Download 11-20-13 - Departments

Pathways to Success in
Pharmacy
James N. Herron, Ph.D.
Assoc. Professor, Pharmaceutics and Pharmaceutical Chemistry
Associate Dean, Student Affairs
College of Pharmacy
Slides courtesy Mark Munger, Pharm.D., F.C.C.P., F.A.C.C.
Demographics on Profession of
Pharmacy
Third Largest Health Care Profession
– 195,000-220,000 Practitioners
Number of Licensed Pharmacists in Utah-2011
– 3280
Community Pharmacies in Utah-2007
– 477
Average Cost of Prescription
− ↑ 3.6% in 2012
– ↑ 8.3% in 2009
– ↑ 7.9% in 2008
Brand-Name Drugs: 41.5%↑ since 2005
compared to CPI: ↑13.3%
http://www.freep.com/money/business/pharm5_20020605.htm
http://assets.aarp.org/www.aarp.org_/articles/health/rx_watchdog_08-10.pdf
National Pharmacist Demand by State
5 = High demand
4 = Moderate demand
3 = Demand in balance with supply
2 = Demand is less than supply
1 = Demand is much less than supply
http://www.pharmacymanpower.com
Geographic Distribution of
Pharmacists in Utah
83.0% (1,349) of the
active pharmacist
workforce practices
in urban counties
Only 8 of the 29
counties have a
pharmacist-to100,000 population
ratio of 64.3 or
greater
2010
United States Health
Expenditures
– Health Care Expenditures reached $2.6 Trillion1
– Of the $2 Trillion, 10% or $260 Billion was spent on
prescription drugs (retail setting only)1
– Rx Drugs: Predicted to be 6.2% $$ Annual Growth Rate by
2021
– $23 Billion on OTCs in 20102
> 65 y.o. consume 40%
– $117 Billion on Nutraceuticals in 20083
1.
2.
3.
http://www.census.gov/compendia/statab/2011/tables
/11s0130.pdf
http://www.yourhealthathand.org/images/uploads/The
_Value_of_OTC_Medicine_to_the_United_States_Bo
ozCo.pdf
http://www.nutraceuticalsworld.com/contents/view_br
eaking-news/2010-04-21/consumers-spend-nearly300-billion-on-lohas-produc/
Drug-Related Morbidity and
Mortality
Costs to Society for Misuse of Prescription
Medications
– $176.6 billion (Projected: $346 Billion in 2009 (based on rate of
health care spending)
Largest Component
– Hospitalizations 70% of Cost ($121.5 billion)
– 8 million persons
7,000 Medication Error Deaths (199,000 Extra Deaths)
Mean Death Rate from Prescriptions 5% vs 0.3% for all other
hospitalizations
– 77 million extra prescriptions
– 116 million extra M.D. visits
– 17 million E.D. visits
Johnson JA, Bootman JL. Arch Intern Med 1995;155:1949-56
Starfield B, et al. JAMA 2000;284:483-5
Drug Consumption: Elderly
Elderly Americans Spend $3 Billion/year on
Prescription Medications
90% over 65 years of age: 1 medication daily,
the majority 2 or more
Long Term Care Residents: 2/3rd > 3/day
3-10% of all Hospital Admissions for Elderly
Patients are Due to Adverse Drug Reactions.
http/www.calregistry.com/dky/drug.htm
Outstanding Time to be a
Pharmacist
– Need is Tremendous for Quality
Pharmaceutical Care!
Reduce Deaths and Hospitalizations from Drugs
Improve Chronic Disease Care
Wellness Care/Preventative Medicine
Reimbursement for Cognitive Services
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BP measurements
Lipid Testing
Diabetes Education
Anticoagulation Clinics
Adult Immunizations
Counseling-2 billion Inquiries/Year
Great Opportunities Across Multiple Fields using
Pharmaceutical Knowledge and Skills
“We Need Our Brightest People
Working on Our Biggest Problems”
 Find ways to apply technology so it helps the world’s poorest people solve problems;
 Attract more of the world’s brightest people into technical fields; and
 Show experts how they can help solve these problems.
What Value Does the University of
Utah COP Have To Your Careers?
We are here to have YOU succeed in your Career
We view each of YOU as our Colleague
– From Admission to Graduation
– As an Alumni
How is the University of Utah COP
Unique?
Internationally renowned researchers,
educators, and clinicians;
– Bringing a unique, hands-on, perspective to the classroom;
– Providing opportunities for research, education, and service;
Drug Information
Poison Control
– Ranked #10 COP in the United States, and #4 in NIH Research;
Importance:
– Graduate Education
– Community Pride
One-to-One Faculty Interaction
What Value Does the University of
Utah COP Have To Your Careers?
Health Science
Education Building
- Interaction with medical,
nursing, physician
assistant, physical
therapy, occupational
therapy, and social work
students
- Interdisciplinary
Learning Exercises
conducted throughout
ALL Years of Program
University of Utah COP
Experiential Education
Purpose
– Students are better prepared for future career
– Gain opportunities to learn more about the
profession
– Gain experience working with patients and others
– Helps to solidify knowledge base and skills learned
in the classroom
Today, Tomorrow, and Your
Careers
WELCOME, Relax and Do
Well Today
We want you succeed in
your career.
Practice Opportunities
Retail Pharmacy (APhA, NARD)
– Independent Pharmacies
Opportunities for Cognitive Services
Innovative Practice Settings
Part Ownership
Nursing Home Practice Opportunities
– Chain Store Pharmacy
Staff Positions
Clinical Positions Being Developed
Opportunities Growing for Cognitive Services
Management Opportunities
6/10 Graduates are in Retail Pharmacy
Practice Opportunities
Institutional Pharmacy (ASHP, ACCP)
– Hospital (Residency Training)
Staff Positions
Clinical Positions
Intravenous Admixture Positions
Administrative Positions
Home Health Care Positions
Specialized Positions (Research, Special Services)
Research Positions
Telepharmacy Applications
Nutritional Support Positions
Pharmacokinetic Drug Services
Practice Opportunities
Nuclear Pharmacy (Society of Nuclear
Pharmacy)
Staff
Compounding
Dispensing
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Management of Bio-Active Waste
Radiation Safety Training
Research and Development
Ownership Opportunities
Retail and Institutional Settings
Managed Care Pharmacy
Patient Care (130M Covered Lives)
– Medication Therapy Management
Medication Therapy Review
Ongoing Assessment of Therapy
– Practice Guidelines and Protocol
Development
Heart Failure
Anticoagulation
Hypertension
– Drug Utilization Review and Drug Use Evaluation
– Care Management Programs “Disease State
Programs”
Practice Opportunities
Academia (3,000 FT Faculty)
– Residency/Fellowship Training
Clinical Track
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Teaching/Clinical Service
Secondary Research Mission
PEP Directors
Leadership Positions in Student Organizations
Administrative Positions
Tenure Track (Pharmacotherapy, Basic Science
Departments)
– Research/Teacher
– Service
– Administrative Positions
Practice Opportunities
Pharmaceutical Industry (PHARMA)
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Research and Development
Clinical Research Field Monitor
Sales Representatives/Medical Science Liason
Drug/Medical Information
Regulatory Affairs
Medical Writer
Medical Education
Administration
Drug Safety
Quality Control/Quality Assurance
Pharmaceutics/Formulations
Advertising/Marketing
Pharmacoeconomics (Outcomes and Research)
Practice Opportunities
Consultant Pharmacists (ASCP)
– Nursing Home Care
– Long-Term Care Facilities
– Infusion Center Pharmacies
Roles
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Disease Assessment and Management
Drug Regimen Review
Drug Research Programs
Durable Medical Equipment
Intravenous Therapy
Nutrition Assessment and Support
Pharmacokinetic Drug Services
Physical Assessment
Practice Opportunities
Government
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Food and Drug Administration
Drug Enforcement Agency
National Institutes of Health
All Branches of Armed Forces
Department of Veterans Affairs
– Department of Health and Human Services
Indian Health Service
Medicaid
Medicare
Research
Bioterrorism
Dietary Supplements
Practice Opportunities
Drug Information Centers
Poison Control Centers
Hospice
Boards of Pharmacy
Institutional Review Boards
National Associations of Boards of
Pharmacy
Dietary Supplement Industry
Pharm.D. Program
General Education Requirements
Pre-pharmacy Required Courses:
 General Chemistry I and II w/ labs
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Organic Chemistry I and II w/ labs
Calculus I and II
Physics I and II (or Physics I and Statistics)
Microbiology
Technical Writing (or Public Speaking)
Human Anatomy
Human Physiology
Pharm.D. Program
BS/BA degree with GPA of 3.0+
OR
PCAT score above 65
*if you have both a BS/BA and a PCAT score, you will be given
the benefit of the higher score on your application.
Pharm.D. Program
Criteria for Admission:
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Prerequisite GPA of 2.8 or higher
BS/BA or PCAT
Statement of Purpose
Volunteer/Community Service Experience
Leadership Experience
2 Recommendations
-Professor
-Supervisor, Pharmacist, or Health Care Professional
 Pharmacy/Patient Exposure recommended
Pharm.D. Program
College of Pharmacy Website:
www.pharmacy.utah.edu
Email:
[email protected]
Application Website:
www.pharmcas.org
University of Utah Pharm.D.
Program
University of Utah Pharm.D.
Program
http://www.youtube.com/watch?feature=pla
yer_detailpage&v=m3VAC_-pLfQ