CEimpact Podcast

Emergency contraception use has an effectiveness of about 70%. Join host, Geoff Wall, as he reviews new literature to see if COX-2 inhibition improves that rate.
 
The GameChanger
Emergency contraception (EC) is safe and effective but overall efficacy rates could be better. COX-2 inhibitors may enhance the effectiveness of EC but require multiday dosing.
 
Host
Geoff Wall, PharmD, BCPS, FCCP, BCGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health
 
Reference
Li RHW, Lo SST, Gemzell-Danielsson K, et al. Oral emergency contraception with levonorgestrel plus piroxicam: a randomised double-blind placebo-controlled trial. Lancet. 2023 Sep 9;402(10405):851-858. doi: 10.1016/S0140-6736(23)01240-0. Epub 2023 Aug 16. Erratum in: Lancet. 2023 Sep 9;402(10405):850. PMID: 37597523.
https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(23)01240-0.pdf

Pharmacist Members, REDEEM YOUR CPE HERE!
 
Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)


CPE Information
 
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Describe the selection of the particular COX-2 medication used in this study
2. Discuss the implications of the COX-2 augmentation with patients

0.05 CEU/0.5 Hr
UAN: 0107-0000-23-322-H01-P
Initial release date: 10/9/2023
Expiration date: 10/9/2024
Additional CPE details can be found here.

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The opioid crisis is still among us. In fact, according to the CDC, Opioids were involved in more than 68,000 deaths in 2020, which was 8.5 times the number of opioid-involved overdose deaths in 1999. The rate of drug overdose deaths involving opioids remains high, and CDC continues to track opioid overdose deaths.

In this episode of the Level Up podcast, Ashlee is joined by Richard Logan, a deputy sheriff and pharmacy owner, as they dive into Dr. Logan's experience working within both sectors of the community.
 
 Dr. Logan discusses the future in which pharmacists play a crucial role in tackling this crisis - alongside specific steps on how to reach that future.
 
 Join us, as we explore the world of pharmacy through the eyes of a pharmacist and deputy sheriff.
 
 To learn more about the CE’s below, enroll to be a By Design Member today! 

GameChangers: Street Valium: Inadvertent Sulfonylurea Overdose 

Opioids for Pain Management - Important Changes from New Guidelines 

Dispensing Opioids for Pain Management 

Naloxone: The Essentials of Pharmacist-initiated Dispensing 

Regulatory Compliance Specialist: A Training for Pharmacy Technicians 
 
 

By Design membership links: 

https://www.ceimpact.com/training/rph-membership/ 

https://www.ceimpact.com/training/tech-by-design-membership-1yr-959/ 
 
 Community Health Worker:

Check out more about Community Health Workers here. 

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The cost of medications is often attributed to a burden on healthcare - despite hospitalizations costing four times as much. Join host, Geoff Wall, as he discusses the new Inflation Reduction Act which allows the government to negotiate medication prices.
 
The GameChanger
The US Federal Government can now negotiate with drug companies for the cost of medications. Similar to other countries, this bulk buying power can help lower medication prices for patients.
 
Host
Geoff Wall, PharmD, BCPS, FCCP, BCGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health
 
Reference
HHS Selects the First Drugs for Medicare Drug Price Negotiation
https://www.hhs.gov/about/news/2023/08/29/hhs-selects-the-first-drugs-for-medicare-drug-price-negotiation.html

Pharmacist Members, REDEEM YOUR CPE HERE!
 
Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)


CPE Information
 
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. List the 10 medications first targeted by the new legislation for negotiation
2. Describe the common arguments against this provision of the Inflation Reduction Act

0.05 CEU/0.5 Hr
UAN: 0107-0000-23-321-H03-P
Initial release date: 10/2/2023
Expiration date: 10/2/2024
Additional CPE details can be found here.

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OTC Phenylephrine is in the news!

Join Ashlee and David Brushwood as they navigate the convoluted world of OTC decongestants, and the pivotal roles pharmacists play in ensuring patient safety and medication efficacy.   

During this episode, the two discuss:
1. The role of the FDA in  managing GRASE, Generally Recognized as Safe and Effective, medications.
2. The FDA's original decision to include oral Phenylephrine products in the OTC monograph for decongestants.
3. The  CARES Act of 2020 and its impact on this efficacy and safety issue.
4. The instrumental roles of pharmacists in managing these products and providing the best options to patients. 

To access the FBA briefing document on the efficiency of Oral Phenylephrine as a nasal decongestant, click here. 

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Host
Kathy Schott, PhD
Vice President, Education & Operations
CEimpact

Guest
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Get CE: CLICK HERE TO CPE CREDIT FOR THE COURSE!

CPE Information
 
Learning Objectives
At the end of this course, preceptors will be able to:
1. a

0.05 CEU/0.5 Hr
UAN: 0107-0000-23-X-H99-P
Initial release date: X/X/2023
Expiration date: X/X/2024
Additional CPE details can be found here.

The speakers have no relevant financial relationships with ineligible companies to disclose.

This program has been:
Approved by the Minnesota Board of Pharmacy as education for Minnesota pharmacy preceptors.

Reviewed by the Texas Consortium on Experiential Programs and has been designated as preceptor education and training for Texas preceptors.

Want more information on this and related topics?

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Download the CEimpact App for Free Continuing Education + so much more!

Multiple studies highlight the benefits of direct oral anticoagulants (DOACS) with lower incidence of side effects and non-inferiority to warfarin. Join host, Geoff Wall, and guest, Mathew Boyd, as they discuss the FRAILE AF study and whether warfarin may be the best bet in older adults.
 
The GameChanger:
DOACs are recommended by nearly all relevant major medical guidelines as the anticoagulant of choice in atrial fibrillation. A new study has found that in frail elderly patients, warfarin may be associated with fewer bleeding episodes.
 
Host
Geoff Wall, PharmD, BCPS, FCCP, BCGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health

Guest
Mathew Boyd, PharmD
Clinical Pharmacist
Unity Point

Reference
Joosten LPT, van Doorn S, van de Ven PM,et al. Safety of Switching from a Vitamin K Antagonist to a Non-Vitamin K Antagonist Oral Anticoagulant in Frail Older Patients with Atrial Fibrillation: Results of the FRAIL-AF Randomized Controlled Trial. Circulation. 2023 Aug 27. doi: 10.1161/CIRCULATIONAHA.123.066485. Epub ahead of print. PMID: 37634130.

https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.123.066485

Pharmacist Members, REDEEM YOUR CPE HERE!
 
Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)


CPE Information
 
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Describe the design and results of the FRAIL AF study
2. Apply the results of the Groningen Frailty Index to a specific patient

0.05 CEU/0.5 Hr
UAN: 0107-0000-23-302-H01-P
Initial release date: 9/25/2023
Expiration date: 9/25/2024
Additional CPE details can be found here.

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In this week's Level Up episode Ashlee speaks with CoraLynn Trewet who has the honor of being the first recipient of the Thomas R. Temple Mentorship Award from the Iowa Pharmacist Association.  A testament to the transformative power of mentorship, CoraLynn’s journey is one of reciprocation, authenticity, and the profound impact of being truly seen. Join us as we traverse her inspiring journey and unlock insights into the essence of a meaningful mentorship. 

CoraLynn emphasizes the importance of openness to receiving mentorship and the ripple effect of paying it forward. We also shed light on the undeniably joyous pride that blooms from a mentee's success, and the invaluable role of having varied mentors at different junctures of our careers. This episode promises a refreshing view on mentorship, highlighting the significance of forging connections with individuals who ignite our inspiration.

Later in the episode, CoraLynn shares her wisdom on the art of building authentic relationships. We dive into the subtleties of trust, authenticity, and vulnerability, and their pivotal role in fostering meaningful relationships. CoraLynn also gives valuable tips on being an exceptional mentor, from being an attentive listener to inspiring others to find answers within themselves. We wrap up with a discussion on the importance of making others feel seen and cherished, a sentiment that beautifully encapsulates CoraLynn's own mentorship journey. 

Join us for this enriching conversation on the transformative power of meaningful mentorship.

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Although uncommon, severe headaches, neck sitffness, and other symptoms may occur after epidural procedures (lumbar puncture). Join host, Geoff Wall, as he evaluates new guidelines for the management of these symptoms
 
The GameChanger
Post procedural headache can be severe and last up to two weeks or longer. Management includes standard pain medications but may require caffeine or application of a blood patch to prevent dural leak.
 
Host
Geoff Wall, PharmD, BCPS, FCCP, BCGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health
 
Reference
Uppal V, Russell R, Sondekoppam R, et al. Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report. JAMA Netw Open. 2023;6(8):e2325387. doi:10.1001/jamanetworkopen.2023.25387

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808365

Pharmacist Members, REDEEM YOUR CPE HERE!
 
Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)


CPE Information
 
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Discuss with patients the risk factors and symptoms of post-procedural headache
2. Discuss pain management strategies for post-procedural headache

0.05 CEU/0.5 Hr
UAN: 0107-0000-23-301-H01-P
Initial release date: 9/18/2023
Expiration date: 9/18/2024
Additional CPE details can be found here.

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Drawing upon personal experiences and professional acumen, our guest Dawn Grittman, a steadfast advocate for mental health awareness and suicide prevention, joins Ashlee to peel back the layers of her journey intertwined with the National Alliance on Mental Illness (NAMI). As a pharmacist, Dawn’s story is a compelling narrative of transition from volunteering with NAMI to becoming a full-time crusader, keen on enlightening both healthcare providers and the general public on mental health issues. Expect an introspective look into her pioneering programs and the consequential role of candid discussions about mental health and suicide.

Navigating the labyrinth of suicide prevention, especially from a pharmacist's perspective, often encompasses a series of complexities. With an empathetic and expert approach, Dawn guides us through the nuanced process of recognizing cues and initiating life-saving conversations. Highlighting the imperative need for evidence-based resources and situational awareness, she brings to light the often overlooked role of the American Foundation for Suicide Prevention and NAMI’s Provider Program in equipping health professionals with vital knowledge about mental health conditions.

With a persistent focus on the role of pharmacists in suicide prevention, Dawn underscores the indispensable power of building patient relationships. Her passion is infectious as she emphasizes the wealth of available resources and the potential of pharmacists to provide critical help. Covering the deeply affecting personal impacts of suicide and its alarming statistics, she inspires a shift from despair to action. Dawn's poignant journey and incisive insights underscore our shared responsibility in fostering mental health awareness and suicide prevention. Her story serves as a compelling call to action to each one of us.

References:
NIMH
SAMHSA SAFE-T
QPR

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N-Acetyl Cystine (NAC) has been long used as the antidose for acetaminophen poisonings - although with variable implementation. Join host, Geoff Wall, and guest, Kayla Myers, discuss a new consensus guideline for appropriate treatment of acetaminophen overdose.
 
The GameChanger
NAC should be used if any doubt of acetaminophen poisoning based on new consensus guidelines. NAC may be used continued beyond standard dosing for chronic or high amounts of acetaminophen.
 
Host
Geoff Wall, PharmD, BCPS, FCCP, BCGP
Professor of Pharmacy Practice, Drake University
Internal Medicine/Critical Care, UnityPoint Health

Guest
Kayla Myers, PharmD
Clinical Pharmacist
Unity Point

Reference
Dart RC, Mullins ME, Matoushek T, et al. Management of Acetaminophen Poisoning in the US and Canada: A Consensus Statement. JAMA Netw Open. 2023;6(8):e2327739. doi:10.1001/jamanetworkopen.2023.27739

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808062

Pharmacist Members, REDEEM YOUR CPE HERE!
 
Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)


CPE Information
 
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Apply the new modified Rumack-Matthew nomogram to a potential acetaminophen poisoning
2. Discuss the use of fomepizole in the use of acetaminophen overdose

0.05 CEU/0.5 Hr
UAN: 0107-0000-23-300-H01-P
Initial release date: 9/11/2023
Expiration date: 9/11/2024
Additional CPE details can be found here.

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