KEEPING UP WITH THE STUDIES: THE CHALLENGE OF STAYING CURRENT IN PHARMACY
SATURDAY/10:15-11:15AM
ACPE UAN: 0107-9999-18-264-L04-P 0.1 CEU/1.0 hr 0107-9999-18-264-L04-T 0.1 CEU/1.0 hr
Activity Type: Application-Based
Learning Objectives for Pharmacists & Pharmacy Technicians: Upon completion of this CPE activity participants should be able to: 1. Discuss the importance of staying current with medical literature. 2. Describe strategies for staying well-informed and current with practice relevant literature. 3. Identify a variety of resources that are available to help keep pharmacists and pharmacy technicians informed. 4. Develop strategies for lifelong learning.
Speaker: Elizabeth Pogge, PharmD, MPH, BCPS-AQ Elizabeth Pogge is an Associate Professor at Midwestern University College of Pharmacy—Glendale and a clinical pharmacist in ambulatory care at Cardiac Solutions in Peoria, Arizona. Her interests include preceptor development, geriatrics, education, and cardiology. Her research interests include the scholarship of teaching and learning, cardiology, and lifestyle modification. She is involved with the Arizona Pharmacy Association, American Society of Consultant Pharmacists and the American Association of Colleges of Pharmacy Geriatric Sig. She has spoken regionally and nationally on a variety of topics and has written numerous peer review research articles and book chapters. She received her Doctor of Pharmacy from the University of Nebraska Medical Center and her Masters of Public Health in Nutrition from the University of Massachusetts- Amherst. She is a Fellow of the American Society of Consultant Pharmacists.
Speaker Disclosure: Elizabeth Pogge reports no actual or potential conflicts of interest in relation to this CPE activity. Off-label use of medications will not be discussed during this presentation.
1/23/2019
Are you LAGGING behind? Strategies to ADVANCE your knowledge
Presented by: Elizabeth Pogge, PharmD, MPH, BCPS AQ Cardiology, FASCP, FAzPA
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Disclosure
• Dr. Pogge reports no actual or potential conflicts of interest associated with this presentation
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Learning Objectives
• Upon successful completion of this activity, participants should be able to: • Discuss the importance of staying current with medical literature • Describe strategies for staying well-informed and current with practice relevant literature • Identify a variety of resources that are available to help keep pharmacist and pharmacy technicians informed • Develop strategies for lifelong learning
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Why do you feel it is important to stay current with new medical information?
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Keeping Current
• The pharmacist as the clinician educator • Subject matter expert • Build credibility • Provide evidence based, quality patient care • Reduce/prevent medication errors • Expanding scope of practice
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New Drug Approvals By Year
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60
50
40
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0 2018 2017 2016 2015 2014 2013 http://www.fda.gov
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Medical Information
• The amount of medical information doubles every 5 years • It is estimated that it would take ~625 hours per month to evaluate the ~7300 articles published monthly in high-quality primary care journals
How is anyone able to keep up with this amount of information?
Castillo DL, Abraham NS. Clin Gastroenterol Hepatol. 2008;6(12):1294-300.
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Guideline updates
Primary Areas of New literature innovation devices
Updated or new drug information
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What are some ways that you stay current with new medical information?
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Table of Content E-mails
• Many journals offer electronic table of content e-mails • Pick a journal in your interest area • Pharmacotherapy • Journal of the American Pharmacists Association • Annals of Pharmacotherapy
CAUTION – information overload can occur which can cause you to delete e-mails without reading them
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Strategies
• Make it a habit by sitting aside 15 minutes each day to review your table of content e-mails • Pick 3 article a week that might impact your practice and read the abstracts • Pick 1 article to read • Subscribe to multiple journals to find out what works
……don’t forget to unsubscribe to anything that you are not reading
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Professional Websites
• Pick a professional website that you feel has information that most matches your area of interest • These can summarize important or late breaking news • They can provide synopses and commentary on recent publications • Can do daily or weekly reports
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Top Clinical Websites
• Medication information • Complementary and alternative • Medscape medicine • US Pharmacist • Naturalmedicines.com • Pharmacist Letter • Consumerlabs.com • UpToDate • Usp.org • Clinical pharmacology • Patient education • Mayoclinic.com • nih.gov • cdc.gov
McHenry C. Consult Pharm. 2010;25(9): 544-53.
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Primary Literature
Alert Services Literature Summaries • PubCrawler • Cochrane database • PubChase • Includes systematic reviews • Meta-analysis • PubMed • Review articles • Google Scholar
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Guidelines
• National Guideline Clearinghouse • Bad news: funding ended July 2018 for this website
• Good news: AHRQ is in the middle of a 12 month project to identify new models for dissemination of the clinical practice guideline
• Current guidelines can be found via the professional organizations that develop the guidelines • Diabetes Care- American Diabetes Association • American College of Cardiology- Cardiology guidelines app
• Make it a habit to reading one new guideline each month
https://www.ahrq.gov/gam/index.html
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Social Media
• Twitter • Follow journals such as @NEJM • Podcasts • Medscape Pharmacists Podcast, APhA Locked on Pharmacy, Pharmacy Leaders Podcast • https://player.fm/podcasts/pharmacists • Videos and visual abstracts • Pharmacy Times • Apps
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There’s an APP for that!
• Popular apps for pharmacists • Epocrates • Paid and free version • Lexicomp • Micromedex • Relatively low cost • Medscape • Apps are also available for specialty areas • American College of Cardiology • Apps are available for patients • GoodRx, MyFitnessPal
Gaudette. Consult Pharm. 2015;30(11): 634-42.
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Journal Club
• Consider starting your own journal club or join one that is currently active • Meet during lunch/dinner • Involve learners • Assign them articles that you are interested in reading • Rotate who leads each session • Interprofessional opportunity
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Get Involved
• Join local or national organizations • Attend conferences • Network at the conferences • Received e-mail updates • Consider other organizations that are interprofessional in your interest area
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Take CPE Courses
• Continuing education should not just be a requirement you HAVE to do • Choose relevant CPE that is meaningful to you • Applicable to your practice • Attend something that is not in your area of specialty to learn something new • Consider live and on-line CPE • CEImpact • Monthly Log-in to Learn • On demand CE programs • Power-Pak CE
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Pursue an Added Specialty
• Board Certification • BCPS, BCOP, BCACP, BCNP, BCNSP, BCPP, BCGP, added qualifications • Multiple discipline certification programs • Certified Diabetes Educator • Certified Anticoagulation Care Provider • BLS and ACLS • Local and national training programs • ASHP Foundation Traineeships • Certification programs
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Precept
• Students will ask questions that can inspire you to stay well informed • Don’t be afraid to say you don’t know- lets learn together • Precepting can provide you other benefits as well • Access to library resources • Free continuing education • Meet potential employees
Precepting can give you personal satisfaction and is a important way to give back to the profession
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Tips on how to use learning to enhance THEIR knowledge and YOUR knowledge
• Provide structured learning activities that will help enhance your knowledge • Journal club • Drug information questions • Weekly mini topic discussions (student led) • Pro/con debates on controversial topics • Guideline summaries • Staff education
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Network
• We can’t know EVERYTHING. . . Or even close to everything • Ask your peers questions • Network with medical liaisons in your specialty area • Challenge your peers to learn with you
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Interprofessional Patient Care
Nursing
Others Pharmacy
Dentist Patient Provider
Midlevel Dietetics provider Physical Therapy
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Lifelong Learning
• Make learning a habit • Listen to podcasts while you workout, drive, cook, etc. • Sit aside time each day to learn something new • Establish goals • Ask questions • Teach what you are learning • Test yourself
Think critically, explore widely
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Growth vs. Fixed Mindset
Find inspiration in Embrace the success of challenges others
Persist in the Learn from face of criticism setbacks
Effort is the Continuous Higher path to learning Achievement mastery
www.mindsetworks.com
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Activity
• What is one thing you learned from today’s presentation?
• What is one new technique to ADVANCE your knowledge that you are going to try?
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www.lovethispic.com
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Take Home Points
• Medical advances are occurring at a rapid rate • Keeping up with current medical literature is imperative for safe and effective patient care • Strategies using technology can be implement to help individuals stay current • It is imperative for pharmacist and pharmacy technicians to be life- long learners
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