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FOR STUDENTS, BY STUDENTS
ISSUE 19 DECEMBER 2014
ACCP STUNEWS
Annual ACCP Clinical Pharmacy
Challenge:
2014 Winners
Alex Olinger, South Dakota State University
ISSUE 19 Dec 2014
Current status of the upcoming new
board of pharmacy specialties:
approval of new specialties by the
Board of Pharmacy Specialties (BPS)
ACCP Chapter Spotlight: Nova
Southeaster University’s School of
Pharmacy has begun a Research
Mentoring Program
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Featured:
An up-close interview with this year’s
ACCP Clinical Pharmacy Challenge
2014 winners
Matt Watson (left), Nick Scarpino (center), & Brandon Muckley (right) celebrate the Purdue
University College of Pharmacy’s win at the 2014 ACCP Clinical Pharmacy Challenge.
Over 104 pharmacy schools
from 44 states competed in
the 2014 ACCP Clinical
Pharmacy Challenge. The
challenge experienced its
largest group of competing
teams and stiffest competition
in its fifth year. For those who
have not seen these questions
before, they make
pharmacotherapeutics tests
look like a cakewalk. To put it
in perspective, the clinical
case in the final round dealt
with nephrotic syndrome in a
pediatric patient. It truly is a
test of pharmacy knowledge
and an honor to win it all. This
year’s 2014 winners were Matt
Watson (Chandler,IN)
Continued on page 3
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Student chapter challenge: Stranded
on a deserted island with one
antibiotic?
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“We…pride ourselves in having the ability to detect clinical
therapeutic options and treat patients as best we can…”
- Brandon Muckley, Purdue U. College of Pharmacy 2015
Clinical Case:
HPI: A 32-year-old man is admitted to the intensive care unit (ICU) with shortness of breath, dyspnea, fever, and acute renal dysfunction. He also
reports a 2-month history of fatigue and weight loss and a recent history of sore throat and altered taste. PMH: GERD (gastroesophageal reflux
disease); asthma SH: Admits alcohol use (average 1 or 2 drinks per day), tobacco use (1 pack/day), and marijuana use (1 or 2 blunts per week).
Sexually active with 15 lifetime partners (male and female partners). Admits inconsistent condom use; Current Medications: Omeprazole 20 mg
orally twice daily; fluticasone/salmeterol 500/50 mg inhaler 1 puff twice daily; albuterol 90 mcg inhaler 1 or 2 puffs every 6 hours as needed for
shortness of breath Allergies: Penicillin Vital Signs: Blood pressure 110/62 mm Hg; heart rate 120 beats/minute; temperature 39°C; respiratory
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rate 25 breaths/minute; O2 sat 94%; weight 62 kg; height 74 inches (188 cm). Labs: WBC 4.7 x 10 cells/mm (SI 4.7 x 10 /L); hgb 11.7 mg/dL (SI
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117g/L); hct 34.5% (SI 0.345); plt: 75,000/mm (SI 75 x10 /L); BUN: 50 mg/dL (SI 17.85 micromoles/L); SCr 3.5 mg/dL HIV-1-/-2 antibody reactive;
western blot pending; blood and sputum cultures pending; Procedure Data: Chest radiograph: Diffuse bilateral alveolar infiltrates
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The physician would like to initiate the patient on therapy for esophageal candidiasis. Which is the most appropriate antimicrobial regimen
for this indication?
The patient is admitted to the ICU in respiratory distress, where an arterial blood gas reveals an oxygen partial pressure of 62 mm Hg and
his physicians suspect Pneumocystis jiroveci pneumonia. Which regimen would you recommend for management of his suspected
Pneumocystis pneumonia?
The patient’s western blot returns, confirming the diagnosis of HIV-1. He also has a CD4 and HIV RNA viral load drawn, which are 125
cells/microliter and 75,000 copies/mL, respectively. His physician would like to initiate antiretroviral therapy. Which additional testing would
you recommend to help select an appropriate regimen?
Looking for the answers? Click here.
FOR STUDENTS, BY STUDENTS
ISSUE 19 DECEMBER 2014
Current Status of the Upcoming New Board of Pharmacy Specialties
Ardis M. Copenhaver, South Carolina College of Pharmacy, MUSC Campus
April 2013, the Board of
Pharmacy Specialties (BPS)
Board of Directors approved the
petitions for specialties in
pediatric and critical care
pharmacy as the 7th and 8th
BPS specialty. The process
began with petitions submitted
jointly by several pharmacy
organizations, including the
American College of Clinical
Pharmacy and American Society
of Health-System Pharmacists.
In order for these specialties to
be approved, each petition was
reviewed based on BPS
recognition criteria, specifically
the need and demand for
specialized practitioners to
improve patient care by fulfilling
responsibilities within a practice
setting. Each petition needed to
establish a sufficient number of
practitioners to distinguish their
specialty based on their
practice having a specialized
function and knowledge, which
differentiates them from a
recent PharmD graduate. By
having specialized knowledge
of a pharmacy practice, the
petitions must provide sources
for continuous specialized
education programs such as
post-graduate training
programs and scientific and
clinical literature.
Since receiving approval,
specialty councils have been
appointed based on reviewed
nominations by the BPS
Board. These councils have
the task of developing
Pediatric and Critical
Care Pharmacy
specialties have been
approved by the Board of
Pharmacy Specialties
Continued on page 4
ACCP Chapter Spotlight: Nova Southeastern University’s Research Mentoring Program
Heather Jarvis, Nova Southeastern University
“Over eight citations have been
submitted for publication…”
- Heather Jarvis Nova Southeastern, 2016
The SCCP Student Chapter at Nova
Southeastern University, College of Pharmacy,
has created and successfully implemented a
Research Mentoring Program (RMP) for the past
four years. Student pharmacists are paired up
with current faculty based on similar interests to
assist with ongoing projects, literature reviews,
and survey research. In addition, RMP consists of
monthly workshops which assist students in
creating and presenting their research projects.
Workshops include topics such as: what is
research, how to find and use resources, IRB,
basic statistics, research methodology, poster
layouts, and what faculty projects are available to
participate in.
This program provides opportunities to students
Continued on page 5
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ISSUE 19 DECEMBER 2014
FOR STUDENTS, BY STUDENTS
(Continued)
Nick Scarpino (Carmel, IN), and Brandon Muckley
(Columbus, IN) from Purdue University College of
Pharmacy. They were selected to represent their school
after competing individually during their local
competition. Team chemistry was also on their side with
a great foundation and each having their own
niche. Brandon’s interests were oncology and
anticoagulation, Nick psychiatry medications and pain
management, and Matt enjoyed infectious disease and
general adult medicine. I had the pleasure and
opportunity to sit down and interview these scholastic AllStars. Below are some snippets from our conversation.
How did you guys prepare for the Clinical Challenge?
Matt: “In order to prepare for the
Clinical Challenge, we first looked at the sample
questions from the previous year on the ACCP website
which allowed us to see the level and content of
questions we could potentially be asked. Also, the
sample questions document outlined potential topics that
we could see in the jeopardy round and we focused our
efforts in studying those. Each of us would pick separate
topics to study so we could cover a large amount of
material.”
Brandon: “Prior to the online rounds, there wasn't much
preparation. We certainly utilized the practice materials
available to us on the ACCP website, but much of what
we learned was through the errors in our previous
rounds. We would always examine the questions we
missed and discuss why we missed it, whether it be time
constraints, gaps in knowledge, or other reasons.”
Matt: “Prior to the live rounds, we did split up the common
topics found in the Jeopardy segment between the three
of us. Our studying wasn't extremely in-depth, but
generally a more complete surface understanding of a
topic and its concepts. However, in my opinion, the
primary reason for our success was likely our motivation
to learn throughout Purdue's great curriculum and the
teaching that we received throughout the PharmD
program.”
What does this win mean for you and for your
school?
Brandon: “It was definitely exciting for the three of us. We
loved our school, and valued the education we received.
There were quite a few of our professors that are
members, and we received congratulations from all of our
departments in our College of Pharmacy. We also pride
ourselves in having the ability to detect clinical
therapeutic options and treat patients as best we can, so
on that level, it is nice to know that we have been
successful so far in that endeavor. It was also nice to be
recognized on a national stage, and compete against
ridiculously talented students from other schools. I don't
think I will ever forget this experience.”
It was all of your guys first times down at the ACCP
Annual Meeting and first time in Austin. Besides the
competition, what did you guys enjoy the most about
the meeting?
Nick: “I really enjoyed the PRN Focus Sessions. They
discussed interesting and current topics in
pharmacy. Some of our favorites were the toxicology
session, medical marijuana and derivatives and the
impact on pharmacists, and dual antiplatelet therapy
session and cases. Other than that, we definitely
enjoyed the Texas barbeque.”
How did each of you motivate each other and keep
up the team’s spirits?
Matt: “We did a good job of asking each other questions
to practice how well we knew certain material which
inevitably would lead to someone asking a follow-up
question and the cycle would continue. We also did a
good job of congratulating the person who knew an
answer and not blame them if they happened to answer
incorrectly.”
Brandon: “We were all extremely grateful to come to
Austin and compete, so we considered it a baseline
victory. We all enjoy a light-hearted competitive
atmosphere as well, which was definitely characteristic of
the clinical pharmacy challenge. We certainly
congratulated each other when we got questions right,
and remained optimistic if we were to lose the lead as
well.”
What advice do you have for students wanting to
participate in clinical challenges?
Matt: “It is important to retain the information that you
learn throughout pharmacy school and not erase it from
your mind after every test. This can be challenging,
however, in order to be successful in this type of
competition, being able to recall information quickly is
key. Definitely easier said than done. Also, if you think
you know what diaphoresis is, wait until you are sitting at
the table during the competition at the annual meeting.”
Nick: “There seemed to be to different types of
questions. Some seem like they are very drug specific
and you either know it or you don’t. The other set of
questions were case based and more broad. With these
you almost have to go with your gut feeling. Although
you may not be able to verbalize your rationale or fully
explain why at that moment, especially when you're up on
that stage, you have to go with it. When we had to
answer questions fast in a case, we just trusted our
training and rolled with our gut. And the majority of the
time, it was right. So for students pick your battles, but if
you have a strong feeling, trust yourself!”
They would like to give special thanks to faculty advisor Dr. Zach
Weber and all their professors at Purdue. Matt plans to pursue a PGY1 residency and would like a career in critical care, internal medicine or
infectious disease. Brandon and Nick plan on continuing their education
next year at Indiana University School of Medicine.
STUNEWS|ACCP.COM
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FOR STUDENTS, BY STUDENTS
ISSUE 19 DECEMBER 2014
New Board of Specialties
(Continued)
Research Mentoring Program
(Continued)
These councils have the task of
developing the content outline
(domains) for the certification
exam, evaluating submitted
questions and reviewing the
results of the 200-question
exam prior to
release. Currently, both
specialty councils for pediatrics
and critical care pharmacy are
in the process of creating a
question database from
submissions by other
practitioners. From the
database, the 200-question
exam will be generated
randomly based on the
percentage of each domain
outlined by the council. The
first exams for the pediatric and
critical care pharmacy
specialties are tentatively
scheduled for the Fall 2015.
For more information regarding
Pharmacy Specialties, please
visit http://www.bpsweb.org.
who are interested in research
but may not have had the
opportunity to participate in it
before. The program spans
across three campuses with new
research projects and faculty
added each year. Approximately
30-40 student pharmacists
across all four years of
pharmacy school make up eight
groups that participate in the
program each year. Over eight
citations have been submitted for
publication with topics that
include: challenges associated
with residencies, publication
tendencies, antimicrobial
stewardship, diabetic treatment,
and medication safety in the
pediatric population. Of particular
note, this past ACCP Annual
Meeting in Austin, Texas, a
group of second year student
pharmacists presented an RMP
poster on a research project they
began as first year students.
This program could not have
been possible without the
support and guidance of our
faculty advisor, Dr. Sandra
Benavides-Caballero. At the start
of the program, she contacted
professors interested in
conducting research and made it
possible for them to present their
ideas to students. After that, a
ranking system was developed,
which paired together students
and professors with similar
interests. The best advice in
starting an RMP program is to
clearly communicate what the
purpose of the program is and to
set deadlines or meeting times to
helps keep everyone on task.
Reference:
Board of Pharmacy Specialties.
Petitioner’s Guide for Recognition of
a Pharmacy Practice Specialty.
<http://www.bpsweb.org/pdfs/petitio
nersguide.pdf> (Revised May 2012).
STUNEWS|ACCP.COM
2014-2015
ACCP National Student
Network Advisory Committee
LEADERSHIP:
Kyle Strnad – Chair
Tyler Vest – Vice Chair
Erin McCreary – Secretary
MEMBERS-AT-LARGE
Matthew Atkinson
Kelsey Billups
Timothy Howze
Jennifer Koehl
Ruby Lee
Alex Olinger
Jinhee Park
Rebecca Pulk
ACCP STAFF LIASON:
Michelle Kucera, Pharm.D., BCPS
QUESTIONS/COMMENTS
Email: [email protected]
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FOR STUDENTS, BY STUDENTS
ISSUE 19 DECEMBER 2014
Student Chapter Challenge: Stranded on a Deserted Island With One Antibiotic?
Blaine Johnson, PharmD Candidate 2016, Roosevelt University College of Pharmacy
“You are stranded on a deserted
island full of mystery, intrigue, and
the unknown. Lucky for you, you are
able to acquire an unlimited supply
of one antibiotic to protect you
against anything that you may
encounter. Which one antibiotic
would you request and why?”
Our thought process was to think
about what most likely would kill us
if we were alone as otherwise
reasonably healthy individuals.
Antibiotics have had a significant
impact in treating or preventing
many infections that were previously
fatal, or left individuals with severe
disabilities. Therefore, antibiotics
would be crucial, especially if you
fell and broke bones or got an
abscessed tooth? We are sure Tom
Hanks charachter in CastAway
would have benefited from some
pre-op antibiotics! But which
antibiotic? First, we thought about
what kind of bacteria would be most
prevalent on a water-surrounded
island. The answer was
Pseudomonas! Therefore, we
needed at least a board spectrum
antibiotic that covers Pseudomonas.
After much discussion, we decided
to go with IV piperacillin/tazobactam
(Zosyn). Zosyn is sufficiently broad
spectrum that it covers every major
class of bacteria and being relatively
new, it has not developed resistance
yet. Zosyn is a penicillin/beta
lactamase inhibitor, which covers
Staphylococcus, Streptococcus, and
Enterococcus species,
Enterobacteriacae, H. influenza,
Pseudomonas,
Pseudomonas, along with both
gram positive and negative
anaerobes. Zosyn also does not
require safety lab monitoring (such
as vancomycin), and would be a
safer option since those services
are likely not available. It does
require some renal adjustment in
severe impairment, but being young
and otherwise healthy individuals,
we do not require that unless we
were to develop acute renal injuries.
It is unfortunately only available IV
and we will probably have to
perform some unique survival
procedures to administer it.
JOIN US FOR THE NEXT STUDENT CHAPTER CHALLENGE:
If you could market a new drug to provide you with a super power, what would it be? What
would it be called? By which route and how often would this drug need to be taken?
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Email: [email protected]
For more
information:
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Check out our website:
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