Keeping Tabs Volume 4 Issue 1

UF

KEEPING TABS V O L U M E

4

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I S S U E

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UF MISSION STATEMENT VISION

Preeminence sciences

in

education,

research,

and

pharmaceutical

patient

care

that

optimizes the health and wellness of individuals and communities.

MISSION

We

improve

globally

the

through

lives a

of

others

climate

of

locally

and

discovery

to

develop future leaders in pharmacy practice and science, support research across the spectrum from drug discovery to medication use in society, advance pharmacy practice to optimize patientcentered

care

and

healthcare

delivery,

and

foster lifelong learning.

TABLE OF CONTENTS Mission and Vision

2

MRM Recap

3

Taking Pride in Our Community

6

How Food Affects Your Mood: Holiday Edition

9

The Increase in Type 2 Diabetes in America's Youth

11

The Industry Liason

14

A Word From Our Dean

17

Thank You

19

MRM RECAP WRITTEN BY KAYLA PELUDAT

Atlanta, Georgia In the middle of American

it being a great opportunity for all

Pharmacist Month (APhM), 40

student pharmacists to

UF APhA-ASP members

continue networking and

traveled to Atlanta, Georgia

sharing ideas with fellow

to attend the APhA-ASP

students.

Region 3 Midyear Regional Meeting (MRM). MRM is a conference created by student pharmacists, for student pharmacists.

Therefore, MRM is a great introduction to conferences for first year student pharmacists, in addition to

SPOTLIGHT MEMBERS Eduardo Rizo David Giang Eric Phan Savine Hernandez Serine Sheik Philip Murch

This year, it turned out to be a busy weekend for UF! The conference started Friday night (October 18th). This is when Eduardo Rizo, a 3PD from Gainesville and their chapter policy vice president, decided to run for Region 3 Delegate!

On Saturday (October 19th), members dispersed into

which allowed student

various breakout sessions

pharmacists to ask questions

devoted to certain postions

about the proposal and

in order to network and

announce any concerns they

speak with other chapters

had about them. The day

throughout region 3 to learn

concluded with a continued,

how to make all APhA-ASP

in-depth discussion of each

chapters in the region the

policy proposal within the UF

best they can be! There was

group, with a vote on each

also an expo area, where

proposal and whether we

different companies,

decided it should pass. fail, or

organizations, and residency

have ammendments added.

directors were able to speak

The last day of the conference

with student pharmacists.

was Sunday (October 20th).

The highlight of Saturday

This proved to be the most

was the time given to

exciting day! Prior to the

discuss each policy proposal

conference, the APhA-ASP

brought from each college

National Member-at-Large.

of pharmacy in the region,

David Giang, reached out to

the UF APhA-ASP presidents,

committee for further

requesting that we present

development and possible

during a breakout session

reappearance at APhA Annual

about the activities created

in March 2020! Throughout

and hosted by our OTC

the entire weekend, there

Medicine Safety operation.

were raffle prizes being given

This presentation took place

away including gift baskets

on Sunday by Eric Phan,

and various other indulgences!

Savine Hernandez, and myself

Our own Philip Murch from

to over 250 student

Gainesville won free

pharmacists! We were able to

registration for AphA-Annual!

spend 15 minutes speaking

Last but not least, Eduardo

about some of the great

Rizo was elected as Region 3

initiatives our OTC Medicine

Delegate! This position is a

Safety has put on in the past

great honor, as he will

year and how other chapters

represent all of region 3 at

could implement this into

APha Annual and at MRM

their own operations!

2020!

Following the OTC Medicine Safety breakout session, regional operation awards were given out for each of the five national operations, and the UF operation immunization won!

Furthermore, the UF policy proposal, written by Serine Sheik of Orlando, was passed on to the resolutions

"I would like to thank everyone that came all the way to Atlanta to represent our amazing chapter! I hope to see even more of you at APhA Annual in March at National Harbor, Maryland, just outside of Washington, D.C.!"

-Kayla Peludat, APhA-ASP President of the Jacksonville Chapter

TAKING PRIDE IN OUR COMMUNITY WRITTEN BY NICOLE ROSSI & HAILEY RUTLEDGE

Jacksonville, Florida PAST EVENTS: -JACKSONVILLE PRIDE PARADE -JASMYN HOUSE DINNER WITH PEDIAGATOR -LIVING AND LOVING WITH HIV SPEAKER -NATIONAL COMING OUT DAY PRACTICE WITH PRIDE DURING POLICY WEEK -SAFE ZONE TRAINING HIV AND TRANS LUNCHEON -HEALTH FAIR

The Human Rights Campaign Foundation (HRC) is the largest national LGBTQ civil rights organization in the United States. The HRC strives to end discrimination against the LGBTQ community, envisioning a world where members of the LGBTQ community are ensured equality and are embraced as full members of society. In 2007, the HRC developed the Healthcare Equity Index (HEI) to meet the need for equitable, knowledgable, and sensitive guidelines that are free from discrimination and are welcoming to the LGBTQ community.

The HEI is a national LGBTQ benchmarking tool that evaluates healthcare facilities/ policies and practices related to the equity and inclusion of their LGBTQ patients, visitors, and employees. Inclusion in the annual HEI gives institutions a meaningful way to affirm that they are committed to LGBTQ patient centered-care, as well as maintaining an LGBTQ friendly work environment.

This year’s survey looked at over 1,600 healthcare facilities across the United States, 680 of which were voluntary participants, to assess their institutions’ LGBTQ inclusive policies and practices. The four scoring criteria used in this survey total a score of 95 points, which are 1) Non-Discrimination and Staff Training 2) Patient Services and Support 3) Employee Benefits and Policies and 4) Patient and Community Engagement. If an organization scored 80-95 points they are considered to be a “Top Performer”, a standard that 81% of participants achieved. Another scoring criteria of Transgender Inclusive Healthcare Insurance added an additional 5 points to their score. If an institution got a total score of 100 they were considered to be a “Leader in LGBTQ Healthcare Equality”. This year 60% of participants, approximately 400 institutions, attained a perfect score and truly earned the title of leader.

In the state of Florida, 24 institutions were evaluated using the HEI scoring criteria, with 8 institutions being recognized as “Top Performers”, and 16 institutions being recognized as “Leaders in LGBTQ Healthcare Equality”. Of the Top Performers, 5 were located in Jacksonville, meaning that several institutions in our city are dedicated to LGBTQ patientcentered care. The HEI not only recognizes LGBTQ friendly institutions, but is also used as a resource for LGBTQ people to find healthcare in their area. It is heartening to know that these individuals can find several options for healthcare in our city. Furthermore, the only institution in Jacksonville to receive recognition as a Leader in LGBTQ Healthcare Equality was UF Health Jacksonville. In addition to being celebrated in the HEI report, they also receive a special logo and a toolkit of resources for outreach to LGBTQ residents in their areas. As University of Florida Jacksonville pharmacy students, and co-chairs for APhA-ASP Operation Pride, we are thrilled to be affiliated with the only institution in Jacksonville to receive this recognition!

HOW FOOD AFFECTS YOUR MOOD: HOLIDAY EDITION WRITTEN BY: JULIA LESSING Have you ever wondered if the tiredness you feel after a holiday dinner is because you ate turkey, or just because you had a big meal?

Based on findings explained in the book “Food & Mood,� what you eat has a significant impact on how you feel. This effect is due to our neurotransmitters including serotonin, dopamine, and norepinephrine (just to name a few). Serotonin is the neurotransmitter most strongly linked to our diet.Tryptophan is an essential amino acid that, after crossing the blood-brain barrier, is converted into serotonin. Serotonin is responsible for making a wide range of effects on appetite and mood.

High serotonin levels boost your mood, decrease appetite, and help you sleep soundly; while low serotonin levels result in insomnia, depressed mood, and food cravings. Tryptophan is found in high amounts in turkey, chicken, fish, cheese, eggs, and other foods rich in protein. Ironically, eating a meal high in protein lowers brain tryptophan and serotonin levels, and eating a carbohydrate rich snack has the opposite effect. This body process is outlined in the diagrams below.

During Thanksgiving and Christmas, people tend to eat large meals composed of a hefty amount of protein, carbohydrates, and sugar. While turkey is high in tryptophan, the real culprit of our sleepiness comes from insulin release in response to the carbohydrates and sugar found in those meals. As the diagram shows, insulin leads to high tryptophan levels in the blood and therefore a higher concentration entering the brain, converting to serotonin, and ultimately melatonin. This proves the “turkey makes you sleepy” rumor is a myth! Refined sugar and carbohydrates also lead to blood sugar spikes and drops, which leave you feeling cranky and tired. So, what can you eat to boost your mood during the holidays? Adding protein to your (wellbalanced!) meals can help slow the absorption of carbohydrates and increase the release of dopamine and norepinephrine, which may improve your mood and energy for many hours after eating. Some smart protein choices include eggs, poultry, seafood, tofu, and low-fat Greek yogurt. Complex carbohydrates contain soluble fiber which can also slow the absorption of sugar and increase serotonin, to decrease mood swings. Some foods high in fiber include oats, beans, pears, peas, and brussels sprouts. This holiday season take a moment to look around and add some of these mood boosting foods to your plate!

References: Somer, Elizabeth. Food and Mood: The Complete Guide To Eating Well and Feeling Your Best. Macmillan, 1999.

THE INCREASE OF TYPE 2 DIABETES IN AMERICA’S YOUTH WRITTEN BY ALEXANDRA PATRON

Diabetes is a growing epidemic in our nation that is now affecting our youth at an alarming rate. While type 2 diabetes was previously considered “adult diabetes” and type 1 “juvenile,” more and more youth under the age of 20 have been diagnosed with type 2 in recent years. This trend, originally observed in the indigenous peoples of America and Canada, is now being witnessed in the general population (Dean and Sellers 425-429).

According to the SEARCH for Diabetes in Youth study, the incidence of type 2 diabetes in youths between the ages of 10 and 19 increased by 4.8% annually between the years of 2002-2012 (Mayer-Davis et al. 1419-1429). Additionally, among children with type 2 diabetes, certain ethnic groups have been found to be disproportionately affected, including African Americans, nonwhite Hispanics, and the aforementioned indigenous peoples. Various factors contribute to the development of type 2 diabetes in youth, including genetics, lifestyle, and psychosocial factors.

Children diagnosed with type 2 diabetes often have a family history of the disease. Aside from a genetic predisposition, environmental factors like diet and exercise play a role in the development of type 2 diabetes in youth. Both decreased exercise and increased sedentary activity in addition to obesity increase risk of a child developing type 2 diabetes. As such, children who live in areas where it is not safe to play outside or who live in poverty and are therefore limited in their food choices may be at increased risk of developing this condition.

APhA-ASP's Operation Diabetes provides free blood glucose screenings to the public.

Though the full impact of the early development of type 2 diabetes is not yet known, it does pose serious health risks to our nation as a whole. As with type 2 diabetes in adults, the best way for health care professionals to protect patients from the risks associated with this disease is to promote prevention through a healthy lifestyle. In the case of children, this often involves working with the whole family to encourage regular exercise and a healthy diet. A healthy diet for the prevention and management of diabetes includes regular consumption of fruits and vegetables in addition to minimally processed whole grains. The American Diabetes Association (ADA) places emphasis on avoiding carbohydrates and sugars in processed foods, including those labeled “low fat” (ADA S38-S50). In regard to exercise for children with diabetes, the ADA recommends 60 minutes of moderate to vigorous exercise daily, with resistance training at least 3 days per week. In addition to these lifestyle changes, a reduction in screen time has also been suggested by some to discourage a sedentary lifestyle. With the rise of type 2 diabetes in children, health care professionals must promote prevention among families and be a source of information as to how patients can take charge of their health at a young age.

References: -American Diabetes Association. “Lifestyle Management: Standards of Medical Care in Diabetes—2018.”

Diabetes Care, 2018, 41, 1, S38-S50.

-Heather J. Dean and Elizabeth A.C. Sellers. “Children have type 2 diabetes too: an historical perspective.”

Bichem Cell Biol., 93, 5, 2015, 425-9.

-Mayer-Davis EJ, Lawrence JM, Dabelea D, et al. “Incidence trends of type 1 and type 2 diabetes among youths, 2002–2012.” N Engl J Med, 2017, 376, 15, 1419-1429.

THE INDUSTRY LIASON Written by: Ahmad Marar

My name is Ahmad Marar and I am a 3rd year student at the University of Florida College of Pharmacy on the Jacksonville, Florida campus. One of the responsibilities I have within our APhA-ASP chapter is the Industry liaison position. It’s a new position we’ve been trying to develop on our campus due to the increased interest of those who want to pursue industry or are just curious about the industry track.

Though the UF College of Pharmacy is a top 10 school within the nation, the focus of the program is predominantly clinical. Just by the geography of the college we are limited in exposure to industry in comparison to our peers in the Northeast and the West. The proximity of other colleges of pharmacy to pharma companies settled down in those regions naturally gives them more exposure than our college in the Southeast. That being said, we’ve been closing that gap by implementing this new position and other initiatives on our campus.

Events Held This Semester: Industry Fellowship Panel IPhO- MSL Zoom

As the industry liaison, I am essentially the middleman between the Gainesville and Orlando campus in pertaining to IPhO. IPhO is The Industry Pharmacist Organization which focuses on all things pertaining to the pharmaceutical industry. The organization brings industry speakers and fellows from some of the largest pharmaceutical companies such as Novartis, Roche, and Sanofi. With this introduction students are able to network and gain further insight into the opportunities available in the profession. Members of IPhO also have access to resources such as further networking/mentorship opportunities, access to the industry internship database, industry news, professional development resources, an industry job board, and 1 on 1 career coaching sessions. Through the liaison position, we’ve also been able to team up with Orlando’s IPhO and bring the VIP case competition to our campus. Through the competition students are placed in the role of industry pharmacists where they work through pushing pharmaceutical product through an industry pipeline simulation. They are given opportunities to work in marketing, regulatory affairs, medical affairs, and various clinical trials involved with the product. The case competition has been an eye-opening experience for the students participating, allowing further insight into the roles industry pharmacists have and potentially paving a path to the specific area of industry pharmacy they wish to pursue in the future.

The roles of pharmacists within industry are numerous, especially because of the vast knowledge base and skill sets that come along with a Pharm.D. degree. Most notably the role of the medical science liaison (MSL) is where pharmacists particularly shine.

As drug experts, we are absolutely essential representatives of pharma.

There are a variety of other positions for pharmacists that include regulatory affairs, medical affairs, marketing, early and late phase clinical trials, operations management, as well as a number of other functions. We always say the profession of pharmacy is a small world, but I would say the profession of industry pharmacy is even smaller. As industry liaison I hope to further connect our APhAASP chapter to the world of industry pharmacy.

A Word From Our Dean In August, the UF College of Pharmacy Jacksonville Campus welcomed 47 students into the professional Pharm.D. program. Since the establishment of the Jacksonville Campus in 2002, we have graduated 14 classes of Pharm.D. students from our campus.

Students at our Jacksonville campus enjoy many benefits including the opportunity to learn within a health science center where interaction with healthcare professionals and patients occur on a daily basis, a smaller class size that allows students to build quality relationships with professors and classmates and take advantage of leadership opportunities, and the ability to volunteer in an urban community setting where students truly make an impact. Our stateof-the-art DuBow Family Foundation interactive classroom connects our pharmacy students with their professors and peers via videoconferencing which allows faculty based in Gainesville, Jacksonville and Orlando to simultaneously deliver instruction across all the campuses. We also have a two floor simulation lab called the CSESAR center in which students may experience interprofessional simulations on medication management in their third year. Our campus has many exciting developments in the works as our CEO of UF Health Jacksonville and Dean of the College of Medicine works tirelessly to make improvements to the campus and surrounding areas. Some of these improvements include the opportunity to expand our interactions with other health care professional students from the colleges of nursing and medicine.

Our Jacksonville campus also welcomed two new faculty this fall.

Kelsey Melloy, Pharm.D., BCPS, and Nathan Seligson, Pharm.D., joined the college as clinical assistant professors and are members of the precision medicine team at Nemours Children’s Health System. A new partnership between the UF College of Pharmacy and Nemours allows Melloy and Seligson to develop pharmacogenomics services for outpatients at Nemours Children’s Specialty Care. The pair also have staff appointments at Wolfson Children’s Hospital.

Finally, students continue to be taught by Dr. Jessica Reid, a pharmacist who is completing her fellowship in clinical research and has been teaching part time in the skills lab courses until she joins us full time this summer. It is an exciting time for the Jacksonville Campus with so many opportunities for students now and many more to come in the future. I am truly thankful to be a part of this campus with so many amazing faculty and wonderful students and can’t wait to see what our future holds!

THANK YOU To Our Writers Kayla Peludat Nicole Rossi Hailey Rutledge Julia Lessing Alexandra Patron Ahmad Marar Dr. Carol Motcyka

To Our Designers Hannah Davis Lucy Phipps Jourdan Boyle-Taylor