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15

Mar

2018

Things are getting hectic

Welcome back as we journey through these last few months of pharmacy school. As APPE rotations are winding down and graduation is nearing, there is more excitement than I am capable of describing. Close to a decade of college and professional school and I can finally see the light at the end of the tunnel. And let me tell you something, I have never been more excited to wear that poufy, less-than-flattering, graduation cap. However, the stress still seems to be never-ending. 


During my third year of pharmacy school, I decided that I wanted to pursue a residency upon graduation. This means I recently spent a lot of time in the thick of applications, letters of intent, and, fingers crossed, lots of interviews. If you too are in the same boat as I am, you are likely experiencing the same nervousness.


Additionally, in February, I finished my second-to-last rotation at an inpatient rehabilitation hospital. There’s a lot going on! 


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15

Mar

2018

Pharmacogenomics in practice

As an undergraduate student in my genetics class, I pondered if the subject would actually have applications in pharmacy school. Between memorizing the stop codons and making sure not to confuse meiosis with mitosis, genetics was a challenging class. While I enjoyed it, I never made the connection to how it applied to pharmacy practice because it largely focused on inherit genetic conditions. 


Fast forward to my third year of pharmacy school, sitting in the Translational Pharmacogenomics course. All of a sudden, the connection between genetics and pharmacy came together through pharmacogenomics. Pharmacogenomics looks at how genes influence an individual’s response to medications. During the semester, we learned about the basics of pharmacogenomics and how it affected drug metabolizing enzymes, transporters, and targets. The course then transitioned into the clinical applications for different drug classes using the Clinical Pharmacogenetics Implementation Consortium guidelines. We then focused on patient counseling skills, real-world implementation, and understanding ethical, legal, and social issues.


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15

Mar

2018

Exercise leadership during rotations

How many times have you tried to get in touch with a prescriber to sort out an issue regarding a prescription, only to be on the receiving end of the following phrase, “I am paging the physician right now for you?” Does this sound familiar to you? Well, if you are like me, then you would probably dread hearing those words because they usually mean that the issue will not be resolved soon and the patient will have to wait in order to get their medication. 


Although there are times when the prescriber will contact you right away to resolve the issue, more often than not it can take some time before they get back to you. While no one in particular is to blame for the delay, it is still problematic for patients as they transition from one setting to the next. 


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15

Mar

2018

On a mission to transition care

“I can’t afford that medication, but I need something to help me.” A patient, “John,” had been recently seen for Irritable Bowel Syndrome with constipation in the emergency department, where he received a new prescription. When he went to his pharmacy, he was told that his insurance did not cover his new medication. It was several days before he came in to see his primary care physician. When investigating the situation, it was learned that he did not know the name of the medication nor did he have discharge instructions with him. The clinic had also not received his medical records from the hospital.

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15

Mar

2018

A year of telling stories

March in San Francisco was warmer than I expected, being used to the chill back home in Ohio. As the 2017 APhA Annual Meeting & Exposition was nearing its last day, I could feel spring coming and a rejuvenation of our community. As I finished the last line of my speech during the final session of the APhA–ASP House of Delegates, I watched the ripple move over the crowd as my fellow student pharmacists stood. We felt the energy in the room that day and knew that movement would be the spark igniting our passion during this year. 


It has been a year of ups and downs for our community across this country, but I truly believe that this year has been focused on hope: hope for what we can personally become someday and hope for where we will drive the profession in the future. 


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