PQ Plus 2 January 2019

PQ +2

PRESENTEDBYPHARMACARE JANUARY 2019 ISSUE #3 DO NOT REMOVE FROM PBL ROOMS

Cover design by M ichelle Gong and Thom H. Le

Pharmacy student engagement| connection | voice

HAPPY NEW YEAR ? W I NT ER 2 0 1 9 ?

New y ear , Samet eam! pg . 2- 3

RXFACTORRECAP pg. 6- 7

Lif eas a st udent

Cr eat ing posit iv ement al spacet o r educeanx iet y

Feat . Jil l Hal l & Ter I CHar r ois

Pg. 11

PG. 14/ 15

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Lov eat f ir st swipe

PDWRECAP

pg. 16/ 17

pg . 22/ 23

TA BLE OF CONTENTS

pg 4......................................................APSA PRESIDENT ELECTIONS pg. 5- 7...................................................Rx Factor Recap pg. 8......................................................Phar mD Reading Week and Accr editation Updates pg. 9......................................................Phar macy Dentistr y Hockey Game Recap pg. 10....................................................Community Education Updates pg. 11 ....................................................Cr eating Positive Mental Space to Reduce Anxiety pg. 12- 13.............................................,.Medical Tr ip to Uganda pg. 14- 15 .............................................. Life as a Student - Dr. Jill Hall and Pr ofessor Ter i Char r ois pg. 16- 17 ...............................................Meet your Phar m Bae's pg. 18- 19 ...............................................A Day in the Life of Ed Leung pg. 20/21............................................... Healthcar e Pr actioner 's Guide to Nutr ition pg. 22- 23/24 ...............................................PDW Recap / PQ contest

PUBLI CA TI ONS TEA M

Thom Le

`Lawrence Woo Publications Director

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Thom Le

PQ Editor

PQ Editor H appy New Year Ever yon e!

An oth er year ,an oth er sem ester , an d ju st l ik e th at th e 3r d year s h ave ``on e`` m or e sem ester of cl assr oom to go... wel l , sor t of. (Ph ar m D br idgin g). On e m or e ch an ce to wor k a bit h ar der ,a bit sm ar ter ,on e m or e sem ester to be a better ,m or e accou n tabl e fr ien d. M aybe th ose ar e ju st som e of th e th in gs I fel l sh or t in 2018.

Regar dl ess, I h ope ever yon e h ad a joyou s an d r estfu l h ol iday season spen din g tim e with th e th in gs an d peopl e th at m atter m ost to you !

H er e's a pic of m e fr om Sh an gh ai Disn ey Lan d th is past br eak . I l ove Toy Stor y so th is was a dr eam com e tr u e.

Jasmine Gill

I h ope ever yon e h ad a won der fu l br eak an d is wel l r ested for th is win ter sem ester ! I spen t m y br eak sl eepin g for 12 h ou r s on som e days, watch ed a few th in gs on Netfl ix su ch as Th e Fin al Tabl e, You , an d Kim ?s Con ven ien ce, as wel l as pl ayin g Su per Sm ash Br os Ul tim ate on m y Nin ten do Switch !

Th er e?s goin g to be m or e excitin g con ten t com in g fr om u s th is sem ester to be su r e to l ook ou t for it! :) Em ail : th l @ u al ber ta.ca FB: Th m th y El

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Happy 2019!

I hope you are all well rested after the break and ready to begin another semester of classes!

As for the 4th years, goodluck on your last few rotations!

Wishing everyone all the best for the new year!

As always, I welcome feedback and suggestions for the magazine so feel free to reach out to me at jkgill@ualberta.ca.

Ayush Chadha

`Michelle Gong PQ Writer

PQ Writer

H APPY NEW YEAR PH RIENDS! ?

Hey everyone! It is nice to be back. Please message me if you have some ideas about new articles!

H ope y'al l spen t you r win ter br eak catch in g u p on sl eep, stu ffin g you r bel l ies with good food, an d pr acticin g l ots of sel f car e! ? Th e fu n u n for tu n atel y is n ow over... back to th e dail y gr in d! Th is sem ester wil l be even tfu l th ou gh , so r em em ber to m ak e th e m ost of it.

As I l ik e to tel l m ysel f? we'r e h er e for a good tim e, n ot a l on g tim e!!

Good luck to everyone this semester - you can probably find me procrastinating playing fooseball (very badly) in the APSA lounge or crying about how bad the OIlers are somewhere.

As we r ol l in to th e n ew year ,I ju st wan t to wish you gu ys a year fil l ed with l ove, joy,an d h appin ess in 2019! I tol d m ysel f I wou l d m ak e New Year s r esol u tion s, bu t wh o am I k iddin g...

NEW YEAR, SAM E M E. I'l l tr y an d n ap a l ittl e l ess th is year th ou gh .. (k ey wor d: tr y) Feel fr ee to sl ide in to m y DM 's if you ever n eed an yth in g! ? m gon g3@ u al ber ta.ca

APSA Photographer

Ethos Ho

Anthony Kapelke

PQ writer & Orbis Health Liason

PQ Writer

PQ Writer Hey Fellow PQ readers!

Happy New Year folks!

Hey guys! My name is Ethos, and I am in my 4th year of pharmacy. I am excited to be working for PQ+2 as a writer and Orbis Health liaison this year! I hope that everyone had a restful holiday break!.

I'm already looking forward for summer.

I wish you all best of luck in your classes, exams, and rotations this upcoming semester.

Em ail : h oh u an g@ u al ber ta.ca FB: Eth os H o

Azka Ahmed `

I hope the break treated you all very well, and I?m sure you all share my excitement in being back at school. (-_-) Although the break never feels long enough, I look forward to what this semester has to offer us first years; Pharmacist Awareness Month, the upcoming ski trip, our first pharmacotherapy module (sweet!), and pharmaceutics (sweet?). Let?s have some fun this semester and keep things light.

Cheers!!

It is so nice to be back and seeing you lovely faces in MSB. I hope your winter break was relaxing, fun, adventurous and you got to make a bunch of snowmen. I have already broken my new year 's resolution about not sleeping in lectures (sigh...pharmaceutics) but I hope you guys are having some success with yours. May this be the year we all get our desired GPA, sleep and bank balance.

If you want to chat about your break, the most anticipated movies of 2019 or just how terrible your finals were, feel free to contact me at azka1@ualberta.ca

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`Reem Almawed

APSA Photographer

H ey ph ar m il y! Its gr eat to be back an d I h ope you ?r e r eady to tack l e th is sem ester ! I?m Reem (@ r m l m wd), a 2n d year stu den t an d APSA ph otogr aph er ,an d I l ook for war d to ph otogr aph in g th e n ew m em or ies we wil l al l m ak e at th e m an y l ovel y even ts th at APSA an d ou r facu l ty h ave to offer th is sem ester. H ope to see you th er e!

` Meg De Castro APSA Photographer H ey gu ys! M eg h er e, 3r d year stu den t an d on e of you r APSA ph otogr aph er s. I l ook for war d to catch in g al l ou r m em or ies. I?m h opin g th is sem ester is as ch il l as th e weath er. You ?l l stil l see m e with th at dail y Iced Capp th ou gh . See you ar ou n d!

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` Steven Zheng

APSA Photographer H i Ph r ien ds, it's Steven , on e of you r 2n d year APSA ph otogr aph er s. Gl ad to star t a n ew year an d an oth er sick sem ester with you gu ys, h ope you al l en joyed you r br eak off. I wish you al l a h eal th y an d su ccessfu l year ! H ope to see you ar ou n d an d at th e u pcom in g even ts th is sem ester !

By LW

Al ber t a phar macy st udent s' Associat ion

PRESIDENTIALELECTION Have you ever dreamed of being the next president of APSA? The next Jes Buhler?

Well now is your chance! Starting today up until Sunday, January 13th at 11:59PM, APSA will start accepting nomination packages for the upcoming Presidential Election in January! If you are interested in running, get in touch with anyone from APSA for a nomination package.

Not planning to run? Then consider attending the Presidential Candidates Forum on Wednesday, January 23 at noon in ECHA 2-190. Come with your toughest questions and hungry stomachs as there will be lots of free food!

t his coul d beyou!

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Jes Buhler, APSA President

Alex Kwan, APSA CRO

jebu h l er @ u al ber ta.ca

al ex.k wan @ u al ber ta.ca

If you have any questions, please get in touch with Alex Kwan or Jes Buhler

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THOM H. LE

p s w a o c eL h e t R nd a s r ig h o H t e h c t f a o w F e i xSt ool Rev R t ol 5

AB

r is

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Aban ou b Gr aiss

Jesse Wow k

The Ultimate Professional - opening with NOD, setting an agenda, expressing empathy, and following up

The Future Bob Ross

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Stop doing: leave that baby shark song in 2018 Keep doing: moving those hips and shaking that rump What is one thing you?ll never forget: dancing around stage in his underwear and unbuttoned shirt with previous Mr. Pharmacy contestants

Stop doing: invest in a thesaurus, since hearing the word ?beautiful? still haunts me Keep doing: continue painting, as the finished product was surprisingly? (insert beautiful synonym here) .

Keep using that big ol' 2 inch

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What is one thing you?ll never forget: Episode #420 of ?The Joy of Painting?

Talen t

Type 4

Talen t

Type 1

Ch ar m

Type 5

Ch ar m

Type 7

Hu m or

Type 2

Hu m or

Type 6

Over all

Type 4

Over all

Type 6

Talen t

Type 7

Talen t

Type 4

Ch ar m

Type 4

Ch ar m

Type 6

Hu m or

Type 2

Hu m or

Type7 1

Over all

Type 5

Over all

Type 5

Sabr in a El M an sali

M egan Elliot t Singing some beautiful tunes

?So you think you?ve got no talent??

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Stop doing: Compounding (Too messy)

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Stop doing: The sombrero needs to go.

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Keep doing: Playing the clarinet

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Keep doing: Keep using your dog for any points in the

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What is one thing you?ll never forget: Taco Contest

future -

with Dr. Velasquez

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What is one thing you?ll never forget: Viagra song

P har macy T imes - D OCTOR OF PH A RM A CY PROGRA M JANUARY 20, 2019

Author: Ayush Chadha

READINGBREAK= GONE?

Accreditation of PharmD program leads to 15 hours of lost lecture time.

On October 26th, the 2022 students received an email from APSA President Jes Buhler, stating that the faculty was considering options to address lost lecture time due to PharmD accreditation requirements. The faculty consulted several professional faculties for options to address lost lecture time.

When the faculty started planning for the Entry to Practice PharmD program in 2010, the University of Alberta had not yet implemented fall break into their university calendar, so the faculty did not account for the occurrence of this issue. The original proposal that the faculty submitted to the General Faculties Council (GFC) contained some errors, of which the SU notified APSA. The two major issues with the proposal were statements regarding "overwhelming student support" about the removal of the fall break, along with proposed removal of the break for students in the current BSc and PBS streams.

Since the proposal, the faculty has admitted that the wording on the original proposal was poor and promised that the removal would only affect the PharmD program. The elimination of fall break would ensure the program could meet the requirements for professional accreditation. The Class of 2022 filled out a survey which had a few key findings and trends. The survey had a 91% response rate in 3 days (120 respondents from a pool of 132 students).

Key Findings 1) 83.3% of students preferred the additional 15 hours to be scheduled before the usual class start date.

2) 82.5% of students indicated shortening fall break will have a high impact or near-high impact on their mental health and well being.

3) The survey found that students do want a break but are not tied to specific models.

4) Majority of students feel supported in their mental health and well being while in the pharmacy program.

Wher e ar e we now?

On November 10th, after results from the survey came out, the 2022's and APSA executive had sent 88 letters to President Turpin with the help of APSA. These letters expressed concerns over the faculty?s examination of alternatives to removing reading break and asked the GFC to reverse the original proposal. One of the major 8 issues for the class was the feeling that there was a lack of consultation before the proposal was submitted by the faculty. GFC reversed the decision and the faculty was asked to create a new proposal in collaboration with the students.

There were two "Group Think Sessions" that both faculty and students participated in, one on November 22nd and one on December 4th, where both parties looked at alternatives. Students were sent a secondary survey where they were asked to choose from 3 options which included the students receiving two additional days off during the fall semester, in the form of one five-day break around Thanksgiving, two four-day breaks, or one five-day break around Remembrance Day. The students filled out the survey on December 18th. 58.1% of students supported keeping the fall break and suggested that the faculty find alternative ways to recoup lost hours. For this reason, APSA did not support the faculties new proposal. However, if the students were to lose fall break, the faculty submitted the option with most student support which is two 4-day long weekends in place of the fall break.

GFC will then ultimately make the decision regarding the scheduling change moving forward for the Entry to Practice PharmD program.

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PHARMACY

DENTISTRY Gam e Recap 1st Peri od

The Pharm acy team w as ready from the get go. After a m oti vati ng pum p up speech from super coach Safeer Chatoor, the Advi lanche opened the scori ng. Cole Moon scored a beauti ful goal, freezi ng the Denti stry tender just li ke procai ne hydrochlori de! Brayden Stasow follow ed w i th another goal, stretchi ng the lead to tw o.

2nd Peri od The team felt very confi dent goi ng i nto the second peri od up 2-0, but the denti sts cam e out hot.

Goaltender Jesse Wow k w as outstandi ng under the pressure, but he could only m ai ntai n hi s 2006 Dw ayne Roloson-esque goaltendi ng for so long, unti l the opposi ti on fi nally solved the red-headed goali e. The denti sts conti nued to pounce, and took an early 3-2 lead. After a di rty play halfw ay through the peri od, Jordan Stew art m ai ntai ned hi s di sci pli ne and com posure and put the pharm aci sts on the pow erplay. Anthony Kapelke ham m ered hom e a slap shot from a feed from Cole Moon, eveni ng up the score at 3. After a couple di sallow ed goals from both si des, the tw o team s w ent to thei r respecti ve room s w i th one thi ng i n m i nd: "w i n a peri od, and w i n the gam e!"

3rd Peri od The stakes w ere hi gh, and captai n Preston Eshenk o deli vered. Whi le on a 5 on 3 pow erplay, the veteran defencem an shot a w ri ster through traffi c and found the back of the net; 4-3 for the good guys. The team w asn't done qui te yet. After conti nous pressure, the Mari ti m er Sean Larade sni ped a w ri st shot from the blue li ne extendi ng the lead over the Molar Bears to 2. Em oti ons got the best of som e of the pharm acy players, and the Advi lanche found them selves 2 players dow n, as the denti sts looked to cut the lead i n half. The denti sts pulled thei r goali e, but the tacti c proved to be unsuccessful. Wow k w as stellar i n net, and the penalty k i llers w ere fi rst class. Sacri fi ci ng everythi ng, Brendan Kudrow i ch m ade a bi g block i n the dyi ng seconds of the Denti stry pow erplay, preventi ng a potenti al scori ng opportuni ty. Kapelke stepped out of the box at just the ri ght ti m e (li ke he had a choi ce), and found the puck passed ri ght to hi m . After a chi p around the Denti stry defencem an, Kapelke sk ated tow ards the em pty net and sealed the vi ctory for the Faculty of Pharm acy. After a hard fought battle, the pharm aci sts got revenge over the denti sts w i th a 6-3 vi ctory. Everyone played w i th heart and soul, and the Pharm acy fans w ere the true m oti vators. The loud cheeri ng pushed each player harder, and the support w as i ncredi ble. Thank you to everyone w ho cam e out and supported thi s great cause. It felt good to w i n, but i t feels even better contri buti ng to the Movem ber cam pai gn, rai si ng m oney and aw areness for m en's health. The team i s already prepari ng for next year's bout, and w e look forw ard to your conti nued support. Here's to a tri um phant and joyous 2019!!

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COM M UN I TY EDUCATI ON

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Creating positive mental space to reduce

Kathie Le, BSc Pharm, PharmD

AN X IETY

My name is Kathie Le. I graduated from the BSc Pharm program in 2017 and again from the full time PharmD program this past fall. I currently practice as a clinical pharmacist at the Edmonton ECHO Lab, London Drugs, and occasionally facilitate pharmacy skills labs at the U of A. I also struggle with anxiety, and in honour of Bell Let?s Talk month, we?re going to talk about it.

Anxiety is... difficult to deal with, to say the least. The best way I can think to describe it is an inappropriate physiological response to a relatively non-threatening stimulus. My body reacts to minor everyday hardships and setbacks with a fight or flight response better suited for a dire situation. I can spend hours in bed with racing thoughts, overanalyzing my day and worrying about imaginary things that might go wrong. As you can imagine (or perhaps have experienced firsthand), this can very quickly take a toll on your mental and physical health.

Having dealt with this throughout the years, I have learned to reduce the frequency of my bad days by taking steps to look after my mental well being. It all starts with fostering a healthy mind, so here are my 10 tips on creating that positive mental space to help reduce anxiety:

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Recognize that you'r e not al one. We?ve all heard the statistic. 1 in 5 Canadians will suffer from mental illness at some point in their lifetime. I think this is so important to keep in mind because it can be incredibly alienating to think you are going through something alone.

If you feel comfortable bringing it up, you?d be surprised at how many people will disclose that they too share the same struggles.

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Buil d a sol id suppor t system. Identify the people in your life you can turn to when things get tough. It can help to talk to someone who is going through a similar situation, but this isn?t completely necessary. I have friends who have no idea what it is like to struggle with mental health and still display incredible patience and empathy when I open up to them. If you have a pet, don?t forget to include them as part of your support network as well!

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Mak e time for the things you enjoy. Anxiety can feel like a perpetual cycle of exhaustion and dread. Break out of this cycle by giving yourself something to look forward to. Find something you love to do and make time for it at least once a week. Bonus points if it can count as physical activity (I personally enjoy yoga).

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Don't negl ect your physical heal th. I am the type of person who can easily lose track of time and accidentally work through a meal or stay up late to finish up a task. If this sounds familiar to you, set alarms to remind yourself to eat, sleep, or take a break. It sounds extremely simple, but it will stop your bad habits from catching up with you later in the form of physical exhaustion. You will also come back to your task with a clear mind and feeling much more energized to tackle it.

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Stop compar ing your sel f to other s. You?re going to come across people who can maintain their 4.0 GPA, hold down a part time job, be involved in extra curriculars, have a cool hobby, go to the gym, eat healthy, and be in bed by 9PM. I have no explanation for this. As a person with only 24 hours in their day, I do not compare myself to these people, and neither should you. Instead, compare yourself to where you were 3 years ago and where you want to be 3 years from now. This helps you to focus on your progress rather than on your shortcomings, which I find much more motivating and productive.

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Identify the sour ces of your anxiety. W hich ones are avoidable and which ones are unavoidable?I have test anxiety and (unfortunately) exams are not avoidable. However, another great source of stress for me is comparing answers after an exam, learning all the wrong answers I put, and not being able to change them. That is both unnecessary and completely avoidable.

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Recognize w hat you can and can't contr ol . Oftentimes, anxiety can stem from a sense of not being in control. W hile many situations are out of your hands, there will be a few related things you can do that are within your capabilities. For example, you can?t single-handedly solve global warming, but you can take steps to reduce your own ecological footprint. You can?t guarantee you?ll have a job lined up after graduation, but you can polish up your resume and attend the career fair. Start where you can take action and move forward from there.

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Lear n to identify shor t-ter m pr obl ems. This is a big one for me because I have the tendency to catastrophize. W hen you are upset or stressed about something, ask yourself ? is this still going to be a problem in six months? Most likely, it will not. By recognizing short term problems, you can reduce the amount of time you spend dwelling on them and try your best to move on. You can then focus your energy on addressing and resolving long-term problems.

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Give your sel f per mission to tak e a r est day. Treat this tip like you would a potent corticosteroid cream ? use it sparingly. That being said, sometimes I come home after a long day and I?m just mentally drained. Any hope of being productive is lost and the rest of the day is just a write-off. I like to think that?s okay once in a while. If you?ve got too much on your plate and you absolutely can?t afford to take the day off, pick and choose tasks you might find more enjoyable. Save up your energy and tackle the hard stuff once you?ve rested up.

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W hen al l el se fail s, seek pr ofessional hel p. At the end of the day, these are just tips and 11you?ve already tried some of them, but still find your stress tricks that I find helpful. Perhaps unmanageable. There is no shame in seeking professional help (and in the spirit of breaking the stigma, I will happily disclose that I myself have been there). As you have/ will learn, there are many options available such as medications or therapy, and you will never know what may work for you unless you try.

I hope you guys have found this helpful. Even though I don?t have a quick fix for anxiety, I truly believe that adopting a positive and healthy mindset can help make it more manageable.

It?s always going to be something that will take a bit of effort on your part, but you?ve come this far and you are more than capable. All the best. (:

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UGANDA UNLOCK I NG BRAI N SHACK LES ABANOUB GRAISS, CLASS OF 2020 I am always short of words when talking about my experience in Uganda. I will start by saying it was an eye-opening experience that has changed my perspective on a lot of things and that has truly underscored the type of health care professional I want to be. I went to Uganda with the McMaster University Internal Medicine team in collaboration with Health Volunteers Overseas. They were a group of residents lead by exemplary staff physicians. ?This is unbelievable?is a thought that crossed my mind so many times during my stay in Uganda. I quickly realized that I cannot change the system, a system that is limited by the lack of resources and funding.

Nevertheless, it is a system that definitely allows for a significant impact to be made through every individual encounter.

As the first pharmacy student to accompany the HVO-McMaster collaboration, I had no prior experiences in the field of pharmacy in Uganda to gather insight from.

However, I had the distinct privilege of working with exceptionally talented Ugandan healthcare professionals. This allowed me the chance to develop and collaboratively implement a pragmatic framework for the implementation of clinical pharmacy as a discipline in Ugandan hospital ICU's and medicine wards.

The very first morning after I landed in Uganda, I got up, got ready, put on my white coat, and got in a car that took me to Mengo Hospital (a public hospital). I was welcomed with open arms and given a tour of the whole hospital where I would be spending the upcoming days. As I walked through the hallways, I quickly noticed the hospitality of each staff member. I also could not help but notice the obvious markings of age in the hospital structure and the lack of what we, in Canada, may take for granted, including such things as basic as vital monitors for patients in ICU beds.

On reaching the outpatient pharmacy I noted that while the shelves carried very different generics from those I have seen before the pharmacy was run in a familiar manner.

Patients would come in with a prescription

and provide it to the pharmacist. The prescription would then get processed, prepared by staff and finally, the medication would be given to the patient with the pharmacist providing counselling upon dispensing.

Throughout that journey, I went through various memorable experiences that have taught me a lot, leaving a lasting impression on the type of healthcare provider I aspire to be.

On my second day, I saw a young lady that had been sleeping in front of the oncology department in the hospital for two nights waiting for admission. She looked extremely sick and was unable to even turn. This was one of the first experiences in Uganda where I felt a heaviness in my chest and a mind-baff ling emotion that was at once explosive and numbing. As I asked some of the staff for help for this lady, I grievously came to learn that this was a normal situation for this department and that they simply were unable to accommodate everyone. As I heard and saw my pain ref lected in the eyes of the physician who answered me, I experienced what I later called a brain shackle where compassion calls for a solution that resources are unfortunately not able to provide 12 I spent the third day in the emergency department where the number of patients requiring acute care was at least double that of beds available. I particularly recall seeing a large number of patients with traumatic brain injury post ?bota-bota? accidents (motorcycle accidents). In my mind, I recall an exceedingly vivid image of patients on the f loor bleeding, asking for help, and extending their hand to every white coat that passes. A story that deeply resonated with me happened as I was leaving the hospital. I saw a young man, who could not have been much older than me, bleeding profusely from his left head. He looked straight at me as I was leaving and I heard his cry for help despite him not having uttered a word? ?How could I leave?? I had to help. I hurriedly crossed the short distance that separated me from him and as I got closer, the rate of bleeding became clearer- Blood was gushing out faster than I had ever seen. Ref lexively, I took off my white coat and used it as a cloth to apply pressure to the site of bleeding. I whispered fervently, ?I promise I will not leave you until I get help? ... I asked him what happened and how it happened 12 and obtained a focused medical history. I then hurried over

whom I had the pleasure of interacting. Their resilience and determination to provide the best possible standard of care and to adopt all new methods they could to ensure that, despite their lack of resources, was a true inspiration.

Their patient advocacy extended beyond seeking treatment options for their patients into the realm of truly working on adopting systemic level of change that can affect their patients?care, including but not limited to the implementation of clinical pharmacy in ICU and medicine wards as well as antibiotic stewardship initiatives, efforts on which I collaborated with various stakeholders who were more than willing to work on removing any road barriers that may hinder such positive changes.

Finally, Uganda has taught me so much about how a health care professional ought to behave - In Ugandan hospitals, I saw dedication in the face of adversity, dignity in the face of need, and most importantly compassion and pro-active dedication to change as keys to brain shackles. I end with this quote for each and every health care provider ?To know even one life has breathed easier because you have lived; this is to have succeeded? for is our mission not, above all, to care?

to an extremely busy physician and relayed the information I had collected. Considering the urgency of the case, the physician rushed over after hearing the history and provided stabilizing measures. I stayed the entire time with the young man until he was admitted. I had missed my bus back home and decided to stay in the department for the rest of the night. I continued to help throughout the night as needed. Before I left the next morning, I decided to check up on the young man. His nurse informed me that he passed away during the night. I left for home that morning and I prayed for the young man. As I ref lected on the care he received, I realized that above all else, it was the compassion and empathy of the professional men and women who cared for him that likely helped this man the most.

The next story took place in the trauma unit where I saw an eighteen-year-old patient who fell down a f light of stairs after a syncopal episode. He was surrounded by his family members, still drowsy. I accompanied the trauma team which consisted of a physician, a resident, and a pharmacist as they went to see the patient. A CT Head was needed to assess for an intracranial hemorrhage and plan for surgical management as indicated. As the resident finished relaying the plan, the mother gasped and bowed her head in tears and despair next to her son?s head. The father shortly followed suit and gently hugged the mother as tears ran down his face? I naively wondered if it was their fear that had stopped the f low of their questions. As we walked away from the bed, I leaned over the pharmacist and asked, ?Why are they grieving as though this is the end?? ?They cannot afford the scan,? came her shocking answer. It took a while for that to sink in and the tears quickly followed. I excused myself to ref lect and think for a second before attending to other patients. Here it was again, the feeling of brain shackles. It came with a realization of the magnitude of privilege we enjoy within our Canadian health care system and the incredible responsibility we have to allocate our resources wisely.

Throughout each and every encounter, I was truly amazed by the dedication, intelligence, skill level, and absolute compassion of each and every Ugandan physician, pharmacist, and nurse with 13

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LIFE AS A STUDENT

JILL HALL BScPharm, ACPR, PharmD

Clinical Associate Professor, Assistant Dean, Entry to Practice Programs

1 What were you doing before getting into pharmacy?

2 What was your favorite class in pharmacy and why?

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was your attendance as a pharmacy student?

4 How (Please be honest)

5 Were you involved with any extracurricular activities? If so, what were they?

is your favorite memory as a pharmacy 6 What student and why?

7 Who was your favorite professor and why?

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8 How did you study for your exams? What was your

favorite studying snack? Were you a procrastinator?

9 How many cups of coffee/tea did you typically drink? What was the most you consumed?

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LIFE AS A STUDENT

TERI CHARROIS BScPharm, ACPR, MSc

Clinical Associate Professor

were you doing before getting 1 What into pharmacy?

I was in science at UofA - I took 2 years of science and was trying to get into physio! I had no luck so took pharmacy as my back-up. I'm honestly so thankful it worked out that way!

was your favorite class in 2 What pharmacy and why?

My third year therapeutics course. Our course coordinator was Pat May who was a graduate student at the time and he was such a great teacher. Loved that class and learned a lot of foundational information.

was your least favorite class 3 What in pharmacy and why?

Radiopharmacy - I did not get anything out of that class. It was a 3 credit course back then, and it was so painful!

was your attendance as a 4 How pharmacy student? (Please be honest) Not bad mostly - in 2nd year we had an 8am MedChem class every MWF. So a few of us would take turns going to the class and taking notes (we had printed notes from the teacher, but he would just blank out some words- so one person would have to go just to get the 'missing' words). We would then meet for coffee at 9am and exchange notes before our 10am class.

Second YY2 ear(1994-1995) Student (1994-1995)

kind of events did pharmacy have during your studies?

13 What We had a lot of TGIFs - which were put on my students. We also had sports teams which I

you involved with any 5Were extracurricular activities? If so, what were

participated in. We didn't have a big show like RxFactor - which I think is a great addition to student life. I tried to go to most of the TGIFs and student events - it was a great way to be with my class, but also meet people in other classes.

they?

I played with the pharmacy volleyball and basketball teams, until I blew an ACL doing volleyball intramurals.

is your favorite memory as a pharmacy 6 What student and why?

was the hardest exam you wrote during your studies?

14 What difficult?

TGIFs - those were Friday afternoon get togethers on campus (drinks!) - had a great group of friends. I loved the small class size and getting to know everyone.

was your favorite professor and why?

7 Who I loved Pat Mayo and Nese Yuksel! They were both really great; they made learning fun and I loved their approach to teaching. I think I've tried to take some of that into my teaching.

I think the oral exams we had for our "Pharmaceutical Care" class. We had to present a patient case to an examiner - kind of like an integrated case that was then presented orally. I never knew how it went and always felt ill-prepared. It wasn't my best class that's for sure!

Bonus Quest ions you were given an integrated case and had to appoint 4 faculty members 1 If(academic staff/student) to be on your squad, who would they be and why?

did you study for your exams? What was 8 How your favorite studying snack? Were you a

I would pick Christine Hughes - because her expertise in infectious disease (particularly viral) would be helpful - given I do not feel comfortable in that area of practice. Jill Hall - we work well together and she's far more detail oriented than I am. Renette Bertholet - because she knows a lot of little bits of information my brain could never retain, and we make a good team! Ann Thompson - because she's a much deeper thinker and questions things more deeply than I do.

procrastinator?

I liked to study in front of the TV. It drove everyone crazy. And I NEVER pulled an all nighter. Ever. I wrote lots of study notes and went through those meticulously. I used to snack on cheese and crackers. I was not really a procrastinator - I liked to get things done and out of the way, and then move onto the next thing.

you had to create a business plan for PHARM 372, what would your 2 Ifbusiness plan consist of and why?

I did AWFUL in my management course, so I would need to make sure I had a strong team of smarter people with me! But it would be around ambulatory pharmacists in specialty clinics and how they could reduce wait times for patients seeing specialists by increasing the volume of patients that could be seen in those clinics with the addition of a pharmacist.

many cups of coffee/tea did you typically 9 How drink? What was the most you consumed?

Coffee. ALL COFFEE. Probably 2-3 a day - and honestly never more than that. See previous question - never pulled an all nighter.

was your go-to study spot on campus?

10 Where Was there a hidden-gem location where you

you had to write the final exam15 for the following courses, what do you think 3 Ifyou would score?

-

could nap?

Health Sciences library - 2nd floor in the back by the windows. I'd nap there too.

did you do during your free time?

11 What I played sports (basketball and volleyball) - and had a good

- the pharmacokinetics would pull me through on this one, but I think I'd be a solid

PHARM 407: Infectious Diseases I

- I'd knock this one out of the park - I'm

calling a 90%

-

you ever miss being a student? If so, what 12 Do aspects of being a student do you miss and I miss being a student all the time - that's why I'm back at it. I'm a UofC student in the Doctor of Education program. I love learning and love being a student. I miss being part of a class - so I am thankful that in my doctorate I have an amazing cohort of 12 other students from very different backgrounds, but we are all in the program together. I really missed being part of a class.

PHARM 361: Pharmaceutics 2 - very, very, very poorly PHARM 351: Biopharmaceutics and Pharmacokinetics average.

-

group of friends from Pharmacy - we went out every Thursday night to Squires. Likely one of the reasons we often missed Friday 8am class.

why?

Why was it so

PHARM 477: Infectious Diseases II - this one - not so much - another solid average.

4

If you could take one course in the program, which course would it be and why?

Probably Bone and Joint - I work in rheumatology now, and some of the background anatomy, pathophysiology, pharmacology etc would be helpful in my weekly clinics. I have had to go back and relearn some of this now and it would be better to take in course form I think

15

Well you're in luck, because I've got the finest selection of single (and ready to mingle) bachelors and bachelorettes from each year in pharmacy who've got a prescription for your love! If you want to find yourself a pharma- CUTE- ical date on February 14, 2019, just scan the list of pros & cons on each profile and schedule an appointment with one of these beauties! Be sure to keep things PG and not Rx- rated, you wild pharm animals!

Propanolol is red, digoxin is blue. My heart skips a beat whenever I see you

Did you get enough sun today? Because I'm trying to give you some Vitamin D

Are you an SSRI? Because it only makes sense when you're with me

I think you may be suffering from a lack of vitamin me

EVELYN THAI, 20

DIM ITRI GALATIS, 26

ELIANA KAVGADOULIS, 21

SHAWN WANG, 23

THE REAL PHARMASISTA FOR YOU MISTA

WARNING: MAY CAUSE TACHYCARDIA FROM 'LOVE COAT' SYNDROME

YOU'RE MY ONE & ONLY DRUG ADDICTION

"ANOTHA ONE" - THE ASIAN DJ KHALED

PROS:

PROS:

? Acti ve li stener : She w on't i nterrupt and she'll alw ays

? Feeli ng hungry? Thi s guy ai n't even a snacc... he's a

probe you for m ore

full m eal

? Evi dence based: The real deal and she can prove i t

? Feeli ng down? He'll m ake you laugh so hard you'll have

? Excellent planner: She's your Plan A... you can w orry

stress i nconti nence

about Plan B later

? Feeli ng anxi ous? Why take Ati van w hen you've got

? Pati ent lover: If you need a prescri pti on for love, she w i ll

yourself Shaw n the Man

be happy to w ri te you one

? Feeli ng frustrated? At the very least, he'll be able to

? Respects your pri vacy: Wi ll counsel you one-on-one (i n a

i denti fy your em oti on

pri vate room )

? Feeli ng lazy? He'll teach you about cardi o, both

PROS: ? Empatheti c: Who else i s gonna i denti fy your em oti ons and ask fully open-ended questi ons? ? Loyal AF: Because cheati ng i s agai nst the ACP Code of Ethi cs. ? Irreplaceable: No substi tuti on requi red. (? Soon to be) APA-Certi fi ed: You?ll be needi ng that m etoprolol prescri pti on w hen she m akes your heart race ? Personal caretaker: All about that pati ent-centred care CONS: ? NOT Beyonce: Sorry guys, but li fe i s full of di sappoi ntm ents ? Bad li stener: If she can?t even li sten to her pati ents, w hat m akes you thi nk she?ll li sten to you? ? M eme addi ct: Get ready for 100+ Facebook noti fi cati ons of her taggi ng you i n m em es ? Leaves you on read: She?s got better thi ngs to do, li ke pass ceuti cs ? Just plai n bad: Heard you li ke bad gi rls? Well good new s... she?s bad at everythi ng Email (sli de i n the DM's): ethai @ualberta.ca

PROS: ? Fashi onable: What?s hi s shi rt m ade of? Boyfri end m ateri al. ? Chari smati c: An expert i n Com m uni cati ons both i nsi de and outsi de of lecture ? Hi lari ous: Pharm aci st by day, com edi an by ni ght ? B-Ball Star: Can do m ore than count pi lls... he can play ball too ? M usi ci an: Get yourself your very ow n drum m er boy CONS: ? Hard-work i ng: You can be the gi rl to de-stress hi m ? Underdeveloped professi onal i denti ty: Mi ght dress a li ttle i nappropri ately som eti m es? ? Caffei ne addi ct: May experi ence w i thdraw al sym ptom s w i thout QAM caffei ne dose ? Lactose i ntolerant: Ice cream dates w i ll probably end w i th adverse effects of gas, bloati ng, and di arrhea ? Too School for Cool: He needs hi s Pharm D fi rst before you can get hi s D Email (sli de i n the DM's): galati s@ualberta.ca

Are you a box of BD Pen Needles?

Because you are ULTRA FINE

M ARVIN CHAI, 22 THE MOST WHOLESOME ACP (ASIAN CANADIAN PIMP) PROS: ? Dedi cated: The route of adm i ni strati on of hi s love w i ll go strai ght to your heart ? Open-mi nded: Even i f you betray thi s professi on and go i nto m ed next year, he'll sti ll love you ? Excellent GM P i n bed ? You mi ght get lovesi ck , but you w on't have any heart(break ) problem s w i th hi m ! ? Forgi vi ng: Even i f you use the pharm acy dri ve-thru, he'll forgi ve you for your i ndecency

What do you and a febrile patient have in common? You're both hot

Email (sli de i n the DM's): k avgadou@ualberta.ca

Email (sli de i n the DM's): shengxi 2@ualberta.ca

Wow girl, are you an injection site?

Because you're looking sub-CUTE

16

We can be more than just a patient interaction

SUKHM AN CHAHAL, 21

LISA ZHANG, 23

#1 DATE RECOMMENDED BY PHARMACISTS

FIND THIS TAN MAN (WITHOUT A PLAN) A WOMAN WITHIN A SHORT SPAN

A DOSE OF ASIAN FOR ANY OCCASION

PROS: ? Educated: Undergrad degree i n Ki nesi ology (w i th a large focus on Anatom y...) ? Understandi ng: Won't thi nk you're less m anly w hen PK m akes you cry ? Cari ng: She'll burn her ceuti c notes to keep you w arm ? Li fe-saver: CPR certi fi ed i n m outh-to-m outh resusci tati on ? Posi ti ve: Who needs an SSRI w hen you've got her?

? Pet pri ori ti es: Dogs com e fi rst, alw ays (sorry not sorry) ? M edi ocre steri le compounder: It alw ays ends up getti ng a li ttle di rty... ? Inhaler needed: Cute enough to take your breath aw ay, sm art enough to bri ng i t back ? Reck less: Som eti m es she only arri ves to class 1 m i n early ? Forever ti red: It's hard runni ng through your m i nd all day Email (sli de i n the DM's): lauren.adam21@gmai l.com

Email (sli de i n the DM's): m ch ai@u alber t a.ca

CONS: ? Low health li teracy: SIG abbrevi ati ons >> actual w ords ? M ay go M IA on you: Try faxi ng hi m to m ake an appoi ntm ent... ? 23 Savage: Wi ll roast you ti l you're burnt to a cri sp ? Human Snorlax: Catchi n' Pokem on? More li ke catchi ng zZzZz's ? Young, dumb, and broke... but at least he's got a bi g heart

LAUREN ADAM , 23

CONS: CONS: ? Too loud i n the bedroom: But I m ean... there can't be ti nni tus w i thout U and I ? Pi ck y: Refuses to attend any courses that start w i th P and end w i th C ? Bladder the si ze of a Yak ult bottle: Needs to pee QID PRN ? Short attenti on span: Just li ke i n lectures, payi ng attenti on i s hard for hi m ? Jealous: He's gonna m ake dam n sure you don't transfer over to Shoppers

physi cally AND academ i cally CONS: ? Needy : She requi res constant attenti on QD PRN ? Compli cated, wi th many si de effects: May i nclude i nfatuati on, low ered i nhi bi ti ons, and heartbreak ? Busy : Schedule dates vi a appoi ntm ent only (no w alk -i ns) ? Hi ghly i ncompati ble w i th guys w ho rank hi gher than 7 on the pH scale ? Extremely pi ck y: Pri or authori zati on requi red before a fi rst date

PROS: ? Dynami c: ACP i n the streets, RxA i n the sheets. ? Healthy: Hasn't had rabi es si nce '09 ? Good wi th feedback : Can't spell USRIs w i thout US, ri ght? ? Accredi ted: "The m ost handsom e boy I've ever m et!" Suk hm an's Mom . ? Adventurous: Som eti m es he'll put auxi li ary labels hori zontally i nstead of verti cally on the pi ll bottle CONS: ? Talk ati ve: Much li ke Alberta Blue Cross, he can have you on the phone for hours... ? Emoti onally fragi le: He break s faster than hi s em ulsi ons ? Irresponsi ble: Handles hi s m oney so poorly i t look s li ke he takes fi nanci al advi ce from the Dean ? Overconfi dent: He'll call hi m self extraordi nary... w hen really he's just extra ? Anarchi st: Does N.O.D. at the very END of hi s i nteracti ons Email (sli de i n the DM's): ssch ah al@u alber t a.ca

16FOR SERIOUS INQUIRIES ONLY (Carri er pi geons allow ed)

PROS: ? Affecti onate: She'll take note of your allergi es not because she has to, but because she cares ? Great hand-eye coordi nati on: Who else can count Prom etri um capsules w i thout them rolli ng off the tray? ? Loves your flaws: "The m ore you have, the better I look " ? M akes you a better person: You're not you w hen you're consti pated. But don't w orry, she'll counsel you on how to use a supposi tory ? Supporti ve of your future: She'll consi stently bri ng dow n the class average for your success CONS: ? Lack s sympathy: Thi s gal i s all about em pathy ? Struggles wi th professi onali sm: She could count your narcoti cs, but i t probably w on't be correct: ? Does not own the US Pharm acopei a (yet) ? Brand name only: She's allergi c to anythi ng generi c ? Repli es to texts or messages Q4-6H PRN (m ax 12 repli es per day) Email (sli de i n the DM's): lazhang@ualberta.ca NO ANDROID USERS

Are you an opioid? Because I think I may be addicted to you

Are you digoxin? Cause you're not my first line pick, but you've got my heart pumping

I know pharmacy students are busy... but can you add me to your to-do list?

My love for you is like diarrhea...

I just can't hold it in

JASON CHIU, 23

EM M A STEPHENS, 25

TROY RICHM OND, 22

BONNIE CHUNG, 22

MR. STEAL YO GIRL: THE RX RATED MAN OF YOUR DREAMS

NOW ACCEPTING: HEALTHY VOLUNTEERS FOR THIS PHASE 1 CLINICAL DATING TRIAL

TROY IS GONNA FALL...

MAYBE IT WILL BE FOR YOU

LOVER OF PUGS, DRUGS, AND MORE IMPORTANTLY... YOUR HUGS ?

PROS: ? Li kes to work out: Do you even li ft bro? Thi s guy be on that 30 m i n exerci se QD 3-5x/ w eek PRN for m uscle grow th ? Your personal serenader: Si ngi ng, danci ng, pi ano, gui tar you nam e i t, he's got i t. ? M aster Chef: Li ke Gordon Ram say (but w i thout the savage rem ark s) ? Lai d-back : Don't tell hi m take a 'chi ll pi ll', he's practi cally Xanax i n hum an form ? Avi d event planner: Every date you go on w i ll be li ke a scene outta Crazy Ri ch Asi ans (w i thout the ri ch part)

PROS:

PROS:

? 4 out of 5 standardi zed pati ents agree "not the w orst

? Bei ng on hi s feet all day at w ork has taught hi m how to

PROS: ? Your very own anti depressant: She can be your happy pi ll ? Thri ll seeker: She li kes to take ri sk s by spi k i ng her BP >140/ 90 w atchi ng horror m ovi es ? Work aholi c: If you run out of student loans to pay for them dates, she'll take over and be the breadw i nner ? Entertai ni ng: Doesn't need to pop Molly to have fun ? One of a k i nd: No generi c substi tuti on for a gi rl li ke her!

CONS: ? Tardy: It's not that he's late... everyone i s just early ? Bros before hoes: Jason and hi s boi s all pledged under the 'Bro Code' of Conduct ? Li tty 24/7: Busi ness i n the front... party i n the back ! ? Clueless: You need to spell thi ngs out for hi m (li ke SIG di recti ons on an Rx label) ? Procrasti nator: He's got 99 problem s and they're all due tom orrow

? Less useful than a com puter that only show s graduati on

candi date they've seen today" ? Generi c name. Easy to rem em ber ? Very acti ve (bladder) ? Standards are lower than your ceuti cs m i dterm m ark ? N/A

? Unli ke most thi ngs i n pharmacy, he's not short ? When a pi ll i s hard to swallow, he'll alw ays fi nd a soluti on ? Dati ng hi m has m ore benefi ts than your i nsurance plan ? He's always on ti me because he k now s hi s schedules

CONS: ? 1 out of 5 standardi zed pati ents do not trust her * stati sti cs based on actual Pharm 430 sem ester i nteracti ons

? Everythi ng you k now about Troy i s a joke

CONS: ? Lack of meme culture: She prefers to read ACP arti cles than look at m em es ? Consti pated, not cli ngy: Bonni e doesn't need your attenti on... she just needs your laxati ves ? Innocent: Keep your stori es behi nd the counter... she doesn't w ant to hear you tak i ng i t vagi nally or rectally ? Pokemon obsessed: Pi k achu! (She m i ght not choose you) ? Derpy at ti mes: She can nam e you all the generati ons of cephalospori ns, but she can also push the pull door som eti m es

Email (sli de i n the DM's): tpri chmo@ualberta.ca

Email (sli de i n the DM's): bchung@ualberta.ca

CONS: ? That coat ai n't the w hi test thi ng about hi m

photos

? Doesn't li ke spli tti ng pack si zes because he's the w hole

? M ore afrai d of commi tti ng to a relati onshi p than

pack age

com m i tti ng to the Pharm D program

? Once he gets i njecti on authori zati on, he can really get

? Harder to read than the Molli er di agram

under your sk i n

? Wi ll ask for 10% of your earni ngs each quarter to com pensate for any personal budget shortfalls

? Has ri di culously hi gh standards (of practi ce)

Email (sli de i n the DM's): estephen@ualberta.ca

Email (sli de i n the DM's): jchi u@ualberta.ca

My love for you burns stronger than my urinary tract infection

be a stand-up guy

Not sure what my creatinine clearance is, but I just can't get you out my system

You must be here to pick up your insulin prescription because you're ultra sweet

Are you a fentanyl patch because I want to be all over your body... and I could very easily kill you if I'm mistreated

BRIANA PROFIRI, 23

CARLO TIPAN, 23

ALISHA SHIVJI, 25

AM AN PARHAR, (OLD ENOUGH)

STILL SEARCHING FOR HER PRINCE CHARMING...

FUN-SIZED ASIAN CHANNING TATUM WANNABE

BECAUSE EVERYONE NEEDS A LITTLE BROWN SUGAR IN THEIR LIFE

LIKE GILLETTE... HE'S THE BEST AMAN YOU CAN GET

PROS: ? Generi c: Affordable alternati ve to a real date ? Communi cati ve: Can talk through an enti re lab i nteracti on w i thout accom pli shi ng anythi ng ? Overachi ever: Scores so hi gh on hi s li ver tests, he's got m ulti ple standi ng orders at DynaLi fe ? Uni que: Once descri bed as "Magi c Mi ke Pocket-Si zed Fi li pi no Edi ti on" ? Posi ti ve: Every hour i s happy hour w hen hi s student loans com es i n

PROS: ? Hobbi es i nclude: fi tness & dance. Hang w i th her & you'll have a Fram i ngham Ri sk Score w orth braggi ng about ? Cleanli ness: Her oral hygi ene i s on poi nt leavi ng her breath sm elli ng spi ronolactone-fresh ? Resourceful: Know s a few Med k i ds that can sneak you i nto KATZ (after hours) ? Eye for fashi on: The perfect consultant to tell you w hat to w ear under that w hi te coat ? Human form of Propanolol: She'll reduce your BP, reli eve anxi ety, and prevent m i grai nes

PROS: ? Enjoys long walk s dow n the fam i ly planni ng ai sle ? Not recommended for those wi th Afi b because she'll m ake your heart flutter ? Awarded #1 customer of The Pi nt back bar ? Human form of Vi agra ? Surpri si ng - she actually got the "D" last year CONS: ? Always encourages dri nk i ng, even on anti bi oti cs (Flagyl) ? Excessi ve crowd parti ci pati on: I m ean, she di d alm ost rui n Rx Factor... ? Oi lers fan. Enough sai d. ? Her compoundi ng i s what you get w hen you prescri be som eone a m i x of PEG, lactulose, & senna ? Desperate for a date li ke pharm aci es are for epi -pens

CONS: ? Lack of punctuali ty: Alw ays late (just li ke your prescri pti on) ? Jocular: Laughter i s alw ays the appropri ate response.

Even w hen i t i sn't. ? Procrasti nator: He w rote thi s up last ni ght ? PEBC Ready.... (Not) ? Injured: He could've been a 1st round pi ck i n the 2017 NBA Draft.

Email (sli de i n the DM's): profi ri @ualberta.ca

17

CONS: ? Sweet tooth: She can't say no to dessert so her fri endshi p i s sure to m ake your A1C soar ? M IA: Takes longer to get a hold of than anti bi oti c sensi ti vi ti es ? M emory of a goldfi sh: But don't w orry, you only need to k now i t for the exam anyw ays (lol jk pls don't do that) ? Semi -reli able: She w on't be there on ti m e... but at least she'll be there ? Lack of humor: Not even rem otely funny herself, but she w i ll com pensate by laughi ng hysteri cally at your jokes

Email (sli de i n the DM's): Apo-Ti panafi l@gmai l.com

PROS: ? Almost 6 feet, 2 i nches (those are tw o di fferent m easurem ents) ? He's able to count pi lls by 5 so you k now he'll be a great pharm aci st ? Doesn't need Vi agra... but m i nd you no gi rl w ants to be w i thi n 10 feet of hi m ? Can do over 3 pushups (on a good day) ? Rarely makes the same mi stake 5 ti m es i n a row

,

CONS: ? Has yet to read "The Indi spensable Hi story of the Faculty of Pharm acy and Pharm aceuti cal Sci ences at the Uni versi ty of Alberta" by Dr. Nei l Davi es ? Unable to go to any park s or playgrounds or anyw here chi ldren m i ght be ? Poor empathy sk i lls... tends to use "suck s to suck " a lot w i th hi s pati ents ? Lack s k nowledge i n: PK, Ceuti cs, ID, and m ost, i f not all, therapeuti c topi cs ? Very bad luck on dati ng websi tes... especi ally ancestry.com ADD HIM ON NEOPETS: AmandeepTrouble_2001

Email (look i ng for a phri end, not a bae): ashi vji @ualberta.ca

So... what are you waiting for! ? Slide in those e- mail DM's (for serious inquiries only) and who knows... maybe you'll find yourself your very own patient- (centred) boyfriend or girlfriend!

You can keep them as needed for a maximum dose of happiness? one tablespoonful of love at a time. Side effects will most likely include feelings of lust, lightheadedness, and a throbbing heart. Remember to follow up with them if you want a refill on 17your next date!

A DAY IN TH E LIFE OF ED L EUN G, BSc. Pharm Analyst, Confi gurati on Team - Connect Care Questi ons by Jasm i ne Gi ll Hi Ed! Can you please t ell u s abou t you r car eer pat h an d w h at led you t o w h er e you ar e t oday.

I graduated from the University of Alberta Pharmacy program in 2009, and started as a community pharmacist with Safeway that summer. I floated for the company and typically backfilled stores where a pharmacist was on vacation or on maternity leave. While I was there I received my injections training as back then we didn?t have that skill coming out of university. After 2 and a half years I decided I wanted to try something different so I managed to find a casual position at the Royal Alexandra Hospital in Edmonton. I was assigned to orthopedic surgery after my initial dispensary and clinical training, and that?s where I have been for the last 7 years until I took a position as an analyst for the upcoming clinical information system known as Connect Care for AHS. Wh at does a t ypical day look like f or you ?

On the unit I start at 7AM to try and review patients before they go for surgery. I review their past medical history, their Best Possible Medication History, and then address any peri-operative medication issues before the operating room calls for them. I then review lab results and current medication orders for the patients who are either cancelled for surgery or post-operative. From there I start seeing patients and making interventions either with a physician or on my own if it?s within my scope. At the same time I keep an eye on patients who are being discharged or transferred out to see if any pharmacy help is required.

Wh at ar e t h e m ost ch allen gin g an d r ew ar din g aspect s of you r job on t h e or t h opedic su r ger y u n it ?

I?d say the most 18 challenging aspects of practicing on an orthopedics trauma unit is prioritization and communication. Prioritization is important because the unit is fast paced with high turnover, so it?s essential to deliver care to those who require it the most. Communication is challenging because I do not have a physician available in person for most of the day. There are days where I can go the entire day without seeing a physician; the surgeons are usually in the operating room and the hospitalists may be busy taking care of patients on other wards, especially if there are some very acute patients on the service. The most rewarding aspect is being able to make a difference in patients?care, and being a team player on the service.

That?s the ideal day; the actual day usually involves those steps interrupted by dozens of questions and requests for medication/lab orders from the nursing staff, critical lab result phone calls from the lab, questions from orthopedic surgeons, physicians, and consulting staff, meetings, and other requests from interdisciplinary staff.

What I can say is no day goes to plan on the unit. Because it?s acute care, situations are always changing and it?s key to be flexible and able to adapt to a quickly escalating scenario.

18

Cou ld you br ief ly explain w h at Con n ect Car e is an d h ow it w ill af f ect ph ar m acy pr act ice in Alber t a.

Wh at ar e som e of t h e ch allen ges you an t icipat e f acin g in you r n ew posit ion ?

Connect Care is the AHS initiative to install a new clinical information system across all sites in Alberta. The software developer that won the contract is Epic. This will affect pharmacy heavily as it will replace every site?s dispensing and inventory software, as well as the clinical delivery system. Instead of a hospital having multiple separate systems for use by different departments we will now have one system where every practitioner can place orders and review others recommendations. This will drastically reduce transcription errors, reduce workload, and provide more timely care to the patients who need it.

Understanding the needs from a wide range of practice environments will be critical. The system has to be functional from an acute care facility with multiple specialties, to a small rural site that runs with just one or two pharmacists. An initiative with as broad a scope as this requires careful consideration when configuring details such as default medication administration times, and standard protocols as this can severely impact sites that have limited staffing and resources. Another major hurdle will be the adoption of a system that is completely electronic. As pharmacists most of us already manipulate an electronic system of some sort, and due to the nature of our work, we are very proficient at our own systems.

Other disciplines that have been traditionally more reliant on pharmacy to handle the computer work for them will now have to step into that role themselves.

Wh at m ade you decide t o t ake on a r ole w it h t h e Con n ect Car e oper at ion s t eam ?

I?ve been involved with Connect Care as a Subject Matter Expert for roughly a year already, being the representative for the Royal Alex pharmacy department offering opinions from a practicing pharmacist perspective. During that time I realized how revolutionary Lorem ipsum dolor sit amet, this change will be and how much it will increase our conseteturtosadipscing elitr, sedaccurate diam care to our capability deliver safer, more patients.

The team put out a request nonumy eirmod tempor invidunt ut for a pharmacist and I saw it as an opportunity to be a part of possibly a once in labore et dolore magna aliquyam erat, a lifetime change in Alberta healthcare. It had to take sed diam voluptua. something of this magnitude for me to consider leaving frontline practice as I really enjoyed my role on the unit.

Wh at advice w ou ld you give t o st u den t s in t er est ed in pu r su in g a car eer in m an agem en t an d h ealt h car e deliver y?

Some attributes I have seen in the most successful and effective managers typically include being able to motivate their employees and communicate with them, understanding the tasks their employees perform and the barriers in their way, building a sense of team belonging, pursuing accountability from the staff, and understanding employees are not just a number but a person who requires nurturing, discipline, and encouragement. I believe staff should be able to demonstrate these abilities in their own environment before moving up to a management role. The same applies to those who want to work in a health care delivery role, with the addition of being able to understand site infrastructure, and less of

How w ill you apply you r exper ien ce w or k in g as a clin ical ph ar m acist t o you r r ole in t h e developm en t of Con n ect Car e?

So far with the modules we?ve been presented, the base functionality is adequate but the system requires heavy configuration for it to be applicable in the Canadian health care system. The vendor is based in the United States, so many of the defaults areLorem compiled using ipsum dolor American standards. Knowing how to operate a sit amet, consetetur dispensary and how pharmacy functions in different roles elitr, through the hospital I?ll be ablesadipscing to apply that to sed the system so it?s user friendly and practical for pharmacy staff. diam nonumy eirmod Another large gap I?ve found is that in every other health tempor invidunt ut care organization Epic deals with, pharmacists are not labore et dolore magna ordering practitioners. With advanced prescribing in Alberta this is a reality, and thealiquyam system requires erat. modification so that pharmacists are recognized as independent prescribers who don?t require a co-sign from

an emphasis on performance managing employees.

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Wh at do you like t o do ou t side of ph ar m acy?

In my free time I enjoy seeing friends, playing volleyball, skiing, traveling, playing guitar and piano, finding deals on things I definitely don?t need, and experimenting with my Google home.

a physician.

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Th e Healt h car e Pr act it ion er 's Gu ide t o Nu t r it ion

Discover how you can manage chronic health conditions with nutritional and lifestyle changes with authors Ahmad Chehade, Choi Chung, Dr. Ravina Sanghera and Dr. Parbeer Grewal.

resources making it very challenging to provide our patients with evidence-based nutritional information in our already rushed day-to-day interactions.

Discover the world of nutrition in The Healthcare Practitioner?s Guide to Nutrition, as we explore conditions such as heart disease, diabetes, acne, celiac disease and various other conditions that impact millions each and everyday.

As you know, the vast majority of chronic health conditions can be prevented and treated with changes in diet and lifestyle.

However, the reality is that our healthcare system has always been good at finding the best medication to help you manage your high blood pressure or diabetes, but we lack the resources and training to be able to provide advice on how to treat it with non-medical approaches or better yet, prevent it. What?s worse is that the resources available to us are scattered throughout a multitude of different

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In this quick and easy-to-use reference guide, we offer you the most successful options backed by strong-scientific evidence and vetted by registered dietitian, Miranda Chan, to help teach you how to reduce the number of medications your patient takes or even, eliminate the need for them completely.

Learn how you can help change the way we manage chronic health conditions through The 20 Healthcare Practitioner?s Guide to Nutrition.

Available at : Orbishealth.ca

Pr eview of t h e Healt h car e Pr act it ion er 's Gu ide t o Nu t r it ion Ch apt er 7 - Car diovascu lar Disease an d Nu t r it ion ?The results of these studies suggest that patients should be encouraged to consume a DASH-like diet with a restricted sodium intake (< 2000mg/day) for both the management and prevention of hypertension 79. It is important to inform patients that sodium intake does not only come from the amount of salt you add to your food; sodium is found in many of the consumable products we encounter on a daily basis. Thus, it is recommended to both read the nutritional label to get a more accurate idea of one?s daily sodium intake and to limit the consumption of processed or pre-packaged foods - one of the biggest contributors of dietary sodium. Patients may be encouraged to use salt substitutes in place of table salt 81. However, caution must be taken in patients with renal impairment and those at high risk of hyperkalemia, as most salt substitutes contain large amounts of potassium 81. A more practical approach would be referring the patient to a registered dietician for education on how to cook and season foods using alternatives such as herbs, spices, and vinegars.

It is also important to note that proper nutritional intake should be used in adjunct to other measures such as being physically active (30-60 minutes 4-7 days/week), reducing your weight and achieving a healthy BMI (< 25kg/m2), limiting alcohol intake (? 2 drinks/day), quitting smoking, and adhering to pharmacological therapy80.

were most consistently seen in hypertensive patients79.

Furthermore, recent evidence suggests that increasing potassium intake may also be associated with lower risk of death and cardiovascular events81. A systematic review and meta-analyses also demonstrated that increasing potassium intake had no adverse effect on renal function, blood lipid concentrations or catecholamine concentrations. 86 Patients at risk of hyperkalemia should be assessed on case-by-case basis and be monitored carefully. These patients include those that are currently taking ACE inhibitors, (ACEi)/Angiotensin-receptor blockers (ARBs), potassium-sparing diuretics, renin inhibitors, other drugs that can cause hyperkalemia (trimethoprim, sulfamethoxazole, amiloride, triamterene), patients with renal impairment or chronic kidney disease (GFR < 45mL/min), and patients with a baseline serum potassium > 4.5mmol/L79. Foods that contain high amounts of potassium include potatoes, melons, bananas, orange, prune and tomato juice, and milk81.

Sample menu for the DASH Diet 87

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In addition, a new recommendation outlined in the CHEP 2016 guidelines includes increasing dietary potassium intake in patients that are not at risk of hyperkalemia79. Research trials have demonstrated that increasing potassium intake had additive effects to sodium restriction, which resulted in a greater decrease in systolic blood pressure79. Particularly, these effects Excerpt from: Chehade, Chung, Grewal, Sanghera. " The Healt hcare Pract it ioner's Guide to Nut rit ion"

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And with that, PDW 2019 is a wrap. I had such an amazing time and made amazing friends from all across Canada. It was a great experience. I got to network with so many awesome people: students and possible future employers alike.

Th e secon d n igh t of t h e con f er en ce f eat u r ed Can ada?s Next Top Ph ar m acist . It was a great show and there were so many acts that had me laughing my butt off. There were so many times Rupaul was brought up as

I think I had it easy when it came to getting to St. John?s for the conference. I

part of their act (whether it was for their catwalk or for their talent) and I

came in from MontrĂŠal and arrived at St. John?s a day before the conference

lived for them <3 If I was a judge, that would be a way for you to win a

started. At this point, the winds had not crossed the 100 km/h strengths

competition #corrupt. S/O to the other RPDR lovers out there :) There were

and my 2 hour delay seems minuscule to some of the other UofA delegates

so many amazing acts from across the country and although our U of A

who, unfortunately, had much longer delays due to weather issues. The

contestant closed the show with amazing vocal, dancing and trombone skills,

first night of the conference welcomed all the delegates with the Opening

he did not place. I don?t want to speculate but there HAD to be some bribing

Gala, I participated to be screeched in front of over 300 people. In a

going on that resulted in this abomination. Just kidding ;p Ethan was my

nutshell, to get screeched is to be welcomed by Newfoundlanders where

number 1, which I?m sure many (if not most) of the PDW 2019 crowd would

you drink a shot of Screech and kiss a cod on the lips. In hindsight, I

agree. CNTP was a great appetizer to the night life of St. John?s. The residents

definitely have had worse kisses so it REALLY wasn?t so bad after all.

of St. John?s and PDW delegates from across Canada were all very friendly.

Reflecting back, this friendly vibe carried on throughout the whole conference for me.

To kick off the conference, Sebast ien Sasseville, an inspiring Canadian athlete who has done major physical milestones such as running across Canada and reaching the top of Mt. Everest while living with Type 1 Diabetes, gave a motivational speech about taking the first step and training hard to get to the end goal. One of the best quotes I got from his speech was that failure often comes from two reasons: ?failure to acknowledge OR recognize? no matter what endeavour or business you are pursuing. This resonated with me because in practice, we are often faced with adversities, and acknowledging the issue once we recognize it is the first step to making sure we rise above these issues.

Throughout the whole conference, I, along with my partner-in-crime, Mor gan Pat r ick , an d f ellow CAPSI Fin an ce Of f icer an d f r ien d, Dylan M ou lt on , were not able to attend any of the educational sessions due to

If there is one regret I have from PDW 2019, it is that I did not get as much time

our attendance in the CAPSI

as I wanted out of the Health Fair. There was so much swag and so much variety

meetings. However, what we

in vendors I could have been there for hours. I love talking to vendors and drug

lacked in the knowledge from

reps. They seem to always 22 know what I want because I come off enthusiastic and

the educational sessions were

gullible (in RuPaul?s terms, that is called throwing shade). But in all honesty, I

made up with discussion of

thought PDW 2019 did an amazing job with the health fair this year.

important topics that concerned CAPSI affairs and

The last day of the conference had the elections. It is an important part of PDW

on schools from across the

so that we can get a better gauge of how CAPSI can be run (by executive council) in the future years. To have my application to be VP Communications 2019/2020 reviewed by hundreds of people was nerve-wracking, but at the same time, it was

country. Meetings are one of my favourite things about being part of CAPSI. Although

nice to see people recognize my work through it. I got to meet more people

they can get long and intense, it feels great to be part of something bigger than me

telling me about how I should not have ran for it. It was like running for CAPSI Jr.

and to make a contribution to advocate for the pharmacy profession and for

all over again (again, just kidding everyone ;p). In all seriousness, it opened so

pharmacy student affairs. If interested in seeing what we talk about in meetings, visit

many doors in terms of talking to people I would have never expected to talk to

capsi.ca or feel free to come talk to Morgan, Dylan or me. We will be more than happy

and meeting the coolest people ever. Once the general members gave their

to tell you everything you need.

feedback to their CAPSI Sr ?s, the council then voted who would represent CAPSI as part of the executive council for the 2019/2020 year.

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Th e Closin g Gala w as a bit t er sw eet m om en t as we had to say

Jes Buhler :

goodbye to both new and old friends. It was hard to finally say goodbye

W hat are 2 t hings t hat surprised you?

to St. John?s. During the closing gala, Sean Hanson (from the Class of

The weather seemed to have a mind of it's own. One moment the skies would be clear and sunny and just a short while later we would be running for cover from a flash blizzard. Also, the the Duke of Ducksworth fish and chips were to die for, enough said.

2019) was awarded for placing 3rd in Pharmachoice?s Advice for Life Presentation (so shoutout to him) as well as when I found out I was successful in representing CAPSI and Alberta for one more year as CAPSI VP Communications for 2019/2020 year (yeeee boyy!!) If anyone has contacts on sponsors for CAPSI OR know anyone who can sponsor me personally, please send them my way :)

W hat are t hree t hings you learned?

PDW is full of life lessons. First, St. John's is a beautiful city full of historical landmarks and a rich artistic culture. Second, Newfoundland English is very different from Alberta English, which at times made me question whether it was an entirely different language. Lastly, I'll never forget the site of the harbor and the ever expansive ocean, it's really something special to witness.

W hat is one t hing t hat you w ill never forget ?

I don't think I, or anyone for that matter, will forget the nights out on George Street, at least the parts we remember.

To close this off, I would like to take this moment to introduce to you all that CAPSI are entering into by-elections. We are looking to fill in the following positions:

Pr esiden t -Elect , Fin an ce Of f icer , VP Edu cat ion , Webm ast er Please visit capsi.ca for more information on their roles or talk to either Morgan, Dylan (especially for Finance Officer) or me about them. Having a national position may seem like a daunting task but while it does requires some work put into it, it is a gratifying and inspiring position. Reflecting back at my pharmacy undergraduate career, being involved with an organization like CAPSI was one of the best things I have ever done. If there is one thing I would think about during my time as a pharmacy student, it is that ever since first year, CAPSI has changed my life (both professionally and personally). PDW is only one example of how much CAPSI has

Sean Larade

influenced my pharmacy career. Totally biased here but CAPSI is my favourite part about pharmacy school #truth

W hat are 2 t hings t hat surprised you?

See you all in the hallways and

How limited the evidence is for medical applications of cannabis. How few pharmacists practice to the full extent of the scope in their respective provinces

hopefully at next year ?s PDW at Montreal <3

W hat are t hree t hings you learned?

- Mark

W hen collaborating with other professionals, how you say something is at least as important as what you're saying Physician push back on pharmacist modifications to therapy is more prevalent than I realized

PDW REFLECTIONS

Not everybody likes Screech

Ethan Swanson:

W hat is one t hing t hat you w ill never forget ?

W hat are 2 t hings t hat surprised you?

"It's easy to do good, 23 but hard to do it well"

Laval's energy to party and Newfoundland's friendliness and hospitality (W ho am I kidding those aren't surprises :P) W hat are t hree t hings you learned?

St. John's is beautiful, hospital pharmacists are really cool, and you CAN climb Mt. Everest even if you have Type 1 diabetes - Don't give up on your dreams!

W hat is one t hing t hat you w ill never forget ?

St. John's is beautiful, hospital pharmacists are really cool, and you CAN climb Mt. Everest even if you have Type 1 diabetes Don't give up on your dreams

23

By LW

B I L L Wh at 's t h e f or t h ese

P I L L S

?

M r. Du r sl ey' s bl ood pr essu r e val u es h ave been con sisten tl y h igh for th e past few m on th s. H e h as been exper ien cin g sever e h eadach e an d ch est pain an d cl aim s th at it gets wor se in su m m er wh en h is over in du l gen t n eph ew com es over to visit. After an u n for tu n ate en cou n ter with a tal k in g cat, h e was pr escr ibed secon d gen er ation an tipsych otic dr u gs. H e h as been adh er en t to h is m edication s an d so far h as tol er ated th em r eal l y wel l . Despite bein g over weigh t, h e in sists th at h is diet is h eal th y. H is al coh ol in tak e is m in im al except for an occasion al m u g of bu tter 24 beer on week en ds. Dr. Bagsh ot pr escr ibed r am ipr il in or der to r edu ce h is r isk of h ear t attack an d str ok e. M r Du r sl ey al so h as gr ou p 1 cover age u n der Al ber ta Bl u e Cr oss.

-

Assu m i n g m ax i m u m d i sp en si n g f ees an d u p ch ar ges, d et er m i n e i f t h e f ol l ow i n g p r escr i p t i on w ou l d be cov er ed by h i s i n su r an ce p l an .

H ow m u ch w ou l d t h e i n su r an ce com p an y p ay ?

H ow m u ch w ou l d M r Du r sl ey p ay ou t of h i s p ock et ?

Bon u s Qu est i on : W ou l d y ou f i l l t h i s p r escr i p t i on as w r i t t en ? W h y ?

Su bm it you r an sw er s t o pqplu s.2@gm ail.com Accu r at e su bm ission s w ill be r an dom ly dr aw n by Feb. 5t h f or a gif t car d t o Tim m ies/ St ar bu ck s 24