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Welcome to another enlightening edition of the Palmetto Pharmacist Journal, your trusted source of information and inspiration within the realm of pharmacy practice in South Carolina. As we delve into the theme of "Illuminating Brightness in Pharmacy," we are reminded of the resilience and dedication that define our profession, even in the face of ongoing challenges.
It is no secret that pharmacy, like many other healthcare professions, confronts a myriad of obstacles on a daily basis. From navigating poor workplace conditions to grappling with reimbursement issues, drug shortages, and the evolving scope of practice, the landscape of our profession is as complex as it is demanding. However, amidst these challenges, the South Carolina Pharmacy Association (SCPhA) stands as a beacon of hope and progress for our members.
At SCPhA, we understand the vital importance of addressing these pressing issues head-on, and our dedicated team works tirelessly each day to advocate for positive change on your behalf. Whether it's through legislative efforts, collaborative initiatives with industry partners, or educational programs designed to empower our members, we remain steadfast in our commitment to advancing the interests of pharmacy professionals and improving patient care outcomes.
In this edition of the Palmetto Pharmacist Journal, we are pleased to shine a spotlight on some of the bright spots within our profession. From an insightful feature on Publix Pharmacy, showcasing their innovative practices and commitment to community health, to an inspiring profile on pharmacist member Erika Tillery, whose passion and dedication exemplify the best of our profession, each article serves as a reminder of the remarkable individuals and organizations driving positive change in pharmacy practice.
As we navigate the everevolving landscape of healthcare, it is essential that we come together as a community to share knowledge, support one another, and advocate for the advancement of our profession. The Palmetto Pharmacist Journal serves as a platform for us to do just that – to engage in meaningful dialogue, celebrate our successes, and confront the challenges that lie ahead with determination and resilience.
It is essential that we come together as a community to share knowledge, support one another, and advocate for the advancement of our profession.
I urge each of you to make the most of the resources and opportunities provided by SCPhA. Whether it's participating in our upcoming events, accessing our educational resources, engaging with your fellow members through networking, or simply contacting your legislators about issues that impact pharmacy, your active involvement is crucial to our shared success.
As we continue our journey forward, let us remember that the brightest moments often arise from the darkest of times. Together, we have the power to illuminate the path ahead and shape a future where pharmacy thrives and patients receive the care they deserve.
As we continue our journey forward, let us remember that the brightest moments often arise from the darkest of times. Together, we have the power to illuminate the path ahead and shape a future where pharmacy thrives and patients receive the care they deserve.
Thank you for your unwavering dedication to our profession, and I look forward to embarking on this journey of discovery and progress together. We are #OneVoice!
Warm Regards,
BrianClark,BSPharm,R.Ph. ChiefExecutiveOfficer SCPharmacyAssociation
SCPhA BOARD OF DIRECTORS
Cheryl Anderson, BS Pharm, R.Ph. President/Chairman of the Board
Kayce Shealy, Pharm.D., BCPS, CDCES President-Elect
William Wynn, Pharm.D., R.Ph., BCMAS Treasurer
Jennifer Baker, Pharm.D. Immediate Past-President
Alyssa Norwood, Pharm.D., BS Pharm, R.Ph., MS, BCGP Speaker, House of Delegates
Anthony DeClue, Pharm.D., MA, BCACP Speaker-Elect, House of Delegates
Whitney Pence, Pharm.D. At-Large Director
Emily Russell, Pharm.D. Midlands Region Director
Erin Blackmon Stelling, Pharm.D., MBA Pee Dee Region Director
Deborah Bowers, Pharm.D., R.Ph., AFMC Upstate Region Director
Donna Avant, R.Ph., CDCES Lowcountry Region Director
Kelly Clark
Ranarda Jones
Jordan Meyers
Brittany Woller PEE DEE
Sarah Baker
Laceye Parker
Sara Elizabeth Reid UPSTATE
Lisa Honeycutt
Talisha Ratliff
Pamela Whitmire
Marissa Beck
Cynthia Feldman
Dave Shirley
Dear valued members of the South Carolina Pharmacy Association,
It is with great pride and anticipation that I extend my warmest greetings to each and every one of you. As I write this today, we stand at the threshold of a new era, poised to illuminate the path forward for the pharmacy profession in our beloved South Carolina.
In the landscape of healthcare, pharmacies serve as beacons of hope providing essential services and medications to our communities. They are the cornerstone of wellness, ensuring that every individual has access to the care they need when they need it most. And in the heart of our state, our pharmacists shine brightly, guiding patients through their healthcare journey with compassion, expertise, and unwavering dedication.
It is my firm belief that by working collaboratively, we can harness the power of our collective brilliance to drive positive change and transformation within our profession.
Just over six (6) months ago, our profession recognized for the first time, a pharmacist enrolled by SC Health and Human Services as a medical provider with the implementation of the Pharmacy Access Act. We will not stop here; I pledge that your Association has scope of practice and payor reimbursement at the forefront of our agenda.
As we continue this journey together, let us be steered and uplifted by the illuminating brightness of our shared vision: to elevate the standard of pharmacy practice, to champion the well-being of our patients, and to cultivate a thriving pharmacy community in South Carolina.
Now, more than ever, our profession faces unprecedented challenges, but also opportunities. Continued challenges include workplace conditions, reimbursement issues, drug shortages, scope of practice, advancing technology, and evolving healthcare policies and legislation. It goes without saying that the landscape is constantly shifting. Yet, in the face of these changes, our resolve remains steadfast. Together, we possess the collective wisdom, innovation, and resilience to overcome any obstacle that lies ahead. To this end, SCPhA is addressing all the above vigorously this year and the Board is working tirelessly to make improvements from which we’ll all benefit.
It is my firm belief that by working collaboratively, we can harness the power of our collective brilliance to drive positive change and transformation within our profession. Let us embrace innovation, foster collaboration, and cultivate a culture of excellence that propels us toward a future where every pharmacist, technician, and student can thrive.
Your SCPhA has significantly increased technician membership
this year along with reactivating our Pharmacy Technician Academy. Over the next months, you will see us continue to recognize and spotlight our pharmacy technicians. As your President, I look forward to working with our Membership Committee to expand and further develop our other Academies. Stay tuned for upcoming news on your Academies.
Despite the challenges we face, there is much to celebrate and be excited about: your Board is energetic, committed, and passionate about our Association’s agenda and moving us all forward. The prospects of making real change are strong and the State’s economy and commitment to our industry paves the way for a brighter future.
Let us continue to strengthen our resolve to the noble mission that unites us: to serve our communities with integrity, compassion, and excellence. Together, let us illuminate the path forward for the pharmacy profession in South Carolina, casting a radiant light that illuminates the lives of all those we serve and ensuring a bright and sustainable future for our profession.
Together, let us illuminate the path forward for the pharmacy profession in South Carolina, casting a radiant light that illuminates the lives of all of those we serve and ensuring a bright and sustainable future for our profession.
As I get ready to pass the gavel to President-Elect, Kayce Shealy at our Annual Convention in June, I want to thank you for your dedication, your passion, and your unwavering commitment to our profession. Together, let us shine brightly and illuminate a sustainable future for pharmacy in South Carolina.
Sincerely,
CherylAnderson,BSPharm,R.Ph. SCPhAPresident SCPharmacyAssociation
“In our clinic, we often face unexpected challenges and a high workload. Input is valued from all members of the team, and we come together and decide as a group the best way to proceed. We also make time for bonding outside of work, and some laughter is always mixed in.”
- Whitney Pence“To influence positive change, lead by example and focus on what you can control, such as your attitude. Strive to leave every position better than you found it and celebrate the progress and contributions made along the way to foster an environment of motivation and commitment to continuous improvement.”
- Kendall Kerr
If we adopt that mindset, we approach every situation with humility and kindness, which will not only make us better as pharmacy professionals, but better people too.”
- Crystal Watts“It is important to give credit where it is due and when it is due. Celebrate the tiny victories along the way to win the war. When correction is due (we all need correction), make it an opportunity, not a spotlight on failure. Everyone falls, and it's how they get up and how we help them that matters.”
- William Wynn
If you were to consult the dictionary for the meaning of brightness, Erika Tillery’s name is sure to be there. This brightness shines through her story which is shaped by resilience, passion, and a relentless pursuit of positive change within the profession.
Tillery's journey in pharmacy began at the University of South Carolina College of Pharmacy. Armed with determination and a thirst for knowledge, she embarked on a path that led to diverse opportunities and experiences.
Growing up in Greenville, SC, Tillery was instilled with values of compassion and service—a foundation that would anchor her professional endeavors. However, it was her early exposure to the field as a pharmacy technician at an independent pharmacy that ignited her passion for the profession. Working alongside exceptional pharmacists, she was inspired by their dedication and kindness towards the patients they served.
During her pharmacy school journey, Tillery’s aspirations shifted towards psychiatric pharmacy—a transformation sparked by Advanced Pharmacy Practice Experiences (APPEs). Under the mentorship of Christine Latham at G. Werber Bryan Psychiatric Hospital, she found herself captivated by the intricacies of mental health care. This newfound passion led her to roles at Patrick B. Harris Psychiatric Hospital, where she immersed herself in direct patient care and education.
Transitioning into academia, Tillery seized the opportunity to educate future pharmacists, imparting knowledge in psychopharmacology and advocating for the advancement of psychiatric pharmacy practice. Her tenure at South University School of Pharmacy and Presbyterian College School of Pharmacy allowed her to shape young minds and instill in them the values of compassion and excellence.
Recently, Tillery embarked on a new chapter as a Medical Science Liaison at Indivior—a role where she facilitates the exchange of knowledge and insights to optimize treatment for patients with Schizophrenia and Substance Use Disorders. She is driven by a sense of purpose, knowing that her efforts contribute to improving patient outcomes and advancing the pharmacy profession.
Undoubtedly, pharmacy is not without its challenges. From increasing workloads to navigating complex regulations, pharmacists often find themselves amidst daunting circumstances. However, Tillery firmly believes these challenges can be overcome through collective effort and a steadfast commitment to positivity and resilience.
To infuse brightness into the field of pharmacy, Tillery advocates for fostering a supportive and collaborative work environment. By prioritizing staff well-being and cultivating a culture of appreciation, she believes an atmosphere can be created that inspires passion and dedication among pharmacy professionals.
Maintaining a positive outlook amidst challenges requires a balance of realism and optimism. Personally, Tillery finds joy in connecting with others—be it family, friends, colleagues, or patients. Through these connections, she draws strength and inspiration, reinforcing her belief in the transformative power of pharmacy.
As an advocate for the profession, Tillery strives to amplify the voices of pharmacists and showcase their invaluable contributions to healthcare. Whether through advocacy efforts or community outreach initiatives, she endeavors to positively impact the perception of pharmacy and inspire future generations of pharmacists.
In envisioning the future of pharmacy, Tillery sees boundless opportunities for innovation and growth. Embracing emerging technologies and championing initiatives that prioritize patientcentric care will be instrumental in shaping the landscape of pharmacy practice. As a catalyst for change, she is committed to playing a pivotal role in this evolution, advocating for advancements that elevate the profession and expand access to quality care.
To fellow members of the South Carolina Pharmacy Association, Tillery urges others to embrace the theme of "Illuminating Brightness in Pharmacy." In times of adversity, let us stand together, resilient, and unwavering in our commitment to excellence. By fostering a culture of support and collaboration, we can overcome challenges and continue to shine brightly in our profession.
In the words of Helen Keller, "Alone we can do so little, together we can do so much." Let us unite in our pursuit of a brighter future for pharmacy—a future where compassion, innovation, and resilience illuminate our path forward. •
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The Bowl of Hygeia award program was originally developed by the A. H. Robins Company to recognize pharmacists across the nation for outstanding service to their communities. Selected through their respective professional pharmacy associations, each of these dedicated individuals has made uniquely personal contributions to a strong, healthy community. We offer our congratulations and thanks for their high example. The American Pharmacists Association Foundation, the National Alliance of State Pharmacy Associations and the state pharmacy associations have assumed responsibility for continuing this prestigious recognition program. All former recipients are encouraged to maintain their linkage to the Bowl of Hygeia by emailing current contact information to awards@naspa.us. The Bowl of Hygeia is on display in the APhA History Hall located in Washington, DC.
Adiabetic patient struggled to manage his A1C levels, which resulted in significant health issues. Publix pharmacist, Amanda Eccleston, went out of her way to meet with the patient one-on-one, twice a month, to provide educational support, adherence counseling, and a hands-on demonstration of a glucose monitoring system. Eccleston went so far as to reach out to the prescriber to obtain a new system on behalf of the patient. After several months of diligent counseling, the patient’s A1C dropped to 6.7, the lowest it had been in years. The A1C improvement made him eligible for knee replacement surgery, which undoubtedly transformed his quality of life by allowing him to be more active and contributing to his overall health.
To say that Publix pharmacists go above and beyond to support and provide excellent healthcare to their patients is an understatement. Publix Pharmacy Supervisor, Aaron Lanning, and Pharmacist in Charge at Chapin’s Publix, Bradley Burleson, consistently inspire and motivate their team, resulting in high-quality patient care. Their superior service aligns with the company’s mission of being dedicated to the dignity, value, and employment security of their associates.
Lanning emphasizes creating a positive work environment, stressing that he works for his team, not the other way around. “My pharmacists and technicians are my customers in this role. By serving and recognizing my team while providing them with the resources they need, they can provide premier service and the highest quality care to our patients,” Lanning states. A testament to this positive work environment is the story of Bradley Burleson. Burleson’s career path with Publix began when he was hired as an intern while in pharmacy school and rose
"Since working as a Publix pharmacist for over a year now, I can confidently say that working for a company that values the well-being of their associates has made such a positive impact on my personal health and how I feel about being a pharmacist. In comparison to my previous employer, Publix has proper schedules in place that
support not only the pharmacist but the entire pharmacy team, including adequate pharmacist overlap based on volume and enough technicians to take care of our patients. Since working with Publix, I have been able to find a much better work-life balance, allowing me to rediscover why I became a pharmacist in the first place – to help our patients. Publix is a company
that puts our people before profits, and to me, that is shown daily in how we operate and how we are valued by management. I can now proudly say I am not only a pharmacist who loves her job, but a Publix pharmacist!"
- Natalie Hames, Pharm .D.
to Pharmacist in Charge. Burleson’s journey is an excellent example of the company’s commitment to internal growth, where he leads by connecting with team members, understanding their motivations, and expressing daily appreciation.
Publix Pharmacy supports its staff to ensure a positive and bright workplace culture. The company is committed to illuminating brightness in pharmacy by being a great place to work while providing its team with support and resources to conduct patient care in a safe, effective manner. Publix Pharmacy is dedicated to its associates by offering flexible schedules, paid time off, and parental leave, while fostering a family-oriented atmosphere.
This commitment reflects the principles of Publix founder, George Jenkins, who believed in being present and personally recognizing associates. Jenkins often said, “Be there”, as he set out to create a company where leadership was in stores often offering personal recognition to associates. One example of recognition includes the annual RXcellence award that is given to one pharmacist and one technician in each division for their performance, customer service, and demonstration of ownership. To this end, Publix Pharmacy leadership is regularly in stores providing guidance, and sincere appreciation to their associates, while celebrating the achievements of their hard work and dedication to the profession.
Outside of providing an outstanding workplace environment, Publix Pharmacy contributes to the community in a positive and illuminating way. Once asked what he would be worth if he hadn’t given so much away, Jenkins immediately responded, “Probably nothing”. Publix and Publix Super Markets Charities are proud to continue that legacy today by giving to local food banks and other nonprofits each year, with generous help from customers and associates.
Publix is also one of the top donors to United Way in the United States and contributes millions of dollars to Special Olympics, March of Dimes, and many local schools. Additionally, Publix engages in philanthropy through events like Publix Serves, where thousands of associates volunteer their time to have a positive impact on their communities.
It’s no shock that Publix Pharmacy has received numerous awards for being a great place to work and shop. At Publix, they understand the demands for delivering high-quality patient care while understanding the challenges the profession faces. Publix Pharmacy prioritizes its associates in decisionmaking, regularly seeking feedback through formal and informal channels to guide their path forward creating the epitome of what it means to illuminate the profession. •
Francis Marion Hotel | Charleston, SC
Francis Marion Hotel | Charleston, SC
June 27-30, 2024 | Register at scrx.org
June 27-30, 2024 | Register at scrx.org
HAD TO SAY! HAD TO SAY!
“CE was wonderful, the vibe, very positive and engaging.”
“It was my first time attending and I appreciated the opportunity to network and meet new people!”
“A very well-organized event with fantastic presenters!”
CONTEMPORARY ISSUES IN PHARMACISTS PROFESSIONAL LIABILITY
8:00AM - 9:00AM
Gene Reeder, RPh, PhD
KEYNOTE SPEAKER AND UPDATE FROM APhA 9:15AM - 10:15AM
Michael Hogue, PharmD, FAPhA, FNA
HOUSE OF DELEGATES 8:00AM - 10:00AM
PENS & NEEDLES: NAVIGATING DIABETES MANAGEMENT WITH INNOVATIVE INJECTION DEVICES 10:30AM - 11:30AM
Reagan Barfield, PharmD, BCPS
Taylor Meyers, PharmD
THERAPEUTIC UTILIZATION OF MEDICAL MARIJUANA 12:30PM - 1:30PM
Stephen Cutler, PhD
INSPECTIONS: WHAT TO EXPECT WHEN YOU ARE EXPECTING THE BOARD 1:40PM - 2:40PM
MEDICARE CHANGES 2024 AND BEYOND 10:15AM - 11:15AM
Ranarda Jones, PharmD, MBA
Bonnie Wilgus, PharmD
VaxxEd: IMMUNIZATION UPDATE 2024 11:30AM - 12:30PM
Jordan Ballou, PharmD, BCACP
SELF-CARE BOWL 2:00PM - 4:00PM
HOW SWEET IT IS: A HANDS ON APPROACH TO CONTINUOUS GLUCOSE MONITORING 8:00AM - 9:00AM
Betsy Blake, PharmD, BCPS, FNAP
NEW DRUG UPDATE, PART 1 9:15AM - 10:15AM
NEW DRUG UPDATE, PART 2 10:30AM - 11:30AM
Wayne Weart, PharmD, FAPhA, FASHP, BCPS
Great things are happening in pharmacy. Our profession is changing in many ways and today’s pharmacist faces new and different challenges, along with new and different opportunities.
The South Carolina Pharmacy Association's Annual Convention has a timely theme -- “Illuminating Brightness in Pharmacy.”
Given some of our recent headlines about workplace conditions, reimbursement issues, drug shortages, and the like, we need a few reminders of how desirable a career in pharmacy remains.
A pharmacy degree is one of the most versatile degrees in higher education. Our graduates are in education, government, industry, small business, research, sports medicine, entertainment, law, and many other places besides the traditional roles in community or health-system pharmacy. An entrepreneurial pharmacist can greet today’s challenges as stepping stones to a lucrative and fulfilling career.
At the Medical University of South Carolina (MUSC), we encourage our students to look for ways to turn problems into solutions.
• I recently visited some of our graduates at Blue Sky Specialty Pharmacy. This business uses technology to streamline the complex navigation of medication-based care for patients, physicians, payers, and pharmaceutical manufacturers. They saw an overwrought system that was a time-consuming nightmare… and turned the problem into a solution.
• A group of pharmacists and technologists from MUSC took a similar approach to help hospital pharmacy supply chains become more efficient. A few years ago, Matt Hebbard, an MUSC pharmacist with a focus on pharmacy informatics and medication stewardship, co-founded QuicksortRx. The software behind QuicksortRx began as an innovation project for MUSC. In 2019, the founders partnered with MUSC’s Foundation for Research and Development to start offering the product to other hospitals and now the company has helped health systems realize tens of millions of dollars in cost savings. See the problem, create a solution.
At the MUSC College of Pharmacy, we have recently launched our own entrepreneurial project: our new Medication Management Center (MTM). The MTM Center was made possible by our move to a new facility with the necessary infrastructure and resources in place. The center has two practice locations and four dedicated rooms in the new College of Pharmacy.
To create the center, we first partnered with a third-party system to provide MUSC Family Medicine patients with comprehensive medication history, assisting patients by identifying any drug therapy problems that need to be corrected. Our pharmacists update and review clinical data to enhance and improve the patient’s encounter with their provider and to recommend interventions to the medical providers to improve patient outcomes.
This initiative provides an outstanding educational experience for the students, who work in the center under the supervision of Rosalind Chorak, the center’s executive director and operations lead, and clinical faculty Kristy Brittain, Dave Shirley, and Anthony DeClue. It also opens doors for new clinical research while concurrently helping patients.
These kinds of entrepreneurial undertakings are just a few of the bright spots illuminating our profession. There are countless others. One of our alumni, Jonathan Jones, was recently speaking with some students during a seminar. To me, one of the things he said remains an ongoing moment of brightness for our profession, no matter what issues arise:
“Being inspired comes from finding your passion. Pharmacy has allowed me to do that because there are so many options. There’s nothing you can’t do, almost!”. •
If you are reading this article, I hope that you are one of many colleagues who find pride and fulfillment in the pharmacy profession as much as I do. In an ever-evolving healthcare landscape, pharmacy distinguishes itself as one of the original health professions, steeped in history and tradition. The first known pharmaceutical text dates back to ancient Mesopotamia, over 41 centuries ago, and the Bowl of Hygeia, a symbol of our profession, finds its origins in Greek mythology, where she was worshipped as the goddess of health. In the early IX century, pharmacy separated itself from medicine and chemistry as an independent science. Chloral hydrate, still in use today, was introduced in 1832, and chloroform and ether were first used as anesthetics in the mid1800s. But pharmacy does not only belong in history books. The more medicine becomes personalized, the more important the pharmacy profession becomes. The greater our modern health challenges, the more central the pharmacist figure. As we all know, pharmacists are the most knowledgeable medication experts. They are also expert practitioners of communication, empathy, fairness, and more.
The pharmacy profession is life-changing not only for patients but for pharmacists themselves. We experience this fact every year when among our new graduates we recognize those who just accomplished their lifelong dream, those who started out with an interest in a certain pharmacy field and learned to love it along the way, those who turned to a different one, and those who would have never dreamed to, one day, be called Doctor and defied all expectations.
Like all living things, pharmacy changes continuously and goes through challenges. Our mission to help improve people’s lives is sometimes hampered by inadequate working conditions, drug shortages, and a limited scope of practice. Schools of pharmacy have experienced a multi-year decline in enrollment due to new and expanding healthcare fields, reports of less-than-ideal working conditions and treatment of pharmacists in certain settings, and a general diminished interest in the profession. This decline is hopefully coming to an end thanks to renewed efforts to advocate for our profession, expand our scope of practice, and reclaim the vital role of pharmacists within healthcare teams.
As we continue to work to overcome the current challenges in our profession, it is important not to give in to frustration but remember what drew us to it in the first place. Maybe it was the fascination with the healing power of a little pill, and the desire to learn more of how that magic happens. Or the inspiration from the great work of a hometown pharmacist who cared for a grandparent. Energized by these thoughts, it is easier to find bright spots even on cloudy days.
As educators, sharing our love for the profession with our students
and celebrating their accomplishments are great ways to keep morale high while we carry out our mission to improve lives. And, luckily, the examples are endless.
Professional service opportunities such as drug take-back days train our students while serving the community. National competitions such as Script Your Future teach students to work through challenges like medication adherence with a positive attitude. Faculty-led research projects and meeting attendance foster critical thinking and communication skills
Service to the community is at the heart of Presbyterian College, and our student organizations champion this mission. Also here, examples abound. Our PPA chapter made educational flyers on “candy vs medicine” and delivered them to the children at the local Thornwell House for Children on Valentine’s Day. Our KE chapter was recognized for a service project that consisted of making and delivering breast and ovarian cancer awareness flyers to local businesses. Makenzie Chapman, a second-year student, placed in the top 10 finalists nationwide for APhA’s National Counseling Competition and will be competing at APhA’s Annual Meeting and Expo.
These are just a few of many examples that remind us of the reasons why we chose pharmacy as our profession. As with any field in life, pharmacy goes through challenging and rewarding times. Luckily, the latter always outweighs the former. •
will embrace and advocate changes that improve patient care.”
This single line from the American Pharmacists Association Oath of a Pharmacist describes one of the most significant roles that a pharmacist can undertake in promoting best practices through access to care, affordable medications, and the ultimate future of the pharmacy profession.
Accepting the role of an advocate ensures that the voices of experience in the field are being heard by those who would develop policies that impact patient care and how it is provided. Our faculty
took up the challenge without hesitation as many have testified before legislative panels, including Patti Fabel, associate professor at the USC College of Pharmacy and executive director of the Kennedy Pharmacy Innovation Center.
Dr. Fabel has often said that “if you are not at the table, then you are on the table. It is much better to have your opinion heard rather than to have someone else make those decisions about your profession.” She has testified before legislative committees regarding several pieces of impactful legislation, including the Pharmacy Access Act which now allows pharmacists to prescribe birth control in South Carolina. Putting her words into action, Dr. Fabel has taken on an integral role in helping to draft the required training for pharmacists who will prescribe contraception.
Dr. Fabel and I have accepted the challenge of supporting the Compassionate Care Act, the current effort to legalize medical marijuana in South Carolina. Other legislative issues for which Dr. Fabel has testified include a bill that would have removed pharmacists from the health care team within methadone clinics along with a bill allowing pharmacists to administer influenza vaccines.
USC
students,
Pharmacists and students alike need to be involved in advocating for the pharmacy profession. When students see advocacy in action, they have a much greater understanding of why it is important to provide insight to legislators from the perspective of the patients that pharmacists serve. The College provides that opportunity to members of the Walker Leadership Scholars Program, who spend a week in Washington D.C. during their fourth year, gaining exposure to policy, advocacy, and legislative processes.
USC College of Pharmacy student, CharLeigh Steverson, has made it her mission to learn about advocacy and policy development. The fourth-year student currently serves on APhAASP's National Standing Committee on Policy, where she has been working to raise awareness for policy resolutions centered around antitrust law, hormonal contraceptive bills, and the integration of substance use disorder education into pharmacy school curriculums.
CharLeigh spent five weeks on Capitol Hill as a pharmacy fellow for Georgia representative –and pharmacist – Buddy Carter, where she was able to apply her experiences with patient care and the health care system to the various health policy issues being addressed. She was also the only pharmacy student to join 152 pharmacy professionals for Compounders on Capitol Hill, the Alliance for Pharmacy Compounding’s annual advocacy day.
South Carolina Senator Ronnie Cromer, a 1973 College of Pharmacy alumnus, was active in advocacy long before he became a member of the legislature in 2003. Senator Cromer understands the importance of developing relationships with legislators and helping to educate them on issues with which they may not be well versed, such as pharmacy benefit management and vaccination accessibility. Our alumni, J. Addison Livingston, ‘97, a former chairman of the South Carolina Board of Pharmacy, and Hugh Mobley, ‘78, a member of the USC Board of Trustees, helped champion changes for pharmacy benefit management in the state of South Carolina, which should provide tremendous relief to pharmacists and patients.
As part of her final year rotations, CharLeigh has chosen elective rotations to coincide with her interest in policy development, including a rotation with SCPhA Executive Director Brian Clark to learn about association management and assist with the association's legislative priorities. She will return to Washington, D.C. for an internship with Hance Scarborough, a lobbying firm, and will have the opportunity to review health care related legislation for clients as well as
meet with members of Congress to discuss those bills.
Because of the examples being set by our faculty, alumni and students, the USC College of Pharmacy continually demonstrates that by making our voices heard and educating those who wield power over our profession, we as pharmacists can optimize the care we provide to patients and greatly impact the practice of pharmacy. I encourage each of you to become involved, to be an advocate for your patients and your profession. By doing so, you can have a tremendous influence on the future of pharmacy. •
The General Assembly is past the halfway point in this second year of the legislative cycle. So far, they have prioritized education, medical affairs, energy, and insurance with an emphasis on liquor liability. As we approach sine die adjournment on May 9, we are mindful of using the remaining time effectively since legislation that is not passed by then will have to start from the beginning of next year.
In February, the South Carolina Pharmacy Association held its 2024 Legislative Day to promote pharmacy and connect with legislators on current issues. SCPhA was recognized by both the Senate and the House for the work of the association and attendees were granted special entrance into the Senate antechamber with Senator Ronnie Cromer (R-Newberry).
We are still working on pushing several bills across the finish line including the PREP Act (H. 3988), Compounding Updates (H. 3592), and PSAO Legislation (S. 962). We also continue our involvement in the Compassionate Care Act (S. 423) and oppose legislation that would have a negative impact on pharmacists such as the Vaccines and Public Health Bill (S. 975).
The PREP Bill has made significant progress so far this session. Passage is a priority for us because it preserves and maintains access to pharmacy care in South Carolina post-Covid. Over the past year, SCPhA has met with stakeholders and reached consensus on a compromise bill that will add initiation, ordering, administration of flu and COVID tests, and reporting of a person’s flu or COVID test results to the pharmacist’s scope of practice, allow pharmacists to delegate test administration and vaccine administration to trained pharmacy technicians and interns, define the level of supervision pharmacists provide to pharmacy interns, and allow pharmacists to administer vaccines approved by the Board of Medical Examiners down to the age of 12, rather than 18, which is current law. After pushbacks from pediatricians and the conservative Freedom Caucus, we worked with the 3M Committee to further compromise the age to 16, while maintaining flu access down to the age of 12. This legislation has passed through the House and is currently in the Senate. Outreach from our members to legislators remains critical to our success.
The Compounding Bill has moved through both chambers and is just one vote away from passing. The bill would allow for more flexibility and faster responses to current industry practices
by shifting most of the compounding language to regulation rather than statute. The Senate also added language relating to wholesalers that SCPhA has reviewed. This bill moved through the House last session and began in the Senate this year where it was debated and sent back to the House with amendments. The House concurred with the Senate’s amendments, so now it will move to the Governor’s desk.
While supporting legislation that benefits pharmacists and patients, SCPhA also strategically opposes bills that would negatively impact the pharmacy profession. We got a major win when we successfully removed language from the Prescription for Minors Bill (S. 882) that would prohibit a pharmacist from filling a prescription for a minor without receiving prior written consent from the minor’s parent or legal guardian. If this language had been left in the bill, it would adversely impact the relationship pharmacists have with patients, take away a pharmacist’s ability to control their workflow, and impede patients’ access to care. Thanks to testimony from our Legislative Chairman Jennifer Baker, this language was taken out of the bill at subcommittee.
We also oppose provisions of the Vaccines and Public Health Bill (S. 975) that would mandate pharmacists to dispense medications without regard for their professional judgment. Pharmacists are trained healthcare professionals and must retain autonomy to refuse prescriptions in certain circumstances. Without autonomy, pharmacists would be compelled to act against their conscience and professional standards, potentially compromising patient safety and eroding trust in the pharmacist-patient relationships. CEO, Brian Clark, provided compelling testimony at the subcommittee level, and we continue to advocate for the offending language to be removed from the bill.
The Compassionate Care Act (S. 423), championed by Senator Tom Davis, successfully made it through the Senate with significant restrictions, including the requirement that medical marijuana only be dispensed at authorized “therapeutic cannabis pharmacies”. This bill is now in the House committee process for consideration.
We have many accomplishments to come for the pharmacy profession before the General Assembly adjourns. We plan to finish this session strong and will continue to call on you to support our initiatives. •
Pharmacist and CEO of PSyn, Inc, Ranarda Jones, received her Pharm.D. from the University of South Carolina College of Pharmacy and her MBA from South University.
Power Series on Starz
First Class by Jack Harlow
Hawaii. I have never been there.
I was born breach, so growing up my parents would tell me that I was special (in a good way, LOL).
At PSyn, we strive to have an enjoyable work environment. We all work together to pull our weight so that our fellow teammates don't suffer. In turn, our clients and the patients/members we serve receive an exceptional customer service experience. It is important for people to feel a part of the team and have a higher vision for the work that they are doing. I love being an entrepreneur and being able to provide that vision to my team. It is very rewarding. I would encourage others to do their part and do it with a smile. Have good customer service because it really does go a long way. Galatians 6:9 says we should never grow weary in well doing, and I try to keep that in mind no matter how hard and frustrating it can be some days when others aren't living by the same principle. When I go to sleep at night, or one unfortunate day for the eternal sleep, I want to know that someone's day or life was made better because of me and those around me.
After graduating from Francis Marion University, Erica Whetstone went on to become a Pharmacy Technician. She is on her way to 27 years as a technician, while having been working at The Medicine Mart in West Columbia, SC for the past eight years.
I do not watch tv very often. In my spare time, I love to spend time with my family and my dogs. I also enjoy gardening and decorating.
Thunderstruck by AC/DC
I would love to vacation in the Maldives one day.
I used to sing at various events and festivals in my hometown. In those days, I usually would sing classic country songs. Patsy Cline and Reba were my favorites.
I think it’s important to let your coworkers know you appreciate them.
ERICA WHETSTONE Pharmacy Technician Member Spotlight
Ethan Fannin earned his Bachelor's Degree in Biological Sciences from the University of South Carolina and is now attending the Medical University of South Carolina College of Pharmacy.
My favorite show to watch is The Office on Netflix.
Just Pretend by Bad Omens
I want to explore Italy. I plan to go there soon.
I love to hunt. My very first deer was a ten pointer.
I have always lived by this quote my uncle told me: "Nothing good comes easy". Pharmacy school is providing an opportunity for me to fulfill my dreams but not without sacrifice, effort, and determination. Knowing your goal in the end will remind you why you're working so hard.
A graduate from the University of South Carolina, Will Camp now serves as the Director of Government and External Affairs with Select Health of South Carolina.
It's not a current running show, but The Wire on HBO.
I don't have a song per se, but anything late 90s/early 2000s rock.
I really want to go on a safari in South Africa. I have not been there but making plans to!
I've been training Brazilian Jiu Jitsu for about five years and really enjoy hot yoga.
Healthcare is a challenging industry. I think it's important to remind our peers what a critical role they play in the healthcare delivery model. As someone with relatives that depend on specialty medications, I have experienced firsthand just how important pharmacists are in ensuring the wellbeing of others. Although some days can be long or frustrating, you are absolutely making an impact on your patient's lives.
As a longstanding member of the South Carolina Pharmacy Association (SCPhA) and a trusted board member of its foundation, Herbert J. Hames “Herb” has played an instrumental role in shaping the landscape of our profession in the state. Today, we honor his contributions that extend far beyond the confines of his hometown, leaving an indelible imprint on the profession and the lives he has touched. Join us as we celebrate the remarkable journey and enduring legacy of Herb Hames.
HOW DID YOU GET INVOLVED IN SCPHA?
l joined SCPhA during my junior year at the University of South Carolina College of Pharmacy (1956). When I graduated from pharmacy school, I continued my membership in SCPhA, and after 35 years of continuous membership, I became a lifetime member and did not have to pay dues anymore. I served on several committees, ran for vice president, and then president. I was elected to be president for the term 1999-2000. All my family came for my inauguration. At that time, our baby was an infant and served as a cute centerpiece for our table.
CAN YOU PROVIDE A BRIEF OVERVIEW OF YOUR INVOLVEMENT WITH THE ASSOCIATION AND WITH THE SC PHARMACY FOUNDATION?
I was elected to the Foundation Board of Trustees in 2002. I was then elected treasurer of the Foundation at the June 25, 2004, Annual Meeting of the Trustees at Hilton Head Island.
WHAT ADVICE WOULD YOU GIVE TO NEW MEMBERS OF THE ASSOCIATION?
You are a Pharmacist. Be proud of this fact. Get involved with SCPhA by way of committees and officers. You will get more out of the association than you will put in. Invite your fellow pharmacists who are not yet members to join.
WERE YOU INVOLVED WITH ANY OTHER PHARMACY-RELATED GROUPS OUTSIDE OF SCPHA?
I was a member of the SC Hospital Association and the Fifth District Association. I served 9 years on the Lexington Medical Center Board and 14 years on the Lexington Medical Center Institutional Review Board. I was chairman of the Lexington Medical Center Extended Care Nursing Home for 7 years.
ARE THERE ANY MOMENTS OR EVENTS THAT STAND OUT AS PARTICULARLY MEMORABLE OR IMPACTFUL DURING YOUR TIME WITH SCPHA?
During my term as president, one of the members asked about finding a permanent home for SCPhA. After looking at several properties, my son, Herbie, and his associate came upon 1350 Browning Road as a possibility. The entire board came by and looked the place over, and a contract was drawn up. The building still serves as our home for SCPhA.
IS THERE ANYTHING ELSE YOU WOULD LIKE TO SHARE OR EXPRESS TO THE MEMBERS OF SCPHA?
A pharmacist gave me a brochure about the Christian Pharmacist Fellowship International (CPFI) organization. Llewellyn and I attended the first annual conference (in Orlando, FL July 1988) and continue to be members. I served six years as president of CPFI a few years back. Please consider joining CPFI. It is my faith in God that has gotten me to retirement and beyond.
By: Nikki Chen, USC COP
Diamonds aren’t made overnight and are put through pressure to get to where they are meant to be; I would say creating a pharmacist is the same. As a student pharmacist who started pharmacy school during the height of the COVID-19 pandemic, hope was what my classmates and I turned to during our time of distress. Times like how the pandemic would progress, the state of the profession, or whether we could make it past the next exam. Stressors and forces that seem beyond our control put so much pressure on student pharmacists, especially for post-graduate training positions among internships and other limited opportunities. I can only assume the same types of pressures happen in the workplace, but it’s our care for one another and our community that has always kept our profession progressing. However, how are student pharmacists contributing as part of the community to build a culture of care?
Practicing mindfulness in our actions is one of the ways student pharmacists have been trying to combat burnout. Burnout has always been a daunting term to use. It feels as if it could be one of the words we use so much that the true meaning of the word gets lost, but being a part of the generation that has lived through COVID allows us to see what an overwhelming health crisis genuinely does to spread burnout across everyone working in healthcare. We care a lot about our patients and, in some situations, feel helpless in the face of the unknown and are unable to take time to care for ourselves. Taking those lessons and applying them to new situations meant being able to put our well-being first. Learning to say "no" to new opportunities when you're overloaded is something that many student pharmacists are learning to balance. This development is something that truly tests us students on placing our well-being over the constant need for progression and development. When you haven’t started your career, the advice from others has always been to take advantage of everything that comes up. Although that is still the case, learning to understand our mental capacity and time limitations has been a necessity among student pharmacists. Being mindful of what we are involved in allows us to give 100% of our effort consistently. Mindfulness is also taking on the perspective of getting to do things not having to do things. Pharmacy has continued to grow, and the student pharmacists are growing and adapting with it.
Finding ways to recharge and connect with one another outside of our various classes and extracurriculars is critical to building a community of resilience and well-being. This looks different for everyone. We have student pharmacists who enjoy different hobbies such as traveling, reading, running, golfing, binging Netflix, or spending time with friends. Recharging can also look like spending quality time with our families before starting our careers. From ice skating together on the weekend, visiting the desert botanical gardens while traveling at a conference, going to the beach together to watch the sunrise after staying up all night laughing with one another, or venting to a therapist, these are all the building blocks to a community of support for one another. As medication experts, we've all heard that "laughter is the best medicine," and something even as small as laughter can be something refreshing for the day-to-day morale of those around us. It's the support of these individuals that recharges us and help to shape the reality we hope to see within ourselves and in the world.
As we aim for our community of resilience, we must focus on the word itself. We’ve heard the term “resilience” as a buzzword throughout different pharmacy organizations, but what does this really mean when putting it into action? It reminds me of the saying “Life doesn’t get easier; you just get better at handling difficult situations.” Oftentimes, the reassurance that everything will be okay as long as we keep moving forward is what keeps us going.
As a student pharmacist, I’m positive that I can speak for all of us when I say that we know we don’t have it all figured out; we’ve barely scratched the surface. But generally, I can confidently say that at the end of the day, we rely on one another to be the best and happiest version of ourselves. There’s always going to be pressure on us, both in and out of school, but it’s finding healthy ways to grow from it that will make us who we are. Student pharmacists are diamonds in the rough - the future of the profession. With the support from our community, it’s up to us to help shape our future into the light that will lead this profession for years to come. •
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ELECTION VOTING
April 1st - April 30th
UPSTATE BREWERY MIXER
April 18th | 5PM - 7PM
FireForge Crafted Beer
TECH CONNECT
April 20th | 8AM - 12PM
SCPhA Office
ALL-PHARMACY CONFERENCE
May 7th | 10AM - 12PM
SCPhA Office
PEE DEE BREWERY MIXER
May 30th | 5PM - 7PM
Local Motive Brewery
Charleston, SC ANNUAL CONVENTION
June 27th - June 30th
Donate to the SC Pharmacy Foundation by participating in our Wine Pull at the 2024 Annual Convention! Each participant will pull a wrapped & randomized bottle of wine from our collection valued between $10 - $90!
Donate your favorite bottle of wine today!
Contact info@scrx.org with questions!
Join in on the fun! Donate an item or basket of your choice for the Silent Auction at our 2024 Annual Convention! Every penny raised will go towards the SC Pharmacy Foundation. Let’s have a blast while making a positive impact!
For questions, please email info@scrx.org
“I read it inspired by my young daughter beginning the process of vision therapy for her to gain stereoscopic vision. It's a reminder that we don't all see things the same way, and we gain greater insight when we try to walk in someone else's shoes.”
- Whitney Pence
“This is a simple text on the truths about our own vanity, that of our colleagues, and where we can meet to make the most of relationships. The ideas are easy to digest and implement. Know yourself, but let your neighbor tell you about themself.”
- William Wynn
“Riveting tale of poisons and potions and dark deeds in the name of survival.”
- Linda Reid
“It was an easy read to help you think about your mind shift and how you look at things.”
- Deborah Bowers
South Carolina Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Statements of continuing education credit will be distributed to participants who complete the program and submit the online program evaluation. Grievances regarding the education program must be submitted in writing to the SCPhA ACPE Administrator immediately following the program.
Target Audience: Pharmacists and Technicians
Learning Objectives:
1. Compare and contrast characteristics of asthma and COPD, including patient characteristics, symptoms, and triggers.
2. Identify goals of therapy for asthma and COPD.
3. Describe updates to the 2023 GINA Global Strategy for Asthma Management and Prevention and the 2023 GOLD Report.
4. Develop an appropriate treatment plan for the management of patients with asthma or COPD.
Authors:
Morgan Carhart, Pharm.D. Candidate, University of South Carolina College of Pharmacy
Elizabeth Kernodle, Pharm.D. Candidate, University of South Carolina College of Pharmacy
CharLeigh Steverson, Pharm.D. Candidate, University of South Carolina College of Pharmacy
Corresponding Author:
Elizabeth (Betsy) Weeks Blake, Pharm.D., BCPS, FNAP, University of South Carolina College of Pharmacy
Initial Release Date: April 1, 2024
Planned Expiration Date: January 15, 2027
Hours: 1.5 CE Contact Hours
A passing score of 70% is required to receive credit, and you are allowed two attempts to pass the quiz. Credit will be automatically processed following the CE once you complete the evaluation through Lecture Panda. Please note the journal article will be posted on this platform. Please contact SCPhA at info@scrx.org for additional questions.
Visit https://www.lecturepanda.com/a/SCPhAApril24CE to register and submit Home Study Quiz: Please note you will be prompted to create a profile.
Please note: You will be prompted for your NABPE e-profile ID. Pharmacists and Pharmacy Technicians are required to obtain this number; please go to http://www.nabp.net/programs/cpe-monitor/cpemonitor-service/ for more information and to register with CPE Monitor.
Objective/Goal:
The objective of this article is to provide a succinct overview of the guideline updates for two very common respiratory disease states in the United States: asthma and COPD.
Summary:
Goals of treatment for asthma and COPD center around reducing symptoms, preventing exacerbations, and improving quality of life for patients. Perhaps the biggest change in the 2023 GINA update revolves around the choice of asthma reliever, as ICS are now recommended along with beta agonists to control symptoms. Maintenance treatment still revolves around ICS with or without LABA add-ons, being mindful of ICS dosing depending on the patient’s age. With the 2023 GOLD update, a key change is the classification of patients to determine initial pharmacotherapy. Groups C and D were combined and replaced with Group E to highlight the increased risk for exacerbations in the two former groups. Treatment for COPD still revolves around LAMA and/or LABA therapy, with the addition of ICS if eosinophil count is elevated.
The 2023 GINA Global Strategy for Asthma Management and Prevention and GOLD Report provide evidence-based treatment strategies for managing asthma and COPD. However, the ultimate treatment regimen should be tailored to each patient based on their current symptoms, ability to properly use devices, and cost.
Asthma and COPD are two common chronic obstructive pulmonary disease states affecting people of all ages worldwide. While both disease states are characterized by airway inflammation, they differ in terms of symptoms, etiology, and inflammatory mediators, summarized in Table 1. Management of both disease states is often complex and requires the use of multiple agents to control symptoms and reduce the risk of complications. This article explores the latest updates in the 2023 GINA Global Strategy for Asthma Management and Prevention and the 2023 Global Strategy for Prevention, Diagnosis, and Management of COPD (GOLD Report).
Bronchodilators are major components of therapy for both asthma and COPD. Beta-2 agonists are the bronchodilators of choice for the treatment of asthma. When inhaled, these agents bind to beta-2 receptors on airway smooth muscle to cause bronchial smooth muscle relaxation.1 It is also suggested that beta agonists may have inhibitory effects on acute, but not chronic, inflammation.
There are two classes of beta agonists used to treat asthma and COPD – short-acting (SABAs) and long-acting (LABAs). The most common SABA used is albuterol, but other agents used include levalbuterol and terbutaline. Because SABAs have a quick onset of action and short duration, they are only used as needed for relief of acute symptoms. In contrast, LABAs generally have a longer time to onset and duration of action compared to SABAs and are typically reserved for maintenance treatment.1 The only LABA used for acute symptom relief in asthma (in combination with an ICS) is formoterol due to its rapid onset of action compared to other agents in the class.2 It is important to note that while LABAs may be appropriate monotherapy for COPD, they should always be used in combination with an ICS for asthma.2,3 Beta agonists are typically well tolerated. Adverse effects are dose-dependent and due to stimulation of beta receptors outside of the airways. These adverse effects include muscle tremor, tachycardia, and hypokalemia. Available inhaler products for the treatment of asthma may be found in Table 2.•
SCPhA invites you or someone you know within your network to participate in enhancing the educational content for the Palmetto Pharmacist! We are currently accepting articles for publication consideration. We accept a diverse scope of articles including but not limited to: original research, medication safety, case reports, reviews, clinical pearls, technology, and opinions.
The Palmetto Pharmacist is a peer-reviewed publication intended to inform, educate, and motivate pharmacists, pharmacy students, and pharmacy technicians in all areas of the profession.
Articles written by students, residents, and new practitioners are welcome. Mentors and preceptors - please consider advising your mentees and students to submit their appropriate written work to SCPhA for publication.
Don't miss this opportunity to share your knowledge and experience with the South Carolina pharmacy community by publishing an article in the Palmetto Pharmacist! For questions, please email info@scrx.org.
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