Pharmacy Future Leaders host Geily Ward rejoins forces with Joanne Pauyo as they begin part two of the segment on Introductory Pharmacy Practice Experiences (IPPE). 

Instagram Follower Shoutout: 

Louis Schobel (@schobelphotography) • Instagram photos and videos

Hillary Blackburn, PharmD is the Director of Pharmaceutical Services at Dispensary of Hope. In this role, she is responsible for providing clinical pharmacist expertise to support the organization as well as its network of pharmacies and charitable clinics.

As the Director of Pharmaceutical Services, Hillary consults with pharmacy leaders across the country, sharing expertise on affordable medication access for low income patients. Her work with health systems include strategy development for identifying and implementing programs to address gaps in pharmaceutical care including the Dispensary of Hope program.

In addition, Hillary collaborates in the development and use of the formulary and tools for successful program utilization by the pharmacies and charitable clinics in the Dispensary of Hope network.

Hillary is a graduate of the University of Mississippi School of Pharmacy and completed a PGY1 Pharmacy Practice Residency at the University of Mississippi Medical Center. During pharmacy school, she interned at Health Resources and Services Administration’s (HRSA) Office of Pharmacy Affairs where Hillary gained knowledge about the 340B Drug Program and developed content for HRSA’s Patient Safety and Clinical Pharmacy Services Collaborative.

Hillary is a clinically trained pharmacist with client relationship, formulary management, specialty mail order pharmacy, retail, and health plan experience. She is licensed in 11 states and serves as a preceptor for Belmont and Lipscomb Schools of Pharmacy.

Contact Hillary Blackburn, PharmD

hillary@pharmacyadvisory.com 

Income Outcomes Show discusses "New Beginnings"

Joe & Ben talk about preparing yourself, financially, for all of the "waypoints", both planned and unplanned, throughout your life.

Contact Waypoint

214 Executive Park Asheville, NC 28801

Phone: 828-254-3244

Email: info@waypointus.com

Pharmacy Inspection: On this episode, Seth & Bryan welcome Lauren Bernick, Director of Advertising for the International Journal of Pharmaceutical Compounding. Lauren also runs a website called wellelephant.com, where she consults on nutrition using a whole foods, plant based diet. This week we talk about how compounders could expand their business and brand using nutrition/wellness and help people live a healthier lifestyle in the process.

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Participants: Geily Ward, Joanne Pauyo, Jamie Kooiker, Luis Urbina

* Today we begin our two part segment on Introductory Pharmacy Practice Experiences (IPPE). Part I will cover community pharmacy while part II will cover hospital pharmacy. 

Questions:

• NEUTRAL

• Ranking sites

• Jamie
  • Looked for atypical sites, sites that specialized in something or offered a little more than normal retail
  • I.e. compounding, independent pharmacy

• Geily

• Interrogate upperclassmen
• Wish there was a site to anonymously rank rotation sites
• There should be a sheet that outlines what the rotation will entail (projects, work environment, duties etc)

• Joanne
  • Rank sites based on your interests, but also keep the door open to discover new opportunities. If you are not an animal person, then you probably shouldn’t choose a rotation at veterenary.            
  • You don’t know whether you will like or love something unless you try it.
  • Story about clinical pharmacy
  • Negatives: requirements for the categories during APPE

• NEGATIVES

• First impressions

• Jamie
  • Be honest with what you know, don’t stretch the truth otherwise you’ll be stuck when it comes time to prove it
• Geily

• “If you’re on time, you’re late!”
• Dress to impress, personal hygiene is a thing!
• Please Wash & IRON white coat!

• Joanne
  • Sometimes first impressions are wrong. So, if you make a mistake by  stretching the truth or looking like a hot mess on the first day, own it and try to improve.
  • You are not going to be perfect. The purpose of rotations is to gain professional experience and skills.
  • Give yourself and preceptor a second chance

Mistakes

• Jamie
• Geily

• (I don’t have a personal experience but have advice a preceptor gave me, “if you don’t know the answer to the question don't guess, let them know you will research and get back to them promptly with a response… and do it!”

• Joanne
  • I’ve made so many mistakes that I don’t know where to start. Mistakes are inevitable. (picking the wrong medication SALA,
  • Be honest and take responsibility

• Costumers/Patients stories (belligerent, fake prescriptions)

• Jamie
  • First patient I ever counseled starting crying uncontrollably when I told her we could not fill her oxy script early. Panicked and said “
• Geily

• Rude customers and how to deal
• 16 year old oxycodone story (record not on E-FORSCE)
• Learning the breath for 10 rule

• Joanne
  • Similar story to Jaimie, where customer got upset when his opioid could not be filled
  • He actually went to several different pharmacies who previously told him the same thing
  • Most of the problems come from a lack of understanding about pharmacy

• Speaking up

• Jamie
  • If you see something going on and you want to be part of it, ask for permission. Make your interests known in order to get that bang for your buck during rotations
  • I.e. I was super interested in compounding but my preceptor had no idea until I expressed my desire to do it one day
  • While it’s important to let your preceptor guide you, don’t be afraid to let them know what you’re hoping to get out of the experience
• Geily

• Be professional about it but express your concerns to your preceptor, if nothing changes then speak to the experentials faculty at your school
• Take a chance! (follow up on jamie’s story of asking for a new position)

• Joanne
  • Choose your words carefully and be aware of your nonverbal communication
  • In Jaimie’s case, “I am very interested in compounding. Would it be okay if i gained some more experience here” vs. “I haven’t done any compounding since I’ve gotten here. (may be perceived as you are not happy at the site)

• Unpleasant preceptors

• Jamie
  • Even if your preceptor is not the best, remember to still be respectful and project a positive attitude. When you start to put that person in a box and label them as “rude” or “demanding,” and that’s how you treat them going forward and it might just become a self-fulfilling prophecy and will hinder any sort of professional relationship going forward
• Geily

• Always remember that every interaction is a job interview
• No matter what the experience (positive or negative) you will learn a lesson
• Pharmacy is a small world so be the bigger person (unless you’re being mistreated, then speak to experentials faculty at school)

• Joanne (might have mult preceptors)

  Politically correct answer

Even if you do everything perfect and you are an angel, some ppl are just not going to like you (for their own personal reasons)

• You can only control yourself.
• My first rule is alway: reflect and correct
• Speak to ppl that you trust to tell u the truth (not yes ppl).
  • Takes two
• Follow what Geily & Jaimie said
• But also take care of yourself
  • Don’t let this preceptor’s behavior define you. Just because he or she doesn’t like you does not mean you are going to be a horrible pharmacist. It doesnt mean you are not going to get hired when you graduate
  • Have an outlet to release the negativity through exericising, journaling, or art
  • Geily made a good point that the pharmacy world is small and you don’t want ppl saying bad things about you
    • But I’ve learned recently that some ppl are going to talk about you no matter what you do
    • If its constructive critiscism or true, then it is none of your business
    • One pharmacist told me that “let your work speak for itself.”

• POSITIVES

• First impressions

• Jamie
  • Project that “eagerness to learn” right from the start, if you seem disinterested and bored coming in, chances are likely your preceptor will pick up on it
  • Bring something to take notes with, it helped me remember things that I could mention later
• Geily

• If you stand out, they will remember you
• Be early and prepared
• Do a little digging, find things out about your place of rotation, so when conversations start you can let them know you are prepared
• Do a lot of listening, and even though your mom thinks you're the smartest person on the planet, everyone you meet will teach you something new… take it in!

• Joanne

• Costumers/Patients stories (nice, counseling)

• JAmie
  • From simple to complex, every encounter really motivated and inspired me
• Geily

• Forming relationships with patients is what makes retail pharmacy worth it
• Patients want to feel like more than just a number
• Practice listening, not hearing, but truly listening to the patients needs
• Counseling patient experience

• Joanne

• Great preceptors

• Jamie
• Geily

• Let them know at the end what you enjoyed on the rotation
• Express gratitude for their time and how you hope to work with them again in the near future
• Leaving doors open is always a great idea

• Joanne  
  • Form relationships
  • Maybe the preceptor can be a mentor for u and advise you and share their experiences
  • It is better to save time and  learn from another’s failure

Geily: “Than you Luis for a wonderful part 1 of the IPPE segment, we hope you enjoyed our stories and tips as much as we enjoyed sharing them. Stay tuned as we continue this two part segment on ROTATIONS.”

Follow us on instagram and twitter, we want to hear from you. Send in questions, share comments, and let us know what you want to hear about. This is pharmacy future leaders see you on the next one.

We welcome special guest Jim Lucas Indiana State Representative District 69 to discuss the legislative efforts to legalize medical cannabis. State Representative Lucas is a proud Seymour resident where he lives with his wife Lynn and their three children.

Prior to being elected to the General Assembly, Rep. Lucas served on the Seymour City Council. He also owns a local small business, The Awning Guy, Inc. Rep. Lucas is active in the community.

He is a member of the American Legion, the National Rifle Association and Gun Owners of America.

As a veteran of the U.S. Marine Corps and a small business owner, Rep. Lucas brings valuable experience to policy discussions. His biggest priorities at the Statehouse are jobs, fiscal integrity, education and protecting the right to bear arms.

Joseph Friedman RPh MBA

The NEW Segment part of the 'Pharmacy Compliance Guide' is hosted by Jenny Schell, CDME Sr. Compliance Strategist with R. J. Hedges & Associates. 

Podcast on Medicare Applications by the Numbers

A lot of people ask me about Medicare. There is a lot of confusion on who needs what number.

Immunizations

• Really easy process to get a number. The pharmacy would complete the 855 B application.
• Applications have a fast turnaround-usually a month
• YOU DO NOT NEED ACCREDIATED

Medicare Number –This division (NSC) takes about 3 months to issue a number. This application requires you to carry a surety bond and have a certificate of liability with NSC as the certificate holder as well as your AO (if you have one).

New applications as well as re-validations will require owners and authorized officials to be fingerprinted.

Two ways to complete

• For non-accredited drugs only

o   Benefits

• For DMEPOS accredited items

o   Benefits

o   Accreditation

o   Exemption

o   Revalidation

Revalidation happens every 3 – 5 years 

What that means

You  “update” your Medicare application and pay Medicare $$. Every year they change the Medicare application fee. For 2018 it is $569 per application.

Contact Jenny: Website:  www.rjhedges.com