CEimpact Podcast

The FDA recently approved the first eyedrop to treat age-related nearsightness due to poor accommodation, a disorder experienced by more than 100 million Americans. Spoiler alert . . . its pilocarpine eye drops -  which have been on the market for over 70 years.  What does the data say about this new formulation of an old drug and its ability to help with age-related presbyopia? Listen in for a discussion on efficacy and cost.

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References and resources: 

1. https://www.ophthalmologytimes.com/view/fda-approves-eye-drops-for-treatment-of-presbyopia
2. https://clinicaltrials.gov/ct2/show/NCT04657172

Continuing Education Information:

Learning Objectives: 

1. Describe the evidence that informed the FDA's decision to approve a new formulation of pilocarpine for presbyopia

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-22-040-H01-P
Initial release date: 01/10/22
Expiration date: 01/10/2023
Additional CPE & CME details can be found here

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Pain is not a game. Chronic non-malignant pain has few effective treatment options, particularly since the adverse effects of opioids have become more known. Many patients with chronic pain also develop mental health issues such as depression and anxiety.  A new virtual reality system, designed for at-home self-use, has been approved by the FDA to treat chronic low back pain in adults.  Dr. John Swegle, a pain management expert, joins host Geoff Wall to discuss how this potentially gamechanging device gained FDA approval and logistical challenges patients may have in obtaining access.

Guest: 
John Swegle, PharmD, BCPS, BCACP
Clinical Associate Professor
University of Iowa College of Pharmacy

Redeem your CPE or CME credit here!

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• Join for CME Credit 

References and Resources:
FDA Authorizes Marketing of Virtual Reality System for Chronic Pain Reduction: https://www.fda.gov/news-events/press-announcements/fda-authorizes-marketing-virtual-reality-system-chronic-pain-reduction
Virtual Reality Trial Using EaseVRx for Chronic Low Back Pain: https://clinicaltrials.gov/ct2/show/NCT04415177

Continuing Education Information:

Learning Objectives: 

1. Describe the purported mechanism of benefit of a virtual reality system in patients with low back pain
2. Discuss the study that supported a virtual reality device to receive FDA approval for pain management and its implications for patients with low back pain

Dr. John Swegle reports no actual or potential conflicts of interest associated with this episode.

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-22-039-H01-P
Initial release date: 01/03/22
Expiration date: 01/03/2023
Additional CPE & CME details can be found here

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Since the REDUCE study was published in 2013, most guidelines recommend a standard dose of prednisone 40mg for 5 days (or an equivalent dose of another steroid). However, the optimal dose of steroids may be different depending on patient factors. Tune in to explore the concept of personalizing steroid doses in AECOPD using a dosing scale.

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Join for CPE Credit
Join for CME Credit

References and resources:
Li Li, MD, Nana Zhao, MS, Xiangyu Ma, MD, et al. Personalized Variable vs Fixed-dose Systemic Corticosteroid Therapy in Hospitalized Paitents with Acute Exacerbations of COPD. Chest Journal, 160(5), 1660-1669, November 1, 2021
https://journal.chestnet.org/article/S0012-3692(21)00951-X/fulltext

Continuing Education Information:
Learning Objectives: 

1. Describe the efficacy and safety outcomes of a study investigating the effectiveness of personalized dosing of corticosteroids vs fixed dosing in hospitalized patients with COPD exacerbations
2. Apply a rubric used to personalize dose of steroid in patients with acute exacerbations of COPD

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-402-H01-P
Initial release date: 12/27/21
Expiration date: 12/27/22
Additional CPE & CME details can be found here (www.ceimpact.com/podcast)

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Pharmacy students change and evolve immensely from the moment they walk into pharmacy school to the moment they graduate. At each step along the way, their educational needs change as well. And of course, each student is uniquely different regardless of where they are on their pharmacy school journey. As a preceptor, you must meet each of them where they are. Join us as we discuss challenges preceptors may face with introductory learners, regardless of where they are on their journey. We will equip you with actionable strategies applicable regardless of pratice environment.

Guest Host
Huy Hoang, PharmD
Coordinator for Experiential Advancement|Assistant Professor
Pacific University School of Pharmacy

Guest Expert
Joseph Tran, PharmD, RPh
Lead Pharmacist Consultant
Geneva Woods Pharmacy, Anchorage, AK

Want more education on this topic? Visit these courses at www.CEimpact.com

Teaching the Science of Safety to APPE and IPPE Students

• Identify opportunities for "teaching moments" and turn students pharmacists into resources for patient safety initiatives.

Tools to Facilitate Student Success with Your Learning Experience

• Preceptors often don’t feel they have time or know how to go about creating an appropriate amount of structure within the experiences they provide for student pharmacists. In this CPE course, preceptors have the opportunity to learn and apply simple quality improvement techniques to maintain and enhance their learning experience.

Topic Discussion to Promote Learner Growth

• This course provides preceptors with rationale for utilizing topic discussions as well as methods for incorporating topic discussions into their rotations. Seasoned preceptors will also gain insight on how to take their existing topic discussions to the next level through practical ways to revitalize and revamp these learning experiences.  

Acknowledgements
Special thanks to the  Northwest Pharmacy Experiential Consortium, who helped conceive the concept for this podcast and assisted it in its launch. Collaboration is one of CEimpact’s core values, and we are grateful for their partnership.

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A recent study calls into question the safety of mirtazapine in the elderly, an antidepressant often recommended in the elderly for treatment of senile cachexia due to the medication’s appetite stimulation properties. This episode reviews the SYMBAD trial with guest Sarah Grady, PharmD.

Guest:
Sarah Grady, PharmD
Drake University

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• Join for CPE Credit
• Join for CME Credit 

References and resources: Banerjee S, High J, Stirling S, et al. Study of mirtazapine for agitated behaviours in dementia (SYMBAD): a randomised, double-blind, placebo-controlled trial. Lancet. 2021 Oct 23;398(10310):1487-1497. doi: 10.1016/S0140-6736(21)01210-1. PMID: 34688369; PMCID: PMC8546216.

Continuing Education Information:
Learning Objectives: 

1. Describe the results of the SYMBAD study and its implications in the care of geriatric patients
2. Discuss the adverse effects found in the SYMBAD study 

Dr. Sarah Grady reports no actual or potential conflicts of interest associated with this episode.

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-401-H01-P
Initial release date: 12/20/21
Expiration date: 12/20/22
Additional CPE & CME details can be found here (www.ceimpact.com/podcast)

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In the past several weeks, there have been news reports about pharmacies, health care clinics, and remote vaccination clinics giving the wrong dose of a vaccine.  Before these reports, there were also stories of health care providers inappropriately diluting the Pfizer vaccine resulting in a wrong dose delivered to adult patients.  Whenever we hear about these news reports, it causes most health care providers to become concerned, stressed, and anxious as to how to mitigate these types of errors.  

 This week’s Level Up episode offers you concrete tools to mitigate your risk, regardless of your practice setting.  

 Host
Suzanne Feeney, PharmD
VP, Business Development, CEimpact

Guest
Randy P. McDonough, BS, MS, PharmD, BCGP, BCPS
CEO, Towncrest Pharmacy Corp
CIO, Seguridad, Inc

We’ll address 3 specific measures you can take to minimize your risk: 

• Online Scheduling  
• Appointment procedures  
• Pediatric Considerations  

Links to Resources  

1. Towncrest Pharmacy’s Vaccine Scheduler
2. Scheduling tool
3. Level Up Column: Risk Mitigation  

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Hyperkalemia is a potentially fatal condition, yet no real guidelines for treatment exist and evidence to guide treatment is limited. Listen in for a rapid review of the evidence both for and against standard treatments of hyperkalemia.

Redeem your CPE or CME credit here!

• Pharmacist members
• CME

Need a membership?

• Join for CPE Credit
• Join for CME Credit 

References and resources: N/A

Continuing Education Information:

Learning Objectives: 

1. Discuss treatment options for hyperkalemia that remove potassium from the body as opposed to shifting the electrolyte into other body areas.
2. Describe which intravenous fluids should be used when treating hyperkalemia.

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-396-H01-P
Initial release date: 12/13/21
Expiration date: 12/13/22
Additional CPE & CME details can be found here! 

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COVID-19 has brought on many challenges within our healthcare systems. CVS recently announced the closure of pharmacies across the nation causing thousands of workers to lose their jobs. Other healthcare systems are scrambling to keep up due to shortages of workers.  And at the same time, they are trying to stay afloat and to meet business needs. This has caused a decrease in empathy within patient care.  In this week's conversation, Jake Galdo discusses with Randy McDonough, co-owner of Towncrest Pharmacy Corp, how to bring empathy back to your practice.

Host
Jake Galdo, PharmD, MBA, BCPS, BCGP
Course Content and Developer, CEimpact
Clinical Pharmacist, Ross Bridge Pharmacy
CEO, Seguridad, Inc

Guest 

Randy P. McDonough, BS, MS, PharmD, BCGP, BCPS
CEO, Towncrest Pharmacy Corp
CIO, Seguridad, Inc

Takeaways

1. The circumstances within healthcare, especially in pharmacy, are trying to meet high demands. Systems are short-staffed and struggling to maintain their business. Pharmacists are unable to display patient care with empathy as they are overworked and feeling depleted.
2. Healthcare systems need to be disrupted in order to change what is happening. Our healthcare systems are going down a path that cannot be sustained.
3. Place yourself in your patient's shoes. How would you view your practice? Start making changes now and return your focus on empathy with your patient care.

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Repost Episode: A degree is pharmacy is incredibly versatile - from health-systems and long-term care facilities to community pharmacies and managed care - pharmacists are an integral part of healthcare. Sometimes, students may pursue additional training through residency programs.

How can you prepare your students?

• Pearl 1: Preparing for an interview.
• Pearl 2: How to quickly evaluate a resume/CV
• Pearl 3: Finding the first career step.

Want more education on this topic? Visit these courses at www.CEimpact.com

Helping Your Students Get Ready for Interviews

• Help your students and residents shine during the interview process. Learn how to coach your students to success, including tips on etiquette and preparation. Additionally, you'll hear from both an experienced Residency Director and Student Preceptor about what's worked well for them. 

How to Evaluate a CV

• How can you help your students and residents prepare for their future? This brief course provides tips on how to critically review a CV. We spend time reviewing an example CV so you can learn what to look for and how to constructively share feedback. Leave this session with a tool to guide you through the process of CV evaluation.

Rotations and Residencies and Jobs, Oh My! Helping Your Students Decide What's Next

• This continuing pharmacy education course provides tools and guidance to preceptors and mentors on how to help students navigate their next steps into the profession. Participate in this course to discuss advanced pharmacy practice experience selection, position application preparation, and residency recruitment; as well as how to have meaningful discussions with students on how to manage these stressful processes and decisions.

Writing Letters of Recommendation that Matter

• It’s a common scenario: an APPE student is applying to residency programs and asks you as a preceptor to write a letter of recommendation. How do you write a letter that stands out? This course offers practical strategies for writing a letter that is personalized and impactful. Hear tips on what to ask from the student requesting a letter as well as how to handle a situation where you don’t feel comfortable writing a letter of recommendation.

Become a member with our CEimpact Membership here! 

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Fluoroquinolone antibiotics are widely prescribed in the US despite a growing number of serious adverse effects associated with their use. One of these adverse effects is QTc prolongation which can lead to lethal arrhythmias. A recent study evaluates in patients on hemodialysis are at an even higher risk.

Redeem your CPE or CME credit here!

• Pharmacist members
• CME

Need a membership?

• Join for CPE Credit 
• Join for CME Credit 

References and resources: Assimon MM, Pun PH, Wang L, et al. Analysis of Respiratory Fluoroquinolones and the Risk of Sudden Cardiac Death Among Patients Receiving Hemodialysis. JAMA Cardiol. Published online October 20, 2021. doi:10.1001/jamacardio.2021.4234

Continuing Education Information:

Learning Objectives: 

1. Describe the design and outcomes of a recent study that examines sudden cardiac death in a cohort of hemodialysis patients receiving quinolones
2. Apply the results of this study to a specific patient case

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-389-H01-P
Initial release date: 12/06/21
Expiration date: 12/06/21
Additional CPE & CME details can be found here

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