CAPSIL - Winter 2011 Edition

8/7/2019 CAPSIL - Winter 2011 Edition

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In this Issue:Methadone: What the News Wont Tell You

A Day in the Life of a Hospital Pharmacy Resident

The PDW Experience

CAPSIL - JACEIPCANADIAN ASSOCIATION OF PHARMACY STUDENTS AND INTERNS LETTERS

LE JOURNAL DE LASSOCIATION CANADIENNE DES ETUDIANTS

ET DES INTERNES EN PHARMACIE

Winte


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Thank you to all CAPSI Club Members foryour sponsorship:

GOLD SPONSORS - GOLD SPONSORS -GOLD SPONSORS

CAPSIL - JACEIPis published by the Canadian Association of Pharmacy Students and

Interns (CAPSI) as a service for its members.All published articles reect the opinions of the authors and not

necessarily the opinions of CAPSI or its sponsors.Please email your comments and articles to:

Yin Hui - [email protected]

Please contact your local rep for information on how to contribute

SILVER SPONSORS - SILVER SPONSORS -SILVER SPONSORS

CAPSI CLUB - CAPSI CLUB -CAPSI CLUB -CAPSI CLUB

Table of Contents

A Message From the President ......3

Mots de la Prsidente ....................4

Words from the Editor ..................5

Executive Council Updates ............6A Day in the Life of a Hospital

Pharmacy Resident .......................10

Sponsor Message: CPhA ............. 12

Publicit: APhC ............................ 13

Methadone: What the News Wont

Tell You ........................................ 14

An Alternative Spring Break ........ 17

IPSF Congress ..............................18

The PDW Experience ...................21

CAPSI Awards and Competition

Winners ........................................23

The Impact of Electronic Prescribing

and the eDrug Project on Pharmacy

Practice in British Columbia ........24

Specialty Pharmacies ...................26

Sponsor Message: Ax/iz Financial:

Your CAPSI Disability Insurance

Plan Top 10 FAQs .......................28

Thank you to theCAPSIL Staff!

Joanne Shin (British Columbia)

Kristen Marlow (Alberta)

Lindsey Berast (Saskatchewan)

Laura Delavau (Manitoba)Chelsea Barr (Waterloo)

Karen Chan (Toronto)

mira Glenza (Laval)

Mylne Mahfouz (Montral)

Stephanie Farnham (Dalhousie)

Chris Grant (MUN)

CAPSIL - JACEIP

2Winter 2011 - Hiver 2011


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Dear CAPSI Members,

Like sands through an hour glass, the school year for most of us has reached past itshalf way mark (except for Waterloo). Since Professional Development Week (PDW) in

Saskatoon earlier in the 2011 year, I hope those of you that attended, took away the sameexcitement & motivation and channeled the energy into getting involved with pharmacyorganizations or initiatives to move the profession forward.

From the end of 2010 up to PDW, CAPSI National had been working alongsidethe PDW 2011 planning committee to ensure the success of PDW, as well as maintaining the CAPSI localinitiatives. At the National Council meetings that took place in Saskatoon, you as a member, were represented indiscussions that involved issues affecting pharmacy students across Canada. Furthermore, the CAPSI NationaExecutive work in conjunction with various sponsors and other pharmacy & non-pharmacy organizations toensure a continuation of membership benets, stimulating competitions, exciting international opportunities andvenues outside of academia to enhance professional development.

Whether this is your rst year in pharmacy, or your last year, like me, I urge you to learn more about thepharmacy profession, and work as a team with your future colleagues in this exciting time in pharmacy.

From now until the end of my term, I will continue to work behind-the-scenes with CAPSI NationaCouncil (both present and incoming) in providing ongoing communication & professional developmentinitiatives with you, the members, and your representation amongst other organizations.

Be the change you want to see in the world Gandhi

Sincerely,

Polly Kwok

Polly KwokNational President

4th Year Pharmacy Student, University of British Columbia

A Message From the PresidentCAPSIL - JACEIP



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Chres membres dACEIP,

Tout comme le sable dans un sablier, lanne scolaire pour plusieurs dentrenous dpasse dj sa mi-marque (exception pour Waterloo). Depuis la semaine dedveloppement professionnelle (PDW) Saskatoon au dbut de lanne 2011, jespre queceux qui taient prsents, ont saisi la mme excitation et motivation et ont canalis cettenergie an de simpliquer dans les organisations relies la pharmacie ou de prendrelinitiative de faire avancer la profession.

partir de la n de lanne 2010 jusquau PDW, ACEIP national avait travaillconjointement avec le comit de planication du PDW 2011 an dassurer le succs du PDW, ainsi que demaintenir les initiatives locales dACEIP. Lors des runions du Conseil National, qui ont eu lieu Saskatoon,vous en tant que membre, avez t reprsent au cours des discussions, qui ont impliqu des issues affectant

les tudiants de la facult de pharmacie dun coin lautre du Canada. En autre, lexcutif national dACEIPtravaille avec les divers commanditaires et les organisations relies et non-relies la pharmacie pour assurerune continuit des bnces aux membres, des comptitions stimulantes, des occasions internationalesexcitantes et des lieux de rendez-vous lextrieur du milieu universitaire an de rehausser le dveloppementprofessionnel.

Que a soit votre premire anne dtude au programme de pharmacie, ou votre dernire, tout commemoi, je vous invite apprendre davantage au sujet de la profession de pharmacie, et de travailler en quipeavec vos futurs collgues dans ces temps excitants de la pharmacie.

partir de maintenant jusqu la n de mon terme, je continuerai travailler larrire scne avec

le Conseil National dACEIP (prsent et futur) en fournissant de la communication continuelle et desinitiatives de dveloppement professionnelle avec vous, les membres, et votre reprsentation parmi les autresorganisations.

Be the change you want to see in the world Gandhi (Soyez le changement que vous dsirez dans le monde)

Sincrement,

Polly Kwok

Polly KwokPrsidente nationaletudiante de 4me anne en pharmacie, Universit de la Colombie-Britannique

Mots de la Prsidente Traduit par Kayla CastonguayCAPSIL - JACEIP



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As most of us come out of reading week, feeling just a little guilty about not studyingharder, we bring you a new issue of the CAPSIL!

For the future hospital residents, a preview of your day is available on page 10, aptlytitled A Day in the Life of a Hospital Pharmacy Resident, written by a current hospitalresident. For those wanting to learn more about non-traditional pharmacies, take a gander atMethadone: What the News Wont Tell You on page 14, and Specialty Pharmacieson page 24.

PDW 2011 was a huge success -- the sweet fruit of labour of the Saskatoon PDWplanning committee. Check out The PDW Experience on page 21, and the CAPSIawards and competition winners on page 23. You will also nd the winning article for

CAPSI Literary Challenge, The Impact of Electronic Prescribing and the eDrug Project on PharmacyPractice in British Columbia, by Derek Cho, on page 24. Speaking of PDW, get a sneak peak of PDW 2012which will take place in the beautiful Halifax, on page 22.

For those interested in becoming the next CAPSIL editor, please feel free to email me at [email protected],for more information about the position or visit http://www.capsi.ca to apply.

Yin HuiYin HuiCAPSIL Editor4th Year Pharmacy Student, University of Toronto

Words from the EditorCAPSIL - JACEIP


Manufacturers of:


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It was great to see many ofyou at Professional DevelopmentWeek 2011 in Saskatoon! Itwas extremely successful withmany well-attended educationalseminars and ample networkingopportunities for students fromacross Canada. I would like totake this opportunity to commendthe hard work of the PDW 2011Planning Committee, their

volunteers and the supportingschool of the University ofSaskatchewan. This dedicatedteam invested two years to preparea rewarding experience for all ofthose involved. Thank you!

In the weeks since PDW, Ihave continued to work with thecurrent President and President Elect in order to provide guidanceand support for all initiatives.As a council we have workedto ensure that we are able toll all positions for the 2011 2012 CAPSI National ExecutiveCouncil. The position of CAPSILEditor is still available. If youthink this may be of interest,please feel free to contact yourlocal CAPSI representative orthe current CAPSIL Editor, Yin

Hui at [email protected] for moreinformation.Please read on throughout this

issue of the CAPSIL in order tosee reports from your CAPSInational executive and some ofthe recent accomplishments ofpharmacy students nationwide!

If you have any questions,concerns, or comments, please do

not hesitate to contact your localCAPSI representatives, or myselfdirectly at [email protected].

For more information regardingthe CAPSI National council andsome of our initiatives, please visithttp://www.capsi.ca

at PDW this year. A specialmention of all of our NationalCompetition and Award Winners

was also included. Feedback hasbeen extremely positive thusfar, and we hope to continue thisinitiative in future years.

Aside from my committee workI will also be attending this yearsAmerican Pharmacists AssociationConference in Seattle along withour current President Polly. Ilook forward to the opportunityto meet with and strengthen therelationship between CAPSI andour American counterparts. Besure to read the next issue of theCAPSIL for updates regarding thisexciting opportunity!

Executive Council Updates

Past PresidentBradford Elliott

President-ElectJillian Grocholsky

Its hard to believe a month has

gone by since PDW. What a weekit was! Since my last update in thefall edition of the CAPSIL, I havespent much of my time workingwith the Constitutional ReviewCommittee. Together we reviewedand prepared various documentsincluding the AssociationsBylaws and Operating Manual,which were both approved atthis years conference. Updatedversions of these documentscan be found at www.capsi.ca.The committee also updated thePDW Educational Policy thatwas successfully implementedthis year and reviewed the PDWLetter of Agreement that will actas a guide for subsequent PDWPlanning Committees.

The Website Committee has

continued to ne-tune the newdesign of the website. Stay tunedto the homepage for many excitingannouncements and updates oncurrent initiatives.

As a new initiative this year,I was also involved in preparingletters addressed to eachSchools Dean or Director, whichhighlighted the successes achieved

ExecutiveSecretary

Megan Riordon

Since the last issue I nishedthe Fall Teleconference minuteswhich were approved at PDWDuring Christmas Break I preparedthe slides for the AGM andNational Elections. I organizedthe AGM and elections at PDW inSaskatoon and took minutes at ourgeneral council meetings, whichwill be approved at our Spring

TC. As Chair of the MembershipCommittee, I have been updatingthe membership database andam working with the committeeto improve member benetsAs a member of the TranslationCommittee and ConstitutionReview Committee, I helpedrevise several documents that wereapproved at PDW. Of course I am

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Vice PresidentCommunicationsMaria Zhang

Hello CAPSI Members!I would like to start by

expressing my appreciation for thePDW 2011 Planning Committee!Once again, I was extremelyimpressed by how well the entireweek went and I would thank allthose involved for their time andhard work over the past couple ofyears. While the temperatures in

Saskatoon were almost unbearable,the endless stream of amazingspeakers, networking opportunitiesand social events kept things incheck. As VP Education, I hadthe opportunity to work closelywith a couple of individuals,specically Nasreen Bandaliand Collette Minish, who did anexceptional job of organizing,coordinating and running the

National competitions. All of thecompetitions went smoothly andcompetitors did an excellent job atidentifying the DRPs and mixingup some pharmaceutically elegantcompounds!

While the complete list ofnational competition winners canbe found on page 23, I would liketo highlight the rst place winnershere; Congratulations to TiffanyKan, Jonathan Fung, Ken Dong,and Kwon Ma from the Universityof Toronto for a rst place winin the Medisca CompoundingCompetition! Congratulations toDerek Cho from the Univeristyof British Columbia for winningrst place in the CAPSI-CPJStudent Literary Challenge!Congratulations to Philips Ngo

still busy responding to emailsfrom the local reps, nationalcouncil, pharmacist members,and pharmacy students from

other countries! Since PDW I amcurrently coordinating bielectionsfor the National Executive.Please visit the CAPSI website formore information on the positiondescriptions and contact your localrep or myself for more informationon getting involved with CAPSI.

Since my last update in theOctober issue of the CAPSIL, Ivebeen working with our sponsors,local and national councils tomaintain and bring about newbenets for you! Ive also been

working with our media agencyto bring in revenue through adsin our agenda, our website etc.Professional Development Week(PDW) 2011 in Saskatoon this pastJanuary went incredibly smooth interms of operation, execution andoutcomes! Keep your eye out onan AGENDA COVER CONTESTfor your chance at top braggingrights and a sweet prize pack!

Additionally, Im looking forfeedback from YOU in two areas:if you have any ideas on what kindof membership benets youd liketo have for next year AND/ORa charity that youd like CAPSIto be involved with on a nationallevel, please feel free to let meknow at [email protected]!


Vice PresidentEducation

Jeannine Oliver

from Universit de Montrealfor a rst place win in the PzerConsumer Healthcare OTCCompetition. Congratulations to

Ashley Young from the Universityof Alberta for winning rst place inthe Pharmasave Patient InterviewCompetition. In addition, I wouldlike to congratulate the Universityof Saskatchewan for ranking inthe top four for all of the NationalCAPSI Competitions this yearIf you competed in any of thecompetitions and have commentsor suggestions, please do nothesitate to send me an email [email protected]. All feedback, bothpositive and negative is welcomeand will be used to improve futurecompetitions!

Finally, I would like tocongratulate the University ofBritish Columbia for holding themost organized and professionaPharmacy Awareness Week

activities and being selected as therecipient of the 2010-2011 Awardof Professionalism.

Working with the 2010-2011CAPSI National Council as yourVice President of Education hastruly been a rewarding experienceand I thank each of you for givingme this opportunity. I wouldlike to wish you all the best forthe future, both as students and

as practitioners in the evolvingprofession of Pharmacy!

Vice PresidentProfessional Affairs

Lora Wang

I hope you had a chance toattend PDW and had an amazing

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time in Saskatoon!Symposia through the

schools have been runningsmoothly so far, with some

schools scheduled to host theirsymposia in the second term. Ihope you have all enjoyed it, andhave found it to be benecial inyour professional development.

For your interprofessionaldevelopment, I have been incontact with the CanadianInterprofessional Student Network(CISN) via teleconferences,and we will be meeting at theNational Health Science StudentsAssociation (NaHSSA) conferencein Toronto to discuss initiativesacross multiple disciplines. Thiswill happen in March, and I willrepresent you, as the nationalPharmacy reprentative, to the bestof my ability. I have also been incontact with the representativesfrom the Canadian Nursing

Students Association (CNSA) andCanadian Federation of MedicalStudents (CFMS) in possiblydeveloping an interprofessionalhandbook for students.

Locally, I have been involvedwith the Pharmacist AwarenessWeek at UBC to initiate anew Interprofessionalism 101workshop for all health disciplinestudents. Icebreaker games and

speakers await students for thispilot event.

New initiatives for CommunityOutreach is being researched andcompiled right now. You may beable to see your schools participatein these new events soon!

If you have any questions orcomments, please do not hesitateto contact me at [email protected]

Since the Fall CAPSIL issue,CAPSI has implemented a 5-yearinvestment strategy in order tokeep the organization viable andscally responsible. Big shoutout to the PDW 2011 PlanningCommittee for hosting a fabulousPDW in January! It was greatto see all of council togetheragain and to meet other fellow

pharmacy students from all thefaculties. In terms of Finances, allawards cheques have been givenout, and reimbursement for PDWconference costs for council isabout 95% done, leaving StudentExchange Program refunds on theto-do list, which I will be workingon with Kendell.


Finance OfcerAmy Wong

StudentExchange OfcerKendell Langejans

Since my last update, Ive beenbusy preparing for the 2011 IPSFStudent Exchange Programme(SEP) year. The Canadian SEPdeadline was December 31, andthe SEP Selection Committee

reviewed the applications at PDW.We are sending 24 students thisyear (more than ever before), andhave a waiting list as well. Imcurrently working on placing theCanadian students with the SEOsof their countries of choice, aswell as recruiting host sites andplacing international students withpharmacists in Canada.

If you missed the deadline and

are interested in SEP, there are stilmany opportunities to be involvedThere may be a second round ofapplications in late March or early

April (to select countries only)Watch for more information fromyour local IPSF or CAPSI repsOr get involved with SEP studentsin your home city/province students who nd a host site getpriority in the selection process thenext SEP year, and the selectioncommittee also looks favourablyon helping with accommodationsairport transportation, and/orsocial events for the incominginternational students. More hostpharmacists are always neededin all practice areas, anywhereacross the country. If you orsomeone you know is interested inshowing an international studentwhat pharmacy practice is likein Canada, please contact me at

[email protected].

Outside of SEP, I had anamazing time at my last PDWas a student. A highlight

was the presentation of theCAPSI-IPSF Health Campaign

Award sponsored by Walmart congratulations to UBC for puttingon a great Diabetes/Healthy LivingCampaign and earning $1000 forIPSF events at their school, and$500 to a globally-minded charity

yet to be determined.Im looking forward to my last

semester of involvement withCAPSI and IPSF. Registrationfor the 58th IPSF World Congressin Thailand is now open, andalthough I wont be able torepresent you there this year, Iencourage everyone to attendViva la Pharmacie!

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Since the last CAPSIL edition,I have been busy with the IPSF/CAPSI Health Campaigns! Thisyears Health Campaign wasDiabetes/Health and Wellness. Iam happy to say 5 schools wereable to hold campaigns in the fall,with another 3 schools holdingtheir campaigns in the spring.This year, Wal-mart graciouslysponsored the Health CampaignAward they not only gave $1000and a beautiful glass trophy tothe winning school, but $500 toa charity of the winning schoolschoice. We had three applicantsfor this years award UBC,UofT and UofS. All the campaigns

were extremely well doneand it was very difcult forour judges to pick a winner.However, in the end, we were

happy to announce UBC as thewinning school.In addition to the health

campaigns, I have been busypromoting the various internshipsavailable from the WHO andUN (for more informationon internship opportunities,e-mail me!). Finally, since Jan15th, the registration for the2011 World Congress has beenopen. Registration is 350 eurosuntil March 31st, so if you areinterested in attending, e-mail me(its in THAILAND!!!)

For more information, questionsor comments, Please email me at:[email protected]

Since my last update, I havebeen soliciting articles with thehelp of my wonderful CAPSILreps in each school. I have alsocontinued my role as the chair ofthe translation committee, andcoordinated translations of severaldocuments. A big thanks goes outto all the committee members fortheir hard work and dedication!

Last but not least, Ive beenwork to put together this issue ofthe CAPSIL!

The CAPSIL editor 2011-2012position is still open. If you areinterested in running, please visitthe CAPSI website at http://wwwcapsi.ca


CAPSIL EditorYin Hui

IPSF LiaisonSuzanne Soneff

CAPSIL - JACEIP


INDUSTRIAL PHARMACY RESIDENCY PROGRAM

LESLIE DAN FACULTY OF PHARMACY

UNIVERSITY OF TORONTO

Original application forms, letters of reference and transcripts for the one-year Industrial Pharmacy ResidencyProgram, sponsored by the Leslie Dan Faculty of Pharmacy, University of Toronto, in cooperation with theFaculty of Pharmacy, University of Montreal and participating companies, should be sent to the coordinatorof the program 144 College Street, Toronto, ON. M5S 3M2 during the period of November 1, 2010 to January31, 2011. The participating companies for the 2011 2012 term are expected to be: Eli Lilly Canada Inc.,ESI Canada Inc., GlaxoSmithKline Inc., Hoffmann-LaRoche Ltd., Merck Frosst Canada Ltd., Patheon Inc.,ratiopharm and Takeda Canada. For further information, please contact the coordinator, J. Graham Nairnat 416-978-2881 or the assistant, Diana Becevello at 416-978-2880. Full information is provided at the

website www.pharmacy.utoronto.ca


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While at PDW in Saskatoonthis past January, theCSHP booth at the health fairwas bombarded with questionsfrom students about hospitalpharmacy practice and hospitalpharmacy residency programs.From this experience I realizedthat as a profession we do a lessthan satisfactory job of promoting

hospital pharmacy practiceto students and having themunderstand the role of the hospitalpharmacist. So I decided to writethis article to give students fromacross Canada a glimpse of whata typical day for a pharmacyresident is like.

A residency in hospitalpharmacy practice is a one-yearstructured, post-graduate learningexperience that will preparepharmacists for challenging andinnovative pharmacy practice1.The resident is provided practicaltraining in: monitoring, assessingand providing direct patient care,drug distribution and intravenousadmixtures, drug information andevaluation, hospital pharmacymanagement and drug use control,

and research skills development1.Accredited programs are availablein hospitals across the country.

Hospital pharmacists workin all patient care areas and arerecognized as the medicationexperts within multidisciplinaryhealth care teams2. They providedirect patient care in manydifferent settings. Pharmacists

Student Perspective

A Day in the Life of a Hospital Pharmacy ResidentBy: AnnA HuismAn, PHArmAcy resident

are also involved in teachingand research2. Simply put,hospital pharmacists practicepharmaceutical care. Yes, whatseems to be a clich pharmacyterm is actually what I do everyday! We identify drug therapyproblems (DTPs), develop careplans and monitor our patients.

Below is just a small snapshot

of what a typical day is for me asa pharmacy resident.Currently, I am in the middle

of my cardiology rotation. Iam splitting my time followingpatients in the Coronary CareUnit (CCU) and Cardiologymedicine unit. I arrive to work alittle before 8am so I have timeto print and review the patientroster and identify any newly

admitted patients that I wouldlike to follow. From here I headup to CCU to review the patientscharts, vitals, blood work,culture and sensitivity results,nursing kardex and MAR, andmedications for the patients I amfollowing. Using this information,I identify DTPs, decide on thetherapeutic plan and discuss them

with my preceptor. By the timethe cardiologist arrives and roundsbegin, I am ready to make most ofmy interventions. The cardiologistI am working with this week is agood teacher and takes the timeto discuss his assessment of thepatient with me. We discuss theplan of care for each patient andwhen deciding on drug therapy,

he asks for my input and I providemy recommendations. Oncerounds are complete and all CCUpatients have been reviewed, Ihead up to the cardiology medicaloor. Again, I review the chartsblood work etc for the patients Iam following, identify any DTPsand make my recommendations tothe physician responsible for that

patient. I also take some time toidentify any patients that requiremedication teaching. During thisrotation I am counselling patientson warfarin, smoking cessationand post-myocardial infarctionmedications on what seems like adaily basis.

In the afternoon, I lead atherapeutic discussion with two4th year SPEP students.

Teaching is also a componentof the residency program. Overtwo weeks, we covered 4 topicsacute coronary syndromes (ACS)arrhythmias, heart failure andacute decompensated heart failureand cardiogenic shock - discussingpathophysiology, drug therapy andmonitoring plans. Finally, I endmy day by reading and critically

appraising the trial evaluatingthe use of prasugrel in ACS inpreparation for a discussion withmy preceptor as it will be thetopic of my next journal clubpresentation. n

Visit the CSHP website for more

information on residency!

See appendix for references

CAPSIL - JACEIP



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You told us that you want a strongnational voice for pharmacy ...

We hear you

ADD YOUR VOICE TO OURS

Our advocacy activities are only as strong as our membership.

Student Membership is FREE!Visit www.pharmacists.ca/students for more information and JOIN

ONLINE to help strengthen the voice of your future profession.

FEDERAL GOVERNMENT

REACTION:

Health Canada is

encouraging industry to

consider opportunities to better

communicate drug shortages to

health-care professionals and

the public, and to work more

collaboratively with industry

counterparts and regulators

to identify appropriate

alternatives.

spokeswoman for Health

Minister, Leona Aglukkaq, on

CPhAs drug shortages report

THE ISSUE: DRUG SHORTAGES

OUR ACTIONS: Updated Drug Shortages: A Guide for Assessment and Patient

Management (www.pharmacists.ca/resources)

Conducted a national pharmacist survey and published the Canadian

Drug Shortages Survey Final Report on drug shortage causes, effects

and recommendations

Shared report with governments, health stakeholders and Canadians

Extensive media coverage

Led meetings with drug manufacturers, wholesalers and Health

Canada to develop strategies to prevent future shortages

CAPSIL - JACEIP



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I would like to extend a warm welcome to my fellow pharmacy students who are returning for another semesterin their respective faculties. I hope you all had a restful and enjoyable holiday season and that the transition back toclasses has been relatively smooth!

For those students who made it out to the prairies for PDW 2011 Wide Open Futures in Saskatoon, I trustyou were able to embrace the many opportunities presented throughout the week to expand your knowledge of ourprofession, listen to engaging speakers and make a few new friends along the way! Often we lack the opportunity tointeract with other pharmacy students across Canada, and PDW serves as the perfect solution to this dilemma. Thisyears conference was no exception; it was a great success and the University of Saskatchewans PDW 2011 planningcommittee did a fantastic job hosting the event.

CPhA was very excited to be involved with PDW this year and really enjoyed connecting with the students.We were very impressed by the high level of engagement and enthusiasm. One of our senior staff members, JeffMorrison, gave a presentation on CPhAs government relations efforts. Jeff provided detailed insight into the manyadvocacy efforts undertaken by CPhA. These efforts enable the association to advocate for and represent Canadian

pharmacists. Such efforts include a response to the H1N1 pandemic. CPhA formally presented recommendations togovernments, which included strategies to allow pharmacists knowledge and skills to be utilized more effectivelyin a public health emergency. CPhA is also taking leadership on drug shortages, another top issue of concern toall pharmacists. Through extensive media coverage on the issue and meetings with the Minister of Health, otherpoliticians, manufacturers, and the broader health community, CPhA is working hard to address drug shortages nowand into the future.

Furthermore, thank you to all students who stopped by our booth at the Health Fair and to those who lledout our surveys. CPhA has made students a priority and we are eager to gain insight on what is most valued bystudents. As your professional advocacy body, CPhA wants to support students not only throughout your education,but throughout your pharmacy careers. Your input will help make CPhAs student membership program even better.

If youre looking for summer employment, dont forget to check out www.Pharmacy-Jobs.ca. CPhA, incollaboration with CAPSI, has developed an online pharmacy employment resource which is easily accessibleprovides free condential resume posting and offers many employment opportunities for practising pharmacists andstudents.

I hope you all survive the rest of the cold winter months and the labs, midterms and assignments that thissemester will bring!

Sincerely,

Leah PhillipsCPhA Student Board Member3rd year student - College of Pharmacy and NutritionUniversity of Saskatchewan

Sponsor MessageCAPSIL - JACEIP



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Je voudrais souhaiter beaucoup de succs tous mes collgues, tudiants en pharmacie, qui commencent un nouveausemestre dans leurs facults respectives. Jespre que vous avez tous pass de belles vacances reposantes et que le retouren classe ne vous semble pas trop difcile!

Les tudiants qui se sont rendus dans les Prairies pour visiter le Salon du dveloppement professionnel (SDP)2011, Un avenir sans limites, qui sest tenu Saskatoon, ont pu, je lespre, saisir les nombreuses occasions qui se sontoffertes eux au cours de cette semaine pour largir leurs connaissances sur notre profession, participer des confrencesintressantes et se faire quelques amis dans la foule! Trs souvent, nous navons pas loccasion dinteragir avec destudiants dautres facults de pharmacie du Canada, et le SDP nous donne la parfaite solution pour sortir de ce dilemme.Lvnement de cette anne nen a pas fait exception : la russite a t totale et le comit organisateur du SPD 2011 delUniversit de la Saskatchewan a accompli cet gard un travail extraordinaire.

Cest avec beaucoup denthousiasme que lAPhC a particip au SDP de cette anne et ses dlgus se sont montrsenchants de rencontrer les tudiants. Leur degr dengagement et denthousiasme nous a rellement impressionnsUn des cadres suprieurs de lAssociation, Jeff Morrison, nous a parl des dmarches faites par lAPhC auprs dugouvernement. Il nous a expliqu dans le dtail les nombreuses activits dintervention poursuivies par lAPhC. Grce ces efforts, lAssociation peut dfendre les intrts des pharmaciens du Canada et les reprsenter. Parmi ces effortscitons la prise de position en rponse la pandmie de H1N1. cet gard, lAPhC a formellement prsent desrecommandations au gouvernement, incluant des stratgies visant utiliser plus efcacement les connaissances etcomptences de pharmaciens dans lventualit dune urgence sanitaire. LAPhC prend galement la direction desoprations en vue de rsoudre le problme des pnuries de mdicaments, qui fait partie des proccupations majeures detous les pharmaciens. Par le biais dune importante couverture mdiatique et des runions avec la ministre de la Sant,autres politiciens, fabricants et divers reprsentants des professions de la sant, lAPhC svertue rsoudre le problmedes pnuries de mdicaments, maintenant et lavenir.

LAPhC tient remercier tous les tudiants qui ont visit son stand du salon professionnel et ceux qui ontrpondu son sondage. Pour lAPhC, les tudiants sont une priorit et elle cherche mieux connatre leurs principales

proccupations. En tant quorganisme qui dfend nos intrts, lAPhC veut soutenir les tudiants non seulemenpendant leur formation, mais aussi tout au long de leur carrire. Vos commentaires laideront rendre encore meilleur leprogramme dadhsion des tudiants.

Si vous cherchez un emploi dt, noubliez pas de consulter www.Pharmacy-Jobs.ca. En collaboration aveclACEIP, lAPhC a mis au point une ressource en emploi dans le secteur de la pharmacie, facile daccs en ligne, quipermet lafchage gratuit et condentiel de curriculum vitae et offre de nombreuses occasions demplois aux tudiants etpharmaciens en exercice.

Jespre que vous survivrez tous aux rigueurs des mois dhiver qui nous restent, avec leur lot de travaux pratiques,examens de mi-parcours et devoirs rendre!

Sincres salutations,

Leah PhillipsReprsentante des tudiants au conseil dadministration de lAPhCtudiante en 3e anne - College of Pharmacy and NutritionUniversit de la Saskatchewan

PublicitCAPSIL - JACEIP



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When we told the youngcouple in our waitingroom that, after about a year onour waitlist, the young man wasnally able to start methadonemaintenance treatment (MMT),they teared up. You have no

idea how much this means to uswhispered the young woman,herself on MMT and pregnant

with their third child.Thats when

we

Student Perspective

Methadone:What the News Wont Tell YouBy: JennifermAcLeAn, memoriAL universityof newfoundLAnd

teared up.And so, one young man

begins his journey to ght opioiddependence with the help ofMMT. Itll be a rough journey:

most clients beginning MMT forthe rst time (and, really, most

healthcare professionals) dontrealize the extent of what

theyre committingto. Physician

appointments up to twice aweek, daily trips to the pharmacyand frequent supervised urinetesting... To those, add thechallenges of overcoming a

physical dependence, of replacinga familiar coping mechanism andof walking away from the lifestylenecessary to support a severalhundred dollars a day habitFinally, consider the weight of thestigma associated with substancedependence and the consequencesof the several hundred dollars aday habit supporting lifestyle. Itshould come as no surprise thatmany individuals need two ormore tries before successivelyovercoming their dependence

even with the help of an MMTprogram.

Some Background on Substance

Dependence

Forget your preconceptionsand prejudice around substance

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Its like Im a kid seeing the world forthe rst time again... every tree, every

snowake. Its so beautiful and when I

was high, I never noticed it.

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dependence. Contrarily to popularbelief, substance dependencedoesnt discriminate. It will affectindividuals of all socio-economicstatus, of all education levels andof all ages, and it will strip most

of them of their belongings, socialsupport, judgment and freedom.

The DSM-IV denes substancedependence by seven criteria,three of which are requiredfor a diagnosis: tolerance tothe substance (lessened effector need for larger amount ofthe substance), withdrawal(characteristic symptoms whennot using the substance or use ofthe substance to avoid withdrawalsymptoms), using more and moreof the substance or forlonger periods of time,constant desire orunsuccessful attemptsto stop using thesubstance, spending alot of time performingactivities required to

obtain the substance,loss of social, educational oroccupational activities due touse of the substance, continueduse of the substance despiterecognition of important negativeconsequences.

Each person partaking in anMMT program has an individualbeginning to their story. Somewere escaping physical or

psychological pain, others werefrustrated at an unrecognizedlearning disability, some werelooking for a distraction toboredom, others believed theydfound a route to social acceptance.In the early stages of use,recreational drugs provide rapidand intense pleasure, followed bya period of painful withdrawal.

As the cycle of substance abuseaccelerates, the substance is takenmore to avoid the devastatingfeeling of withdrawal thanfor its pleasurable properties.Acquiring the substances becomesan obsession. An obsession sooverwhelming that a person will

neglect their health, their dignity,their belongings, their safety, theirlives, even their own children,in their attempts to escapewithdrawal.

Some Background on

Methadone

I want people to learn about

methadone, to know what itsabout explained a young woman.After nearly three years on the

program, she has rebuilt most ofher life, but still struggles dailywith the consequences of her pastdependence.

Methadone is a long acting,pure opioid agonist used tominimize the symptoms of opioidwithdrawal, including bothphysical symptoms (sweating,chills, muscle pain, etc.) as well ascravings. It also takes advantageof opioid cross tolerance to reducethe effects of other opioids,removing some of the incentivefor continued abuse.

A dose of methadone is usuallyconsumed in liquid form as amixture of methadone powder anda avored vehicle such as Tang.A person beginning MMT will

drink their dose of methadone inthe presence of a pharmacist. Asthey progress with their treatmentby consistently taking their doseproviding urines for drug testingattending physician appointmentsand no longer using illegalsubstances, they may obtain

carries, subsequent doses thatmay be taken at home. The longera person has been successful withtheir treatment, the more carriesthey may obtain, to a maximum of5 or 6 carries each week.

On its own, methadoneis only effective for opioiddependence and wont be helpfulin treating cocaine, amphetamine

alcohol, benzodiazepine andother substance dependenceNevertheless, an MMT program

has benets thatextend beyondsimple withdrawasymptomtreatment. It allowsdaily contactwith healthcareprofessionals for

a clientele whodue to a history of drug seekingbehavior, rarely receives themedical attention they requireIt provides access to counselinglegal services and othercommunity resources. It introducesstructure to a previously chaoticexistence. All in all, it offers thetools necessary for a committedand motivated individual to regaincontrol of their life.

When Good Methadone Goes

Bad

The media will rarely showMMT success stories, preferringrather to share those tales with

ContinuedfromPage15

ContinuedonPage16

It allows daily contact with health care

professionals for a clientele who ...

rarely receives the medical attention

they require

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tragic endings.Theres no denying methadones

narrow therapeutic index. Even inindividuals with a high toleranceto opioids, a dose normally usedfor maintenance can be deadly.

In a clinical, controlled setting,methadone treatment is startedat a low dose and increased veryslowly. But when administrationerrors occur, or when themedication is sold on the street,the consequences are often fatal.

Carried doses, which highlyincrease a person on MMTsquality of life, are unfortunatelysuspected to be a major source ofdiverted methadone. As a result,some pharmacists are reluctant todispense carries, worried that theymay play a part in an overdose.

On the rare occasionswhere healthcare professionalsthemselves are responsible fordiversion, the consequencesare devastating. When aNewfoundland pharmacist was

recently arrested for inappropriatebehaviour while dispensingmethadone as well as for drugdiversion, the reaction amongsome patients on MMT wentbeyond the vague anger displayedby the general public. They feltnot only angry, but betrayed. Afteryears of marginalization, theyhad slowly developed a feelingof trust towards the healthcare

professionals they regularlyinteracted with. That trust wasabused and the injury ran deep.

Even when use is properlycontrolled, the respiratorydepressant effect of methadoneis aggravated by a number ofdrug interactions, notably withbenzodiazepines, zopiclone,alcohol and other opioids. In a

population with a high prevalenceof chronic pain, anxiety andsleep disorders and who isoften desperate for rapid relief,convincing patients/clients toavoid these drugs while on MMTis a challenging task.

Harm Reduction Philosophy

Behind the MMT program isthe philosophy of harm reduction.In other words, taking a dose ofmethadone daily is not the sameas complete abstinence from drugusage. However, given the natureof substance dependence, for mostindividuals, transitioning directly

from dependence to abstinence isunlikely. These individuals needanother option: a state of usageless dangerous than uncontrollednarcotic intake, but more realisticthan complete abstinence.

Enter methadone. The risks ofmortality and injury as well as thecost to society of an individual inthe MMT program are far smallerthan of an individual with an

opioid dependence. For some, theMMT program allows completeabstinence to become a possibility.For others, complete abstinencewill never be possible, however,treatment creates the option of aproductive and otherwise healthylife.

Overcoming Barriers and

Challenges in MMT as a

Pharmacist or as a Pharmacy

Student

During your work terms,summer or part time pharmacyemployment or your future career,you will undoubtedly encounterindividuals following an MMTprogram. The best way to helpthese individuals is to become

informed about MMT and thenature of substance dependence.

Too often, persons recoveringfrom substance dependenceare judged negatively, giveninadequate medical attentionand treated with disrespectIndividuals following an MMT

program deserve the same leveof respect and of condentiality asany other patient. Avoid makingassumptions or attributions aboua person on MMTs healthappearance or whereaboutsInvestigate complaints made bythese individuals. Show interesin their progress and congratulatethem for their successes.

At the same time, rememberthat upon beginning MMTeach person reads and signsan agreement regardingexpectations and non-toleratedbehaviour. When expectationsare consistently unmet or non-tolerated behaviour is observedappropriate consequences must be(respectfully) carried out. MMT isa demanding commitment and, in

some cases, the required lifestylechanges are enormous. Relapse isthe norm rather than the exceptionand old habits die hard. It is to beaccepted that not every personwill succeed with MMT on theirrst try and there are some whonot benet from MMT.

For those who do benet fromMMT, however, progress andrecovery are amazing to observeAnd on the same day that theyoung man from the waitingroom began methadone treatmentanother young man nished after apersonal journey of several yearsIts like Im a kid seeing theworld for the rst time again, hesaid, every tree, every snowakeIts so beautiful and when I washigh, I never noticed it. n

ContinuedfromPage15

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Its that time of year again where

school is busy and work seems tonever end! This is the time wheneveryone starts to think about springbreak plans for their big break fromschool. Some of us like to takeadvantage of the winter months andplan an adventurous snowboarding/skiing trip. Others prefer to moveaway from the cold and head downsouth for some relaxing beach time.Even so, there are a few of us who

would like to do a good deed byparticipating in a charitable non-prot organization. Well...what ifyou could do all three in 1 week?

During spring break of 2010,a group of 8 of us went down toGuatemala where we built a housefor a family. Each of us stayed witha host family that provided us withfood and shelter. They were verywarm and welcoming, and theirhospitality was greatly appreciated.

For 5 full days we worked hardon building the house, which wasmade out of brick. We started right atthe beginning where we dug a largehole and nished to the end wherewe placed an aluminum roof on top.Of course, there was an expert whodirected us on how to build the house,

Student Travels

but we all participated in building thefoundation and walls. We even madethe mortar and cement ourselvesmanually without any mixingmachine. In the evenings, we wouldtake a bus into Antigua, theold capital of

Guatemala. There,we would explore the old colonialbuildings and visit the marketwhere we could bargain for variousitems. What is most fascinatingabout Guatemala is how half oftheir population still practices theMayan culture. These people evendress in the traditional clothing andspeak a local language that has beenpreserved for centuries.

It was a lot of fun building thehouse and to see the end product.The family was very grateful, and it

was nice to know that the childrenwould have a roof over their headsto shield themselves from the rainWe rewarded ourselves by hikingVolcane Pacaya. This is one of thefew volcanoes in the world where

you can be up closeto lava

and roast marshmallows on top. Eventhe hike up was fascinating- you gotto see cooled magma and volcanicrock along the way.

I highly recommend volunteeringin a developing country. You arenot only helping those who are in

dire need, but you are gaining agreater understanding of the differentcultures, values and problems thatoccur globally. It makes you moreopen-minded, where you interprethings on a global perspective. Inaddition, it gives you a furtherappreciation of the opportunities wehave in the rst world, and the manyitems (including education) we takefor granted. This is a life-changing

rewarding experience that will staywith you forever.If you are looking for an alternative

spring break trip like this, visit wwwencountour.com. They are currentlylooking for a Dalhousie trip leaderto lead a group to Guatemala. Youcan also google alternative springbreak trips for other companiesthat organize these kinds of trips tovarious developing countries. n

An Alternative Spring BreakBy: yoLAndA yeung, dALHousie university

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LJuBLJAnA, sLoveniA

Ihave been to two otherInternational PharmaceuticalStudents Federation (IPSF) WorldCongresses and the Sloveniancongress would be my third.Canada was well representedat this international event withtwelve Canadians from four

pharmacy schools.I was the Chairperson ofProfessional Development and asan executive member, this was themost important event. Not onlydoes this mean ensuring smoothoperation for the ten days, butalso the development of engagingworkshops and eventsfor the world congressparticipants. For me, this

included the Leaders-in-Training (LIT) Program,Patient Counselling Event,Clinical Skills Event, andProfessional PharmacyAwareness Campaignworkshop. Eric So (UBC2009), Pamela Fu (UBC2010), and Suzanne Soneff(UBC 2012 and currentIPSF Liaison on CAPSI)participated in the LIT,which was a multi-dayworkshop designed to empowerstudents and young professionalsto become future leaders. Pamelaalso represented UBC in thePatient Counselling Event andsuccessfully qualied to the nalrounds in the advanced level.

Public health awareness is

IPSF Congress

56th International Pharmaceutical Students FederationWorld Congress - An Unforgettable CongressBy: sHirLey yeung

extremely important;therefore, there werepublic health workshopsheld at the congress. Thiswas an opportunity forstudents to share theirsuccessful campaigns witheach other, to increasetheir knowledge and toreturn home with new

ideas. And as the congresswas attended by studentsand young pharmacists,pharmacy education was a keycomponent of this congress. Thisyear, the theme of the EducationSymposium was Leadershipin Practice and the Scientic

Symposium was Gene Therapy:Use or Abuse. Again, studentshad the chance to engage in smallgroup discussions to gain someinsight on these topics.

IPSF is also known for theStudent Exchange Programme(SEP). Every country has a student

exchange ofce who coordinatesall of the incoming and outgoingstudents. These ofcers workhard each year to arrange notonly for an exchange position butalso accommodations and sociaprogram for all incoming studentsto their home country. Thecongress was a great opportunity

for students to network with othersand to further explore where to gofor an exchange placement.

Another important part of theworld congress is the GeneraAssembly (GA) sessions, wherethe ofcial delegates of eachmember country join together tomake decisions for the future ofthe federation. There were someheated discussions at times, but inthe end, everyone knew that it wasnecessary for the benet of thefederation.

In between all the workshopssymposiums, and GAs, there wasa day trip to Bled, sports activitiessalsa dancing, basketball showsand nightly social events. The

ContinuedonPage20

Kendell Langejans and Suzanne Soneff,

ofcial delegates for CAPSI in the generalassembly

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social aspects served as anopportunity to socialize andnetwork with global pharmacystudents at a professional andsocial level.

Of course, there were the

traditional events of IPSF, theDevelopment Fund (DF) Auctionand International Night. TheAuction night successfully raisedmoney for the DF by sellingvarious items from the differentcountries. This was followed bythe International Night, whereeveryone proudly representedtheir country. All the countriesalso brought treats to share witheveryone else; this was truly aninternational event. The congressalways closes with a formal galaevening, where farewells weresaid. Without a doubt, this wasthe best IPSF World Congress

that I have attended. It was anamazing journey and I loved everymoment of it.

In closing, I encourage allstudents to become involved withIPSF. This federation has had ahuge impact on my pharmacy life

and I can promise the same foryou. It is denitely a wonderfuexperience and along the wayyou will make life-long friendsfrom around the world. Thisis denitely an experience of alifetime. n

ContinuedfromPage18

The Canadian delegation on International night (plus one Dutchfriend) - Vancouver Olympics was our theme

A Chance to Win $1500:

CAPSI Award of Professionalism

The Award of Professionalism is awarded annually to the school that holds the

most organized and professional Pharmacy Awareness Week (PAW) activities.

PAW is held every year during the rst full week of March! You should get involved

because the winning school shall receive a $1500 cash prize! The money will go

straight to those students involved! Deadline for submission is May 18, 2011. Its

really easy to apply, simply get a committee together to organize PAW activities

and then tell us about them! Dont forget to include pictures! Contact your local

CAPSI Representatives for more details and for your application form! Good luck to

everyone!

Sponsored by Wal-Mart

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PDW 2011

The PDW Experience

By: BrittAny cHurcHiLL, memoriAL universityof newfoundLAnd

was a dance competition, wonby Memorial Universitys ownJessica Guy!

The nal day of the conferencebegan with a talk by Dr. DavidHill about the Blueprint forPharmacy, giving insight intothe development of the Blueprinand its application in the future

Next, Catriona Le May Doangave an inspiring talk about herexperiences as an athlete andOlympian. PDW 2011 closed withthe Awards Gala and FairytaleFormal. Many PDW princessesand princes were dressed in theirnest attire, as well as a few otherfairytale characters including RedRiding Hood, the woodsman andthe Wolf (dressed in Grandmasnight gown).

Overall, the PDW 2011organizing committee did asuperb job at putting togetherthis conference. The past threePDW conferences that I havebeen fortunate enough to beable to attend have all beenunique, fantastic experiencesThe best reason for attending is

the opportunity to interact withpharmacy students from acrossCanada. Im sad that this wilbe my last PDW as a studentbut I look forward to potentiallyattending future conferences as apharmacist. I would encourageeach of you to attend PDWHalifax 2012 and experience thisconference for yourself! n

on behalf of pharmacists. Later,everyone dressed in their bestcowboy gear for Wild West Night.The dance oor was packed, andeveryone had a great time.

Even after a late night ofdancing, the CAPSI electionswere well attended. Everyone whodecided to run should be proud.

Next, doctor and comedian RussKennedy presented his talk ARell on your Perception whichgave attendees a new perspectiveon our thought processes whilebeing thoroughly entertaining andinterspersed with jokes throughout.Later, the health fair took placeand our afternoon was lled withmore breakout presentations. Inparticular, a highlight was Dr.Scott Nappers discussion on thedevelopment of prion vaccines.The talk was interesting and easyto understand (considering theamount of biochemistry involved)and was especially relevantto future practice consideringthe increasing role of vaccinesin healthcare. Overall, eachpresentation served to educate and

enlighten all in attendance.That evening, the LastSaskatchewan Pirate night wasfantastic. The event includedeye patches for all, balloonanimals (including crocodilesand octopuses) and swords madeby a talented balloon artist, anda pirate ship near the danceoor. A highlight of the evening

Attending PDW 2011 inSaskatoon was an excellentexperience. The speakers wereboth inspiring and educational,and the social events wereentertaining. Despite ight delaysand sub-zero temperatures, I amglad that I decided to make thetrip to Saskatoon to experience my

nal PDW as a student.Saskino Royale was held during

the rst evening. The casino-stylesetting lent itself to a fun eveningof ice-breakers and games-of-chance. Later, bachelors andbachelorettes from each universitywere auctioned off to luckybidders to be their dates for theFairytale Gala which was held onthe nal evening of PDW.

On the rst morning of theconference, attendees heard fromSteven Lewis, the keynote speaker.He spoke about upcomingchanges in healthcare and howthese changes may affect practice.Later that day, a panel discussionentitled Private Conscience vs.Public Responsibility was one ofthe highlights of the conference.

In particular, a case concerningthe provision of emergencycontraception resulted in someheated discussion. It denitelyprovoked attendees to considertheir own views on the topicsdiscussed. Afterwards, JeffMorrison gave a great talk onlobbying government for changeand on CPhAs efforts to advocate

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As most of you now know Dalhousie is goingto be hosting PDW in January of 2012 andthe planning committee has been hard at workorganizing an exciting week of educational and socialactivities for pharmacy students from across Canada we wanted to give you a sneak peak of what wehave coming. The theme of the week is Oceans ofOpportunity and will focus on opportunities in the

pharmacy profession right now and taking advantageof these opportunities as a student and directly aftergraduation. Opening night on Wednesday, January11th is a kitchen party themed opening gala,with casual clothing and Signal Hill performing thisis bound to be an amazing opening and welcome to

PDW 2012 Dalhousie

the Maritimes. Thursday Saturday will be lledwith professional speakers (many of which fromright here in Halifax) talking about everything fromimmunizations to mental health. Thursday night wehave booked the entire bar at Pacico to play host toour sociables themed night with 3 different DJsand 4 separate bars exclusively for PDW delegatesand Dalhousie Pharmacy alumni. Friday night we

have a comedian booked to give everyone a greatlaugh and have the night to explore our beautiful citySaturday we will say goodbye with a Haliwoodthemed closing gala where we will throw on ourclassiest outts and dance the night away. n

Joanne McNairChair PDW 2012

[email protected]

Oceans ofOpportunityA Sneak Peak at PDW 2012

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Awards and Competition Winners

Student Literary Challenge1st Derek Cho

univeristyof BritisH coLumBiA2nd Brett Edwards

universityof ALBertA3rd Brittany Churchill

memoriAL universityof newfoundLAnd4th Jessica Gagatek

universityof sAskAtcHewAn

Patient Interview Competition1st Ashley Young

univeristyof ALBertA2nd Kris Scott

universityof BritisH coLumBiA3rd Jessica Gagatek

universityof sAskAtcHewAn

4th Guillaume Lamarreuniversitde LAvAL

OTC Competition1st Philips Ngo

universitde montreAL2nd Jen Lamont

universityof mAnitoBA3rd Kris Scott

universityof BritisH coLumBiA4th Roger Loor universityof sAskAtcHewAn

Compounding Competition1st univeristyof toronto

Tiffany KanJonathan Fung

Ken Dong

Kwon Ma

2nd universityof wAterLooJulie Tran

Dajanna Domazet

Bojana Banovic

Agatha Dwilewicz

3rd dALHousie universityAshley Sharpe

Lauren Hutton

Sarah Estabrooks

Kelly Foster

4th universityof sAskAtcHewAnMandi Halter

Dan Thompson

Mike Wilson

Adrian Chow

Pfizer Guy Genest Passion for PharmacyUniversity of Alberta Tim LeungUniversity of Saskatchewan Kaitlyn McMillanUniversity of Manitoba Kristina JandavsUniversity of Waterloo Jenny SeguinUniversity of Toronto Tina HwuUniversit Laval Alix-Anne Gendron

Universit de Montreal Christine BoudreauDalhousie University Kathleen MoranMUN Amanda Teti

Walmart IPSF Health Campaign Award: universityof BritisH coLumBiATeva Award of Professionalism: universityof BritisH coLumBiA

CSHP-CAPSI (presented by CSHP Rep)Jessica Gagatek, universityof sAskAtcHewAnTimothy Leung, universityof ALBertA

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The PharmaNet medicationmanagement informationsystem is recognized worldwideas a secure electronic networkthat connects community

pharmacies in British Columbiato a central database, recordingall prescriptions dispensed inthe province. PharmaNet isnow in the midst of a signicanttransformation that will affectthe fundamental infrastructureof the health care system inB.C. The eDrug Project is setto improve patient safety andmedication management in

B.C. by upgrading the currentPharmaNet system. The project ispart of the larger eHealth Project,a ten-year initiative that began in2009, that will eventually connectpharmacists, physicians, andother health care professionalsby providing a secure, sharedelectronic health record (EHR)for each patient. (1) This essay

will outline the basic componentsof the eDrug Project, with specialemphasis on electronic prescribing(ePrescribing), and describe theimpact that these new technologieswill have on the profession ofpharmacy.

The new PharmaNet system,called PharmaNet-eRx, will addthe following three main features:

1) more comprehensive patient

Student Perspective

The Impact of Electronic Prescribing and the eDrugProject on Pharmacy Practice in British Columbia

By: derekcHo, universityof BritisH coLumBiA

medication history informationwith broader authorized access byhealth professionals,

2) ePrescribing, and3) automation of the Pharma-

Care Special Authority process.(1)The most exciting aspect

of the eDrug Project, in myopinion, is the movementtowards ePrescribing andthe use of electronic medicalrecords (EMRs). Currently,only 23% of Canadian doctorsuse EMRs, compared to 98%in the Netherlands, and 89% in

the United Kingdom. (2) Therst step in the ePrescribingprocess involves the physicianentering prescriptions into thepatients EMR, followed bytransmission of this informationto PharmaNet-eRx. (3) Withinseconds, PharmaNet-eRx willcheck the prescription againstthe patients medical record

and return information ondrug-drug interactions, drug-allergy interactions, and otherdrug-related problems, suchas contraindications. (3) Afterthe prescriber has reviewedthe information, he or she willconrm the prescription, andthe pharmacist can retrieve theprescription electronically fromPharmaNet-eRx. (3)

Implementation of ePrescribingand the eDrug project will havemany important inuences onhealth care and the practice ofpharmacy in B.C. One of the

most signicant benets of thistechnology is improved patientsafety. With ePrescribing, illegibleprescriptions will no longer be anissue, signicantly reducing thenumber of dispensing errors andthe need to contact prescribers toclarify prescriptions. Electronicprescriptions are much easier tointerpret as they use a standardform, and since the process isentirely online, faster deliveryof care to the patient is possiblePatient safety will also beimproved by the warning systembuilt into PharmaNet-eRx, whichchecks possible interactions anddrug-related problems specicto each patient. According to astudy by the Canadian Institutefor Health Information, 23 000

Canadians die each year inhospitals from adverse eventsand many of these deaths resultfrom missed drug interactionsinappropriate medications, anddecits in the coordination of care(4) Currently, many physicians donot have complete lists of all the

ContinuedonPage25

Winner of the Capsi Student Literary Challenge

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medications a patient is taking, andmust contact the pharmacy if theywish to obtain this information.

The PharmaNet-eRx systemprovides this information to thephysician during the prescribingprocess, and thus potentialproblems can be identied rightfrom the start, greatly reducing therisk that a patient will experiencean adverse reaction.

I believe the eDrug initiativewill also save time and enhance

pharmacy practice efciency.Many traditional pharmacytasks, such as rell requests andauthorizations, can be automatedand streamlined using the onlinesystem. Physicians will beable to submit special authorityrequests electronically and obtaina response while the patient is stillpresent. Shortening of specialauthority approval times means

that patients can begin therapysooner. Prescribers will alsohave access to the PharmaCarebenet status of drugs, (1) so theycan select the drug with the leastcost to the patient, minimizingaffordability issues at thepharmacy and increasing patientadherence. With ePrescribing,prescriptions no longer needto be typed into the computersystem by the pharmacist, savingtime by eliminating routine tasksand allowing pharmacists to

Competition Winner

focus their efforts on providingpharmaceutical care to patients.Finally, with eHealth technology,the pharmacist can avoid asking

the patient unnecessary questions,as a comprehensive EHR isavailable for consultation.

eHealth information technologywill have a profound effect onthe way in which health careprofessionals communicate.I think the system has thepotential to both improveand hinder collaborativemedication management betweenphysicians and pharmacists.On one hand, PharmaNet-eRxprovides an additional tool forcommunication using a sharedpatient le. Both pharmacistsand physicians have access to alot of the same information andare well connected, and thus cancollaborate and work towardsproviding seamless care for

patients. On the other hand,the physician now has access todetailed medication history thatwas once reserved only for thepharmacist. Consequently, thephysician may feel that he orshe no longer needs to consultthe pharmacist for medicationhistory or drug advice, becausethe information can be obtainedonline. While the latter ispossible, I think the vast majorityof health care professionalsunderstand the importance of

collaborative work in maximizingtherapeutic outcomes andproviding efcient and effectivehealth care to patients. Having

access to all the information andtools that pharmacists use mayactually improve the physiciansunderstanding of the pharmacistsrole and how collaboration can beuseful.

Pharmacy is truly a professionof lifelong learning, not only interms of new drugs and treatmentoptions available, but also forthe tools used in practice. Ibelieve the implementation ofePrescribing and the eDrug/eHealth projects in B.C. willhelp facilitate the shift toward amore patient-centred professionthat is focused on maximizingtherapeutic outcomes for patientsThis technology will improvethe signicance and relevanceof pharmacists interactions with

prescribers and patients, helpingto solidify their role as medicationspecialists. While the eDrug/eHealth project is a massiveundertaking that requires timemoney, and acceptance, I believethat once it is established, it willhave a positive impact on safetyefciency, communication, andcollaboration in health care andthe profession of pharmacy. n

Please see Appendix for

references.

ContinuedfromPage24

Winner of the Capsi Student Literary Challenge

For more information on the CAPSI Awards and competitions, and how to enter, please contact the

VP Education at [email protected]

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One of the fastest growing areasin pharmaceutical innovationincludes high-cost infusiondrugs such as chemotherapy andbiologics. With the advent ofthese drugs we are seeing amazingimprovements in patients that weretraditionally difcult to manage.For example, patients with severe

Crohns disease, who in the pastwould have been debilitated bytheir disease, arenow able to maintaina relatively normallifestyle with theuse of iniximab.The popularityof infusion drugsposes a problem for

traditional community pharmacies,as these drugs are very expensiveand distributed at low volumes,which is at odds with traditionallow cost high-volume drugs.There are also complex paymentstructures associated with infusiondrugs. Multiple third parties oftenneed to be involved with thepayment process to cover the highcosts. One must also consider

drug stability with infusiondrugs, as they need carefulpreparation and adequate storageenvironments. Increased demandis also placed on the patientsthemselves when prescribedinfusion drugs. Patients mustcontact their pharmacy in advanceof their infusion appointments, as

Student Perspective

Specialty PharmaciesBy: dAve wAdden, dALHousie university

most community pharmacies donot regularly stock these drugs.Patients must also ensure optimalstorage from the time they pick uptheir drugs until they are infused atthe clinic. To circumvent some ofthese aforementioned difculties,a handful of pharmacies, knownas specialty pharmacies, have

opened.Specialty pharmacies focus

primarily on highcost injectable drugsand thus are betterable to manage thecomplications thatarise when dealing withthese drugs. I recentlymet with Winston

Singleton, a Dalhousie gradwho manages a local specialtypharmacy, Bioscript, to gainsome insight into how specialtypharmacies function. Bioscriptssetting is markedly different froma traditional pharmacy. It is locatedin a professional centre sharing thesame oor with a doctors ofceand a law ofce. There are notcountless products on its shelves;

instead large fridges replaceshelving units where productsare kept at optimal temperatures.There is an area in the back wherea part time technician preparesdrugs. Even though this pharmacydeals primarily with infusiondrugs, there are some similaritiesto a traditional pharmacy, as it

still needs to operate within thesame rules and regulations as anycommunity pharmacy. Singletonexplained, We applied forexemption status [from the NovaScotia College of Pharmacists]but since this type of pharmacy israre we could not get it. So, likea regular pharmacy, the top 100

drugs are located in the pharmacy(albeit only one container of each)and a pharmacist must always bepresent during operating hoursDuties for the pharmacist varyfrom typical community practiceSingleton says that, You havemuch less contact with the patientsthemselves and often spend yourtime communicating with nurses

in the infusion clinic. Its kind oflike a mix between hospital andcommunity. A disadvantage ofworking in this type of pharmacy

accordingto Singletonis that youdeal withfewer drugsthan younormally

dealwith in acommunitysettingmaking it

difcult to keep up to date with altherapeutics. One of the reasons

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that Singleton still practices in atraditional community pharmacyon weekends is to stay up to dateon current drug therapies.

For patients, there are someclear advantages to dealing with

specialty pharmacies. Becausethey deal with only infusion drugs,the required drugs are usually onhand or can be obtained relativelyquickly. The pharmacy will alsoensure that the patients drugs areat the infusion clinic when theyneed them, alleviating worry aboutstorage. Even with theseadvantages, manypatients who receiveinfusion drugs areunaware of the servicesa specialty pharmacycan provide and theystill rely on communitypharmacies to obtaintheir drugs. According

ContinuedfromPage26to Singleton, Bioscript mainlygets new patients through word ofmouth from patients talking to oneanother at their infusions clinicsSometimes we will be contactedto ll prescriptions inemergency situationsand then the patient

decides to keep their rellprescriptions with us.As more infusions getprescribed, however, wecan anticipate increasedawareness of specialtypharmacies.

The growingpopularity of infusion

drugs has sparked

the developmentof specialtypharmacies tohelp patients and

pharmacists deal withthese expensive and hard

to manage drugs. Specialtypharmacies make treatments

easier on patients by stockingmost infusion drugs and storingthem for the patients up until thetime of their infusions. Specialtypharmacies benet physicians

and infusion clinicsas well becausethey can now

refer a patient toa pharmacy thatis specialized todeal with infusionmedication andavoid associateddifculties(multiple thirdparty plans, storageappointments, etc.)

With the ongoing developmentof infusion drugs, we can expectincreased numbers of specialtypharmacies in Canada. Thisexciting new branch of pharmacymay mean new opportunities forboth pharmacists and pharmacystudents. n

Une chance de gagner 1500 $:

Prix du professionnalisme de lACEIP

Le prix du professionnalisme de lACEIP est remis annuellement lcole qui

organise la semaine de sensibilisation la pharmacie (SSP) la plus professionnelle.

La SSP se droule chaque anne durant la premire semaine du mois de mars!

Vous devriez participer parce que lcole gagnante recevra un prix en argent de

1500 $. Largent sera remis directement aux tudiants participant! La date limite

dinscription est le 18 mai 2011. Cest trs simple, rassemblez un comit et organisez

des activits pour la SSP. Ensuite, faite parvenir votre inscription et noubliez pas

dy inclure des photos! Veuillez contacter vos reprsentants de lACEIP pour plus

de dtails et pour recevoir votre formulaire dinscription! Bonne chance tous!

Commandit par Walmart

CAPSIL - JACEIP



28/29

It has been a pleasure to speakto many of the graduating classesacross the country regarding thebenets of Disability Insurance andwhy you need this very importantform of protection. We are alsoplease to reveal the exclusiveCAPSI Guaranteed Standard

Issue Disability Insurance

Program which you have access toas a Graduating Pharmacist.

There were many questions afterthe presentations and I thought Iwould cover them in an article sothat they can be addressed.

Why is this Disability Insurance

Plan so unique?

There are many advantagesto having a personal disabilityplan. This particular plan hasbeen brought to all the PharmacyGrads by CAPSI. Specically,under this plan, you do NOTHAVE TO PROVIDE ANYPROOF OF GOOD HEALTH.Traditionally, this type of insuranceis the MOST difcult to qualifyfor. Many applications areissued with exclusions or extra

premium charges for pre-existingconditions. Just because you thinkyou are healthy, does not meanthe insurance company agrees.Therefore many applicants aresurprised when they are approvedfor coverage with modicationsor declined for coverage outright.Under the CAPSI plan, there is noproof of health required so there is

Sponsor Message

Your CAPSI Disability Insurance Plan Top 10 FAQsBy: mArtin mAretzki, rHu - PresdientAx/izfinAnciALsoLutionsinc.

no danger of you having specicconditions excluded or having topay an extra premium. Also, youeliminate the risk of being declinedfor coverage altogether. This isa TREMENDOUS advantageespecially given the fact that you arebeing offered a GUARANTEED,NON CANCELLABLE plan at adiscounted premium.

What is a Guaranteed Non-Cancellable Disability Plan?

This type of plan is the best formof disability insurance available.This can only be purchasedprivately (i.e. not part of yourgroup/association benet plan). Aguaranteed non-can plan meansthat once the coverage is in place,the insurance company cannotcancel the coverage, change thecontract wording, increase thepremium or add any restrictiveclauses to your plan during the non-cancelable period which is to age65. So, if you change jobs, or goon claim, your contract will remainthe same as it is todayno change.

What is the denition of Disability?

There are two denitions. Oneis for Total Disability. In order tobe totally disabled, you must beunable to perform the importantduties of your own occupation.This is referred to as a TRUEOWN OCCUPATION denition.For instance, if you are disabled asa community pharmacist but can

work in another occupation, youwould receive your full benetsfor total disability in addition towhat you are earning in your newjob. The other type of disabilityis Partial Disability. This will payyou 50% of your benet (whichscales down each year you arepartially disabled) if you can workhalf your normal time OR you canperform 1 or more but not all of

your important duties. You havethe best denition of disability inthe marketplace under your CAPSIplan.

Do I have to be a member of CAPSI

to have access to this Disability

Insurance Program?

No, you just have to be agraduating pharmacist and enrollwithin the enrollment window(between October 2010 and May31, 2011).

Why is there an enrollmen

window?

An enrollment window isrequired for the insurance companyto make sure that there is no anti-

selection. Since there is no proofof health required for this planthe insurance company wants tomonitor the enrollment. Thereis plenty of time to enroll, but adeadline is required to control theinsurance companys risk of takingon individuals who may had a

ContinuedonPage29

CAPSIL - JACEIP



29/29

health change after the enrollment

deadline and now decide to geton the plan. This has happenedevery year, where people werelate enrolling and they had to beapproved medically as a result.Subsequently they were approved,sometimes without modications.Some individuals were evendeclined for coverage. The wordto the wise is to enroll during the

enrolment window to avoid thisrisk of being declined or having amodied offer.

Can I cancel the coverage at some

point in time?

Yes. You own the plan and youcontrol it.

What does the plan design

encompass?

Right away, you are eligiblefor $3000 per month of tax freebenet. The waiting period is90 days (the number of days youmust be disabled before the claimis paid). The benet period is toage 65. Also, your benets areprotected from ination with theCost Of Living Adjuster feature.Furthermore, you have the rightto increase your coverage alsowithout proof of health, with theFuture Insurability Option. If youwish you can also add the Returnof Premium Feature.

What is the return of premium

Sponsor Message

This feature refunds 50% ofall your premiums if you decideto cancel your coverage at age 55or age 65. If you were paid anyclaims during the time you hadthe coverage, the amount of claimthat was paid is deducted from therefund of premium amount.

What is the Future Insurability

Option?

At the moment, your benet

amount allows you to claim $3000per month tax free if you aredisabled. Each year, you have anoption to increase your coverageby an additional $1000 per month(to a maximum of $5000/month taxfree). Think of this as a rell onyour prescription. In this case, youhave 5 rells of $1000 to add toyour current plan. If you exerciseall of the options, you would end

up with a total of $8000 per monthof coverage tax free.

Why should I enroll now?

You should take action on thisasap. Your local representativeswill be contacting you to arrange anappointment to go over your plandesign options and the enrollment

form. It is vital that you take actionon this before you are too distractedby other commitments and miss theboat. Every grad that has enrolledhas been very glad they did. Asyou go out in the workforce, it isnecessary for you to make sure thatyour income is replaced with theBEST possible plan at the BEST

for the long term. At your age, iis very inexpensive. Think of it asa 1% solution to protect your future

income ability. You are spending1% of your income to make surethat 100% of it is replaced if youare sick or injured and cannot workThat is a good deal!

Also, through the CAPSI plan

you eliminate 4 signifcant risks:

a) The risk of income loss (through

a disability insurance policy)b) The risk of being declined forthe coverage. (no proof of healthrequired)c) The risk of having a modiedoffer for the coverage (no proof ofhealth required)d) The risk of getting older. (yourpremiums are locked in and xedat your current age). The youngeryou are, the lower the cost.

This will be one of the bestnancial decisions you will evermake!

With Condence,

Martin MaretzkiMartin Maretzki, RHU

Martin Maretzki, RHU is the Presiden

of ax/iz nancial solutions. He works

specically with Healthcare Profession

als across Canada, prescribing solutions

for their good nancial health. Mar

tin, his wife Janice (also a Pharmacist)

and their 4 children reside in Hamilton

ContinuedfromPage28

CAPSIL - JACEIP

CAPSIL - Winter 2011 Edition

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