everyday, where I get to work with inspirational people and do the things I thoroughly enjoy – teaching, research, and service. I am also thankful for all of the experiences I have had in life (positive and negative) as they have undoubtedly shaped my character and allowed me to evolve into the person I am today. I know I still have a long way to go, but I will take slow progress as it comes!
When it comes to ICHP, I am very thankful to all of the selfless, dedicated members who help keep this organization running. I always knew there were a lot of spinning wheels, but now, in my role as president, I am able to see just how many there are and how much time and effort goes into keeping the organization running and moving it forward. If I listed everyone’s name, this column would be very long, so I have opted to thank select groups of individuals. I will let you decide which category (or two or three) you fit into:
The Board of Directors: The individuals who give up countless hours of their time to enact the vision, mission, and goals of ICHP. Your leadership, perseverance, and dedication are commendable and very much appreciated!
Volunteers: You are the ones who skip your lunch break to attend a Division call or stay up late reviewing best practice submissions or miss out on brownies/cookies during the program break to judge posters. I thank you for all of these little sacrifices that help keep the organization running.
Students: You bring invaluable insight and energy to the organization. Thank you for taking time away from studying to help ICHP achieve its mission.
Clinicians/Technicians: You are the ones who work tirelessly everyday to help provide better care for our patients. Thank you for your efforts in making our patients’ lives better one dose at a time!
Advocates: You are the ones who spend time talking to state senators and representatives trying to lobby for issues of importance to ICHP and the profession as a whole. Thank you for all of your continued efforts in furthering our advocacy agenda.
Sponsors: Thank you to all of the generous sponsors who help make our educational programming and other endeavors a success!
Educators: You are the ones who ensure that the next generation of pharmacists has the intellect, character, leadership, and ingenuity to practice in today and tomorrow’s world. Thank you for helping to move our profession forward!
Members/Supporters: You are the ones who come to the NISHP meetings and/or the Annual and Spring meetings. We always look forward to seeing you there, and we are so thankful for your continued support. Remember, if you ever want to get more involved, just let us know! We would love to use your thoughts/ideas/insights to help make the organization better!
The ICHP Staff: Finally, to the individuals who do all of the behind-the-scenes work. I am thankful for your relentlessly positive attitude (which may or may not be due to the Diet Coke runs to McDonald’s) and your hard work. You certainly do make being President an easy job.
Hopefully that covers everyone! I thank you all for your contribution to ICHP, and I wish you the best in 2016!
Walk in their shoes
by Scott A. Meyers, Executive Vice President
In his June 2013 President’s Message, then President Tom Westerkamp relayed and expanded on a message he had heard earlier that year at the ICHP/MSHP Spring Meeting presented by Cleveland Clinic Chief Pharmacy Officer Scott Knoer. Scott shared a new video produced by the Cleveland Clinic titled “Empathy: Exploring Human Connection to Patient Care.” You can watch below, or the video is still available on Youtube.com here, and has had nearly 3 million views. It is something worth viewing, maybe even before reading the rest of this column.
Tom talked about how all healthcare providers need to remember that our patients, their family members and other visitors may have serious issues that are holding their attention and that are going on in their lives. He relayed that this applies to co-workers, too, and that our work interactions need to be empathetic and always be considerate of what others might be going through at any given moment.
Well, some of you know that I had the opportunity to experience many days in a Rockford hospital in December as my father was admitted with pneumonia and sepsis and eventually passed away as a result. I spent 19 days straight coming in and out of that hospital, most with my mother who turned 90 during the process and many times with other family members. And just like in the video, we all had a variety of concerns running through our minds. Would Dad recover? How will Mom do without him, if he doesn’t? How is Mom holding up? Does Mom understand what the Doctor just told us? Will Mom and Dad have enough money if he needs long term skilled care after this? And many more thoughts like those. In addition, Dad tested positive for MRSA, so every trip into the room required gown and gloves and always left us wondering if we were already carriers or now becoming one. We were all distracted by a variety of thoughts.
At the same time, I tried to keep doing some work and fortunately, the ICHP staff was phenomenal! They kept the ball rolling in Loves Park and didn’t bother me with trivial issues. I think they did a great job of considering my situation and picking me up!
I did see pharmacy from the other side once or twice, too! When Dad became agitated, it took a little longer than I would have liked to get the lorazepam and later haloperidol up to the unit. But then I thought about the processes involved: writing the order, processing the order, validating the order, delivering the medication to the ADC, and finally removing it from the ADC and administering it to him. It actually happened pretty fast considering! But most other patients and their families don’t know what I know. Something to consider.
I also was lucky enough to personally know the pharmacist that was dosing Dad’s vancomycin, so it was easy to stay on top of when the next dose was coming. I don’t think that pharmacist normally makes it a point to speak with family and let them know what he’s doing and when the next dose might be administered. Maybe that’s something all clinical pharmacists should consider when dosing patients’ medications? Let the family know (if they are readily accessible) what you do and why. Provide updates on the medication therapy plan – nothing too detailed, but in terms they understand, so they feel more informed.
The nursing care was excellent, and I made it a point with each new nurse to let them know that I used to be a hospital pharmacist so “I speak medical”. This helped them understand that I knew more than the average family member might and that they could be more clinical in their explanations. This saved them time, and I think they appreciated it. Every healthcare provider should inform those caring for their family members that they have a health background to enhance communications. Of course that does place more responsibility on the healthcare family member, not only for communications but for the purpose of advocacy for the patient.
As pharmacists and pharmacy technicians, we need to put ourselves in the shoes of the patient and their family members. We need to do the same with the nursing staff and physicians we interact with so that we empathize and better serve their needs. That’s why we’re there. And it may help us provide better care for each of our patients. Don’t be afraid to ask questions or to reach out to the family to get a better overall view. Share what you can and the services you’re providing so that they feel more informed and involved in the care. If you know the patient is going home on new medications, let all involved know what to expect from them, how to take them (not just the patient) and what to do if a medication-related problem arises once they get home or while they are still in your care.
Treat your patients and their family members as if they were your Dad or Mom in that bed and think about what they may be thinking about while they are in your care. Watch the video and think of your own family and friends. Walk in their shoes, everyday!
What is your current leadership position in ICHP?
I serve as a faculty advisor to the Rosalind Franklin University of Medicine and Science (RFUMS) College of Pharmacy ICHP chapter.
What benefits do you see in being active in a professional association such as ICHP?
ICHP keeps me closely connected to the broader Illinois health-system pharmacy community. My role as a faculty advisor affords me the privileged opportunity to work with students aspiring to be health-systems pharmacists. I highly encourage students, new graduates and seasoned pharmacists alike to become involved with ICHP – the learning and networking opportunities are invaluable and beneficial to all levels of clinicians.
What initially motivated you to get involved in ICHP?
In 2010, I moved to Chicago and was fortunate to join the Northwestern Memorial Hospital Pharmacy Department. In my early days at Northwestern, I met a number of pharmacists who were actively involved in ICHP. I joined ICHP eager to interact and collaborate with a group of like-minded practitioners. I found a professional home – and more – in the ICHP community. I am proud to be a part of an organization that is dedicated, both from a clinical and policy perspective, to advancing the profession of pharmacy.
Where did you go to pharmacy school?
I attended pharmacy school at Purdue University. I was actually an Industrial Engineering major up until my senior year of undergraduate (also at Purdue) when I happened to work closely with a few inspiring pharmacists and decided to change my career path. A lucky break, to be sure.
Where have you trained or worked?
I completed my PGY1 residency at Brigham and Women’s Hospital in 2007. After finishing the residency, I stayed on at the Brigham and helped launch pharmacy services in the Emergency Department. In 2010, I was fortunate to have the opportunity to join the Northwestern Memorial Hospital Pharmacy Department critical care team and made the move back to the Midwest! In 2012, I joined RFUMS as clinical faculty and was able to return to the practice of Emergency Medicine.
Describe your current area of practice and practice setting:
I currently work in the Northwestern Memorial Hospital Emergency Department as one of the ED clinical pharmacists. Our ED is a Level 1 trauma center and my hour-to-hour responsibilities include bedside participation in medical emergencies, therapeutic consults, responding to drug information questions, patient counseling and overall participation in patient care as part of an interprofessional ED team. The work is fast-paced and rewarding.
What advice would you give to student pharmacists?
Say “yes”! During this transformational time for our profession, there is no shortage of exciting and fulfilling opportunities for pharmacists and pharmacy students. I have benefited throughout my career by saying yes to different opportunities as much as possible.
What pharmacy related issues keep you up at night?
I am concerned that the pedagogy of traditional, didactic lecturing is insufficient to prepare pharmacy students for the versatile, ever-expanding role of a pharmacist operating within the context of a clinical team. I am an advocate for exploring alternative techniques to train students to interact with patients and interprofessional teams. Recently, I started incorporating mannequin-based patient simulation into my courses at RFUMS, with the goal that having students practice in a simulated real-world environment, where it is safe to make mistakes, may help prepare them for clinical rotations. I am currently conducting research on how these simulations may enhance student performance and retention of knowledge. It is my hope that these types of learning experiences in pharmacy school may help to prepare students to enter and excel in clinical practice.
Do you have any special interests or hobbies outside of work?
I love traveling, spending time with family and friends, and teaching my inquisitive 18-month old son, Finnbar, about hot topics in the pharmacy world, such as medication safety, billing for services, and the changing role of pharmacists in an evolving, value-based healthcare economy. It’s never too early to start training the next generation!
What is your favorite place to vacation?
My favorite getaway is the Dingle Peninsula on the western coast of Ireland. My husband has family there and we cannot wait to make our first pilgrimage with Finnbar, whose name is grounded in his Irish roots!
What 3 adjectives would people use to best describe you?
I think (and hope!) they would say I am compassionate, thoughtful and hardworking.
New Practitioners Network
Top 10 Tips for Establishing New Pharmacy Services
by Rebecca Castner, PharmD, Chicago State University College of Pharmacy; Reviewed by Shubha Bhat, PharmD, BCACP, UIC College of Pharmacy
As the healthcare landscape continues to change, pharmacists today look for clinical opportunities to expand services, lower healthcare costs, and improve patient care. These opportunities often require establishment of not only patient relationships, but provider relationships as well. This fact is one of the many I have learned as I currently create clinical services in a specialized community medical home. Previously I worked to establish services in an internal medicine clinic within an academic medical center. However, despite the major differences in practice site and patient population, I have noticed many similarities in the process of establishing pharmacy services at both locations. While I could write many pages about this subject, I have whittled down what I believe to be are the top 10 practical points to keep in mind when setting up clinical services. While these suggestions are geared toward establishing new services, they can also be applied to current clinical practices in order to enhance and/or expand the existing practice site.
1. Create an open dialogue.
Change is difficult and uncertainty can be stressful for even the most pharmacy-friendly medical practitioners (including other pharmacists at your site). Let the site know that you want to develop WITH them and that you plan to address their concerns as well as make their needs your priority.
2. Go to meetings.
Whenever possible, attend provider meetings to stay up-to-date on the site’s needs, and attend support staff meetings as well. Remember that providers may have not worked with a clinical pharmacist before and may lack awareness regarding the services and skills a clinical pharmacist can offer. Even something we consider to be an obvious niche, such as adherence counseling, may not be known by other professions. This is also a good way to get to know the providers and staff, and establish relationships. In the beginning, it can be easy for the providers to forget you if they do not see you regularly.
3. Be open to questions.
Even if you are hired to fill a very specific role, it is ideal to make yourself available as a general drug information resource in addition to your specific duties. If you appear knowledgeable about a variety of drugs and disease states, this fosters trust with the providers in your clinic. Also, always remember to follow up promptly if you have to get back to a provider later regarding their question.
4. Make (tactful) suggestions.
As the new provider in clinic, it can be daunting to make suggestions to other providers, especially if they have been practicing at that site for a long time. Keep in mind that you would not have been brought on board if your expertise could not improve the practice. Making suggestions is important, and it shows that you are engaged. However, be sure to make all suggestions with tact, and with a complete understanding of the site’s policies and procedures. Be aware of how you phrase your suggestions – asking providers if they have considered implementing something instead of making a statement of how things “should be” will likely elicit a much better response.
5. Be persistent – but also have patience.
If you have an idea accepted by the providers, be sure to take initiative and follow up on it regularly to move things forward. However, keep in mind that things take time to develop, especially in the medical setting where legalities and patient safety are paramount in every step of a new service or within every change to protocol.
6. A little preparation goes a long way.
When presenting an idea, thoroughly do your research, and be prepared to have a succinct and cohesive “elevator speech” ready on demand to justify it. Showing how other clinics have implemented similar clinical pharmacy services successfully (especially if there is a cost-saving aspect) will go a long way in having services implemented at your site.
7. Utilize your network.
Even if you are the only pharmacist at your site, you are not alone! Utilize the expertise of colleagues who have accomplished similar things as you aspire to do. Being prepared for roadblocks (and learning how others have effectively handled them) is invaluable information. ICHP is a wonderful resource to look to for support in these endeavors.
8. Be flexible and reliable.
Try to set a schedule for yourself so other practitioners know when they can expect you to be available. However, be aware that when starting new services, you may need to be available outside of these times for meetings, and be open to the fact that the hours you initially thought were best might not be in practice. If this is the case, discuss with your supervisor and adjust your hours as best fits the needs of the clinic when possible. Keep the team informed of when you have days off or when you are in a meeting, so they are not searching for a resource that isn’t there.
9. Communication is key.
Communicate what you can do for the clinic, but also do not be afraid to let others know what you are NOT there for. Remember, many people’s perception of a clinical pharmacist is the individual wearing a white coat standing behind the counter. Do not take offense if asked to perform roles that are not of your purview, and explain politely that certain roles are not the same for a clinical pharmacist as for pharmacists in other settings.
10. Remember everyone was the new kid once.
Smile and introduce yourself! It may take a little while for the team to understand your role, but everyone always loves having a pharmacist once they are established.
Government Affairs Report
ICHP Website Is an Important Resource in 2016!
by Jim Owen and Scott Meyers
Let’s start with a show of hands. Who is not aware that 2016 is a Presidential election year? Nobody, as we suspected! But it’s also a State election year with 118 seats in the Illinois House of Representatives and 40 seats in the Illinois Senate up for election, too! There will be a special election for the office of Comptroller this year, too, although the normal constitutional officer elections were held in 2014 and will be held next in 2018, including the Governor.
In January, we plan to release a new version of the ICHP website, and with it we are adding a couple of new links on the ICHP Advocacy page, formerly the Public Policy page. The first link will be to the Illinois General Assembly website: www.ilga.gov, which provides visitors with a listing of all active legislation, committee and chamber schedules and the current members of each chamber including their pictures and office addresses. Many State Senators and Representatives provide email addresses although responsiveness to emails sent to those addresses is variable.
The General Assembly website provides the full list of bills introduced for this two-year session, and while many of the bills introduced last year are no longer active or have become law, the newer bills listings (higher numbers) provide a summary of the bill, sponsor or co-sponsors, full text of the bill and a log of actions taken. While the vast majority of bills introduced are not related to healthcare, we anticipate 4-5 dozen will directly or indirectly impact pharmacy this year and another 20-30 will be healthcare-related in other ways. We will highlight those bills that we believe pharmacists, pharmacy technicians and pharmacy students would or should need to know about in this regular column. We have been doing it for many years. But using the General Assembly website is a great way to get your own read on the important bills and on those you may have a personal interest in!
The second website we will be linked to is the Illinois State Board of Elections website: www.elections.il.gov. If you are not a registered voter, you need to be, and this website will tell you how to get registered quickly and efficiently. In addition, this website can provide you with a form to change your voting address if you have moved since the last election or since the last election in which you actually voted! It will also provide election results the day after the election so that you can see if there has been a shift in power in the House or Senate and if your personal favorites were successful in their election bids. This website is not the easiest to navigate, but for what you may want or need, it will serve as a reasonable resource.
The hoopla surrounding the 2016 Presidential election has been with us for more than a year already, and we’re still another 10 months away from it actually taking place. But pharmacy laws come primarily from the Illinois General Assembly, so it is critical that you become familiar with its members and their actions this spring. ICHP’s Division of Government Affairs and we two, will keep you informed as best we can on what is happening in Springfield this session, but we can use your help by monitoring the issues we share. Contact your legislators when we need you to and build a real relationship with your State Senator and Representative so that they know you when you do contact them. And don’t forget to support the ICHP Pharmacy Action Fund (ICHP’s Political Action Committee) with a contribution this year so that we may support our current friends in the General Assembly and make new ones during their election efforts.
The ICHP website is a valuable resource overall, and the Advocacy page will make it even more valuable this year!
Editor's Note: You can find the Advocacy page under the Pharmacy Practice tab once the new website goes live Monday, January 18, 2016.
ASHP Delegates for 2016-2017
2016 Alternate Delegates
Congratulations to Miriam Mobley-Smith on her retirement as Dean of the College of Pharmacy at Chicago State University.
Midwestern University Chicago College of Pharmacy
The Movement of Pharmacy
by Debra Carlson, P1
When I first decided to go into pharmacy, my original intent was to develop drugs. I was not very interested in patient care or dispensing medications. With that being said, one of the first classes in the pharmacy curriculum at Midwestern University Chicago College of Pharmacy is an Introduction to Pharmacy Practice course that is taught by Dr. Mary Ann Kliethermes. I had never worked in a pharmacy before so this class really opened my eyes as to what goes on behind the counter. Within the class, students learn about different aspects of pharmacy practice including, but not limited to, adverse drug effects, patient adherence, and new patient care processes. The new patient care process that I learned about in this course is what inspired me to write this article and the main reason for my advocating where pharmacy can go in the future to help patients.
The Joint Commission of Pharmacy Practitioners (JCPP) recently released a document regarding the patient care process. This document was created by a collaborative group from different fields of pharmacy, and it describes realistic and standardized steps for pharmacists to employ when providing direct patient care. This model places patients at the center of care provided. The steps of the process are as follows; collect, assess, plan, implement, and monitor/evaluate. Class discussion of these steps originally led to my interview with Dr. Kliethermes.
Dr. Kliethermes believes that these steps are correct and a great start to improving patient care. However, with experience using the process, the elements within each step may need to be slightly modified. As with any process, the steps need to be standardized. Without standardization, general services provided by a pharmacist become unclear, indicating the need for some consistency across practices. One of the concerns addressed by Dr. Kliethermes is that currently, there is no defined “ritual” of direct patient care to expect from pharmacists. Each pharmacist has a different procedure depending on what works best for them and this may lead to the confusion among providers and patients as to what a pharmacist does or can do. Some slight variations can be okay and sometimes necessary when caring for individual patients, but right now, the lack of standardization makes it difficult for patients to anticipate what a pharmacist visit entails.
The patient care process designed by JCPP outlines roles for pharmacists that move more towards a patient-centered pharmacy and less towards a dispensary process. This clearly shows the transformative potential of this new process. Pharmacists would no longer be seen as a stranger behind a counter filling prescriptions. Counting pills and labeling bottles can be done by certified technicians. Pharmacists are trained to pay attention to the patient, to give therapeutic advice, and to play a larger role in healthcare than merely dispensing medications. This new process would take advantage of the extensive education pharmacists receive in their training. There is an abundant amount of studies showing the effects of pharmacist involvement; a large volume of which show increased patient adherence due to pharmacists making patient care the center of their practice. This can not only change the reputation of pharmacists but can also effect healthcare as a whole.
With that being said, the patient centered process developed by JCPP is a huge step in the right direction. Many leaders in pharmacy agree that with successful implementation, this process can transform the current state of pharmacy. Through a new outlook with patients driving care, pharmacists can have a huge impact on the healthcare system as a whole. After learning about this new development in patient care, I am excited to see what community pharmacy has in store for me and my fellow classmates.
Roosevelt University College of Pharmacy
Professional Poster Symposium Success
by Camille Andrews P2, SSHP Treasurer and Cony Hartnett P2, SSHP Webmaster/Historian
The executive board members of Roosevelt University College of Pharmacy’s Student Society recently had the opportunity to participate in a Patient Education Professional Poster Symposium at Harper College. These patient education posters, designed by second-year pharmacy students, covered a variety of topics related to self-care and non-prescription medications and were presented to a panel of judges, students, and faculty as well as the general public. This experience highlighted the important role that pharmacists play in providing recommendations to patients using over-the-counter medications. There is a great deal of information available to patients via the internet. However, it can be difficult to determine which sources are credible. The pharmacist is able to assess patients and provide appropriate evidence-based recommendations based on the each patient’s needs.
Patient education topics presented at the symposium were selected by pharmacy faculty and randomly assigned to each student group. Patient education topics included: infant teething, heartburn relief, nasal sprays, addiction to over-the-counter cough medications, fever relief in children, cold sores, medication poisoning prevention in children, teen sleep deprivation, children’s wound care, menstrual pain, and over-the-counter medications that impair driving. Each poster topic was presented by teams of 5-6 second-year pharmacy students and judged based on the following criteria: relevance of the information provided, accuracy, visual appearance of the poster, written communication within the poster, and oral presentation.
It is with great pride that the Student Society at Roosevelt University College of Pharmacy can report that each member of our Executive Board was a part of preparing and presenting all three posters that finished on top. Jordan Faison P2, SSHP President and Ed Principe P2, SSHP Social/Service Chair, were on the third place team, with “Strategies to Relieve Heartburn”. Brett Dunham PS-2, SSHP Vice President was on the team that finished second, with “Preventing Medication Poisoning in Children”. Finishing first, with “One Tooth, Two Teeth: How to Comfort Your Baby While Teething”, was a group that included four SSHP members: Camille Andrews P2, SSHP Treasurer; Joelitta Ansong P2, SSHP Secretary; Cony Hartnett P2, SSHP Webmaster/Historian; and Amanda Mertsching P2, SSHP Professional Development Chair.
For many of us, this was the first time preparing a professional poster and presenting it to an audience outside of our own College of Pharmacy. This was an invaluable experience as students and has helped to prepare us for similar assignments in the future. Due to the successful turn out and interest at Harper College, the symposium will be held on an annual basis. Furthermore, following feedback from students and faculty at both colleges, our SSHP Chapter is looking into initiating a number of other educational presentations at Harper College. We hope to speak to students, especially those interested in working towards a career in the medical field, about stress management, preparing for graduate level programs, and medication related topics, such as preventing and identifying abuse.
Winning team pictured from left to right: Cony Hartnett, SSHP Webmaster/Historian; Joelitta Ansong, SSHP Secretary; Ned Loy, Camille Andrews, SSHP Treasurer; Amanda Mertsching, SSHP Professional Development Chair; and Justin Santos.