scholarly journals 2539. Characterization of Infectious Diseases Advanced Pharmacy Practice Experiences at United States Colleges of Pharmacy

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S882-S883
Author(s):  
Jonathan C Cho ◽  
Wesley D Kufel ◽  
Meghan N Jeffres ◽  
Elias Chahine
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Academic Medical Center ◽  
Travel Medicine ◽  
Learning Experiences ◽  
Pharmacy Practice ◽  
The United States ◽  
Pharmacy Education ◽  
Appropriate Use ◽  
Health Crisis

Abstract Background Antimicrobial resistance is a public health crisis. Experiential education about the appropriate use of antimicrobials is necessary to prevent the post-antibiotic era. The purpose of this study was to describe the learning experiences during infectious diseases (ID) advanced pharmacy practice experiences (APPEs) offered by ID pharmacy faculty. Methods A 18-item, cross-sectional, multi-center, electronic survey was distributed via e-mail to ID pharmacy faculty at 124 schools and colleges of pharmacy in the United States. Programs were identified via the Accreditation Council for Pharmacy Education directory. Data related to student learning experiences, preceptor credentials, and teaching opportunities offered to pharmacy students were collected. Results Seventy-two (58%) ID faculty responded to the survey and 64 (89%) offered an ID APPE. Forty-three (67%) preceptors completed a PGY-2 ID pharmacy residency and 17 (27%) completed an ID pharmacy fellowship. ID physicians served as co-preceptors for 52% of rotations but only 34% had other ID pharmacists as co-preceptors. Of the 64 APPEs offered, 45% were at an academic medical center. The majority of students participated in antimicrobial stewardship activities (84%) and ID consults (80%) in adults. Greater than 90% of APPEs included learning experiences related to bone and joint, cardiovascular, central nervous system, Clostridioides difficile, fungal, intra-abdominal, lower respiratory, skin and soft-tissue, and urologic infections. Viral hepatitis (39%), travel medicine (13%), ophthalmologic (39%), parasitic (33%), and rickettsial (31%) infections were less commonly offered. Most students were required to present patient cases (92%), lead topic discussions (91%), present journal clubs (89%), conduct medication use evaluations (56%) and work on research projects (53%). Conclusion Pharmacy ID APPEs provide students with a broad range of experiences, particularly in adult populations. Students commonly participated in the management of core infectious syndromes. ID APPEs provide students additional training on the appropriate use of antimicrobials. Disclosures All authors: No reported disclosures.

scholarly journals 1331. Learning Experiences Within Infectious Diseases Pharmacy Residency Programs Demonstrate High Degrees of Consistency

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S406-S407
Author(s):  
Jonathan Cho ◽  
Matthew Crotty ◽  
Wesley Kufel ◽  
Elias Chahine ◽  
Amelia Sofjan ◽  
...  
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Academic Medical Center ◽  
Travel Medicine ◽  
Learning Experiences ◽  
The United States ◽  
Parasitic Infections ◽  
Residency Programs ◽  
Research Grant

Abstract Background Pharmacists with residency training in infectious diseases (ID) optimize antimicrobial therapy outcomes in patients and support antimicrobial stewardship programs. The purpose of this study was to describe the learning experiences currently being offered in post-graduate year-2 (PGY-2) ID pharmacy residency programs. Methods A 19-item, cross-sectional, multi-centered, electronic survey was distributed via e-mail to pharmacy residency program directors (RPDs) of all 101 accredited and nonaccredited PGY-2 ID residency programs in the United States. Programs were identified via the ASHP, ACCP, and SIDP residency directories. Program characteristics inquired via the survey included required and elective learning experiences, research and teaching opportunities, and ID-related committee involvement. Results Survey responses were collected from 71 RPDs (70.3%). Most programs were associated with an academic medical center (64.8%), focused primarily in adult ID (97.2%), and accepted one resident per year (91.6%). Forty-eight (67.6%) institutions also offered an ID physician fellowship program. Microbiology laboratory, adult antimicrobial stewardship (AS), and adult ID consult learning experiences were required in 98.6% of residency programs. Only 28.2% of responding programs required pediatric AS and pediatric ID consult rotations. Greater than 90% of RPDs reported that the resident managed bone and joint, lower respiratory tract, sepsis, urologic, and skin and soft-tissue infections at least once weekly. Travel medicine, parasitic infections, hepatitis B, and hepatitis C were either rarely or never encountered by the resident in 77.5%, 76%, 66.2%, and 50.7% programs, respectively. Residents were frequently involved in AS committees (97.2%), pharmacokinetic dosing of antimicrobials (83.1%), precepting pharmacy trainees (80.3%), and performing research projects (91.5%). Conclusion PGY-2 ID pharmacy residency programs in the United States demonstrated consistency in required adult ID consult, antimicrobial management activities, AS committee service, and teaching and research opportunities. Pediatric experiences were less common. PGY-2 ID residency programs prepare pharmacists to become antimicrobial stewards, particularly in adult patients. Disclosures J. Cho, Allergan: Speaker’s Bureau, Speaker honorarium. M. Crotty, Theravance and Nabriva: Consultant, Consulting fee. E. Chahine, Merck: Speaker’s Bureau, Speaker honorarium. Allergan: Scientific Advisor, Consulting fee. J. Gallagher, Allergan, Astellas, Merck, and Melinta: Speaker’s Bureau, Speaker honorarium. Achaogen, Allergan, Astellas, Cempra, Cidara, CutisPharma, Merck, Paratek, Shionogi, Tetraphase, Theravance, and The Medicines Company: Consultant, Consulting fee. Merck: Grant Investigator, Research grant. S. Estrada, Allergan, Astellas, Merck, T2Biosystems and The Medicines Company: Speaker’s Bureau, Speaker honorarium. The Medicines Company and Theravance: Grant Investigator, Research grant. Astellas, CutisPharma, Theravance, and The Medicines Company: Consultant, Consulting fee.

scholarly journals Learning Experiences Within Infectious Diseases Pharmacy Residency Programs in the United States: A Cross-Sectional Survey

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Jonathan C Cho ◽  
Matthew P Crotty ◽  
Wesley D Kufel ◽  
Elias B Chahine ◽  
Amelia K Sofjan ◽  
...  
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Medical Center ◽  
Academic Medical Center ◽  
Travel Medicine ◽  
The United States ◽  
Cross Sectional ◽  
Residency Programs ◽  
Medical Centers ◽  
Academic Medical

Abstract Background Pharmacists with residency training in infectious diseases (ID) optimize antimicrobial therapy outcomes in patients and support antimicrobial stewardship (AS) programs. Although most ID residencies are accredited and assessed by certain standards, the degree to which these programs are similar is not known. Methods A 19-item, cross-sectional, multicentered, electronic survey was distributed via e-mail to pharmacy residency program directors (RPDs) of all 101 second-year postgraduate (PGY-2) ID residency programs in the United States. Results Survey responses were collected from 71 RPDs (70.3%); 64.8% were associated with an academic medical center and 97.2% focused primarily in adult ID. Rotations in the microbiology laboratory, adult AS, and adult ID consult were required in 98.6% of residency programs. Only 28.2% of responding programs required pediatric AS and pediatric ID consult rotations. Programs at academic medical centers were more likely to offer immunocompromised host ID consult (P = .003), pediatric ID consult (P = .006), and hospital epidemiology (P = .047) rotations but less frequently offered outpatient AS (P = .003), viral hepatitis clinics (P = .001), and travel medicine clinics (P = .007) rotations compared to programs at nonacademic medical centers. Residents were frequently involved in AS committees (97.2%), pharmacokinetic dosing of antimicrobials (83.1%), precepting pharmacy trainees (80.3%), and performing research projects (91.5%). Conclusions The PGY-2 ID pharmacy residency programs demonstrated consistency in required adult ID consult, antimicrobial management activities, committee service, and teaching and research opportunities. Pediatric experiences were less common. The PGY-2 ID residency programs prepare pharmacists to become antimicrobial stewards for adult patients.

Pharmacy Manpower in the United States: A Wasted Resource

1974 ◽  
Vol 4 (1) ◽  
pp. 181-187 ◽  
Author(s):  
Sheila K. West
Keyword(s):  
United States ◽  
Health Personnel ◽  
Pharmacy Practice ◽  
The United States ◽  
Pharmacy Education ◽  
The Third ◽  
Manpower Resource ◽  
Scant Attention ◽  
Alternative Approaches

Pharmacists constitute the third largest group of professionally trained health personnel in the United States, yet scant attention has been paid to the problem of inefficient utilization of this manpower resource. This paper focuses on aspects of pharmacy education and practice that characterize the problem of underutilization, and discusses proposed alternative approaches to reduce the disparity between the skills and knowledge acquired through education and those actually applied in current pharmacy practice.

scholarly journals Letter on Rocket's et al., manuscript: Fatal self-injury in the United States, 1999–2018: Unmasking a national mental health crisis

2021 ◽  
Vol 34 ◽  
pp. 100820
Author(s):  
Julian Santaella-Tenorio ◽  
Tarlise Townsend ◽  
Noa Krawczyk ◽  
David Frank ◽  
Samuel R. Friedman
Keyword(s):  
Mental Health ◽  
United States ◽  
The United States ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Self Injury ◽  
National Mental Health

scholarly journals Learning to Detain Asylum Seekers and the Growth of Mass Immigration Detention in the United States

2021 ◽  
pp. 1-29
Author(s):  
Smita Ghosh ◽  
Mary Hoopes
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Cognitive Dissonance ◽  
Media Coverage ◽  
Asylum Seekers ◽  
Ad Hoc ◽  
The United States ◽  
Critical Component ◽  
Immigration Detention ◽  
Important Shift

Drawing upon an analysis of congressional records and media coverage from 1981 to 1996, this article examines the growth of mass immigration detention. It traces an important shift during this period: while detention began as an ad hoc executive initiative that was received with skepticism by the legislature, Congress was ultimately responsible for entrenching the system over objections from the agency. As we reveal, a critical component of this evolution was a transformation in Congress’s perception of asylum seekers. While lawmakers initially decried their detention, they later branded them as dangerous. Lawmakers began describing asylum seekers as criminals or agents of infectious diseases in order to justify their detention, which then cleared the way for the mass detention of arriving migrants more broadly. Our analysis suggests that they may have emphasized the dangerousness of asylum seekers to resolve the dissonance between their theoretical commitments to asylum and their hesitance to welcome newcomers. In addition to this distinctive form of cognitive dissonance, we discuss a number of other implications of our research, including the ways in which the new penology framework figured into the changing discourse about detaining asylum seekers.

scholarly journals Evaluation of pharmacists’ awareness of illegal online pharmacies and perceived impact on safe access to medicines

2021 ◽  
Vol 5 ◽  
pp. 239920262110056
Author(s):  
John B Hertig ◽  
Shannon M James ◽  
Connor J Hummel ◽  
Matthew J Rubin
Keyword(s):  
United States ◽  
Healthcare Providers ◽  
Access To Medicines ◽  
The United States ◽  
Pharmacy Education ◽  
Electronic Survey ◽  
Medication Therapy ◽  
Online Pharmacies ◽  
Effective Medication ◽  
Selection Of

Background: An estimated 95% of all online pharmacies operate unlawfully. Illegal online pharmacies distribute substandard and falsified medical products that may result in patient harm and suboptimal treatment, leading to an overall mistrust of medications, healthcare providers, and health systems. As medication experts, pharmacists are trusted to guide patients in selection of safe and effective medication therapy. Objective: The objective of this study was to determine gaps in knowledge and recognition of the negative clinical and safety impacts associated with illegal Internet pharmacies by licensed pharmacists. Methods: A 37-question electronic survey was developed and distributed to pharmacists across the United States by email via a database from the American Pharmacists Association. Descriptive statistics was utilized to analyze data. Results: A total of 347 pharmacists from across the United States responded to at least one question in the survey. In all, 58% of pharmacists reported a lack of confidence in their ability to counsel patients on the identification of illegal pharmacy websites. Fewer than 60% of pharmacists were able to accurately identify the legitimacy of a webpage based on visual characteristics. In addition, 75% of pharmacists reported being unfamiliar with resources available to help consumers identify safe and legitimate online pharmacies. Conclusion: Integration of the topic into pharmacy education curricula, training on available resources, and additional research into the prevalence and impact of illegal pharmacy websites are necessary to ensure that pharmacists and other healthcare professionals are adequately prepared to protect their communities from the threat of illegal online pharmacies.

Accomplishing CAPE Domain 3 During APPE Rotations: Student Perceptions

2021 ◽  
pp. 089719002110006
Author(s):  
Susan M. Smith ◽  
Jamielynn Sebaaly ◽  
Lisa Brennan ◽  
Wesley Haltom ◽  
Lisa Meade ◽  
...  
Keyword(s):  
Problem Solving ◽  
Student Perceptions ◽  
Learning Experiences ◽  
Pharmacy Practice ◽  
Private University ◽  
Patient Advocacy ◽  
Pharmacy Education ◽  
Geographical Regions ◽  
Care Outcomes ◽  
Domain 3

Introduction: The purpose of this study is to examine student perceptions of accomplishment among 6 subdomains of Center for Advancement of Pharmacy Education (CAPE) Domain 3 “Approach to Practice and Care” outcomes in Advanced Pharmacy Practice Experiences (APPE) across distinct geographical regions. Methods: An 18-item electronic survey was distributed to 88 student pharmacists at a private university completing APPEs in 5 distinct regions and 2 concentrated learning experiences during their penultimate rotation. The survey assessed whether students had at least 1 opportunity to achieve Domain 3 outcomes. Students were prompted to report a percentage of perceived successful accomplishment of outcomes if they stated they had at least 1 opportunity for achievement. Results: Survey response rate was 52% (n = 46). Respondents reported a median accomplishment of at least 85% for each question. For 2 questions, respondents reported a median accomplishment of 99%. Students perceived successful accomplishment for most of the questions related to communication outcomes, while the lowest completion percentages were noted in outcomes related to patient advocacy (85%) and problem solving (88%). Student perceptions of accomplishment among the 6 subdomains were similar across regions and concentrated learning experiences. Conclusions: Students felt confident in accomplishing the outcomes associated with CAPE Domain 3. Regional assignments did not impact student perceptions of outcome accomplishment. Preceptors may play a pivotal role in providing students with opportunities to further polish their skills and increase confidence, specifically in the areas of patient advocacy and problem solving.

Handbuch der Kinderheilkunde

PEDIATRICS ◽  
1967 ◽  
Vol 39 (5) ◽  
pp. 803-804
Author(s):  
HEINZ F. EICHENWALD
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
The United States ◽  
Urinary System ◽  
Cardiopulmonary Function ◽  
Entire Field ◽  
Social Pediatrics

Volume III of the Handbuch der Kinderheilkunde contributes another significant segment to the encyclopedic exposition of the entire field of pediatrics, which eventually will occupy nine large volumes. Volumes II and IV have previously been reviewed in this journal. Also available at this time are Volume V (Infectious Diseases) and Volume VII (The Lungs, The Heart, Cardiopulmonary Function, The Kidneys, and The Urinary System). Volume III deals with two separate fields, immunology and social pediatrics. It contains contributions by 67 authors; most authors are from Germany but some are also from Switzerland Poland, and the United States.

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