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Pathways to Success in Pharmacy

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  1. 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.

  2. 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

  3. 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

  4. 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-to-100,000 population ratio of 64.3 or greater

  5. United States Health Expenditures • 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_BoozCo.pdf • http://www.nutraceuticalsworld.com/contents/view_breaking-news/2010-04-21/consumers-spend-nearly-300-billion-on-lohas-produc/ • 2010 • 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

  6. 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

  7. 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

  8. 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 • 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

  9. “We Need Our Brightest People Working on Our Biggest Problems” • Microsoft Annual Conference 2013 • 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.

  10. 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

  11. 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

  12. 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

  13. 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

  14. Today, Tomorrow, and Your Careers • WELCOME, Relax and Do Well Today • We want you succeed in your career.

  15. 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

  16. 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

  17. Practice Opportunities • Nuclear Pharmacy (Society of Nuclear Pharmacy) • Staff • Compounding • Dispensing • Management of Bio-Active Waste • Radiation Safety Training • Research and Development • Ownership Opportunities • Retail and Institutional Settings

  18. 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”

  19. Practice Opportunities • Academia (3,000 FT Faculty) • Residency/Fellowship Training • Clinical Track • 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

  20. Practice Opportunities • Pharmaceutical Industry (PHARMA) • 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)

  21. Practice Opportunities • Consultant Pharmacists (ASCP) • Nursing Home Care • Long-Term Care Facilities • Infusion Center Pharmacies • Roles • Disease Assessment and Management • Drug Regimen Review • Drug Research Programs • Durable Medical Equipment • Intravenous Therapy • Nutrition Assessment and Support • Pharmacokinetic Drug Services • Physical Assessment

  22. Practice Opportunities • Government • 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

  23. Practice Opportunities • Drug Information Centers • Poison Control Centers • Hospice • Boards of Pharmacy • Institutional Review Boards • National Associations of Boards of Pharmacy • Dietary Supplement Industry

  24. Pharm.D. Program • General Education Requirements • Pre-pharmacy Required Courses: • General Chemistry I and II w/ labs • 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

  25. 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.

  26. Pharm.D. Program • Criteria for Admission: • 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

  27. Pharm.D. Program College of Pharmacy Website: www.pharmacy.utah.edu Email: Pharmd.admissions@pharm.utah.edu Application Website: www.pharmcas.org

  28. University of Utah Pharm.D. Program

  29. University of Utah Pharm.D. Program http://www.youtube.com/watch?feature=player_detailpage&v=m3VAC_-pLfQ