s The Pharmaceutical Society of New Zealand 2009 Honours | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2014         Volume. 6 No. 6   
Information to Pharmacists

Editorial

From the desk of the editor

Welcome to the July 2014 homepage edition of i2P (Information to Pharmacists) E-Magazine.
At the commencement of 2014 i2P focused on the need for the entire profession of pharmacy and its associated industry supports to undergo a renewal and regeneration.
We are now half-way through this year and it is quite apparent that pharmacy leaders do not yet have a cohesive and clear sense of direction.
Maybe the new initiative by Woolworths to deliver clinical service through young pharmacists and nurses may sharpen their focus.
If not, community pharmacy can look forward to losing a substantial and profitable market share of the clinical services market.
Who would you blame when that happens?
But I have to admit there is some effort, even though the results are but meagre.
In this edition of i2P we focus on the need for research about community pharmacy, the lack of activity from practicing pharmacists and when some research is delivered, a disconnect appears in its interpretation and implementation.

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Newsflash Updates for July 2014

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
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Feature Contribution

Woolworths Pharmacy - Getting One Stage Closer

Neil Johnston

It started with “tablet” computers deployed on shelves inside the retailer Coles, specifically to provide information to consumers relating to pain management and the sale of strong analgesics.
This development was reported in i2P under the title Coles Pharmacy Expansion and the Arid PGA Landscape”
In that article we reported that qualified information was a missing link that had come out of Coles market research as the reason to why it had not succeeded in dominating the pain market.
Of course, Woolworths was working on the same problem at the same time and had come up with a better solution - real people with good information.

Comments: 5

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Intensive Exposition without crossing over with a supermarket

Fiona Sartoretto Verna AIAPP

Editor's Note: The understanding of a pharmacy's presentation through the research that goes into the design of fixtures and fittings that highlight displays, is a never-ending component of pharmacy marketing.
Over the past decade, Australian pharmacy shop presentations have fallen behind in standards of excellence.
It does not take rocket science - you just have to open your eyes.
Recently, our two major supermarkets, Woolworths and Coles, have entered into the field of drug and condition information provision - right into the heartland of Australian Pharmacy.

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The sure way to drive business away

Gerald Quigley

I attended the Pregnancy, Baby and Children’s Expo in Brisbane recently.
What an eye and ear opening event that was!
Young Mums, mature Mums, partners of all ages, grandparents and friends……...many asking about health issues and seeking reassurances that they were doing the right thing.

Comments: 1

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‘Marketing Based Medicine’ – how bad is it?

Baz Bardoe

It should be the scandal of the century.
It potentially affects the health of almost everyone.
Healthcare providers and consumers alike should be up in arms. But apart from coverage in a few credible news sources the problem of ‘Marketing Based Medicine,’ as psychiatrist Dr Peter Parry terms it, hasn’t as yet generated the kind of universal outrage one might expect.

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Community Pharmacy Research - Are You Involved?

Mark Coleman

Government funding is always scarce and restricted.
If you are ever going to be a recipient of government funds you will need to fortify any application with evidence.
From a government perspective, this minimises risk.
I must admit that while I see evidence of research projects being managed by the PGA, I rarely see community pharmacists individually and actively engaged in the type of research that would further their own aims and objectives (and survival).

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Organisational Amnesia and the Lack of a Curator Inhibits Cultural Progress

Neil Johnston

Most of us leave a tremendous impact on pharmacies we work for (as proprietors, managers, contractors or employees)—in ways we’re not even aware of.
But organisational memories are often all too short, and without a central way to record that impact and capture the knowledge and individual contributions, they become lost to time.
It is ironic that technology has provided us with phenomenal tools for communication and connection, but much of it has also sped up our work lives and made knowledge and memory at work much more ephemeral.

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Academics on the payroll: the advertising you don't see

Staff Writer

This article was first published in The Conversation and was written by Wendy Lipworth, University of Sydney and Ian Kerridge, University of Sydney
In the endless drive to get people’s attention, advertising is going ‘native’, creeping in to places formerly reserved for editorial content. In this Native Advertising series we find out what it looks like, if readers can tell the difference, and more importantly, whether they care.
i2P has republished the article as it supports our own independent and ongoing investigations on how drug companies are involved in marketing-based medicine rather than evidence-based medicine.

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I’ve been thinking about admitting wrong.

Mark Neuenschwander

Editor's Note: This is an early article by Mark Neuenschwander we have republished after the soul-searching surrounding a recent Australian dispensing error involving methotrexate.
Hmm. There’s more than one way you could take that, huh? Like Someday when I get around to it (I’m not sure) I may admit that I was wrong about something. Actually, I’ve been thinking about the concept of admitting wrong. So don’t get your hopes up. No juicy confessions this month except that I wish it were easier for me to admit when I have been wrong or made a mistake.
Brian Goldman, an ER physician from Toronto, is host of the award-winning White Coat, Black Art on CBC Radio and slated to deliver the keynote at The unSUMMIT for Bedside Barcoding in Anaheim this May. His TED lecture, entitled, “Doctors make mistakes. Can we talk about it?” had already been viewed by 386,072 others before I watched it last week.

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Dispensing errors – a ripple effect of damage

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Most readers will be aware of recent publicity relating to dispensing errors and in particular to deaths caused by methotrexate being incorrectly packed in dose administration aids.
The Pharmacy Board of Australia (PBA), in its Communique of 13 June 2014, described a methotrexate packing error leading to the death of a patient and noted “extra vigilance is required to be exercised by pharmacists with these drugs”.
This same case was reported by A Current Affair (ACA) in its program on Friday 20 June
http://aca.ninemsn.com.au/article/8863098/prescription-drug-warning

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Take a vacation from your vocation

Harvey Mackay

Have you ever had one of those days when all you could think was, “Gosh, do I need a vacation.”
Of course you have – because all work and no play aren’t good for anyone.
A vacation doesn’t have to be two weeks on a tropical island, or even a long weekend at the beach. 
A vacation just means taking a break from your everyday activities. 
A change of pace. 
It doesn’t matter where.
Everyone needs a vacation to rejuvenate mentally and physically. 
But did you also know that you can help boost our economy by taking some days off? 
Call it your personal stimulus package.

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Explainer: what is peer review?

Staff Writer

This article was first published in the Conversation. It caught our eye because "peer review" it is one of the standards for evidence-based medicines that has also been corrupted by global pharma.
The article is republished by i2P as part of its ongoing investigation into scientific fraud and was writtenby Andre Spicer, City University London and Thomas Roulet, University of Oxford
We’ve all heard the phrase “peer review” as giving credence to research and scholarly papers, but what does it actually mean?
How does it work?
Peer review is one of the gold standards of science. It’s a process where scientists (“peers”) evaluate the quality of other scientists' work. By doing this, they aim to ensure the work is rigorous, coherent, uses past research and adds to what we already knew.
Most scientific journals, conferences and grant applications have some sort of peer review system. In most cases it is “double blind” peer review. This means evaluators do not know the author(s), and the author(s) do not know the identity of the evaluators.
The intention behind this system is to ensure evaluation is not biased.
The more prestigious the journal, conference, or grant, the more demanding will be the review process, and the more likely the rejection. This prestige is why these papers tend to be more read and more cited.

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Dentists from the dark side?

Loretta Marron OAM BSc

While dining out with an elderly friend, I noticed that he kept his false tooth plate in his shirt pocket. He had recently had seven amalgam-filled teeth removed, because he believed that their toxins were making him sick; but his new plate was uncomfortable. He had been treated by an 'holistic dentist'. Claiming to offer a "safe and healthier alternative" to conventional dentistry, are they committed to our overall health and wellbeing or are they promoting unjustified fear, unnecessarily extracting teeth and wasting our money?

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Planning for Profit in 2015 – Your key to Business Success

Chris Foster

We are now entering a new financial year and it’s a great time to reflect on last year and highlight those things that went well and those that may have impacted negatively in the pursuit of your goals.
It's also a great to spend some time re-evaluating your personal and business short, medium and long term goals in the light of events over the last year.
The achievement of your goals will in many cases be dependent on setting and aspiring to specific financial targets. It's important that recognise that many of your personal goals will require you to generate sufficient business profits to fund those aspirations

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Attracting and Retaining Great People

Barry Urquhart

Welcome to the new financial year in Australia.
For many in business the past year has been described as a challenging period.
Adjectives are a key feature of the English language.  In the business lexicon their use can be, and often is evocative and stimulate creative images.  But they can also contribute to inexact, emotional perceptions.
Throughout the financial pages of newspapers and business magazines adjectives abound.
References to “hot” money draw attention and comment.  The recent wave of funds from Chinese investors, keen to remove their wealth from the jurisdiction and control of government regulations is creating a potential property bubble in Australia.

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Updating Your Values - Extending Your Culture

Neil Johnston

Pharmacy culture is dormant.
Being comprised of values, unless each value is continually addressed, updated or deleted, entire organisations can stagnate (or entire professions such as the pharmacy profession).
Good values offer a strong sense of security, knowing that if you operate within the boundaries of your values, you will succeed in your endeavours.

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Evidence-based medicine is broken. Why we need data and technology to fix it

Staff Writer

The following article is reprinted from The Conversation and forms up part of our library collection on evidence-based medicines.
At i2P we also believe that the current model of evidence is so fractured it will never be able to be repaired.
All that can happen is that health professionals should independently test and verify through their own investigations what evidence exists to prescribe a medicine of any potency.
Health professionals that have patients (such as pharmacists) are ideally placed to observe and record the efficacy for medicines.
All else should confine their criticisms to their evidence of the actual evidence published.
If there are holes in it then share that evidence with the rest of the world.
Otherwise, do not be in such a hurry to criticise professions that have good experience and judgement to make a good choice on behalf of their patients, simply because good evidence has not caught up with reality.

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Laropiprant is the Bad One; Niacin is/was/will always be the Good One

Staff Writer

Orthomolecular Medicine News Service, July 25, 2014
Laropiprant is the Bad One; Niacin is/was/will always be the Good One
by W. Todd Penberthy, PhD

(OMNS July 25, 2014) Niacin has been used for over 60 years in tens of thousands of patients with tremendously favorable therapeutic benefit (Carlson 2005).
In the first-person NY Times best seller, "8 Weeks to a Cure for Cholesterol," the author describes his journey from being a walking heart attack time bomb to a becoming a healthy individual.
He hails high-dose niacin as the one treatment that did more to correct his poor lipid profile than any other (Kowalski 2001).

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Culture Drive & Pharmacy Renewal

Neil Johnston

Deep within all of us we have a core set of values and beliefs that create the standards of behaviour that we align with when we set a particular direction in life.
Directions may change many times over a lifetime, but with life experiences and maturity values may increase in number or gain greater depth.
All of this is embraced under one word – “culture”.
When a business is born it will only develop if it has a sound culture, and the values that comprise that culture are initially inherent in the business founder.
A sound business culture equates to a successful business and that success is often expressed in the term “goodwill” which can be eventually translated to a dollar value.

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Pharmacy 2014 - Pharmacy Management Conference

Neil Johnston

The brave new world of health and wellness is not the enemy of Pharmacy, it is its champion.
Australian futurist, Morris Miselowski, one of the world's leading business visionaries, will present the Opening Keynote address on Pharmacy's Future in the new Health and Wellness Landscape at 2.00pm on Wednesday July 30.
Morris believes the key to better health care could already be in your pocket, with doctors soon set to prescribe iPhone apps, instead of pills.
Technology will revolutionise the health industry - a paradigm shift from healthcare to personal wellness.
Health and wellness applications on smartphones are already big news, and are dramatically changing the way we manage our personal health and everyday wellness.

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Generation and Application of Community Pharmacy Research

Neil Johnston

Editor’s Note: We have had a number of articles in this issue relating to pharmacy research.
The PGA has conducted a number of research initiatives over the years, including one recently reported in Pharmacy News that resulted from an analysis of the QCPP Patient Questionnaire.
Pharmacy Guild president, George Tambassis, appears to have authored the article following, and there also appears to be a disconnect between the survey report and its target audience illustrated by one of the respondent comments published.
I have asked Mark Coleman to follow through, elaborate and comment:

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The Pharmaceutical Society of New Zealand 2009 Honours

From the desk of the editor

articles by this author...

Introducing current ideas, perspectives and issues, to the profession of pharmacy

In Issue number six of Pharmacy e-Edge, the newsletter of the Pharmaceutical Society of New Zealand, four New Zealand pharmacists were awarded a range of honours. The report was prepared by Richard Townley, the CEO of the Society. Among them was John Dunlop, our i2P writer representing New Zealand, and we are pleased to share in John's achievement. John was awarded a Fellow of the Pharmaceutical Society of New Zealand in recognition of his outstanding contribution to the advancement of the practice of pharmacy in New Zealand. Congratulations John!

The Society would like to congratulate the following members who have been acknowledged for their contribution to the profession.

Gold Medal Award

The Gold Medal is the most prestigious award of the Pharmaceutical Society. The recipient must be a member who has made a significant and outstanding contribution to the profession of pharmacy in New Zealand that is of a higher level than that deserving of a Fellowship. It gives the National Executive and the Chief Executive Officer much pleasure in announcing the award of the Society’s highest honour to Graeme Douglas of Auckland. The panel observed that his nomination carried warm letters of endorsement as having significantly contributed over a long period of time to many aspects of the pharmacy profession and the health sector. This is the first gold medal to be awarded since 2003. Our National Executive agreed that this was well deserved recognition for his continuing and un-stinted contribution to the pharmacy profession and endorsed the panel’s recommendation with a unanimous vote of acceptance.

 

Gold Medal Recipient; Mr Graeme Douglas RegPharmNZ MNZM FPS

 

Graeme Douglas is “a man who is concerned for the welfare of others and passionate about pharmacy”.

As a community pharmacist, Graeme commenced pharmacy ownership in Waiuku and then Te Atatu South in Auckland. Then with his entrepreneurial foresight and pioneering drive, soon started an importing and distributing company for niche pharmaceutical products. This grew to become Douglas Pharmaceuticals, the company Graeme founded in 1967 and of which he is still Managing Director. Douglas Pharmaceuticals is an innovative global organisation and one of the fastest growing and diversified privately owned companies in Australasia. A company recognised internationally for its outstanding customer service, an ethos which reflects Graeme Douglas, its founder.

Graeme is a major supporter of the pharmacy profession both personally and from his company. He has provided a career springboard for many young New Zealand pharmacists; some into international careers. Graeme is a man who has received many New Zealand accolades, civil honours and service awards and is highly regarded by all members of the profession in New Zealand and Australia, and by those who know him and have received mentoring and encouragement from him. The New Zealand profession and its leaders have over time benefited greatly from his unwavering support, wisdom and advice. This gold medal is a well deserved acknowledgment of the outstanding contribution Graeme Douglas has made to his profession.

 

Fellowship Awards

Under the Rules of the Society, the National Executive “may at its discretion by ordinary resolution designate as a Fellow of the Society any member who in their opinion has made an outstanding and significant contribution to the advancement of pharmacy in New Zealand.” This year three nominations were considered by the Panel of Fellows who wrote, “This year’s nominations are quite outstanding and we were collectively pleased that we had the opportunity to endorse the three nominees and recommend that they are unreservedly accepted by the Society. They are all major contributors to our profession.” At their meeting, 14 September 2009, the National Executive resolved to offer Elizabeth Plant, John Dunlop and Jane Dawson the award of Fellow of the Pharmaceutical Society of New Zealand. They have all since accepted the offer of the award which is made in recognition of their outstanding contribution to the advancement of the practice of pharmacy in New Zealand.

 

Mrs Elizabeth Plant, RegPharmNZ FPS MRPharmS MHSc(Distn) PGDipClinPharm(Distn) FNZCP MCAPA

As Chief Pharmacist at the Taranaki Base Hospital, and President of the Society, Elizabeth has extensive experience in a variety of sectors within pharmacy. Currently Elizabeth is a ministerial appointment to the Health Information Strategy Advisory Committee (HISAC) 2008. Her other contributions to date are as follows; Member of the National DHBNZ Pharmacy Advisory Committee, 2003-2009; Member of New Zealand Safe Quality Use of Medicines Committee (SQUM), 2003 – 2008; Cooordinator of the DHBNZ Pharmacy Advisory Group “National Framework of Pharmacist Services” Project released March 2007 and Member of the Safe Medication Management (SMM) Project Steering Group, 2006 - Current. As Chief Pharmacist at Taranaki Base Hospital for the past fourteen years, Elizabeth has managed a staff of nine pharmacists, five technicians and at least one intern every year. She brings a deep knowledge and understanding of her profession to any forum she is involved in on behalf of pharmacy.

In addition to chairing a number of multidisciplinary committees and serving on a number of national advisory committees with the Ministry of Health and Pharmac; she has also served on the Executive of the Pharmaceutical Society of New Zealand Inc as a member, 2005 to present and more recently she was elected to the role of National President. Valued for her ability as a mentor and leader she is considered by her peers to be an innovative, enthusiastic, professional pharmacist, who is able to communicate with, motivate and lead a wide range of people.


Mrs Jane Dawson, RegPharmNZ BPharm FPS MNZCP Dip Business Studies and Management

The area of pharmacy practice where Jane has excelled is in the safe and quality use of medicines throughout the New Zealand Defence Force (NZDF). While not actually working as a dispensing pharmacist she has applied her pharmacy training and skills to military situations and devised practicable solutions that have improved the ability of doctors, nurses and medics to treat soldiers, sailors and airmen under their care – no matter where in the world they may be. Since her civilian appointment at Defence Headquarters in 1990 Jane has been instrumental in overcoming many hurdles to bring to the required legal standards all pharmaceutical services pertaining to medicines in the NZDF – from purchase, through distribution, storage, prescribing, dispensing, and administration to patients, and finally to the correct disposal of surplus or expired supplies.

Jane co-ordinated the writing of medical treatment protocols so that the pharmaceutical inventory could be rationalised which in turn allowed nurses and medics to diagnose, treat and manage patients under standing orders when away from base medical treatment facilities. She also developed a system of pre-dispensed medicines so that medics in the field could, following appropriate protocols, issue them to soldiers, sailors and airmen – be they half way up a mountain or 1,000 km out at sea – knowing that the medicines were appropriately packed and fully labelled with directions and warnings.

Currently Jane is the Director of Defence Health Quality and is committed to the place of New Zealand pharmacy practice in the wider international context through her involvement in the International Pharmacy Federation (FIP). Since 2004 she has been Permanent Secretary of the Military and Emergency Pharmacy Section (MEPS) of FIP and co-managed a pictogram project developing a culturally specific medicine labelling system for communication where language or literacy prevent the usual labelling of directions on dispensed medicines. By reason of her secretariat position of MEPS, Jane is a member of the FIP Board of Pharmaceutical Practice and acts as a conduit of information to the Pharmaceutical Society keeping it abreast of international pharmaceutical developments. Jane's contribution to pharmacy services has been exemplary. In all aspects she has demonstrated professionalism, a commitment to the highest standards and a quiet determination to achieve the best results that reflect well on the pharmacy profession.

Mr John Dunlop, RegPharmNZ PGDipPharm MPharm FACPP MCPP FNZCP FPS MRPharmS MCAPA

During his working life, John has shown himself to be passionate about the future of pharmacy and the role of pharmacists in health care. Coming from a background in retail pharmacy, John developed a focus on the concept of optimal use of medicines in isolation of a retail environment – an innovative approach which demonstrated John’s faith in the role of the community pharmacist. He developed the first “Dispensary Only” pharmacy in New Zealand and designed and purpose-built the pharmacy among a large cohort of general practitioners. A Fellow of the College of Pharmacists of Australia, he advocated strongly for the establishment of a NZ College of Pharmacists and was a founding member on the first NZCP Executive Council. He became principal pharmacist and manager of the National Preferred Medicines Centre and worked to develop the first full time pharmacist facilitators. Their success was instrumental in his drive to develop a primary care model which included pharmacists as part of the health care team. The Pharmaceutical Society seconded him to develop and implement the new model of Comprehensive Pharmaceutical Care in 1996 and he moved on from the General Manager of NZCP to establish Comprehensive Pharmaceutical Solutions, a company which promotes clinical pharmacist services in primary healthcare. He also works as a clinical lecturer for postgraduate students for the Schools of Pharmacy. John has been active in Branch affairs and was twice the President of the Central Districts Branch of PSNZ and once of the Wellington Branch. He currently works with two Primary Health Care organisations, and is involved with updating general practitioners on the latest evidence for prescribing, and practices CPC®. He is a member of the Health Practitioners Disciplinary Tribunal, the Pharmacy Standards committee, and is currently completing a Doctorate of Pharmacy. He is one of the driving forces behind the establishment of the Clinical Advisory Pharmacists Association (CAPA).

I am sure that you will all join me in congratulating Graeme, Elizabeth, John and Jane, on receiving these prestigious awards. Presentation of the Gold Medal Award will be made to Graeme at a meeting of the Auckland Branch of the Society in early December 2009, date and time of this event to be confirmed and the Fellows will be presented with their awards at PSNZ Symposia next year.

Richard Townley,

Chief Executive Officer

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