The Official Publication Of The Florida Pharmacy Association MAY 2019
F L O R I D A’ S
COLLEGES OF PHARMACY
“I’M ALWAYS WATCHING OUT FOR MY PATIENTS, BUT WHO’S WATCHING OUT FOR ME?”
WE ARE. We are the Alliance for Patient Medication Safety (APMS), a federally listed Patient Safety Organization. Our Pharmacy Quality Commitment (PQC) program: • • • •
Helps you implement and maintain a continuous quality improvement program Offers federal protection for your patient safety data and your quality improvement work Assists with quality assurance requirements found in network contracts, Medicare Part D, and state regulations Provides tools, training and support to keep your pharmacy running efficiently and your patients safe
Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION
florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint
7 Executive Insight
VOL. 82 | NO. 5 MAY 2019 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION
Features
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Student Advocacy Outreach Team: The Impact of a United Voice
48 Buyer's Guide
16 20 22 30 36 40 44
FLORIDA’S COLLEGES OF PHARMACY Florida A&M University College of Pharmacy and Pharmaceutical Sciences Lake Erie College of Osteopathic Medicine School of Pharmacy Larkin University College of Pharmacy Nova Southeastern University College of Pharmacy Palm Beach Atlantic University Lloyd L. Gregory School of Pharmacy University of Florida College of Pharmacy University of South Florida College of Pharmacy
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FPA Calendar 2019
Florida Pharmacy Today Journal
JUNE
AUGUST
1
FPA Leadership Retreat
4-7
7
Last Day to Submit Items of New Business for the 2019 House of Delegates
36th Annual Southeastern Gatherin' Destin
5-6
Florida Board of Pharmacy Meeting Tampa
18-19 Board of Pharmacy Meeting Orlando JULY 4
Independence Day FPA Office Closed
10-14 129th Annual FPA Meeting and Convention Ft. Lauderdale
16-17 Southeastern Officers Conference Atlanta 24-25 FPA Councils and Committee Meetings; FPA Board of Directors Meeting SEPTEMBER 7-8
Regulatory and Law Conference Miami
For a complete calendar of events go to www.pharmview.com Events calendar subject to change CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours’ LIVE Continuing Education as part of the required 30 hours’ general education needed every license renewal period. There is a new 2 hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2019 or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by December 31, 2020. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For more information on CE programs or events, please contact the Florida Pharmacy Association at (850) 222-2400 or visit our website at www.pharmview.com CONTACTS FPA — Michael Jackson (850) 222-2400
FSHP — Tamekia Bennett (850) 906-9333 UF — Emely McKitrick (352) 273-5169
FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300
Mission Statements:
Note: The views of the authors do not necessarily represent the views or opinions of the Florida Pharmacy Association, Florida Pharmacy Today or any related entities.
The Florida Pharmacy Today Journal is a peer-reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.
Florida Pharmacy Today Board of Directors The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the Journal in its goal of self-support.
Advertisers AMERICAN ASSOCIATED PHARMACIES...... 19 EPIC..................................................................... 18 KAHAN & ASSOCIATES................................. 28 PQC........................................................................ 2 PARTNERSHIP FOR SAFE MEDICINES....... 35 PHARMACISTS MUTUAL.............................. 29
DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association is engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.
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E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com
The President’s Viewpoint ANGELA S. GARCIA, PHARMD/MPH, CPH
Teamwork Tees Up Successful 2019 Session, Builds Momentum for 2020
A
s we close the legislative session, there is so much to reflect upon. First, I want to thank the student pharmacists with the Student Advocacy Outreach Teams and the students from each of the colleges and schools of pharmacy who put in time before the legislative session started to prepare and “get ready” for Legislative Days, but also for their commitment during the entire 10 weeks of the session on top of their exams, assignments and the stress of “student life.” They have a passion that drives me to stay engaged and to remember what I am fighting for – and who’s watching the fight. I appreciate all the efforts of the Council members to communicate agenda, goals and needs to their colleagues to help drive our mission and increase our visibility. From Public Affairs who made incredible social media posts, infographics and messaging, to Membership Affairs who continued to listen to the concerns of the membership and pharmacists across the state. I would be remiss not to recognize our incredible Student Affairs Council who assisted in organizing and delivering the stellar point of care screenings and information during the health fair and, of course, our Governmental Affairs Committee. I tip my hat with the utmost reverence to our GAC Chair Eric Larson and I humbly thank his wife, Rachel, for allowing him, encouraging him and pushing him to chase his passion and lead our legislative battle – relentlessly – for months on end. Our lobbying team, Adams Street Advocates, helped make our message visible and supported our weekly calls and meetings to ensure we were continuing to move and be aware of the daily changes in the bills. Our EVP
Michael Jackson helped us stay organized and in the faces of the legislators on a daily basis. To his wife, Tanise, a very gracious thank-you. We could not make the noise we made or move our agenda with such energy without
I appreciate all the efforts of the Council members to communicate agenda, goals and needs to their colleagues to help drive our mission and increase our visibility. our pharmacists who daily and weekly made trips to Tallahassee, leaving behind their families and businesses to carry the weight of our professional burden on their back. Dawn Butterfield has been an incredible mentor and provided so much education and support for my own edification. I love that as my time is winding down, I am walking away a completely different person than I was a year ago. We have cultivated a culture that is
Angela S. Garcia, PharmD, MPH, CPh
Upcoming FPA Events 36th Annual Southeast Gatherin' Conference Aug. 4-7, 2019 Henderson Beach & Spa Resort Destin, Florida FPA Law and Regulatory Conference Sept. 7-8, 2019 Miami Airport Marriott Miami, Florida
See President’s Viewpoint, continued on page 6 MAY 2019
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2018-19 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.
Suzanne Wise.....................................................................................................Board Chair Angela Garcia...............................................................................................FPA President Ashley Huff.................................................................................................... FPA Treasurer David Mackarey.......................................................................................President-Elect Jeanette Connelly...................................................................Speaker of the House Gary Koesten..................................................................Vice Speaker of the House Sandy Estrada......................................................................................... FSHP President Joyanna Wright................................................................................... Region 1 Director Neil Barnett............................................................................................Region 2 Director Dean Pedalino.......................................................................................Region 3 Director Cheryl Rouse.........................................................................................Region 4 Director Melissa Ruble........................................................................................Region 5 Director Barbara Beadle...................................................................................Region 6 Director Paul Delisser.......................................................................................... Region 7 Director Ramy Gabriel.........................................................................................Region 8 Director Mitchell Fingerhut.............................................................................Region 9 Director Julie Burger........................................................................................Technician Member
Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair....................................................Cristina Medina, cmmedina@cvs.com Treasurer.........................................................Eric Jakab, ericjakab@hotmail.com Member.................................................. Michael Finnick, michaelfinnick@ufl.edu Member.......................................................Matt Schneller, schnem18@gmail.com Member..........................................Teresa Tomerlin, teresapharmd@cfl.rr.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.com Technician Member........................Julie Burger, julieburger133@gmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com Journal Reviewer....................... Dr. Melissa Ruble, mruble@health.usf.edu Journal Reviewer....................................Dr. Angela Hill, ahill2@health.usf.edu
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absolutely not going to back down. The flame is lit and nothing will diminish it in our hearts or within our voices. There is so much energy and a fantastic blueprint to run with for next year. When we are building up resources and people and we’re all figuring things out as we go, we often reflect upon what we achieved and miss the great things, because we hung our hearts so high, I refuse to allow myself or those around me to chalk this year up to a failure. I never fail. Either I win or I learn. Nelson Mandela who first spoke this truth was brilliant man. This year – what an incredible learning experience. What a winning experience. We know what we have the opportunity for – 40 new legislators and a team that is poised to create educational materials and utilize our new website and social media interface to increase our visibility. We have shown our presence at the Capitol for years, but our visibility is staying in place and translating to our communities and the buzz is still present – very present. I am excited for how this Association is going to use what we built this year to literally maintain and elevate our legislative agenda and efforts. We have discussed and identified key opportunities that we need to maximize and optimize this summer and fall, and we will come into the January fight with hype and a message that resonates across the profession with active voices helping us to make this message one that echoes down the halls of the Capitol, and becomes deafening during the session. We created waves and those waves will continue to ripple through the rest of the year, motivating us to keep a dog in the fight. Listening more. Learning more. Collaborating more. We have our tools all out and we framed it in. As we walk into the next season, we leave no stone unturned, no gaps unfilled and we don’t look back. This is The Power of WE. n
Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION
T
The Class of 2019 is Ready
his is the time of year when the hard work of our pharmacy student candidates is beginning to show results. The P4 students at each of our seven pharmacy schools and colleges have either graduated or are preparing for graduation. FPA had the honor of visiting a number of our state pharmacy school campuses to observe their
cy Association current. If you are a P4 pharmacy student, the FPA is providing an opportunity to maintain your membership as a recent graduate through a 50 percent discount in your member dues. By transitioning membership to the recent graduate category before July 1, 2019, the FPA will extend your current membership through the end of
Graduating pharmacist candidates can benefit greatly by keeping their memberships in the Florida Pharmacy Association current. If you are a P4 pharmacy student, the FPA is providing an opportunity to maintain your membership as a recent graduate through a 50 percent discount in your member dues. hooding, awards or graduation ceremonies. We congratulate our Florida students for achieving this milestone and extend best wishes for their success and career paths. This is an exciting time for new pharmacist candidates. The regalia surrounding commencement and transitioning into the profession are on the minds of our new and emerging practitioners. Their thoughts include trying to understand the next steps in their professional career and where life will take them. One thing for sure is that the learning doesn’t really end, but will transition into a new way of gaining knowledge and experience. Graduating pharmacist candidates can benefit greatly by keeping their memberships in the Florida Pharma-
December of 2020. This means that you are entitled to 18 months of FPA membership for half the cost of a regular membership. Maintaining your membership in the Florida Pharmacy Association keeps you connected to resources that could help you prepare for and grow your career. Our recent graduate members will have access to a recorded laws and rules webinar to help prepare for the Florida jurisprudence examination. We also have a very comprehensive section on our website, where you can find a full inventory of pharmacy laws and rules. Don’t forget that we are available to answer questions that you may have about the practice. As a new pharmacist, there will be many. n
Michael Jackson, B.Pharm
MAINTAINING YOUR MEMBERSHIP IN THE FLORIDA PHARMACY ASSOCIATION KEEPS YOU CONNECTED TO RESOURCES THAT COULD HELP YOU PREPARE FOR AND GROW YOUR CAREER.
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Student Advocacy Outreach Team: The Impact of a United Voice By Dustin Williams, Trent Abel and Andrew Zeigler Photos by Peter Won, Arun Abraham and Jay Patel
Dustin Williams
Trent Abel
Andrew Zeigler
The Student Advocacy Outreach Team (SAOT) would like to thank every student pharmacist, pharmacist and faculty member who attended the Florida Pharmacists’ Legislative Days and Health Fair at the Capitol in Tallahassee March 1113. This year, we had over 400 student pharmacists representing all seven schools and colleges of pharmacy across the state lobby and provide clinical services under the supervision of more than 50 pharmacists from several practice areas, including community (independent and retail), institutional (hospital and long-term care), academia, compounding, specialty, consulting and ambulatory-care settings, among others. We were a diverse group, representing all areas of pharmacy practice to speak about how legislation in the 2019 session would impact how we provide care to our patients, their safety and how we partner with physicians and other health-care providers to elevate health-care services and focus on patient-centered care across the state. We appreciate the support of the FPA, FSHP and Florida Pharmacy Coalition (FPC) in supporting our student efforts and providing the guidance and mentorship we needed. Our Student Advocacy Outreach Team (SAOT) originated last year during the legislative session by students at the University of South Florida, supported by one of our faculty and student organization advisers (Dr. Angela Garcia). We have grown our passion for legislative advocacy over the past year into a statewide set of teams that ensures all students and organizations 8 |
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that have membership within the FPA or FSHP are working in a unified manner to promote our legislative agenda and priorities. Our USF team set up and manned a schedule of visits that covered attempts with every representative and every senator in the Florida legislature. Students were scheduled to visit their legislators as constituents, and then other priority legislators were contacted to make an attempt to see everyone while we were there. We established a Legislative Staging Corner on the second floor of the rotunda in the Capitol during the two days of lobbying activities to make a central location for communication about all things advocacy-related. Our goal was to be visible to everyone walking by and we had several nonpharmacy-related groups stop to ask what our role was and what we were doing. This push for visibility aligns with our Strategic Plan and is expanding the impact we as students are making in grassroots and legislative advocacy in our home communities. Thanks to a student colleague, Andres Brito (P at USF), and our FPA president, Dr. Angela Garcia, we had amazing poster that brought our priority legislation from the FPA and FSHP organizations to life. We hung our posters to show a visible representation of complicated legal language, so our teams and those we were hopContinued on Page 12
Jacksonville independent pharmacy owner Kevin Duhane and Pensacola community pharmacist Preston McDonald, a member of the FPA Governmental Affairs Counsel, with pharmacy students from the University of South Florida at the Florida Capitol.
Test and Treat HB 111 / SB 300 Physician-Pharmacist Collaborative Practice Agreement for Rapid Test and Treat
Information adapted from NASPA Pharmacist Prescribing for Strep and Flu; “Test and Treat”
Test and Treat • Under written protocol, this bill would allow pharmacists
to provide rapid point-of-care (POC) testing and evidenced -based treatments adhering to the standard of practice for influenza and strep A • Pharmacists required to communicate with the primary care provider following testing/treatment • The Board of Medicine and Board of Pharmacy determine rules to ensure patient safety and criteria for additional clinical training • Currently 17 states have collaborative practice protocols allowing for rapid POC testing and treatment, with three states working to get legislation approved in the 2019 legislative session (Florida, Texas, and Colorado)1 • This allows pharmacists to support Department of Health outreach to prevent the spread of communicable diseases
Influenza Outbreaks4
• Statewide outbreaks for week 9 of influenza season,
•
as of March 2, 2019: • 165 outbreaks, trending up (increasing) • 3 influenza associated pediatric deaths (2 in unvaccinated children, 1 with underlying medical condition) • 39 outbreaks have occurred in facilities serving adults >65 years Vaccinations are recommended for prevention for patients according to the CDC Guidelines and in Florida pharmacists and interns immunize adults under a standing order and protocol5
Prioritizing Patient Safety and Quality of Care • Immediate access to care and treatment is necessary to
reduce the burden of impact on patients for influenza or strep A infections2 • Medications must be initiated in an optimal time range in order to: 2 • Reduce exposure and prevent spread to others • Reduce length of illness from infection • Prevent health complications (i.e. chronic disease complications, emergency room visits, hospitalizations, death) • The test confirms the presence of virus or bacteria through a nasal swab (influenza) or throat swab (strep) • Protocol adheres to CLIA waived standards using FDA approved processes and equipment (currently performed by trained personnel not health care providers)3
Team-based Care Models • The education and training of pharmacists provides for
•
enhanced clinical services, improved patient safety, and optimized disease management to support the health care team goals and improve patient outcomes6 • Strep A and Influenza are both highly contagious requiring immediate intervention and care7 • 94% of all Americans live within 5 miles of a community pharmacy increasing access to care for services and referrals to providers8 Rapid POC testing and treatment increases the team’s ability to accurately identify viral or bacterial illnesses and ensure when antivirals or antibiotics are appropriate for use in treatment9
For References, scan here
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Pharmacy Benefits Manager (PBM) Prescribed Drug Services & Audits HB 271 / SB 906 PBM Regulation by State
Adapted from NCPA 2018
Pharmacy Benefits Manager (PBM)1 • •
•
PBMs administer the prescription drug benefits for most insurance plans and have great influence on the medication prices charged by manufacturers PBMs determine the following: • Insurance networks and pharmacy participation • Medication formularies & pricing • Where patients get prescriptions • Reimbursement to pharmacies • Rebates to health insurance plans, employers, pharmacies & patients Concerns exist over PBMs charging health insurance companies, employers and pharmacies more for the medications than what they actually paid, which creates spread pricing
Need for PBM Regulation & Oversight,2 •
Landmark Findings from PBM Audits5-9
Reform on audits is necessary to address abuse of power by PBMs due to a lack of oversight and regulation. PBMs unethical practices are increasing direct and indirect health care costs to tax payors and adversely impacting health care. Many states are drafting bills and legislation to promote fair auditing practices that protect pharmacies, employers, and insurance companies through: • Drug Price Transparency • Eliminating Spread Pricing • Addressing Network Adequacy • Rebate Arrangements Calculated by Maximum Allowable Costs • Direct & Indirect Remuneration (DIR) Fees Charged Per Prescription
Some PBMs Increase Health Care Costs •
•
• •
The three largest PBMs - CVS Caremark, Express Scripts and OptumRx (division of United Healthcare) hold nearly 80% of the prescription benefits market, driving up drug costs paid by patients3 Medication costs, copays, and deductibles negatively impact adherence; poor adherence leads to worsening health outcomes and increased health care costs of nearly $213 billion annually4 PBM fees and cuts in pharmacy reimbursement forces independent pharmacies to provide care to their patients at a loss Without PBM reform, pharmacies that cannot sustain as a business must close creating barriers to healthcare access in many communities with high risk patients
For references, scan here
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Collaborative Practice Agreements (CPAs) HB833 / SB1050 States without Extra Training for CPAs
In 33 states, any pharmacist in any practice setting may participate in a CPA without mandates for extra training or added qualifications for specific services within a CPA’s terms.1,2 Our legislation requires additional credentials to enhance outcomes and safety measures for patients.
Physician-Pharmacist Collaborative Practice Agreements
CPA’s Currently Exist in the Following Practice Settings
• A CPA creates a formal relationship between physicians and phar-
•
macists that allows for pharmacists to provided expanded services to patients and the healthcare team1
Hospitals– renal dosing adjustments, antimicrobial stewardship, IV to PO conversions
•
Ambulatory Care Clinics– Coumadin dosing, diabetes management
•
University Clinics– practice faculty have a clinical site under CPA’s or memorandums of understanding (MOU) allows for management of chronic disease patients
•
Community Pharmacy– Immunization standing orders, point of care (POC) testing, travel medicine
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Primary Care—collaborative management of chronic diseases states such as asthma, hypertension, diabetes, cardiovascular disease, HIV and other conditions
•
Nursing homes—age related drug dosing changes, drug toxicity identification through lab monitoring, drug evaluations to reduce patient harm and improve outcomes
•
Studies show nearly 60% of CPAs occur between academic pharmacy practice faculty or institutions and providers4
•
Established relationships between providers and pharmacists are one of the most important factors when considering a collaborative practice agreement4
•
Physician-pharmacist collaborative management (PPCM) demonstrates significant clinical impacts, improved health care utilization, and cost-effectiveness7
•
When surveyed, 90% of physicians reported important pharmacist contributions included: managing adverse effect and drug interactions, medication access assistance, prescription counseling, and medication adherence4
•
Physicians consistently reported improved quality outcomes and metrics greater than 70%4
•
CPAs allow pharmacists to reduce physicians administrative tasks and optimize chronic disease management
•
These bills will require agreements to be available to the DOH for inspection, authorizes specific services and are physician driven
•
CMS supports the facilitation of collaborative practice between physicians and non-physician providers5 (i.e., pharmacists), including collaborative practice plan guidelines6 and their “Transforming Clinical Practice Initiative’7
Supporting Evidence for CPA’s in Florida
•
•
AMA has CPA training available through the Steps Forward initiative titled “Embedding Pharmacists into the Practice”8 that provides the toolkit and training for physicians to integrate pharmacists in their practice model CDC identified chronic disease as a major public health problem uniquely addressed by pharmacist and supports collaborative practice agreements in their brief ‘Increasing the Use of CPAs Between Prescribers and Pharmacists’, ’Advancing Team-based Care Through CPAs: A Resource & Implementation Guide for Adding Pharmacists to the Care Team’, and ‘CPA’s and Pharmacist Patient Care Services’ 9-11 For references, scan here
Outcomes and Statistics from Pharmacist-Physician CPA’s
•
Florida spends $24,504,000,000 annually on prescription medications12
•
On average $1000 per patient per year is saved with pharmacist interventions for patients with chronic conditions13 and for every $1 spent on pharmacist services, $10 are saved14
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Dr. Eric Larson, chair of the Florida Pharmacy Association’s Governmental Affairs Committee in the Florida Capitol with Kevin Duhane, an independent pharmacy owner from Jacksonville, Florida.
Continued from Page 8
ing to influence could see our message loud and clear. Our focused attention gave a united message on our three priority issues, with one poster showcasing the clinical role that pharmacists have in institutional and community-based settings. We knew the benefit of having a centralized location where pharmacists could check in to see which student teams needed supervision during visits with legislators, complete surveys for their visits to ensure the lobbying teams would get critical and timely information regarding requests for additional information, or find out about legislators who needed follow up from our legislative experts at the FPA, FSHP and FPC. Each of the schools have SAOT comprised of APhA, NCPA, SSHP and SNPhA student leaders. Over the past several months, we have been meeting in video conference calls with our FPA and FSHP presidents, Dr. Angela Garcia and Dr. Sandy Estrada, our chairs for Governmental Affairs and Legislative and Regulatory committees, Dr. Eric Larson and Dr. Dave Harlow, and the lead for the Florida Pharmacy Coalition, Dr. Kathy Baldwin. While in Tallahassee, we were able to meet with more than 60 legislators, from both the House and Senate, to discuss the legislative priorities set by the FPA and FSHP. During these meetings, we advocated for our patients and profession by educating senators and representatives on increasing patient access to health care and reducing overall health care costs. HB111/SB300, called Test and Treat, would allow patients to receive rapid point of care testing through a simple swab to determine if a virus (influenza) or bacteria (streptococcus A) were present in the nose or throat. If the viral/bacterial particles were detected using an FDA approved machine (i.e. Quidel’s Sophia 2), then the pharmacist would follow an algorithm just like a physician to provide the appropriate medication. This is all done through a protocol established through 12
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a collaborative practice agreement, similar to 19 other states across the country. For those patients that test negative for the presence of viral/bacterial particles, their pharmacist can provide care and make recommendations for appropriate nonprescription medications to help alleviate symptoms and enhance comfort while they are feeling ill. Following the testing, pharmacists would communicate with the patient’s provider to inform them of the results of the test and help triage the patient into the physician’s office. Quidel was one of our major health fair sponsors, allowing us to show the machine and discuss the process of rapid testing to help dispel myths about the process and qualifications. We greatly appreciate their support this year. HB833/SB1050 was written by FSHP and is referred to as Collaborative Practice Agreement legislation. Its lobbyist (Diaz, firm name) has been working for over three years to get this bill to Senate committees. Historically, this bill has done well in the House, but it’s been challenging to get it to move further. As written originally, this bill would allow pharmacists with specific credentials to enter into a Collaborative Practice Agreement, which is a standard of practice across 33 states enhancing the quality of care that disease state management patients receive. This would allow pharmacists to provide chronic-care management and preventive services, and manage patients in a collaborative protocol with physicians, allowing them to focus on more acute and new patients while the pharmacist manages the chronic-care patients in between regular appointments. About 60 percent of these collaborative practice agreements exist in academic clinic settings and are currently part of the institutional setting at most hospitals for clinical services such as IV to PO conversions, antibiotic dosing and renal dosing adjust-
During Pizza and Policy Night, 137 pharmacists and pharmacy students discussed legislative priorities.
ments, just to name a few. This is not a new process or clinical role for pharmacists, and the physicians who are already engaged in these protocols have seen the benefits in patientcare outcomes. The American Medical Association (AMA), Centers for Disease Control and Prevention (CDC) and Centers for Medicaid and Medicare (CMS) have training materials and programs that provide the framework for implementing the Collaborative Practice Care Model in their clinical practices. CPAs across the country have clearly shown that the pharmacist doesn’t replace the physician and this approach
legislators. We also receive weekly highlights and direction from lobbyists and other pharmacists across the state to help us stay engaged and provide the face to face noise and voices we had during the Legislative Days events in Tallahassee. In addition to these weekly meetings, the chairman of the GAC, Dr. Eric Larson, sends out updates as they occur, helping us to sustain our passion and see how important it is to be active through the entire legislative session. We fight until the battle is over, and even if it appears to be a loss, we never give up. We in turn disseminate everything with directions, names, emails and contact information to all seven of our teams (one at each of our schools and colleges) to keep our SAOTs active and in constant communication. Some of these updates require immediate action, and depending on the committee makeup, different students at different schools may be constituents. We have had amazing turnaround with action this year, sending emails and making phone calls on extremely short notice, maintaining a very broad layer of activity and participation from every school. It has been a labor of love for us and an absolute pleasure working with the student repre-
The Florida Pharmacy Association’s Student Advocacy Outreach Team.
doesn’t infringe on scope issues, but rather enhances care outcomes and brings the team much closer with communication, care coordination and continuity. The third priority bill, HB271/SB 906, is one that we really need to protect independent pharmacists and address the concerns of ethical business practices between pharmacy benefit managers (PBMs) like CVS Caremark, Express Scripts and OptumRx, that hold 80 percent of the business market across the U.S. and are responsible for driving up health-care costs. Our goal is to make their practices more transparent regarding pricing and reimbursement, to open networks for pharmacists to increase patient-care access and to address issues such as spread pricing. Major states such as Ohio, Kentucky, Pennsylvania, Iowa and Arkansas have shown gross negligence on the part of PBMs and their practices regarding the millions of dollars they have cost the health-care system. These states are setting the standard for others and leading the fight. Last year, we made progress by passing legislation to hold PBMs accountable to the standards already set forth by the Office of Insurance Regulation (OIR). We need stronger enforcement of these standards and we need legislators to see the negative impact that PBM practices have on our profession and small businesses, patient outcomes and access to care, and the tremendous costs on health care to state and private payors. Even though Legislative Days is over, our mission continues. The emails, phone calls and meetings necessary to push legislation through committee hearings must continue. Each SAOT has a representative who participates in the weekly Governmental Affairs Committee (GAC) meeting conference calls to get the timely updates, directions for action and critical timely outreach efforts to target committees and key
FPA pharmacists and the Student Advocacy Outreach Team lobbying for the Association during Legislative Days.
sentatives from each school. We look forward to a continued relationship in the years to come. As students and members of FPA, APhA, FSHP, NCPA and SNPhA, we encourage every pharmacist and every student pharmacist to get involved in advocating for your patients and profession. We need to take charge of our profession and fight for what is best for our patients. It’s amazing what a simple meeting, phone call or even email can do in educating our legislators on the practice of pharmacy and the goals we have for elevating the profession here in Florida. We encourage you to develop a relationship with your legislators by meeting with them in your district outside of the session. Rapport with a legislator can go a long way. We ask you to take a few minutes out of your day to be a part of the Associations that advocate year-round for you, your career and your patients. We are making major changes in the FPA and we need your membership and voice. Join the cause by advocating and become part of The Power of WE.
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FPA STAFF Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200
Director of Continuing Education Tian Merren-Owens, ext. 120
Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110 Accounting Coordinator Ashley Gandy ext. 211
FLORIDA PHARMACY TODAY BOARD Chair..................................... Carol Motycka, St. Augustine Vice Chair................................Cristina Medina, Hollywood Treasurer...........................................Eric Jakab, Gainesville Member............................... Michael Finnick, Jacksonville Member...............................................Matt Schneller, Tampa Member...................................Teresa Tomerlin, Rockledge Member..............................................Greta Pelegrin, Hialeah Technician Member.................Julie Burger, Pensacola Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee
This is a peer-reviewed publication. ©2019 FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today. The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board. FLORIDA PHARMACY TODAY, Annual subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax. FLORIDA PHARMACY ASSOCIATION
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Florida A&M University College of Pharmacy and Pharmaceutical Sciences Lake Erie College of Osteopathic Medicine School of Pharmacy Larkin University College of Pharmacy Nova Southeastern University College of Pharmacy Palm Beach Atlantic University Lloyd L. Gregory School of Pharmacy University of Florida College of Pharmacy University of South Florida College of Pharmacy MAY 2019
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The Florida A&M College of Pharmacy and Pharmaceutical Sciences Institute of Public Health APhA FAMU Learner and Alumni Networking Dinner Florida A&M University student pharmacists, faculty and alumni attended the 2019 APhA Conference held in Seattle, March 22-25, 2019. On March 24, 2019, the learners, faculty and alumni participated in a networking dinner held at the Palomino. It was a key opportunity for Dean Johnnie Early II to meet new and seasoned alumni attending the conference from across the country. Participants listened intently as Dean Early shared his vision for the College, talking about some of the exciting things that are happening every day on the “Hill” and answering some intellectually stimulating questions.
Student pharmacists at the Tampa Instructional Site attending the Florida Reception.
FAMU Faculty Member and Student Pharmacist Share Publication FAMU faculty member Soheyla Mahdavian, Pharm.D., BCGP, TTS, worked with student pharmacist Samar Elsheikh on an article for publication prior to her death. The article, “BD Onclarity™ HPV Assay,” will be published in US Pharmacist this month. The family was excited to know that it will be published the month after she would have graduated. Samar is pictured second from the left and Dr. Mahdavian is in the center wearing a green polo. Joshua Atkins, Class of 2021 class president and FAMU Pharmacy alumnus.
FAMU Student Pharmacists Enjoy Florida Reception Johnnie Early II, dean and professor of the College, had the distinct pleasure of visiting the Tampa Pharmacy Practice Division, at 3500 E. Fletcher Ave., Suite #133, Tampa, Florida, on Feb. 24, 2019. Later that evening, student pharmacists enjoyed a delectable dining experience at the Bahama Breeze Island Grille. Alumni from Tampa and surrounding areas had the opportunity to meet Dean Early, reminisce and share key factors of maintaining successes in the profession of pharmacy with learners in attendance. It was an evening well spent as learners, alumni and faculty engaged one another in meaningful discourse.
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Alumnus to Lead as Director of Environmental Health Division Alumnus Darrell A. Rodgers, Ph.D., M.P.H., EMBA, Class of 1995, has accepted the role of director of the Environmental Health Division. Dr. Rodgers has served in several leadership positions nationwide, including with the Detroit Department of Health and with the Centers for Disease Control and Prevention in Atlanta. He holds a Ph.D. in environmental toxicology, a Master of Public Health in environmental epidemiology and an executive MBA. He is a member of the National Association of County & City Health Officials’ (NACCHO) Environmental Health Committee and the Puget Sound Clean Air Advisory Board, and is chair of the Management Coordinating Committee for the Local Hazardous Waste Management Program. In addition, he serves on a number of boards, including Homeless Youth – Peace for the Streets by Kids from the Streets.
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Again, inspired by the potential to expand her professional and personal horizons, Dr. McCants’ next professional pursuit was the pharmaceutical industry, where she accepted a position as a medical science liaison (MSL). Over the course of 10 years in MSL work, Dr. McCants served at Glaxo SmithKlein through Science Oriented Solutions, Ortho Biotech, EMD Serono, Amgen and Shionogi. Currently, Dr. McCants serves as a clinical liaison account executive for the Texas Options family of pharmacies in the market place. After embarking on a journey of wellness discovery by studying and experiencing green foods, super foods, vitamin and mineral supplementation to improve and maintain health, Dr. McCants also serves as a health and wellness consultant. Dr. Tiffany Ardley, Andrea Jenkins, Shasline Gedeon and Dean Johhnie Early II
Graduate Students in Medicinal Chemistry to Intern at Abbvie Medicinal chemistry Ph.D. graduate student Shasline Gedeon has accepted an experiential internship as a Discovery Platform Technology Intern with AbbVie Pharmaceutical Company. Ms. Gedeon is participating as part of the FAMU Minority Science and Engineering Improvement Program’s Capacity Competitiveness Enhancement Grant, funded by the U.S. Department of Education. She will spend 12 weeks at the company’s Chicago location. She will be working in the Discovery Platform Technology Department, which specializes in the identification and implementation of chemistry technologies and novel therapeutic modalities to enhance probability of success and cycle times in drug discovery. Her particular focus will be working with the state-of-the-art High Throughput Chemistry (HTC) experimentation technology. A Road to Success: The McCants Story Dr. Ellecya R. McCants, Class of 1990, is a native of Miami, a graduate of Miami Jackson High School and a two-time graduate of Florida A&M University in Tallahassee, Florida. Having an interest in the medical profession as well as a love and passion for taking care of people, Dr. McCants completing her Bachelor of Science degree in pharmacy. After completing her Pharm.D. degree, Dr. McCants moved to Denver to complete a general clinical residency at the VA Medical Center. Upon completion of the residency, Dr. McCants was offered and accepted a clinical pharmacist position at Fitzsimons Army Medical Center in Aurora, Colorado, where she served for two years. Having a desire for professional growth and development in academia, Dr. McCants moved to Houston, Texas after being offered a faculty position at Texas Southern University College of Pharmacy and Health Sciences, where she served for seven years.
FAMU Faculty Recognized by Pharmacy Dean Dr. Daryl Norwood received a certificate in recognition of outstanding services at his ambulatory care clinic at The Cora E. Braynon Family Health Center Ft. Lauderdale, where he provides medication therapy management in diabetes and anticoagulation. In addition, Dean Johnnie Early recognized him for achieving a 96 percent clinical interventions acceptance rate at Broward Health.
Drs. Daryl Norwood and Nathan Eraikhuemen, division director, Davie Instructional
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Student Pharmacist Sara Williams Receives Alumni Scholarship Th e S o ut h F lor id a branch of our National Diamondback Association hosted a reception and a going away lunch for Davie Class of 2019. During the occasion, one of the learners, Sara Williams, was offered a book scholarship from the Association. Finally, Dr. Norwood, the Association representative, congratulated the class and encouraged them to consider becoming members upon graduation. Sara Williams and Dr. Daryl Norwood
Student Pharmacists Receive Inaugural Award Kara Glover, Class of 2020, Student Council Association president, and Thomas Howell, Class of 2021, Student Council president-elect and ASP/SNPhA president, both received Inaugural Scholarship Awards presented by Dr. Johnnie L. Early II, dean and professor of the College.
Dean Early and Kara Glover
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Lake Erie College of Osteopathic Medicine School of Pharmacy The faculty and administration of the Lake Erie College of Osteopathic Medicine (LECOM) School of Pharmacy have been focusing efforts to ensure the success of our graduates. From the incorporation of student risk-assessment and specific guidance for students at risk regarding NAPLEX preparation to board preparatory-review sessions led by faculty members, the school has increased its focus on quality and post-graduate success. The LECOM Advantage LECOM was founded with the desire to provide affordable education to students and to provide the opportunity for education for those who did not think it would be possible. This plan was put into effect in pharmacy through three unique learning pathways: a three-year accelerated program in Erie, Pennsylvania; a four-year program in Bradenton, Florida; and a four-year distance-education program. LECOM’s faculty is focused on student success, engagement and transforming the trajectory of our students’ lives. Pharmacy Efforts in Paramedicine One of LECOM’s alumni, now a full-time assistant professor with the LECOM School of Pharmacy, has developed a unique practice site that is gaining national recognition. Victoria Reinhartz, Pharm.D., an assistant professor of Pharmacy Practice, has paired up with a local paramedicine program to provide multidisciplinary patient-centered care in the patient’s Victoria Reinhartz, Pharm.D. own home. Dr. Reinhartz, along with paramedics and social workers, visit patients in their homes to reduce their need to travel for health care. Many patients in Manatee County are below 200 percent of the poverty line, which makes it that much more difficult for them to manage their health. Without the efforts of Dr. Reinhartz and the paramedicine team, there are many patients who would need to use ambulances and hospital emergency departments in order to manage their health. This misuse of resources increases the burden on an already overburdened emergency-response program and crowds the local emergency departments with non-urgent patients. With 20
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Victoria Reinhartz, Pharm.D. (left) and Ashleigh Beachy
the paramedicine program, patients are able to receive quality multidisciplinary care without leaving home. Going into the community provides a variety of opportunities to clinicians, one being that Dr. Reinhartz is able to more accurately assess the patient’s environmental factors that can have an impact the efficacy of the therapy selected for the patient. This practice site serves as an Advanced Pharmacy Practice Experience (APPE) in the area of Ambulatory Care Medicine. Dr. Reinhartz often has two APPE students with her. This is often an eye-opening experience for students and allows them a first-hand look at how and why pharmacists are integral to the health care team. New Curriculum Rollout The faculty at LECOM has begun designing a new version of the pharmacy curriculum. The new design is intended to organize material so students will have more time to focus on difficult concepts and master key learning outcomes for pharmacists. The new curriculum will be module-based, with each unit focusing on a specific body system. Part of the intention of the redesign was to draw stronger ties between the foundational and clinical sciences.
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Top 10 at APhA PatientCounseling Competition The faculty and staff at LECOM are very proud of Ashleigh Beachy (P4) who recently competed in the APhA patient-counseling competition and ultimately placed in the top 10 in the country. This success was due to the hard work that Ms. Beachy devoted to preparation and the support shown her by the APhA faculty adviser, Dr. Kelly Scolaro. Ms. Beachy has been very Ashleigh Beachy successful in patient-counseling competitions and took first place at the annual Florida Pharmacy Association patient-counseling competition in the summer of 2018.
Student Success In 2014, the LECOM School of Pharmacy adopted the purpose statement: “We care for our students and ensure their success.� One measure of success is the NAPLEX first-time test-taker board pass rate, where there was about a 5 percent overall increase from the previous year. A number of efforts were implemented to help our students achieve success on this important exam, including an analysis that identified specific risk factors for failing the NAPLEX. Students were advised of their risk factors and guided on efforts to overcome them. One of these efforts was attendance at a monthlong board review in June on campus or through virtual sessions accessible from home. Another measure of student success is job placement. More than 60 percent of the students who applied for residency matched and students are reporting obtaining positions at a variety of community pharmacies, hospital pharmacies and in industry.
Legislative Day Presence Legislative matters matter and LECOM is actively engaging with our representatives. Legislative Day was held on March 12 and 13 in Tallahassee, and LECOM sent two faculty members and 32 students to approach our local representatives to advocate for the profession and to help impact matters that are crucial to the growth of our practices. The students returned to campus with a new passion for becoming involved with pushing the practice of pharmacy forward through legislative efforts.
Additional Degree Options LECOM is continuing to add new degree programs each year. In the Class of 2019, we have 16 students graduating with an additional Master of Health Services Administration (MHSA) degree. Additional options for second degrees include a Master of Science in Biomedical Ethics (MSBE) and a Master of Science in Medical Education (MSME). Starting next year, students will have the additional option of obtaining a Master of Public Health (MPH). These additional degree options help distinguish our students in the competitive Pharm.D. graduate pool.
JOIN TODAY! MAY 2019
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Larkin University College of Pharmacy Welcome to the Larkin University College of Pharmacy in Miami Gardens, Florida. The 2018-2019 academic year has included tremendous growth for the College of Pharmacy by increasing faculty and staff. Most importantly, we now have three full classes. Being a three-year block program, this means that we now have students in every phase of our integrated curriculum. We have continued renovations on our building, which we purchased from our lessor. We have expanded parking space, classrooms and research space, and we will continue to do so for the next one to two years. This past year also included our five-year anniversary gala, which raised funds to be used strictly for student scholarships. We are particularly excited to have our inaugural class graduate this May. We will have 52 student pharmacists participate in the Inaugural Larkin University Commencement, which will be held at the Charles F. Dodge Pines City Center. This is a significant milestone as we continue to grow and prepare our students to enter the profession. Partnership with Borinquen Medical Centers of Miami-Dade When Dr. Jordan Sedlacek, assistant professor, Department of Clinical and Administrative Sciences (DCAS), partnered with Borinquen Medical Centers of Miami-Dade for her clinical practice site, she saw an untapped opportunity for pharmacists to impact patient care. Dr. Sedlacek started her clinical services at Borinquen in January 2018, where she sees patients who are referred for chronic disease state education and management, mainly focusing on the areas of diabetes, hypertension and cardiovascular risk reduction. Being the first-ever clinical pharmacist at the clinic, there were some challenges, such as how the providers would refer patients and how the visits should be documented. However, the clinical pharmacist service has grown with the help of the staff and providers at Borinquen. Dr. Sedlacek provides extensive patient education and is currently developing educational videos to further enhance patient education (sponsored by the American College of Clinical Pharmacy Ambulatory Care Practice and Research Network’s Innovation Grant). In addition to patient education, Dr. Sedlacek also assists the providers in optimizing patient care regarding patient medications. To continue to build pharmacist services and provide optimal patient care, Dr. Sedlacek applied for and received the Medication Optimization in Primary Care grant from the Institutes for Healthcare Improvement (IHI) and Pfizer. 22
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Larkin University Students on APPE Rotation in Costa Rica
Through this grant, pharmacist faculty from Larkin University College of Pharmacy (Dr. Sedlacek and Dr. Joshua Caballero) and Borinquen team members (Margarita Vroman, RN, director of Ancillary Nursing, and Jessica Cajigas, office manager of Adult Medicine-Main Site), are working with the IHI to improve medication use in primary care. This initiative includes working together with teams across the country, as well as expert faculty, to develop and test innovative, rapid changes to improve medication optimization. Patient-centered approaches are the focus of this project and including patients in the decision-making process is a top priority. Through this project, Dr. Sedlacek completed the IHI’s Improvement Coach program, learning critical skills to lead an improvement team. The entire, interprofessional Larkin University-Borinquen team participates in monthly conference calls, in which the teams from across the country share their experiences. The project wraps up in September, with all teams com-
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Larkin University Students on APPE Rotation in Costa Rica
ing together to share their learning experiences. This interprofessional collaborative is bringing cutting-edge medication optimization to a federally qualified health care center in Miami. It is anticipated that Borinquen Medical Centers of Miami-Dade will become the future site for several more faculty members. Inaugural APPE Rotations This academic year, Larkin University reached another milestone as our first cohort of students went on their Advanced Pharmacy Practice Rotations. Preceptor feedback of students was dynamic and positive. One preceptor said, “My student was superbly professional, able to articulate thoughts and ideas for pharmacy management, administration and direct patient care like a seasoned pro.” Another preceptor noted, “My student’s passion for HIV is inspiring. He is driven by enthusiasm and compassion. He asks the “why’s” and challenges himself. He is dedicated to patient care and goes out of his way to engage the patient, whether it be on the phone or in the pharmacy.” The students also provided positive feedback regarding the opportunity to participate in unique rotation sites. One of those experiences was the U.S. Food and Drug Administration’s application-based rotation. One of our students was selected and “enjoyed the experience of the FDA and learning about the organization, as well as learning about opportunities for pharmacists in other areas of government.” There are also many unique opportunities for students in the local tricounty area. Larkin University offered a neonatal intensivecare-unit rotation at Joe DiMaggio Hospital. One student who participated in this rotation said, “I enjoyed the weekly topic discussions and readings my precep-
tor provided. The preceptor created an atmosphere that encouraged questions and learning. I also enjoyed the daily rounding opportunities which gave me a chance to interact with other members of the multidisciplinary team. This interaction allowed me to observe and learn from various providers and how they assess the patient and provide care, and how each part comes together to work as a whole.” Students also had the opportunity to be exposed to nuclear pharmacy at East Coast Nuclear Pharmacy. Perhaps one of the most exciting rotations was with the International Natural Medicine Research Elective in Costa Rica. During this rotation, students were exposed to the complementary and integrative medicine in Costa Rica and furthered their research when they returned with a Larkin University faculty member. This experience provided a great learning experience for the students and the faculty involved. New Focus on Research Infrastructure LU COP has created research and student laboratory space during its first three years of operation. The research facilities have been focused on both in silico and laboratory tools. Currently, LU COP faculty members have the computational capability in the area of drug design through Schrödinger software, pharmacokinetic/pharmacodynamic simulation by GastroPlus and MATLAB software, and prediction of absorption, distribution, metabolism and excretion (ADME) properties and drug interaction potential through GastroPlus. Different modules of GastroPlus are available as an in-kind support from Simulations Plus Inc. of Lancaster, California, to Dr. Subrata Deb, chair of the Department of Pharmaceutical Sciences (DPS), whereas the other computational tools were obtained through professional development efforts. MAY 2019
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The combination of computational and laboratory tools allows faculty to better imagine the endpoints of a project and achieve more useful data at the bench. The ongoing laboratory efforts encompass developing techniques based on research capacity in the area of synthesis and characterization of new anti-cancer and anti-infective small molecules, formulation of vaccines and film-based dosage forms, mechanistic studies and remedies of stroke and neurodegenerative diseases, and drug metabolism and drug interaction studies with human, rodent and primate tissues. Different techniques that will facilitate these biomedical and pharmaceutical sciences research areas include dissolution testing, spectroscopic assay methods, Western blot, liquid chromatography-mass spectrometry (LC-MS), mammalian cell culture facility, flash chromatography, and tissue/biological fluid sample storage. The triple quadrupole LC-MS is one of the analytical instruments that faculty researchers envision to make them competitive in small molecule research. The research infrastructure also is being designed with an eye on the active collaborations across the disciplines between the pharmaceutical and clinical sciences departments. The faculty projects aspire to address the circular path of bedside to bench where unresolved clinical problems are identified at the practice sites and eventually mechanistic understanding with corrections evolve from multidisciplinary projects. Several new laboratories are now in the construction phase.
Student Life APhA – ASP Larkin University’s APhA-ASP chapter is going to celebrate its third birthday soon. As a chapter, we seek to offer our members multiple educational and learning opportunities. As part of our educational mission, the chapter invited the assistant dean of pharmacy services at Nova Southeast-
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Kappa Psi Beta Class
ern University, Dr. Goar Alvarez, to present in the fall about the importance of advocacy for the profession. The members of LU’s APhA-ASP had the opportunity to attend multiple events locally and nationally, including the APhA-ASP midyear regional meeting in October 2018, Florida Pharmacy Association’s Legislative Day and Health Fair in March 2019, and the National APhA meeting in March 2019. P1 student Tevin Johnson represented LU in the APhA National Patient Counseling Competition. Additionally, multiple patient-care opportunities were provided by the chapter during the past year. Suicide prevention techniques and certification was presented in June 2018 by Demian Laudisio from the Jewish Community Center of South Florida to learn about suicide prevention and patient assessment. The chapter also was part of the South Florida Caribbean exposition in November 2018 to promote OTC literacy. While our message was to educate the community about the proper use and storage of OTC medication, our booth in the event was dedicated to interacting with children to demonstrate and describe for them the difference between medication and candy. As a chapter, we were part of a Christmas drive initiative for low-income pregnant women. Our aim was to collect baby necessities, such as diapers, bottles and newborn clothing. All donations went to AGAPE Pregnancy Center in Merritt Island, Florida. Dr. Christiane Chbib and Dr. Paul Boylan are their faculty advisers. Industry Pharmacists Organization No organization is built by one person, not even by just that organization’s board. It is a community effort built on support from peers and mentors. The chartering process for the Industry Pharmacists Organization (IPhO) was no exception. From the first meeting of the student body required to approve the charter, to meetings with the director of student services and finding a faculty adviser, selecting board members and submitting the completed charter to the national organization, assistance and encouragement were not only accessible, they were enthusiastically given. IPhO is an organization that is very important to the student body. This dis-
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LU APhA-ASP’s Suicide Prevention Techniques and Certification session
tinct part of the pharmacy job-scape is under-represented and largely neglected. “I never thought that I was the person who would start an organization, but when I was seeking answers to tough questions about industry from pharmacists outside the school, I was greeted with a myriad of answers which contradicted each other,” said Scott Arrighi, a first-year student leader. “One of the organizations that we covered was IPhO, and a lightbulb went on in my head.” After putting in months of work for the chartering process, which involved securing an adviser, presenting a proposal to the student body for a vote and securing chartering members, Arrighi said that receiving the letter of acceptance for the Larkin University chapter “was one of the best days of my life.” He continued, “It took a long time, but all in all it was well worth every minute that was spent, and I would recommend it to anyone who has a desire for an organization that doesn’t exist at their school.” Dr. Jayesh Parmar is the faculty adviser. Kappa Psi Kappa Psi at Larkin University is continuing to grow. This year, we welcomed our Beta Class. We had a strong pledge program that continues to lay the foundation for strong brothers. Members planned and participated in many different events this year, mostly focused on fundraising and philanthropy. Taco Tuesday has continued to be a very successful fundraiser that everyone on campus seems to enjoy. It is also important to us to help the community. We participated in a Walk to End Alzheimer’s and educated participants on Al-
zheimer’s, as well as volunteered locally at the Broward Outreach Center. Dr. Andria Murzello is the faculty adviser. Phi Delta Chi On May 5, 2018, we successfully initiated 39 founding brothers into the Delta Theta Chapter of Phi Delta Chi at the Larkin University College of Pharmacy. Brothers continue to aid those in need by volunteering at Feeding South Florida (Jan. 13 and Aug. 18, 2018). We conducted a Halloween Costume Contest and Potluck (Oct. 31, 2018). For every $5, $1 went toward our chapter’s fundraising page for St. Jude’s. We represented Delta Theta during FPA Legislative Days (Jan. 16, 2018) and ASHP mid-year (Dec. 2-6, 2018). Delta Theta initiated its Beta Class on Nov. 11, 2018. We look forward to raising money and gathering more donations toward St. Jude’s until childhood cancer is eradicated. We are proud to have been part of this amazing process and this organization. We look forward to continuing to contribute to the community via this pharmacy fraternity. Phi Lambda Sigma Phi Lambda Sigma (PLS) is the National Pharmacy Leadership Society, which strives to foster leadership within the pharmacy profession. Through the diligent work of four students from the class of 2019 and two students from the class of 2020, Larkin University successfully submitted the official petition and received approval on Jan. 14, 2019, from the PLS National Board to begin the chartering process. At this time, two students from the class of 2019 and six students from the class of 2020 have been identified as charter members. Ultimately, the goal is to conduct the charter presentation and installation ceremony in spring 2019 to induct 14 student members into PLS. Dr. Catherine Hobart is the faculty adviser. SNPhA The Student National Pharmaceutical Association (SNPhA) is an organization dedicated to serving the local community, especially in under-represented and underserved areas. This organization also seeks to promote and highlight the role of the minority pharmacist. The purpose of SNPhA is “to plan, organize, coordinate and execute programs geared toward the improvement of the health, educational and social environment of minority communities.” Each studentled chapter must organize and execute activities addressing the requirements of their eight initiatives: Bridging the Gap, Chronic Kidney Disease, Fighting Diabetes, Legislation, Mental Health, Operation Immunization, Power to End Stroke and Remember the Ribbon (HIV). The LU-SNPhA chapter belongs to Region 2, and student leaders also must participate in monthly conference calls for both the region and for active initiatives, where they are able to network with their colleagues and fellow student leaders from across the southeastern region of the U.S. and learn from other chapters about how to manage the challenges present in MAY 2019
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their goals of addressing each initiative’s requirements. Leadership within SNPhA fosters a healthy sense of competition and peer-peer recognition among the student leaders because each chapter must report back to the region’s representative on events conducted in the previous month to then receive points based on how well these events addressed the initiative’s requirements; the top-performing chapter is recognized at the end of the year at the SNPhA regional conference. LUSNPhA currently has 15 officers and initiative chairs, composed of both P1 and P2 students. Dr. Melissa Santibanez is their faculty adviser. SSHP The American Society of Health-System Pharmacists’ Strategic Plan Goal 1.4 is to improve patient care by enhancing the well-being and resilience of pharmacists, student pharmacists and pharmacy technicians. The Student Society of Health-System Pharmacists (SSHP) was charged with creating a workshop to help develop a student program to discuss well-being and resilience. The Larkin University College of Pharmacy SSHP invited students, faculty and staff to the Wellness and Mindfulness workshop in March. This workshop included techniques on how to deal with stress using a program called “Calm.” The program, an application that can be downloaded on smartphones, has guided meditations that can be utilized to decrease stress, anxiety and increase quality sleep. The workshop, which introduced the meaning of mindfulness and how to apply it when dealing with everyday challenges, was such a success that it will now be a monthly occurrence. LU SSHP brought in many guest speakers to help provide
Larkin University at the Florida State Capitol for Legislative Visits
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more information regarding pharmacy careers and residency to their members. One speaker, Dr. Miguel Ramos, presented on pharmacogenomics. The speaker was able to describe how he obtained a position in pharmacogenomics, as well as how pharmacogenomics plays a role in his current career. LU SSHP also had speakers who presented information on pharmacy residencies. They had a resident panel with three local pharmacy residents, where the residents gave their opinions on residency, as well as tips for resident candidates. Lastly, LU SSHP hosted Dr. Marlene Delavalle, clinical manager and PGY-1 program director at the University of Miami. She provided students with an overview of the residency application process, as well as tips on how to be a strong residency candidate. This past year, LU SSHP had many events to help improve student well-being, as well as prepare them for healthsystem pharmacy careers. FPA Legislative Days and Health Fair This year marked the third time that Larkin University participated in the Florida Pharmacy Association’s Legislative Days and Health Fair in Tallahassee. Every year, the number of participating students and faculty grows based on the positive feedback and experiences had by previous groups when they participated. This year, we had 27 students participate. The purpose of our involvement is to advocate for the pharmacy profession by joining the Florida Pharmacy Association and the Florida Society of Health-System Pharmacists’ efforts to support different pro-pharmacy legislation in both the Florida Senate and House of Representatives. The three-day event included a Pizza and Policy Night, in which training was provided on the various bills affecting
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New Faculty Larkin University Students training
pharmacy practice. On the second day, the students participated in a health fair to demonstrate to legislators and other visitors to the Capitol how pharmacists can help the community and the impact they have on its health. Under faculty supervision, students were assigned to different stations where they participated in body-mass index and blood pressure screenings and poster sessions to promote awareness of key issues. Also on the second day, the students met with state legislators to discuss pharmacy bills, including collaborative practice, test and treat and PBM transparency. In addition, the students had the opportunity to interact with their peers from the other colleges of pharmacy within the state. Overall, the students and faculty continue to enjoy this event and look forward to the next Legislative Days.
Larkin University Students at the Health Fair
Dr. Catherine Hobart: Dr. Hobart received her Doctor of Pharmacy degree from Duquesne University and continued her clinical training by completing a PGY-1 Pediatric Pharmacy Residency at Rainbow Babies and Children’s Hospital in Cleveland, Ohio. Upon completion, she continued to a PGY-2 Pediatric Pharmacy Residency at the University of Arizona in Tucson, Arizona. She has joined Larkin University College of Pharmacy for her first faculty appointment. Dr. Alicia Lopez: Dr. Lopez graduated from Shenandoah University School of Pharmacy. She completed an ASHP-accredited, mental-health focused PGY-1 Residency at the Battle Creek VA before completing an ASHP-accredited PGY-2 Psychiatric Pharmacy Residency at Nova Southeastern University. She presented research results on substituted phenethylamine-associated mortality at the VI International Conference on Novel Psychoactive Substances in the Netherlands in April. Dr. Juan F. Mosley II: Dr. Mosley earned his Doctor of Pharmacy degree from Florida A&M University’s College of Pharmacy and Pharmaceutical Sciences in April 2011. Upon completion of the doctoral program, Dr. Mosley completed a Clinical Pharmacy Practice Residency in ambulatory care with a concentration in HIV/AIDS management with the Aids Drug Assistance Program (ADAP) in Leon County, Florida. Upon completion of the residency program, Dr. Mosley began his academic career at FAMU’s Durell Peaden Jr. Educational Center in Crestview, Florida, as an assistant professor of Pharmacy Practice. As one of two faculty members since the grand opening of the center in 2012, Dr. Mosley worked in collaboration with Community Health of Northwest Florida and the Florida Department of Health in Escambia County, where he provided HIV and primary care services while facilitating hands-on clinical experiences for student pharmacists. Dr. Mosley also worked for Publix Supermarkets Pharmacy as a part-time pharmacist for four and a half years. Dr. Mosley holds certifications for Medication Therapy Management and Teaching and Learning. He also has obtained his Consultant Pharmacist License and the American MAY 2019
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Academy of HIV Pharmacist certification (AAHIVP), among other credentials. In his six years of serving as a faculty member at Florida A&M, Dr. Mosley published 20 articles, served as a research investigator for three grants, was promoted to associate professor and earned tenure status while serving on several college committees and participating in various community service events in the Florida Panhandle. Dr. Mosley is excited to be home in Miami to continue his academic career as a faculty member with the Larkin University College of Pharmacy as an associate professor in the Department of Clinical and Administrative Sciences. Dr. Mosley is an advocate for HIV awareness and enjoys being able to educate others about appropriate HIV management as well as the prevention options available to reduce further transmission of the disease. He is passionate about teaching and expanding his clinical knowledge and vows to spend the rest of his career giving back to his profession. Dr. Jennifer Thomas: Dr. Thomas earned her Doctor of Pharmacy degree from Nova Southeastern University (NSU) in Fort Lauderdale, Florida. She worked as a community pharmacist for one year before pursuing post-graduate training at NSU by completing a two-year Neurocognitive Fellowship. Upon completion of her fellowship, she served as an assistant professor in the Department of Pharmacy Practice at the
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Husson University School of Pharmacy in Bangor, Maine. Dr. Thomas joined the Larkin University College of Pharmacy in August 2018 as an assistant professor in the Department of Clinical and Administrative Sciences. Her research interests are focused in the areas of psychiatry, substance use disorders and HIV. Dr. Sara Thompson: Dr. Thompson earned a Doctor of Pharmacy degree from the Belmont University College of Pharmacy in Nashville, Tennessee. She then completed a PGY-1 Residency at the VA Caribbean Healthcare System in San Juan, Puerto Rico, followed by a PGY-2 Residency in pharmacotherapy with an emphasis in family medicine and academia at the University of Texas at El Paso School of Pharmacy in El Paso, Texas. Dr. Surabhi Shukla: Dr. Shukla joined the Larkin University College of Pharmacy as an assistant professor of pharmaceutics and pharmacokinetics in the Department of Pharmaceutical Sciences in July 2018. She holds a doctorate in pharmaceutical sciences from the School of Pharmacy, University of Mississippi. Before joining Larkin, Dr. Shukla was working as a postdoctoral associate in the Department of Pharmaceutics and Drug Delivery at University of Mississippi. Dr. Shukla’s post-doctoral research work involved studying modulation of efflux transporter proteins to improve ocular bioavailability of poorly permeating drugs that may play important roles in the treatment of ocular infections and retinal diseases.
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Nova Southeastern University College of Pharmacy After More Than 30 Years, NSU Continues to Have Many Firsts Last year, Nova Southeastern University celebrated the College of Pharmacy’s 30-year anniversary by looking back at the impactful accomplishments of leaders, administrators, students, faculty and staff members. This year, we set the future of the College of Pharmacy into motion as we Dream of transforming the pharmacy profession through programs grounded in patient-centered care. We Dare to take risks that will benefit our students, alumni, stakeholders, communities and the world. Additionally, we will continue to Discover new methodologies of teaching, conduct and support for new research and share those findings to improve global health. Building on the legacy set forth by our predecessors, the new Pharm.D. curriculum was introduced, providing students a fresh approach to learning that will give them an edge in this ever-evolving profession. In May 2018, we proudly graduated 12 Ph.D. students and the first cohort of students from the Master of Science in Pharmaceutical Affairs program – the only one of its kind in the United States. The firsts continue May 2019, when we will graduate the first cohort from the Master of Science in Pharmaceutical Sciences (MSPS) program. This program once again highlights our commitment to providing diverse opportunities to our students. We are committed to setting the new standard by helping each student become a force of nature within and beyond the profession.
First South Florida PGY-2 Ambulatory Care Residency Accreditation Granted The College of Pharmacy is proud to announce the official accreditation of its Ambulatory Care Postgraduate Year Two (PGY-2) Pharmacy Residency, which is led by Tina Joseph, Pharm.D., BCACP. The program is the first of its kind in South Florida and speaks to the high-caliber education provided by the NSU College of Pharmacy. The NSU ambulatory residency model is unique from almost all PGY-2 ambulatory care programs in the country. Residents work within the ACORN SEED (Accountable Care Organization Research Network, Services and Education) team, which consists of college of pharmacy faculty members integrated within primary care physicians’ offices as part of a community-based accountable care organization. Many of these physicians have had little or no experience working in parallel with pharmacists. This unique element allows residents to gain the experience of building clinics and relationships from the ground up, while paving the way for new advanced pharmacy practice experience (APPE) sites that will benefit future pharmacy students. The program’s high marks resulted in approval of a threeyear accreditation by the American Society of Health-System Pharmacists (ASHP) in October. This accreditation demonstrates the high-quality educational programming provided by the NSU College of Pharmacy and enhances the way the college is seen throughout the country, while positively impacting the daily lives of the patients it serves. This landmark accomplishment is a testament to the quality learning experiences available through the Pharm.D. program at the NSU College of Pharmacy and is yet another example of the NSU Edge.
New HCA Hospital on NSU’s Fort Lauderdale/Davie Campus NSU continues to expand its commitment to improving the health of those in our community. Hospital Corporation of America (HCA) East Florida has started construction on a teaching and research hospital with 200+ beds. The hospital will be located on NSU’s Fort Lauderdale/Davie Campus and will be integrated with NSU’s research centers and clinical trial programs. Ideally located, with easy highway and airport access, South Floridians and visitors from around the world will benefit from the comprehensive care this hospital will provide.
New Pharm.D. Curriculum Emphasizes New Skills Fall 2018 marked the launch of a new, cutting-edge Pharm.D. curriculum in which students take courses in modules, with the aim of more rigorously preparing them to dominate in the profession. The curriculum is presented in blocks of integrated topics that emphasize knowledge, skills and practical experience – revisiting key concepts throughout multiple courses. Students take courses in two- to four-week blocks (the length of each course may be different), concentrating on a specific content area so they can master it before moving on to the next course and mastering that one. Professionalism, critical thinking, clinical reasoning and
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skills development were woven throughout the curriculum to enable students to be practice-ready and team-ready upon graduation. Some of the newly implemented skills students are exposed to include more laboratory classes and professional experiences as well as training, practice and certification for certain functions that all pharmacists do, such as immunization and medication therapy management. This also will include functions that may be specialized (smoking cessation and sterile compounding) as required courses. For the class of 2022, this new way of studying seemed daunting at first, but students have taken it on together and are flourishing into a force of nature. CareeRx Space: Technology and Pharmacy Unite The CareeRx Space provides students access to training and opportunities outside the classroom and helps to advance the profession by developing professionals who will dominate in the field. The new facility opened its doors for students and alumni as the hub for student development and career services in fall 2018. With more than 25 services, the CareeRx Space provides the convenience of online appointment setting, curriculum vitae review, public speaking training, residency training and match support. It also is a state-of-the-art video production studio with professional backdrop, lighting and sound for virtual interviews – and much more. As part of the CareeRx Space, an online job board was launched to consolidate all pharmacy employment opportunities connecting employers to NSU College of Pharmacy students and alumni. The CareeRx Space allows us to connect with students for one-on-one, individualized consultations, virtually and in person. This helps to meet the demands of ever-changing life schedules and gives students the convenience of flexible meeting schedules. This NSU Edge helps NSU College of Pharmacy students create the important first impression and allows them to dominate in their career search. eventRX: Staying at Forefront of Innovation The eventsRX software and app is a digital system used to provide management for events and capture data pertaining to students’ participation in co-curricular events and activities. The software, originally developed by a team of pharmacy educators, administrators and a software designer/programmer, helps the college document student participation in
co-curriculum activities. Since its inception, the software has expanded to capture all student events in the college. It also generates the college’s student events calendar and has been a success since implementation in 2018. Rather than using a paper system, which is very cumbersome and fails to provide the outcome data needed to meet accreditation requirements, the system combines event/activity management tools that integrate event information, an events calendar and reporting on student experiences with a simple web-based app installed on smart phones or tablets, which capture student participation. The success of eventsRX led to a presentation on this topic at the American Association of Colleges of Pharmacy (AACP) national meeting last July. In collaboration with the University of Georgia, NSU will again present at this year’s annual meeting on eventsRX and its use to drive co-curricular assessments. Continual enhancements are being made to the software and a patent application was submitted. NSU is currently seeking commercial companies that are interested in purchasing the software.
Futures Summit: Pharmacy Profession Network Leads to Student Success The Futures Summit was created as a pharmacy career and networking event encompassing all aspects of the profession – from software companies that develop programs to assist in tracking pharmacy dispensaries, to pharmacological research companies looking to hire the person who will discover the next big therapeutic breakthrough – and everything in between. By design, it gives different pharmacy constituents the opportunity to network, while opening doors for students to potential dream jobs they may not have known existed. The November 2018 event brought together 120 companies, including Cleveland Clinic, Memorial Healthcare System (MHS), Walgreens, Sandoz, CVS Health, the U.S. Food and Drug Administration, the U.S. Drug Enforcement Administration, Baptist Health South Florida, Pfizer, Rutgers, the U.S. Air Force and the Florida Board of Pharmacy. The Futures Summit, which attracted more than 800 atMAY 2019
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tendees, was open to the entire university, providing all NSU students a competitive edge. As a result, more than 30 undergraduate students also reaped the rewards of participating by receiving job offers from some of the companies in attendance. NSU College of Pharmacy’s Brain Research and Integrated Nutrition (B.R.A.I.N.) Center Hosts Nutritional Factors in Autism Symposium NSU launched the B.R.A.I.N. Center in February 2018 to conduct basic and clinical research into metabolic causes of brain disorders and their treatments, as well as to provide related educational programming. On Oct. 19, the Center hosted a one-day conference welcoming close to 100 attendees at its first educational program. The program provided information to parents and professionals about the causes of autism and potential treatment approaches, including nutraceutical options. It further provided information on the critical role of epigenetic regulation in brain development and information on the sensitivity of the brain to environmental toxins. Richard Deth, Ph.D., director of the B.R.A.I.N. Center, welcomed guests and was the keynote speaker. Faculty members from the College of Pharmacy and several guest speakers provided a range of topics, including “The Importance of Nutritional Evaluation of the Patient with Developmental Challenges,” “How to Incorporate Nutritional Genomics into Treatment Modalities for ASD” and “The Importance of a Well-functioning GI Tract in Autism.” A complete list of speakers and accompanying videos is available online at https://pharmacy.nova.edu/BRAIN_Center/index.html. Next year’s conference will focus on nutritional factors in Alzheimer’s disease. Updates will be posted on the website. Commemorating 10 Years of Glucose Games The College of Pharmacy’s chapter of the American Pharmacists Association Academy of Student Pharmacists (APHAASP) proudly celebrated the 10th anniversary of the Glucose Games. The annual event, which includes participation from other NSU colleges, consists of flag football teams that raise
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money while having fun. The Glucose Games was created as a philanthropic effort to raise money for the nonprofit organization Florida Introduces Physical Activity and Nutrition to Youth (FLIPANY). Over the years, it has evolved from a College of Pharmacy event to one of the biggest interprofessional events on campus. Over the span of a decade, the event has raised more than $25,000 for FLIPANY, which provides healthy meals and physical activity programs to kids in South Florida This year, more than 300 participants from 10 different colleges were present at the Miami Dolphins Training Facility on the NSU Fort Lauderdale/Davie Campus. The Glucose Games has become a staple within the College of Pharmacy and is now an interdisciplinary event everyone looks forward to annually. This student-led pharmacy event is a reflection of the philanthropic spirit that is woven throughout the fabric of our students and NSU as a whole, and is a source of Shark pride. Palm Beach and Puerto Rico Students Make Impact in Community and on Future of Profession The NSU College of Pharmacy in Palm Beach collaborated with the Diabetes Coalition of Palm Beach County to host 10 events throughout the county, screening over 500 patients during this academic year. The organization is a voluntary nonprofit alliance of more than 50 health care organizations and community partners. They work together to prevent diabetes and improve the lives of people living with the disease, and those touched by it through awareness, education, advocacy and access to care. The largest event, “Know Your Numbers Health Fair at the Palm Beach Outlets,” occurred in January 2019, and in addition to Hemoglobin A1c (HbA1c) tests that were conducted, the event also featured educational booths, tasty and healthy treats, children’s activities and gift certificates and prizes. Faculty members from the NSU College of Pharmacy supervised 20 first- to third-year pharmacy students as they conducted the screenings. Students in Puerto Rico also are doing their part in the community. Faculty and student pharmacists from NSU’s
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College of Pharmacy Puerto Rico Campus collaborated with Walgreens, Puerto Rico, in its annual event, “Walgreens Healthcare Expo Contigo y los Tuyos.” During the event, students provided HIV rapid-tests screening services and blood pressure and glucose tests, impacting approximately 200 participants. Attendees also were provided health-related educational resources and participated in sports activities, while raising funds to assist local nonprofit organizations that provide services to underserved patients.
Participation in community events extends to more than just health fairs. Students at NSU’s College of Pharmacy in Puerto Rico also take pride in bringing awareness and raising funds for causes that affect so many, such as the Susan G. Komen 5K Race for the Cure. They also visit and bring donations to the elderly, taking the time to play bingo, paint, dance and bring smiles to their faces. Student Achievements a Source of Shark Pride NSU students are prepared to dominate the pharmacy profession. We are proud to highlight a few of our students who represent the NSU Edge outside of the NSU College of Pharmacy halls. Krista Riveron, a dual Pharm.D./MSBI candidate who is graduating in 2019, is the recipient of the Health Information Management Systems Society (HIMSS) South Florida Chapter scholarship. This inspiring student has served as vice president of Student Government on the Palm Beach Campus, among other organizations, while juggling four young children and maintaining a 4.0 average in her informatics coursework. Parvathy Varma, M.S., who also will graduate in May 2019 and is the NSU Industry Pharmacists Organization (IPhO) Chapter founding president, has accepted an offer for a pharmaceutical industry fellowship in partnership with Rutgers and AstraZeneca. This is a very competitive and reputable fel-
lowship nationwide. Matthew Schrier, a Ph.D. candidate in our pharmaceutical sciences program in the molecular medicine and pharmacogenomics concentration and president of the Graduate Association of Pharmaceutical Sciences, was awarded an American Foundation for Pharmaceutical Education (AFPE) Pre-Doctoral Fellowship in Pharmaceutical Sciences. His selection from an elite group of applicants recognizes the significance of his research. Adriel Martinez Varela, Class of 2020, was selected as the recipient of the Puerto Rico Pharmacist Association (CFPR) scholarship, granted to a student pharmacist with financial needs who represents the highest ethical standards of the pharmacy profession, leadership characteristics and service to the profession. Keyla Rodriguez Zayas, Class of 2019, is completing an APPE at the U.S. Food and Drug Administration’s (FDA) headquarters, becoming the first student from NSU’s College of Pharmacy Puerto Rico to be selected for the prestigious rotation. It also marks the first time the FDA Center for Drug Evaluation and Research’s Counterterrorism and Emergency Coordination (CTECS) Division offered this APPE. Once again highlighting the far-reaching network of NSU alumni, the preceptor was Carlos Gonzalez-Mercado, Pharm.D. Class of 2014. Advocates for the Profession In March, 33 students, six faculty members and two residents participated in the Florida Pharmacists Legislative Days and Health Fair in Tallahassee. During the visit, faculty members and students provided health screenings and spoke to legislators about the pharmacy profession and the issues important to those in the field. Students also presented educational posters on current pharmacy-related bills, including collaborative practice, test and treat, and pharmacy benefits managers (PBM). During the health fair, students and faculty members participated in blood pressure, body mass index (BMI), glucose and cholesterol screenings. Legislators, lobbyists, FPA Executive Vice President and CEO Michael Jackson, B.Pharm., and the general public were among the 268 patients that students screened, a record high for Legislative Days. Travel Study The college offered its annual Travel Study program to students in June 2018 as part of a summer-term course. Students learned about the practice of pharmacy in Spain and the European Union. The experience allowed them to participate in cultural excursions, pharmacy and hospital visits while also attending classes in the Spanish cities of Madrid, Toledo, Salamanca and Granada. While the program provided students with the opportunity to experience the culture of the areas visited, there were also concrete program outcomes providing students with the MAY 2019
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ability to compare the practice of pharmacy in Europe and the U.S. and learn about the legal framework and regulatory structures in Spain. In addition, students were exposed to translational research activities during the program. Class of 2021 student Marissa Brooks, who attended last year’s study program said, “This trip to Spain was an amazing experience!” Faculty Member Contributions Faculty members from the NSU College of Pharmacy are engaged in a range of funded discovery and development research, advancing the research mission of the college. For example, Richard Deth, Ph.D., professor in pharmaceutical sciences, exemplifies this through his work as a molecular neuroscientist with research interests in several brain disorders, including autism. He received funding from the Boston VA Research Institute to further support his research program. Deth does not shy away from the public spot light and recently created a podcast describing the potential role for methylation and Vitamin B12 in autism. The podcast is designed for parents of children of autism, turning research into better health. Malav Trivedi, Ph.D., assistant professor of pharmaceutical sciences, won several extramural funded awards. An award from the Department of Defense for the study of “Immunomodulation in Gulf War Illness (GWI)” ($732,161), which aims to uncover what causes the onset and progression of GWI and the role the immune system might play. A second award is from the National Institutes of Health to examine the “Modulation of Therapeutic Cells Exosome Content by Autophagy” 34
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($454,924). The goal of the research grant is to find better ways to heal wounds faster and increase the capacity of therapeutic cells to facilitate organ healing. Both awards are interdisciplinary and leverage the resources available within NSU. Several NSU College of Pharmacy faculty members have successfully obtained patents during the past year. Enrique A. Nieves-Vazquez, Ph.D., clinical assistant professor of pharmaceutical sciences, received a patent for “Drug Delivery Systems and Methods for Preparation Thereof” in November 2018. Anastasios Lymperopoulos, Ph.D., associate professor of pharmaceutical sciences, received a patent for his work on “Compositions Comprising β-Arrestin 1 and Methods of Use Thereof for Therapeutic Modulation of Aldosterone Levels in Heart Disease.” Finally, Mutasem Rawas-Qalaji, Ph.D., associate professor of pharmaceutical sciences, received a patent for a novel dosage form of epinephrine. Appu Rathinavelu, Ph.D., associate dean of institutional planning and development and executive director of the Rumbaugh-Goodwin Institute for Cancer Research, visited India in February 2019 as a continuation of the Fulbright Scholarship he completed in 2016. As part of the Global Initiative for Academic Networking (GIAN) program that was funded by the Government of India, Rathinavelu taught the course “Cancer and Molecular Basis of Cancer Therapeutics” to graduate students, professional degree students and postdoctoral fellows at the Bharathidasan University of Tamil Nadu state. Rathinavelu also was the keynote speaker at the International Conference on Cancer Inferno and Its Prevention Strategies and presented seminars at the Clinical Biochemistry Department of the University of Madras. Elizabeth Sherman, Pharm.D. (’07), associate professor of pharmacy practice, along with colleagues from across the U.S., became a member of an industry-sponsored research grant for a project entitled “The Incidence and Severity of Drug Interactions Before and After Switching Antiretroviral Therapy to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Treatment Experienced Patients.” This is a multicenter, observational, retrospective cohort study of treatment-experienced patients with HIV infection and complements her longterm work with the AIDS Education and Training Centers Program funded under HRSA. The New Standard The NSU College of Pharmacy motivates students to Dream. Dare. Discover. As we look toward the future, we build on this challenge by setting the new standard of pharmacy education. We are providing our students with pathways to excellence as we raise the bar in this ever-evolving field by not only adapting to it, but leading the change. Our students will not only graduate, they will dominate and be the force of nature catapulting the future of pharmacy. Learn how you can benefit from the NSU Edge by visiting www. pharmacy.nova.edu – the new standard awaits. We encourage students, alumni and friends to be a part of it all! Go Sharks!
Drug importation has been a hot topic for legislators in Florida this session. While their desire to lower the out-of-pocket costs to their constituents is understandable, going outside of the United States’ secure drug supply chain puts patients’ lives at risk. How do we know this? Other states have been down this path before. From 2013 to 2015, a Maine law allowed for foreign prescription drugs from online “pharmacies” associated with licensed retail pharmacies in Canada, the U.K., Australia, and New Zealand. Within weeks of the law going into effect, University of New England’s College of Pharmacy professor Kenneth McCall saw advertisements in a local paper and tested three medications ordered from one of these online pharmacies.
India
OVED
Mauritius
Turkey
77% of the stated dose
of the stated dose
celecoxib
esomeprazole
58%
?
?? ?
clopidogrel
R
unknown contaminant
McCall’s testing showed that one pill only contained 58% of the stated dose, and a second pill only contained 77%. The third pill contained an unknown contaminant.
APP
The drugs received came from India, Mauritius, and Turkey, and none of them were approved for sale in either the U.S. or Canada.
A FD
NOT
Patients are not the only individuals that these unapproved medications pose a threat to. A pharmacist would be legally liable when he or she fills a legitimate prescription with these potentially dangerous substances. No pharmacist in this country wants to sell a counterfeit product or place patients’ health at risk. Nonetheless, pharmacies would unwittingly become part of a toxic supply chain and be forced to pay the price. You can read more about McCall’s experience with drug importation in Maine by going to https://safedr.ug/Maine-Importation. Maine is not alone. Other states have also tried and failed to create safe drug importation programs. Go to https://safedr.ug/Take-Action to learn how you can keep non-FDA-approved prescription drugs out of the state of Florida.
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Palm Beach Atlantic University Gregory School of Pharmacy From the Office of the Dean The Lloyd L. Gregory School of Pharmacy at Palm Beach Atlantic University is on mission and on the move. It is a privilege to provide this annual update to our friends and colleagues throughout the great state of Florida. As you are hopefully aware, PBA represents one of the smallest schools of pharmacy in the state, approximately 75 students per class. And we’re relatively young, Dean Jeff Lewis with our inaugural class having graduated in 2005. Fast-forward to 2019, and we’re graduating our 15th class of outstanding pharmacists … servant leaders … and our alumni roster has crested the 1,000 mark! I am grateful for the many faculty and staff who have dedicated their skills and heart to this important work. I am equally grateful to the hundreds of colleagues throughout the state who have supported this program over the past 15 years, serving as preceptors, lecturers/speakers, mentors, donors, encouragers and so much more. Your investment in the lives of the men and women who pass through this place is invaluable. And I thank you. This update opportunity, graciously afforded to us by our colleagues at the Florida Pharmacy Association, will highlight some of the elements of our program that reveal the core of our existence … serving others with excellence and compassion, and doing so in a manner that addresses real-world problems … meeting the needs of real people, in Palm Beach County and around the world. In particular, you’ll read of our deep and committed engagement in two arenas … meeting the daunting needs of underserved populations and bringing pharmacy expertise to bear in addressing the overwhelming epidemic of opioid abuse. I am so proud of the manner in which our faculty, staff, alumni and regional partners have embraced the challenges inherent in these arenas and, through such, are preparing our students to be better pharmacists. You’ll read of several specific individuals below, but I wanted to highlight a couple of faculty at this point in the update. Dr. Mariette Sourial, associate professor of pharmacy practice, serves with clinical excellence and patient-centered compassion day in and day out. In addition to her clinical practice 36
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responsibilities, she serves as our director of Interprofessional Education and maintains a significant classroom teaching load. She is a tremendous model of servant-leading for our students. This past year, her peers around the state of Florida agreed, and FPA recognized Dr. Sourial with the James Beal Pharmacist of the Year Award. Dr. Elias Chahine, associate professor of pharmacy practice, is a relative veteran of our still-young Mariette Sourial faculty and program, having been with us for nearly 12 years. He’s a specialist in infectious disease – and serves as both a clinician and instructor in this area of practice. This past year, Dr. Chahine was recognized by the American College of Clinical Pharmacy (ACCP) – the national organization that has consistently advocated for and advanced clinical pharmacy practice for the past several years – with its annual Education Award for making “substantial and outstanding contributions to clinical pharmaDr. Elias Chahine cy education.” I’m honored to have such talented and caring individuals on this team. I trust that you’ll be not only informed, but encouraged by this update from Palm Beach Atlantic University. And, as always, never hesitate to let me know if and how my team can be of service to yours. Supporting better patient care, Jeff Lewis Dean
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Servanthood – Developing Holistic Pharmacists It’s critical that pharmacists understand the challenges people face in accessing and receiving health care … the disparities are many. It is incumbent upon a school of pharmacy to develop these understandings in our students … helping them become holistic pharmacists. And this dovetails perfectly with one of the core values of the Gregory School of Pharmacy (GSOP): servanthood. We take that very seriously as we actively seek opportunities to extend our hands to those in need. Servanthood takes a number of forms in our School, but most notably, in our continuing engagement in medical missions and our tireless involvement in our community. Gregory Center for Medical Missions The Gregory Center for Medical Missions (GCMM) was launched in 2013 with a purpose to guide the School’s engagement in medical mission initiatives. Under the direction of Dr. Dana Brown, the GCMM launched its inaugural speaker’s forum earlier this year in grand fashion with a guest lecturer, Dr. David Stevens. Dr. Stevens is the CEO of the Christian Medical and Dental Associations, as well as the author of “Jesus, M.D.,” among other books. Over 300 students, faculty and guests were informed, challenged and encouraged by Dr. Stevens’ message. In February, the Center also was pleased to host Mr. Ron Brown, associate director of Global Health Outreach, who visited GSOP to facilitate team-leader training for participants and leaders on medical mission trips. During the summer of 2018, GCMM sent mission teams composed of students, faculty, alumni and various friends of the School to Belle Glade, Florida, the Dominican Republic and Uganda. During these trips, 2,007 patients were served and 3,276 prescriptions dispensed.
Over spring break 2019, our students and faculty ministered to underserved populations in Clarkston, Georgia, and Honduras. The city of Clarkston is notable for its large refugee population, representing 40 different nationalities and over 60 different language groups. This trip was led by GSOP faculty member Dr. Jessica Lendoiro. And while in Honduras, under the leadership of Drs. Chris Schiel (GSOP ’14) and Lindsey Drescher (GSOP ’15), the team provided care to 521 patients, dispensing 2,393 prescription and over-the-counter medications. GCMM is excited to be sending out three more mission teams this coming summer. We are launching a new medical missions team this summer – to Egbe, Nigeria. This team, coled by GSOP Associate Professor of Pharmaceutical Sciences Dr. Amos Abioye, will serve in the revitalized Egbe Hospital. They will carry their expertise and training into this hospital to teach and strengthen current compounding and clinical care practices. We also will be returning to the Dominican Republic under the leadership of GSOP Assistant Professors Drs. Samantha Axtell and John Doughtery, assisted by Drescher. Thirdly, this will be our seventh year returning to Uganda. This year’s team includes leaders Drs. Harm Maarsingh and Laura Rhodes. They also will be joined by PGY1 resident Keri DePatis and Drs. Christina Lalla (GSOP ’14) and Andrea Mezentsef (GSOP ’17). We look forward to witnessing their impact on the lives of others.
Community Health Fair Locally, our student pharmacists continued their tradition of serving underserved populations by conducting the 11th annual GSOP Community Health Fair. This student-organized event was an interprofessional collaboration between GSOP, PBA’s School of Nursing and Florida Atlantic University’s College of Medicine. In all, 90 students provided health screenings and public health-related information to nearly 200 residents of West Palm Beach. GCMM GSOP alumnus Andrea Mezentsef serving in Uganda MAY 2019
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Responding to the Opioid Crisis When it comes to real-world problems, none is more evident than the scourge of opioid abuse and the resulting tragedies. The Lloyd L. Gregory School of Pharmacy is engaged on many fronts.
Partnerships with Free Health Care Clinics We are also proud of and humbled by our partnerships with three of the largest health care clinics serving those in need within Palm Beach County. Each clinic offers free health care services, and support for the missions of these individual health care centers aligns clearly with the mission of GSOP. Faculty members from GSOP are integrated into the care process at each clinic, and students are able to join in their ongoing activities to learn valuable patient care skills. Student Spotlight Elizabeth Davis: Second-year student pharmacist Elizabeth Davis experienced firsthand the life-changing power of serving on the mission field. This past summer, Elizabeth participated in a medical mission trip to the Dominican Republic where she focused on patient consultations and ensuring the effective and safe dispensing of medications. In concert with her pharmacy education, she also continues to expand her mission-field expertise, most recently by attending the Remedy Medical Missions conference in Orlando, hosted by the Christian Medical and Dental Associations. This summer, Elizabeth will serve on two mission teams: one returning to the Dominican Republic and a first-time trip to Uganda. Upon graduation, she plans to fully engage her faith and her knowledge of pharmacy by practicing as a fulltime medical missionary. “I believe that we are all called to serve, and I feel like I am living my faith the most when I am serving others,” she said. “Too often it seems that people would prefer to talk about their faith rather than actually live it out. But when we live how Christ called us to live, and love and support those around us, we have the chance to truly make an impact on their lives.” 38
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Alumni Engaged in the Battle PBA’s recent Interdisciplinary Research Conference highlighted the multifarious research being conducted throughout the University, and we were honored to have Class of 2016 alumnus Norm Hooten, Pharm.D., deliver the keynote lecture: “Pharmacists – Warriors in the Battle Against Opioids.” Dr. Hooten earned his Doctor of Pharmacy degree after a distinguished career in the Army’s Special Forces. After graduation, he did two years Norm Hooten of residency at the U.S. Department of Veterans Affairs medical centers in West Palm Beach and Orlando. He now is a clinical pharmacy specialist with the VA center in Orlando. In the inpatient mental health unit of the center, Hooten sees many victims of opioid overdose. Speaking about the epidemic he engages with daily, Dr. Hooten said, “Vets are at about an equal risk of misusing opioids, but they are probably at double the risk of dying of an overdose. My goal is to potentiate the role that we play as pharmacists in solving the problem of substance abuse disorder, for vets, especially. We can make a difference in their lives … and give them hope for the future so they can prosper.” Dean’s Distinguished Lecture Series In March 2019, ACCP President and Johns Hopkins Pain Management Specialist Dr. Suzanne Nesbit served as the inaugural speaker in the Lloyd L. Gregory School of Pharmacy Dean’s Distinguished Lecture Series: Opioid Stewardship. During her lecture, Dr. Nesbit spoke directly to the many student pharmacists in the audience and encouraged them to take the lead in addressing the opioid crisis. Projections suggest the crisis will continue for another 10 years, leaving pharmacists with an obligation and opportunity to help their patients. Annual opioid overdose deaths will reach 81,000 by 2025, and 80 percent of the substances will be illicit opioids, mostly from Mexico and China, Nesbit said. Getting out of the crisis will require a multipronged approach and the involvement of the community. “There’s a real need for leadership,” Nesbit said. Referring to the CDC and The Joint Commission, she added, “They are looking to pharmacists to help manage and get us out of this crisis.” Nesbit further said specifically that pharmacists can play a greater role in managing opioids during transitions of
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care, educating patients and health care providers and using technology to fight opioid misuse. Dr. Brust’s Non-Opioid Research As an estimated 130 people die in the U.S. every day from opioid overdose, the scientific search for a new, non-opioid painkiller becomes a race with monumental consequences. And so when Dr. Tarsis Brust’s research team (during his doctoral education) used robots to screen 3,040 compounds in one day, Brust was so excited that he analyzed all of the data that same day. Brust, now an assistant professor at GSOP, found what he was looking Dr. Tarsis Brust for. The compound, ST034307, subsequently has proven to have painkilling effects in mice, and it is also undergoing tests for relieving the symptoms of opioid dependence. The published results of this research have created quite a buzz in the scientific community. Brust has been joined in his research by GSOP faculty colleagues Drs. Edwin Santini and Adwoa Nornoo. In January, the University received a grant from the American Association of Colleges of Pharmacy in support of the team’s research. Santini, associate professor of pharmaceutical sciences, is examining possible side effects that the new compound could have on memory. And Nornoo, associate professor of pharmaceutical sciences, is contributing her expertise in biodistribution.
(CPESN) of Florida, which enables it to offer enhanced services, such as INR monitoring, blood pressure screenings, compounding, home delivery and comprehensive medication reviews as a way to provide complete care to patients in the community. The pharmacy is the primary training site for the community-based residency program. Announcing the GSOP Alumni Council The Gregory School of Pharmacy has been pleased to welcome Jeff Snow as its first director of community engagement. Mr. Snow’s responsibilities include engaging with and providing service to an expanding alumni community and enhancing relationships with our external partners. Under Mr. Snow’s guidance and in response to the growing alumni base, we have recently launched the GSOP Alumni Council. This advisory council aims to support the continuing mission of GSOP, Pharmacy with Faith, to our growing roster of graduates. Additional focal areas of the council include events planning for alumni, organizing career networking opportunities and class reunions, recognizing alumni achievements and attracting and maintaining alumni engagement and support. GSOPConnect As part of our efforts to connect and serve our alumni, GSOP is excited to announce its new cloud-based community platform, GSOPConnect. This online community platform allows GSOP alumni to network, share content, hold open discussions and much more. GSOP alumni can join the community by visiting www.gsopconnect.com. For more information on GSOPConnect, please email Jeff_Snow@PBA.edu.
FPA Recognizes GSOP’s Dorval GSOP’s director of Community-based PGY-1 Pharmacy Residency Program, Dr. Erin Dorval, is the 2018 recipient of FPA’s Cardinal Health Generation Rx Award. The award recognized Dorval’s engagement in a pilot project aimed at assessing the feasibility of screening for substance use disorder in a community pharmacy. This research was recently published ahead of print in the Journal of Addiction Medicine (March 2019). Dr. Dorval Dr. Erin Dorval also spoke about this project at the 2019 American Pharmacists Association (APhA) annual meeting in Seattle. Her practice site is Atlantis Pharmacy, a progressive and novel independent community pharmacy owned and operated by Dr. Damien Simmons. The pharmacy is a member of the Community Pharmacy Enhanced Service Network MAY 2019
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The University of Florida College of Pharmacy Under the leadership of Dean Julie Johnson, the University of Florida College of Pharmacy has embraced the idea of going greater to improve human health through education, research and clinical care. As a national leader in multiple areas of pharmacy, we have made significant contributions in health care and raised the profile of our college on the national stage. The addition of 23 new faculty since March 1, 2018, has expanded Julie Johnson, Pharm.D. the college’s footprint in pharmacy. From offering new clinical services in pharmacogenomics and precision medicine to addressing the nation’s opioid epidemic through scientific discoveries, our college is better positioned than ever before to address some of the nation’s health challenges. Julie Johnson, Pharm.D. Dean and Distinguished Professor
A ribbon-cutting ceremony in Orlando marked the launch of the CaRE2 Health Equity Center. Participants, pictured left to right, included Jose Trevino, M.D.; Michael Weaver, Ph.D., R.N.; Angela Adams, Pharm.D., M.P.H.; Thomas Schmittgen, Ph.D.; Diana Wilkie, Ph.D.; Reginald Frye, Pharm.D., Ph.D.; Folakemi Odedina, Ph.D.; Paul Okunieff, M.D.; and Jacques Turgeon, B.Pharm., Ph.D.
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Going Greater in Research Propelled by faculty researchers committed to improving drug therapies, the college received a record $19.6 million in research funding during fiscal year 2018. UF was ranked among the Top 10 federally funded pharmacy colleges by the American Association of Colleges of Pharmacy in 2018, and new grants awarded this academic year will likely move UF into the Top 5. The departments of medicinal chemistry and pharmacodynamics achieved a rare feat this year — all 20 of the tenure-track Ph.D. program faculty earned federal grant funding as a principal investigator. The 10 medicinal chemistry faculty served as principal investigators on 18 different federally funded grants worth more than $18.4 million. Meanwhile, the 10 faculty in the department of pharmacodynamics earned 25 federally funded grants worth nearly $27 million. The National Cancer Institute awarded a five-year, $16 million grant to establish a cancer health equity center at UF and partner institutions. The Florida-California Cancer Research, Education and Engagement, or CaRE2, Health Equity Center will be an interdisciplinary, intercollegiate effort involving researchers from UF, Florida A&M University and the Univer-
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Lance McMahon, Ph.D., pictured left, a professor and chair of pharmacodynamics, and Jay McLaughlin, Ph.D., an associate professor of pharmacodynamics, study kratom by running in vivo pharmacodynamics tests to determine the effects of individual alkaloids on receptor targets in the brain.
Additionally, the National Institute on Drug Abuse awarded a two-year, $3.5 million grant to bolster research on Mitragyna speciosa, or kratom, and to study its potential to treat opioid misuse and physical dependence. Lance McMahon, Ph.D., a professor and chair of the department of pharmacodynamics, and Chris McCurdy, Ph.D., a professor of medicinal chemistry and director of UF’s Clinical and Translational Science Institute Drug Discovery Core are leading the grant. UF College of Pharmacy researchers have studied kratom, which comes from the leaves of a tropical tree from Southeast Asia, as a potential therapy to wean addicts off heroin or prescription opioids. It activates the same opioid receptors and appears to satisfy the craving, while possibly lessening the risk of respiratory depression. Next, they will seek to identify the pharmacology of its 40 alkaloids, test the effects of these individual alkaloids on the brain’s receptors and continue to develop treatment strategies to help addicts quit opioids.
sity of Southern California. CaRE2 will bring together researchers from the two states with the highest cancer incidence and mortality to create a bicoastal minority cancer research and training center. Florida and California also have uniquely rich and heterogeneous populations of blacks and Latinos, who are the focus of this study. Folakemi Odedina, Ph.D., a professor of pharmacotherapy and translational research, is one of the program directors, and the center features collaborators from many of UF Health’s academic colleges.
Going Greater in Education Enrollment in our Pharm.D., Ph.D. and online master’s programs remained strong in 2018-19, with more than 2,200 students enrolled across the three programs. A record 36 outof-state students from 18 states and Puerto Rico joined our entering Pharm.D. class in August 2018. A new online master’s degree and graduate certificate program in precision medicine launched in August 2018, with the goal of training current and future leaders in precision medicine. Additionally, our MTM master’s program expanded to offer a graduate certificate. OnlineMasters.com and
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Trainees in the UF College of Pharmacy won 5 of the 17 Presidential Trainee Awards at the American Society for Clinical Pharmacology and Therapeutics Annual Meeting in Washington D.C. The trainees and mentors, pictured left to right, are Larisa Cavallari, Pharm.D., BCPS, FCCP; Nihal El Rouby, Pharm.D., Ph.D.; Mohamed H. Shahin, Ph.D.; Julie Johnson, Pharm.D.; Sonal Singh, Ph.D.; Guang Yang, M.S.; My Tran, P.S.M.; Yan Gong, Ph.D.; and Veronique Michaud, Ph.D.
BestColleges.com ranked the online forensic master’s degree program No. 1 in the nation. For the fourth consecutive year, the UF College of Pharmacy ranked No. 1 nationally in the total number of graduates securing pharmacy residency matches. The American Society of Health-System Pharmacists sponsors the match, and 135 UF pharmacy graduates matched in hospitals and health care facilities coast-to-coast from Seattle to Miami. At the American Pharmacists Association Annual Meeting & Exposition in March, the UF College of Pharmacy won several national awards. The UF College of Pharmacy’s American Pharmacists Association-Academy of Student Pharmacists, or APhA-ASP, chapter brought home the 2017-18 APhA-ASP Chapter of the Year Award for Division A. The award recognized UF for its superior programming, which envisioned the future of pharmacy by creating opportunities for student participation. Division A features around 40 of the largest pharmacy colleges in the country based on enrollment. UF also claimed the Back the PAC first place award for the seventh time in eight years. Back the PAC is a fundraising challenge to support APhA’s political action committee. Our graduate students and postdoctoral fellows enjoyed another stellar year collecting national awards, including five trainees honored with Presidential Trainee Awards from the American Society for Clinical Pharmacology and Therapeutics. UF’s five awardees were more than any other university. 42
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Going Greater in Clinical Care Pharmacists in the UF College of Pharmacy are pursuing innovative ways to advance clinical pharmacy practice and improve access for patients receiving primary care. By developing interdisciplinary and collaborative practice agreements, the college is partnering with hospitals in Gainesville, Jacksonville and Orlando to explore new models of delivering pharmacy education and drug therapies.
PHARMACISTS IN THE UF COLLEGE OF PHARMACY ARE PURSUING INNOVATIVE WAYS TO ADVANCE CLINICAL PHARMACY PRACTICE AND IMPROVE ACCESS FOR PATIENTS RECEIVING PRIMARY CARE. In July 2018, Eric Dietrich, Pharm.D., BCPS, a clinical assistant professor of pharmacotherapy and translational research, partnered with Ellen Keeley, M.D., M.S., a professor of cardiovascular medicine, and a multidisciplinary team of caregivers to support a specialized clinic for patients suffering from acute coronary syndrome. The pilot program allows Dietrich to provide pharmaceutical services to patients recovering
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from a heart attack, including medication reconciliation, medication counseling, medication reviews for appropriate use and lifestyle modification recommendations. Patients taking clopidogrel, a common anticlotting drug given after a coronary artery stent is inserted, also will undergo genetic testing in the clinic to ensure their medications will be effective. In its first year, the clinic has allowed pharmacists to identify numerous gaps in drug therapy and found approximately 30 percent of patients discharged on clopidogrel have a poor or intermediate CYP2C19 drug metabolizing enzyme. This finding requires patients to switch to an alternative, more effective medication. Dietrich credits the multidisciplinary team of caregivers, including exercise therapists, smoking cessation experts and others, for providing recovering heart attack patients with a centralized location full of health care personnel and resources to improve their health. Successful partnerships involving UF pharmacists are expanding throughout Florida. At Nemours Children’s Hospital in Jacksonville, a team of clinical pharmacists will be providing pediatric pharmacogenomics services beginning in the summer of 2019. They will be based at the hospital and the UF College of Pharmacy’s Jacksonville campus. In Orlando, UF Clinical Assistant Professor John Allen, Pharm.D., will work with the antibiotic stewardship service at the Orlando Veterans Affairs Medical Center at Lake Nona and provide professional development activities to the hospital’s pharmacy staff.
Eric Dietrich, Pharm.D., BCPS, pictured right, partnered with Ellen Keeley, M.D., M.S., and a multidisciplinary team of caregivers at UF Health, in a pilot program to provide pharmaceutical services to patients recovering from a heart attack.
UF pharmacy students lead the Gator chomp at the college’s 32nd Annual Alumni BBQ.
Alumni Going Greater Alumni and friends of the college continue giving generously to support student scholarships and other philanthropic efforts. The college awarded a record $900,000 in student scholarships and grants to 150 students in 2018, and the Crisafi Challenge scholarship campaign raised a record $113,900 in October. Every penny raised during the challenge will be awarded to incoming Pharm.D. students in the fall of 2019. The University of Florida’s Go Greater campaign continues to enjoy remarkable support as it positions UF to be a leader in addressing 21st century challenges. The most ambitious fundraising campaign in UF’s history has raised $1.9 billion toward its $3 billion goal. Supporters of the UF College of Pharmacy have generously given $25.3 million toward the college’s $35 million fundraising goal. Finally, the college hosted more than a half-dozen Gator receptions for alumni and friends throughout the year. Before the University of Florida’s thrilling 27-19 football win over Louisiana State University in The Swamp, more than 300 alumni and friends of the UF College of Pharmacy gathered in the Pharmacy Courtyard on Oct. 6 to enjoy pregame festivities. The college’s 32nd Annual Alumni BBQ was celebrated by generations of Gator fans who dressed in orange and blue and soaked in the sunshine-filled afternoon. Attendees enjoyed a catered barbecue meal and activities that provided hours of entertainment. Dean Johnson gave brief remarks to update alumni and friends on recent activities in the college, and UF pharmacy students led several Gator chomps to pump up the crowd.
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The University of South Florida College of Pharmacy USF Health Pharmacy Advances Program, Student Experiences
The USF Health College of Pharmacy continues to advance quality education and student experience across Florida, helping to meet workforce demands across the state and beyond. Now more than ever, pharmacists are part of health care teams. As part of their education, USF Health pharmacy students are gaining interdisciplinary experiences that emphasize collaborative approaches to patient care. As they enter their careers, our pharmacy graduates are practiced and prepared for working together with other health care professionals, and for putting patients at the center of that team. Here are some highlights of our past year. Pharmacy Students Use AR/VR to Study Impact of Prescription Drugs on Main Organs Virtual (VR) and augmented (AR) realities are transforming the way pharmacy students learn at USF Health’s College of Pharmacy. First-year students are now using simulation goggles to see how certain drugs interact in the body, applying AR/VR to visualize how beta blockers commonly prescribed to treat hypertension, asthma and cardiac workload may affect the heart, lungs and blood vessels. This new learning experience is part of a key initiative to integrate advanced technologies into the student curriculum, said Kevin Sneed, Pharm.D., dean of the USF College of Pharmacy. “As dean, I teach an advanced metabolic syndrome course, and I have always wanted the students to have high fidelity visualization of the medications we use to treat diabetes and heart disease. With AR/ VR, we are now able to conceptualize organ function better, soon followed by complex medication mechanisms of action,” Dr. Sneed said. “We are now able to conceptualize organ function better.” During a recent class, students covered their eyes with headsets and chose from components previously learned. They used a laser beam to drag and drop small medication doses onto an organ to witness a reaction. In some treatments the heart beat faster, the lungs expanded or blood vessels constricted. “They are able to really play with and really understand which drugs are causing the constriction that would lead to increase hypertension,” said Daniel Lee, Ph.D., associate professor of pharmaceutical science. Dr. Lee’s students gained a 44
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better perspective on main lecture objectives down to molecular organ function. The experience is a game changer for Andreas Rosario, a student who had never tried VR and was seen smiling from ear to ear. “In lecture, it’s just words and pictures, kind of hard sometimes to wrap your mind around it,” Rosario said. “With AR/ VR, I can take my own time, it’s my own experience.” Another student, Amanda Hutchings, said she’s a visual learner. “You can tell me day in and day out that Carvedilol (a drug treatment) does this to a receptor, but until I see it happen, I’m not going to understand it.” This program is just the beginning. Feedback from participating students will be factored into future reiterations of the module. Faculty from the college will continue to work closely with the Information Technology’s Advanced Visualization Center (AVC) at USF to keep the technology fresh. Funding is received from a student technology fee initiative. IT’s team develops mechanisms for learning inside augmented and virtual realities with many departments across the university to innovate curriculums, enhance research projects and inspire more uses of new technologies. “I wish I had something like this when I was learning pharmacology,” Dr. Lee said. “It’s very interactive.” USF Health Faculty Participates in IPE Poverty Simulation Health care is not defined solely by what happens in the emergency room or the doctor’s office. Patients bring with them their illnesses and their chronic conditions – but they also bring the barriers they face throughout their lives that can influence or even compromise their care. This is especially true for people in poverty who may lack money for medication, have no consistent means of making it to their doctor’s appointments or are in danger of losing their homes or their children. These stresses not only complicate how they receive and adhere to the care recommendations of their health care providers, it can also exacerbate their conditions. Interprofessional cooperation with health care workers of other disciplines or representatives of community organizations can be a powerful tool to help understand what a patient is going through and how to get them the help they need. The USF Health Office of Student Diversity and Enrich-
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ment regularly facilitates interprofessional education (IPE) experiences that help students prepare for this kind of partnership. Faculty from across USF Health – Colleges of Pharmacy, Medicine, Nursing and Public Health – recently sampled some of these educational experiences as they role played patients in a simulation exercise designed to show the struggles people in poverty face and how those barriers can make caring for themselves and their families difficult. “The idea behind this day is to train us, the faculty, to better understand what it’s like to be poor, how poverty impacts our ability as caregivers to provide care to them,” said Charles Lockwood, M.D., M.H.C.M., senior vice president at USF Health and dean of the Morsani College of Medicine. “I think the day was an extreme success,”Haru Okuda, M.D., FACEP, FSSH, executive director for USF Health Interprofessional Education and Practice (IPEP) and executive director of the Center for Advanced Medical Learning and Simulation (CAMLS). “We saw lots of smiles and frustrations but real emotions that I think allowed the faculty to really understand the challenges that people in poverty go through.” IPE Transitions-of-Care Simulation Helps USF Health Students Train as Teams First-year students from the USF Health Morsani College of Medicine, College of Pharmacy and Athletic Training Program came together in October at the Center for Advanced Medical Learning and Simulation (CAMLS) for a team simulation training involving 20 standardized patients portraying college soccer players suffering from compound leg fractures. In their first interprofessional education (IPE) experience, these freshman students broke into small groups, each overseen by a faculty preceptor. Each multidisciplinary team was assigned one soccer player to learn the transitions of care, from triaging a critical injury to rehabilitation. Starting with stabilizing the injured soccer player on the field, the students worked together to transport the athlete to the emergency
The simulation scenario starts with interdisciplinary teams triaging and stabilizing injured soccer players and transporting them to the emergency room.
room, and then followed the patient to surgery, to the hospital floor and finally to physical therapy. The IPE training also allowed students to explore the various roles and different strengths of health care professionals who care for injured college athletes. “The overall goal is to have good communication between teams of health care providers,” said Dawn Schocken, Ph.D., MCOM director of Experiential Learning and Simulation. “No one takes care of patients in a vacuum anymore. Being able to rely on health care providers across multiple disciplines is the key to getting the best possible outcome for the patient, and that’s the message we are trying to teach.” Black Robe Day Gives USF Health Community Appreciation of How Law, Medicine Intersect The USF Health Community visited the 13th Judicial Circuit Courthouse in downtown Tampa last October to get a firsthand look at the relationship between the medical and legal professions. Known as Black Robe Day, the event was attended by 45 USF Health students, faculty and staff from the Colleges of Pharmacy, Medicine, Public Health and Nursing, who spent the morning shadowing lawyers and judges, including sitting in on cases and hearings involving parole, juvenile delinquency, domestic violence, burglary, drug dealing and homicide. At lunchtime, the USF Health participants gathered in a courthouse Bao Anh Tran, PharmD, conference room to reflect upon assistant professor in the USF College of Pharmacy. what they had observed and to ask the judges questions. The main purpose of the annual Black Robe Day is to expose the USF Health community to the legal system so that students and faculty gain a better perspective and appreciation for the commonalities of law and medicine, said Jay Wolfson, Dr.P.H., J.D., associate vice president for health law, policy, safety and distinguished service professor of public health, medicine and pharmacy. “We’re big on civics education, making sure people understand how our government and system of justice works – and what you did here today is a big part of that,” said attorney Kevin McLaughlin, president of the Tampa Bay Chapter of the American Board of Trial Advocates (ABOTA), a national organization that aims to protect and preserve the jury trial system. The experience brings to the forefront how much public health issues, including mental illness, substance abuse and post-traumatic stress to name a few, and social determinants of health, such as poverty, social support networks and education and literacy, impact the people served by the legal MAY 2019
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USF Health faculty, students and staff pose for a group photo with the judges and lawyers who participated in Black Robe Day 2018 at the downtown Tampa-based 13th Judicial Court.
Pharmacy students volunteered with medical and nursing students for the Men’s Health Forum 2019, an annual event with Moffitt Cancer Center.
system – as they do individuals, families and communities served by health professionals. USF Health Students Team Up to Help Promote Sustainable Health in Panama USF Health’s International Health Service Collaborative (IHSC) traveled to Panama last spring to host a four-day clinic in a rural, medically underserved area. IHSC is a group of USF Health students, faculty and staff focused on promoting sustainable health through interprofessionalism within the United States and developing nations. The USF Health student volunteers on the trip to Panama included those from the Morsani College of Medicine, College of Public Health, College of Pharmacy and School of Physical Therapy and Rehabilitation Sciences. IHSC had the opportunity to gain clinical experience through interprofessionalism and learn from the community to achieve a common goal. They saw 172 patients, administered 176 vaccines and dispensed 304 medications. In addition, the public health team provided health education and delivered clothing, eyeglasses and shoes to families in the community. Community Engagement: USF Health Pharmacy Students Join Many Volunteer Efforts USF Health Service Corps is a USF Health-wide, interdisciplinary program that enables USF Health students in the Pharmacy, Nursing, Public Health, Physical Therapy, Physician Assistant and Medical (MD and MS/PhD) programs to participate in meaningful, rewarding and fun health-related community service activities together. Both short- and long-term service events and projects are offered throughout the year in the greater Tampa area as well as in nearby rural areas. Students benefit greatly from the volunteer experiences, which provide social, civic and professional benefits. Some of the recent events that included College of Pharmacy students are:
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College of Pharmacy students contributed to blood pressure health screenings and health education at Town & Country Senior Center.
Ethiopian Health Fair: Another successful inter-professional event, with students from the Colleges of Pharmacy, Medicine and Nursing contributing to the health screenings for adults, and students from the Colleges of Public Health and Arts and Sciences leading health education activities for kids.
HELP SUPPORT THE ADOPT-A-STUDENT PROGRAM Florida Pharmacy Association (FPA) 129th Annual Meeting & Convention July 10-14, 2019 Marriott Harbor Beach Resort & Spa – Ft. Lauderdale, Florida
Again this year, students from Florida Colleges of Pharmacy will be “Adopted” for the FPA Annual Meeting and Convention. Pharmacy students will benefit from the interaction with practicing pharmacists, learn first hand how FPA actually operates and how they can become involved in their chosen profession. As you remember, college students are on a tight budget and most of them cannot afford to attend convention. Here is how you can help! Be a Bronze, Silver or Gold Sponsor! The donation amounts are Bronze ($150), Silver ($250), and Gold ($500) Level Mentor Sponsors and will help offset the costs of the AAS program. You also have the option to give any amount you prefer. The FPA offer Adopted students complimentary registration, which includes admission to the AAS Mentor Social, Exhibit Hall and Student Awards Event. FPA’s programs and services are keys to our success in advocating for our profession, supporting our pharmacy students and promoting quality patient care services. Thank you for giving back to your profession. Make a contribution yourself, ask your local unit association or get together with friends to Adopt-A-Student. Remember…..these are the future leaders of pharmacy! Mentor Program. Each of the adopted students will be assigned a pharmacist who may invite them to attend meetings, CE programs, and share their knowledge and pharmacy experience with them. If you plan to attend the convention and would like to be a mentor, please contact the FPA office. Please donate online at the Foundation’s website, www.flpharmfound.org, or complete the form below and fax or mail with your check to: Florida Pharmacy Foundation 610 North Adams Street Tallahassee, FL 32301 Fax: (850) 561-6758 Please make your check payable to the Florida Pharmacy Foundation Sponsor Name: _________________________________________________________________________ Address: ______________________________________________________________________________ City: _______________________________________ State: __________ Zip: _______________________ Phone: ____________________________________ Amount of Contribution: _______________________ Charge to the following:
! AMEX
! DISCOVER
! MASTERCARD
! VISA
Account #:_____________________________________Security Code: ________ Exp. Date: __________ Signature: _____________________________________________________________________________ ! Yes, I would like to serve as a Mentor. ! Contact me with more information on Mentoring. Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes. Consult your CPA for complete details.
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FREQUENTLY CALLED NUMBERS
BUYER’S GUIDE
ADVERTISERS: This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist.
PHARMACY RESOURCES PPSC Retail Pharmacy Purchasing Program (888) 778-9909
LEGAL ASSISTANCE Kahan & Associates, PLLC Brian A. Kahan, R.Ph., Attorney at Law (561) 392-9000
PHARMACEUTICAL WHOLESALER McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953
AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 412-4166 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.pharmacist.com AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS Bethesda, MD (301) 657-3000 www.ashp.com/main.htm DRUG INFORMATION CENTER Palm Beach Atlantic University (561) 803-2728 druginfocenter@pba.edu FLORIDA BOARD OF PHARMACY 4052 Bald Cypress Way Bin #C04 Tallahassee, FL 32399-3254 (850) 245-4292 www.doh.state.fl.us/mqa FLORIDA POISON INFORMATION CENTER NETWORK (800) 222-1222 www.fpicn.org NATIONAL COMMUNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314 (703) 683-8200 (703) 683-3619 fax info@ncpanet.org
Advertising in Florida Pharmacy Today Display Advertising: please call (850) 264-5111 for a media kit and rate sheet. Buyers’ Guide: A signed insertion of at least 3X per year, 1/3 page or larger display ad, earns a placement in the Buyers’ Guide. A screened ad is furnished at additional cost to the advertiser. Professional Referral Ads: FPA Members: $50 per 50 words; Non‑members: $100 per 50 words; No discounts for advertising agencies. All Professional Referral ads must be paid in advance, at the time of ad receipt. 48
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FLORIDA PHARMACY TODAY
RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”