CEimpact Podcast

Repost Episode: 2020 will forever be remembered as the year of COVID-19. The pandemic impacted all aspects of the world, including experiential education. Listen as Taylor and Megan provide pearls on how to precept during a pandemic.

Pearl 1: What has changed due to the pandemic for precepting.
Pearl 2: Practical advice to help maximize student learning.
Pearl 3: Innovate precepting with ideas like "Fresh Air Fridays."

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

Guests:
Taylor Bertsch, PharmD
Washington State University College of Pharmacy and Pharmaceutical Science

Megan Undeberg, PharmD, BCACP
Washington State University College of Pharmacy and Pharmaceutical Science

The New Normal: How to Develop and Deliver Remote Experiential Training
In light of the COVID-19 pandemic, many preceptors and APPE students were caught off guard with shelter in place requirements and safety concerns related to on-site experiential learning. In this course, we will provide preceptors with tools to successfully transition to a remote learning environment in a manner that supports the goals of the student, preceptor, and experiential site.

COVID-19: Safe Practices for Pharmacy Learners
This course is designed to provide pharmacy learners with a background on COVID-19 and its implications for patients, themselves, and other health care professionals. Risk factors, symptoms, clinical presentation of COVID-19, as well as appropriate use of personal protective equipment (PPE) will be discussed.

Become a member today with our CEimpact Membership!

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The Surviving Sepsis Campaign Guidelines have been updated! It's been over five years since the last update and many new studies have redefined the role of several therapies for sepsis. 

Redeem your CPE or CME credit here! 

• Claim CPE Credit
• Claim CME Credit

Need a membership?

• Join for CPE Credit
• Join for CME Credit

References and resources:
Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021, Critical Care Medicine: November 2021 - Volume 49 - Issue 11 - p e1063-e1143 doi: 10.1097/CCM.0000000000005337

Continuing Education Information:
Learning Objectives:
1. Discuss the role of corticosteroids in septic shock patients requiring vasopressors
2. Discuss laboratory and screening tools to aid in treating septic shock patients

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-360-H01-P
Initial release date: 11/08/21
Expiration date: 11/08/22
Complete CPE & CME details can be found here

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With so many pharmacies part of performance networks, quality measures become critically important to many aspects of business, including reimbursement. In this week's conversation, Jake Galdo talks with Randy McDonough, co-owner of Towncrest Pharmacy Corp, about utilizing pharmacy technicians and technology to provide the pharmacist time to devote to quality patient care.

Takeaways

1. Pharmacies are measured by a number of metrics based on patient outcomes, but there are flaws because pharmacies are often penalized for patients not following treatment plans. Other issues include:

• The level of analysis - a measure designed for plans using health-plan data applied to a pharmacy that doesn't have the same data set
• The cutoffs (or threshold of performance) - when you are in the percentile of performance and finding that it is relative to how everyone is doing

2. Looking at different metrics gives a holistic view of the pharmacy for both better quality of the pharmacy and patients

• What kind of medication related problems can you find?
• What are your interventions?
• What kind of recommendations can you make to change therapy?
• What are the clinical outcomes?

3. Community Pharmacies should strive for quality of the patient care over quantity of prescriptions that go out the door. 

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

Looking for more education on the quality of patient care in your pharmacy? Check out What's Your Big Idea?

Check out Choose My Pharmacy to begin bringing back quality to your patient care. Choose My Pharmacy™ is about you, a stakeholder in healthcare, becoming empowered to understand community pharmacy quality. 

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Repost Episode: Preceptors play a crucial role in helping students identify and mitigate cognitive biases in medicine. But you might be wondering, how do I actually accomplish this? Tune in to Part 2 of Uncovering Cognitive Biases to learn practical tips and tricks to help students mitigate their cognitive biases!

Pearl 1: Describe the factors that predispose an individual to biases
Pearl 2: List strategies to help mitigate the influence of biases in decision-making.

Guests:
Tracy Pettinger, PharmD
Clinical Associate Professor
Idaho State University

Kasidy McKay, PharmD, BCPS
Clinical Assistant Professor
Idaho State University

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

Leading with G.R.A.C.E.: Leveraging Diversity, Inclusion and Equity in your Pharmacy Practice
Understanding the clash between culture, class, and race is more important now than ever before. This course will provide you with the knowledge, skills, and resources to gain a deeper understanding of systemic racism, its impact on the Black, Indigenous, and People of Color (BIPOC) community, and how to leverage your role in the pharmacy profession to impact sustainable change.

All Preceptors' Hands on Deck in Breaking the Barriers of Structural Racism
There are different types of racism, and most individuals do not know the difference among them. Structural racism is the root cause of unequal distribution of resources, services, and healthcare. A lot of practicing pharmacists do not fully understand the concept of structural racism in relation to not only patients' medication adherence but also students' success during experiential education. This course is designed to educate preceptors on the impacts of structural racism on patients' clinical, economic, and humanistic outcomes; and learners’ professional growth and success.

Become a member today with our CEimpact Membership!

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Hypertension is often managed by treating to a target blood pressure goal. But what if this is wrong? A recent meta-analysis found benefits of blood pressure lowering regardless of age. Host Geoff Wall is joined by Lindsay Davis, a cardiovascular pharmacist and educator, to make heads or tails of this article.

Guest:
Lindsay Davis, PharmD, BCPS, BCCP, ASH-CHC, TTS
Cardiology Pharmacist and Professor, Midwestern University

Redeem your CPE or CME credit here! 

• Claim CPE Credit
• Claim CME Credit

Need a membership?

• Join here for CPE Credit
• Join here for CME Credit

References and resources: Blood Pressure Lowering Treatment Trialists' Collaboration. Age-stratified and blood-pressure-stratified effects of blood-pressure-lowering pharmacotherapy for the prevention of cardiovascular disease and death: an individual participant-level data meta-analysis. Lancet. 2021 Sep 18;398(10305):1053-1064. doi: 10.1016/S0140-6736(21)01921-8. Epub 2021 Aug 27. PMID: 34461040.

Continuing Education Information:
Learning Objectives:
1. Describe the methodology of a recent meta-analysis on blood pressure
2. Identify appropriate blood pressure targets for patients regardless of age

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-359-H01-P
Initial release date: 11/01/21
Expiration date: 11/01/22
Dr. Davis reports no actual or potential conflicts of interest associated with this activity.
Complete CPE & CME details can be found here!

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Many of us are experiencing burnout from the pandemic. When you're stressed it can be difficult to see your way out of it. Randy McDonough, co-owner of Towncrest Pharmacy Corp, created a pharmacy business model that combats burnout and integrates a new mindset for everyday work life. Listen in as Jake Galdo asks Randy how to adopt this model by making small but incremental change to bring happiness - and safety - back to everyday work life.

Takeaways

• Burnout is real… but we can engage our patients differently if we change our conversations with them.
• Towncrest's business model combats burnout and brings happiness back into everyday work life by making changes to the way we interact with patients in the pharmacy. 
• This process takes small, incremental changes that accumulate to greater change.

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

Looking for more to combat burnout? Take these courses! Get a CEimpact membership today and get them for free here! 

• Feeling the Burn? The Impact of Burnout in the Pharmacy Profession 
• It's Time to be Thriving: Starting with the Whole You 
• Meditation for Medication Safety and Well-Being (Pharmacist) 

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New Episode! Statistics are scary. Pharmacists must leverage statistical methods on a routine basis when evaluating clinical studies and providing patient care. As preceptors, they must also develop evidence-based practice in their students. Join us on this episode to explore some practical approaches to incorporating the literature into your teaching with our guest, Dr. Geoff Wall. Check out the great resources listed below in this episode's show notes!

Host:
Kathy Schott, PhD
CEimpact

Guest:
Geoff Wall, PharmD, PharmD, FCCP, BCPS, CGP
Professor of Pharmacy Practice
Drake University

Want more education and ideas on this topic? Check out these resources + education:

Biostatistics Refresher
Take the fear out of using primary literature in your teaching!

CEimpact Journal Club
Join this monthly, live journal club with your student to stay current and practice your literature evaluation skills together!

GameChangers Pharmacotherapy
Listen every Monday to stay up-to-date on pharmacotherapy advances that are changing the game! Prescribers and Pharmacists learn from each other about best practices related to drug therapy for patients. 

Join The Preceptor Academy within The Pharmacy Network to access resources and engage with other preceptors on topics that matter to you as a teacher and mentor!

Acknowledgments:
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.

Become a member today with our CEimpact Membership!

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The recent Quartet Study evaluated initial hypertension pharmacotherapy - specifically, the role of using four antihypertensives at a low dose compared to usual step therapy. Does a small dose of multiple medications work better than one high dose medication?

Redeem your CPE or CME credit here!
Claim CPE Credit here!
Claim CME Credit here! 

Need a membership?
Join for CPE Credit here!
Join for CME Credit here!

References and resources: Chow CK, Atkins ER, Hillis GS, et al. QUARTET Investigators. Initial treatment with a single pill containing quadruple combination of quarter doses of blood pressure medicines versus standard dose monotherapy in patients with hypertension (QUARTET): a phase 3, randomized, double-blind, active-controlled trial. Lancet. 2021 Sep 18;398(10305):1043-1052. doi: 10.1016/S0140-6736(21)01922-X. Epub 2021 Aug 29. PMID: 34469767.

Continuing Education Information:
Learning Objectives:
1. Describe the medications used in the QUARTET study
2. Apply the results of the QUARTET study to a patient with hypertension

0.05 CEU | 0.5 Hrs
ACPE UAN: 0107-0000-21-356-H01-P
Initial release date: 10/25/21
Expiration date: 10/25/22
Complete CPE and CME details can be found here

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What happens when pharmacy law and patient care don’t align? As a pharmacist during the COVID-19 pandemic, you are dealing with balancing legal liability and vaccine administration daily through ever-changing rules and regulations. This week’s episode shares hypothetical patient cases that David Brushwood, pharmacist attorney, and Jake Galdo, clinical pharmacist review. Together, they'll address the legal and clinical considerations for common COVID-19 vaccine scenarios you face in practice – which can often be in conflict. 

For access to the full CE Course that includes ACIP recommendations, workplace legal liability and PREP Act discussion get a CEimpact Membership.

The following patient scenarios are discussed; David and Jake address what the right thing to do is from both a practice perspective and a regulatory perspective.
 
**This debate was recorded in September. FDA and CDC continue to update and change the COVID-19 vaccine recommendations, which may affect the legal and clinical considerations presented in this episode. However, this materials helps providers triage the next patient care conundrum

 Hypothetical Scenario #1

A pregnant pharmacist refuses to be vaccinated despite mandates from the state and from the pharmacy.

Hypothetical Scenario #2

 A pharmacist has become burned out from the long hours, stress of the pandemic, and staffing shortages. The pharmacist administered the J&J COVID-19 vaccine to a patient as closing. When billing after hours, the DUR showed “do not mix vaccines.” The pharmacist refuses to do further vaccines in the current conditions out of concern for patient welfare.

Hypothetical Scenario #3 

A pharmacist decided to “take a break” when COVID immunizations began, saying “I have heard that the vaccine is worse than the disease, and I can’t do harm to patients.” The pharmacist has now requested a return to work and is claiming a religious exemption from administering immunizations.

Hypothetical Scenario #4 

A new patient comes to the pharmacy and states they previously received ChAdOx1 nCov-19 in the UK but would like to get a dose of BNT162b2 now. 

Hypothetical Scenario #5 

A regular patient presents a ‘prescription’ to the pharmacy, and it states the following: “‘Patient’ has previously received J&J Covid vaccine. Unfortunately, she was a chemotherapy patient at that time. She has no measurable antibodies. I have recommended that she be vaccinated as is she’d never been vaccinated before. She should receive 2 doses of either the Pfizer or Moderna vaccine. Thank you.” 

Hypothetical Scenario #6

A pharmacy’s staff all have young children (ages 5 - 7 years old).  The staff conduct their own research, and they conclude that the mRNA vaccines are safe for young children. They consider using leftover doses of vaccine for their own children, as opposed to wasting these valuable doses.

Hypothetical Scenario #7

Your neighbor, a physician, has been caring for her elderly parents and children as her fulltime job. She was fully vaccinated in January during the first phase and comes in the pharmacy for a booster on mRNA1793. You know she is not immunocompromised. 

Interested in the learning more? Get a CEimpact membership for access to the full course and CPE Credit for The Great COVID Debate.

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Repost Episode: Cognitive biases are pervasive and particularly troublesome in medicine. And guess what...we are all susceptible to cognitive biases! However, it is possible to learn to identify our biases and mitigate them. The decisions clinicians make in medicine can significantly impact an individual's life, morbidity, and mortality. And precepting is the perfect time to help students learn to identify their own cognitive biases. However, to help a student identify their own cognitive biases, we have to be able to identify our own. Tune in to this episode of Precept2Practice to discover your own cognitive biases.

Pearl 1: Identify cognitive biases.
Pearl 2: Describe the types of cognitive biases most common in medical settings

Guests:
Tracy Pettinger, PharmD
Clinical Associate Professor
Idaho State University

Kasidy McKay, PharmD, BCPS
Clinical Assistant Professor
Idaho State University

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

Leading with G.R.A.C.E.: Leveraging Diversity, Inclusion and Equity in your Pharmacy Practice
Understanding the clash between culture, class, and race is more important now than ever before. This course will provide you with the knowledge, skills, and resources to gain a deeper understanding of systemic racism, its impact on the Black, Indigenous, and People of Color (BIPOC) community, and how to leverage your role in the pharmacy profession to impact sustainable change.

All Preceptors' Hands on Deck in Breaking the Barriers of Structural Racism
There are different types of racism, and most individuals do not know the difference among them. Structural racism is the root cause of unequal distribution of resources, services, and healthcare. A lot of practicing pharmacists do not fully understand the concept of structural racism in relation to not only patients' medication adherence but also students' success during experiential education. This course is designed to educate preceptors on the impacts of structural racism on patients' clinical, economic, and humanistic outcomes; and learners' professional growth and success.

Become a member today with our CEimpact Membership! 

Follow CEimpact on Social Media:
LinkedIn
Instagram