The Tablet: Jan/Feb 2016

Page 1

Compliance officer program • Set aside buzzwords and focus on the patient • Boost your career satisfaction

tablet

published by the British Columbia Pharmacy Association  |  www.bcpharmacy.ca  |  Volume 25. No. 1

DNA and drugs Personalized medicine is the future of pharmacy

40810576

A voice for community pharmacy


Pharmasave Pacific welcomes its new CEO, Greg Shepherd Our industry continues to change rapidly. Building on Pharmasave’s long history of success, Greg’s extensive experience and strong leadership in pharmacy provides Pharmasave the ongoing strength and distinctive focus to continue to drive the organization to new levels of success.

Pharmasave is the best choice for independent pharmacy in BC.  A strong pharmacy focused brand with 35 years of proven success  A true cooperative that is 100% member owned and governed  140 locations in BC, and over 550 coast to coast  Complete transparency, delivering all profits directly back to Members  Active in supporting the advancement of the pharmacy profession through advocacy and industry leading programs and professional services

With Pharmasave, own your own business, but never be on your own.

Pharmasave thanks Dave Reston, former CEO Pharmasave Pacific for over 3 decades of dedication and commitment to making Pharmasave the success it is today. Dave will continue to support Pharmasave in a Business Development role.


THE TABLET

JAN/FEB 2016  |   VOLUME 25. NO. 1

contents Editor in Chief Angie Gaddy 604.269.2863, angie.gaddy@bcpharmacy.ca

20 Avoiding costly audit risks

Senior Editor Matilda Meyers 604.269.2866, matilda.meyers@bcpharmacy.ca The Tablet is published by the BCPhA. Views expressed herein do not necessarily reflect those of the Association. Contributed material is not guaranteed space and may be edited for brevity, clarity and content. BCPhA offices: #1530-1200 West 73rd Avenue Vancouver, BC  V6P 6G5 telephone: 604.261.2092 or toll-free in BC: 1.800.663.2840 fax: 604.261.2097 toll-free fax: 1.877.672.2211 e-mail: info@bcpharmacy.ca web: www.bcpharmacy.ca

24 New manager of public affairs

Publication agreement #40810576

16 DNA and drugs Features 16

20

Columns

Regulars

On the Cover:

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President’s Message Knowing your resources

5

Personalized medicine is the future of pharmacy

7

CEO’s Message Time to set aside the buzzwords and focus on the patient

Meet Dr. Julio Montaner Director, British Columbia Centre for Excellence in HIV/AIDS

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DPIC A review of oral iron supplements

DNA and drugs Avoiding Costly Audit Risks How Remedy’sRX approached its compliance program

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Member Services We aim to exceed your expectations

15

Clinicare Pharmacists Pneumococcal vaccination in adults

25

Smoking Cessation Pharmacists now key access point for butting out

12

Pharmacy Practice Support Promoting your professional services one patient at a time

22

Student News UBC students enter Pharmacy Mogul's Den

26

Flu Shots Raising awareness of pharmacists’ role in immunizations

13

Financial Trends Using RRSPs to plan for retirement savings

24

Government Relations New BCPhA manager of public affairs

27

Past Presidents’ Dinner Honouring outgoing President, David Pavan

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Coach Callie Boost your career satisfaction for 2016

29

Career Listings Find a job in pharmacy

28

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BCPhA Student Ambassadors • Pharmacy leaders group engages • New student ambassadors selected

Canadian Pharmacists Association Providing leadership on national pharmacy issues Got a suggestion for an article in The Tablet? Email info@bcpharmacy.ca with your story ideas.

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Jan/Feb 2016

A voice for community pharmacy

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SMALL TALK

In the news Two students awarded BCPhA winter scholarships

Nominate an outstanding pharmacist: Award deadline Feb. 29

Two UBC Pharmaceutical Sciences students have been awarded BCPhA scholarships for their 2015 winter session.

Do you know a pharmacist who demonstrates excellence in BC pharmacy? Nominations for the 2016 BC Excellence in Pharmacy Awards are now open. These awards will be presented at BCPhA’s Awards Gala on Friday, May 27 and are given annually to celebrate the success of individuals who have contributed to the advancement of pharmacy in BC.

Mitch Prasad and Aliya Daulat, both fourth-year students, were selected by UBC’s Faculty of Pharmaceutical Sciences to receive the endowment from the Association. Since 2008, the BCPhA has provided an endowment to UBC to provide two annual scholarships to pharmacy students heading into their final year. Recipients are selected by UBC faculty members. Students receive $1,275 and memberships in the Association.

Award categories include the achievement awards, which are awarded in areas such as Excellence in Pharmacy Practice, Innovation, Leadership, Lifetime Achievement, Mentorship, and Advocacy. Other awards include Pfizer’s Bowl of Hygeia, given to a pharmacist who has an outstanding record of community service, the Takeda Magnum Opus Award, which recognizes pharmacists who have completed advanced training, and the Friend of Pharmacy Award, which goes to a nonpharmacist who has made a contribution to community pharmacy in BC. Award criteria, along with nomination forms, can be found online at www.bcpharmacy.ca/ awards. The deadline for nominations is February 29.

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Complimentary live webinars This February, BCPhA will offer free live webinars to members in collaboration with the BC Provincial Academic Detailing (PAD) service. The BC PAD service develops and provides objective, evidence-based educational information on a variety of therapeutic topics relevant to health-care professionals in BC. It aims to promote optimal medication use and improve patient outcomes. Materials are reviewed by family physicians, gastroenterologists, pharmacists, and experts in critical appraisal, to ensure the content and written materials are evidence-informed and up-to-date. The first webinar will review “Proton Pump Inhibitors in Primary Care” and discuss issues including: • Which primary care PPI indications are adequately studied for patient centered outcomes? • What evidence is there for potential harms associated with PPI therapy? • Is one PPI more efficacious than another? • Are higher doses of PPIs more efficacious than ‘standard’ doses? • When are patients with GERD and other dyspeptic symptoms likely to respond to PPI therapy? Presenter Shirley Yeung (B.Sc. (Pharm.), ACPR, M.Sc.) is an academic detailing pharmacist with Vancouver Coastal Health. She has been with BC PAD service since 2010 and has provided academic detailing sessions to physicians, nurses, pharmacists and other health-care providers on six other topics. The webinar will be one hour and is accredited for 1 CEU. There are two sessions: Tuesday, February 16 and Thursday, February 25, both from 6 to 7pm. Sign up and find out more at www.bcpharmacy.ca/pad-webinars.


MEET DR. JULIO MONTANER

Meet...Dr. Julio Montaner Director, British Columbia Centre for Excellence in HIV/AIDS TasP has served as the roadmap for the development of the UN 90-90-90 Target, of which Montaner is the chief architect. The target proposes that by 2020, 90 per cent of all people living with HIV should be diagnosed, 90 per cent of them should be on sustained antiretroviral therapy, and 90 per cent of them should be virally suppressed. Meeting these targets would lead to a 90 per cent decrease in AIDS incidence and HIV incidence by 2030 and end AIDS as a pandemic disease. Montaner has contributed to more than 750 peer-reviewed publications. He was named to the Order of British Columbia in 2010, named Officer in the Order of Canada and inducted into the Canadian Medical Hall of Fame in 2015. Dr. Julio Montaner has made fighting HIV/ AIDS his life’s mission. He is currently the director of the BC Centre for Excellence in HIV/AIDS. Montaner is also the physician program director of the HIV/Addictions/ Urban Health Program at St. Paul’s Hospital in Vancouver and head of the division of AIDS at UBC’s Department of Medicine. In the mid-1990s, Montaner played a key role in the discovery of highly active antiretroviral therapy. Known as HAART, the combination drug therapy reduces the amount of HIV in an infected individual’s bloodstream to undetectable levels and, as a result, helps stop the progression of AIDS. In 2006 he pioneered what’s known as “Treatment as prevention”, or TasP for short. It’s a strategy that pushes for diagnosing HIV early by using almost universal testing and treating those who are HIV positive with an aggressive cocktail of antiretrovirals. That treatment knocks down the amount of the virus circulating in a person’s body and makes HIV so supressed that it becomes undetectable. This dramatically reduces the spread of HIV.

Of your many achievements what are you most proud? I am most proud of having spent three decades battling HIV and AIDS with every single one of my patients, with the support of my colleagues at St. Paul’s Hospital, UBC and the BC Centre for Excellence in HIV/AIDS and colleagues internationally. This has given us the necessary insights to develop and implement programs that have changed AIDS from a devastating short-term death sentence to a long-term manageable condition. More recently, we have made tremendous progress towards the historical milestone of ending AIDS as a pandemic disease in our lifetimes. In BC, TasP has decreased AIDS morbidity and mortality by more than 85 per cent and led to a 66 per cent decrease in new HIV diagnoses. Who has been the greatest influence on you? My father, Professor Luis Julio González Montaner (1930-2014), was a highly

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respected lung and tuberculosis specialist in my home country of Argentina. He was an academic of high regard, domestically and internationally. He taught me how to think about medical issues in innovative ways using the tools available. He was my strongest critic, yet his career and steadfast guidance influenced me tremendously. Greater access to opioid substitution treatment – e.g., BC’s Methadone Maintenance Treatment (MMT) program – is recognized as an effective aspect of harm reduction that can contribute to lower incidence of HIV infection among people who inject drugs. What role do you see for pharmacists in this area? Pharmacists are integral to the successful implementation of opioid addiction programs, which include methadone, as well as other medications like Suboxone. They are dispensing the drugs to clinics, health-care professionals or to the clients directly. Their understanding of best practices is essential in BC. Pharmacists can also play an educator role and help address addiction, as they have direct contact with clients. How can pharmacy contribute to addictions management in the fight against HIV/AIDS? A pharmacist can approach a person living with HIV and addiction and discuss the entire spectrum of their health concerns and needs without contributing to stigma. They can offer harm reduction, prevention advice and treatment. Beyond providing medications, pharmacists can discuss safer injection practices and help those living with HIV understand their drug regimens so they stay on sustained and consistent treatment.

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ALLISON NOURSE | PRESIDENT

Knowing your resources Reach out to the Association, take advantage of CE programs and access RxTx

Pharmacy is a complicated profession, and as a pharmacist it can be challenging to know the answer to every policy scenario on the spot. As our governing bodies and payers become more uncompromising with policies and bylaws there is little room for self-interpretation. This can make dealing with unique patient health-care needs even more of a challenge, as many cases don’t fit the normal cookie-cutter rules. If you aren’t sure what you should do, the best choice you can make is to reach out to others for support. Therefore, it is imperative to know which practice support resources are available to you. Many pharmacists have head office personnel they can go to for support, who can in turn ask the BC Pharmacy Association on their behalf. However, if you are not part of a larger group you can reach out to the Association directly. That’s the great thing about being a member of the BCPhA. The Association is here to help members wade through the many difficult pharmacy practice issues. If you are having an issue you can email or call BCPhA for advice. It’s likely that several of your colleagues also have the same issue and the Association may already have an answer ready. Reaching out to the team can help provide the same answer to all members and can quickly clear up common practice questions. As well, the Association can investigate questions that don’t have simple answers and help find the best solutions. We want to support all pharmacists to practice within the bylaws and policies that exist and bring forward any changes that may need to take place with one common voice. The Association offers many continuing education programs and workshops to help teach pharmacists and pharmacy staff best practice methods, such as the Regulatory Compliance Bootcamps and most recently the Pharmacy Claims Compliance Officer

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Training Program. Please make sure to read the weekly Practice Update e-newsletter, The Tablet magazine or look on the BCPhA website for future workshop dates as well as other exciting and useful programs. You can also follow us on Twitter @bc_pharmacy for the most up-to-date pharmacy news, both in the industry and with the Association. Another added benefit of being a BCPhA member is that you automatically become a member of the Canadian Pharmacists Association (CPhA). The CPhA has several great resources for pharmacists including many online continuing education programs. In fact, you’ll notice that as a member you’re receiving a copy of the Canadian Pharmacists Journal (CPJ) bundled with this issue of The Tablet. Being part of a national body helps unite our voices to promote important pharmacy issues and streamline programs across the country. Provinces can share best practices and learn from each other to help advance our profession together. One resource that I hope everyone has registered for is access to CPhA’s RxTx (formerly e-Therapeutics+) via the College of Pharmacists of BC. Thanks to the College, every registrant in BC has access to RxTx, which provides online access to the e-CPS, the Compendium of Therapeutic Choices (formerly Therapeutic Choices), minor ailments, a drug interaction analyzer and much more. RxTx is one of the top go-to resources for drug information in Canada. In addition to providing access to RxTx, the College website should also be one resource you have bookmarked on your computer – in particular the acts and bylaws. I highly suggest reviewing these documents on a regular basis, in addition to the PharmaCare Policy Manual on the PharmaCare website. I know it may sound boring, but it’s important!


GERALDINE VANCE | CEO

Time to set aside the buzzwords and focus on the patient

I have worked in health care for about 15 years and every time I hear the term “patient-centered care” I cringe. My immediate thought is: What other kind of care is there? Like any field, there are a lot of buzzwords in health care. And so much jargon appears to focus on what should be obvious: Looking after patients when they need any member of the health-care team.

But one thing that’s at the core of changing the way health professionals deliver patient care is genuinely embracing professionalism and not being afraid to push the boundaries of what’s comfortable. College Registrar Bob Nakagawa has written about what it means to be a regulated health-care professional in the past. It is a subject that we need to keep talking about.

I am perplexed that little has changed in the time I have worked in health care in terms of health-care professionals really working together in the best interest of their patients. After decades of addressing the same problems do we really need “shared care committees”, work groups that explore “collaborative care models”, task forces that explore obstacles to “interdisciplinary care”?

Recently, we have been having conversations about why the rate of prescription renewals and adaptations is so low with BC pharmacists. True or not, there is a view that pharmacists don’t want to offend prescribers by questioning their decisions or making a different choice. If this is even a little bit true, it needs to change.

Surely it should be obvious that any person who has chosen to become a health-care professional has a profound commitment to patient care. Certainly the many doctors, nurses and pharmacists I have come to know and that I have had interactions with, all want to do the best for their patients. It is no accident that health professionals are referred to as the “caring” profession. But yet, here we are, still talking about patient-centered care.

No amount of committee work on interprofessional collaboration will make a difference if each member of the health-care team isn’t prepared to challenge the status quo and take the chance that someone might not be happy with their approach.

“Like any field, there are a lot of buzzwords in health care. And so much jargon appears to focus on what should be obvious: Looking after patients when they need any member of the health-care team.”

So, the obvious question is: Why isn’t it happening? What do we need to do to change things and ensure everyone on the health-care team is truly working together? The answers to these questions are numerous and would take more space and greater expertise than I can offer in this small column.

No, I am not advocating for reckless behavior that ignores the rules, but I am advocating for pharmacists to take their place in the team and use their knowledge as medication experts to solve the problems of their patients. Stand up and be counted as an unapologetic professional who delivers on the promise of patientcentered care by not asking for permission when none is needed.

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Jan/Feb 2016

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DRUG AND POISON INFORMATION CENTRE

A review of oral iron supplements By Shelina Rayani, B.Sc. (Pharm.), R.Ph., CSPI, Drug and Poison Information Pharmacist, BC Drug and Poison Information Centre Reviewed by C. Laird Birmingham, MD, M.H.Sc., FRCPC Background Iron is an essential mineral required by the body for the synthesis of hemoglobin, cytochromes and myoglobin. Of the total amount of iron in the body: 70% is present in hemoglobin, 25% in ferritin, 5% in myoglobin and less than 0.5% in tissue enzymes and plasma transferrin. Dietary iron is either “heme” iron from red meat, fish and poultry, which is well absorbed (15-35%) or “non-heme” iron from fruits, vegetables, cereals and dairy, which is poorly absorbed (2-5%). Supplements may contain either form of iron. Normally, 1 to 2 mg of iron is absorbed by and lost from the body daily. Ferrous iron is absorbed in the small intestine, oxidized to ferric iron and bound to ferritin. Iron is released from ferritin into the plasma where it binds to transferrin. Transferrin transports the ferric iron necessary for erythropoiesis in the bone marrow. Iron is not actively excreted. Approximately 1 mg is lost daily from the intestine, sweat and urine. Menstruating women lose another 1 mg of iron daily.

TABLE A: Dosage guidelines for iron deficiency Adults

180 mg of elemental iron/day in divided doses Therapeutic doses range from 100 to 200 mg of elemental iron daily

Children

Age 6 to 12 months: 1 to 2 mg elemental iron/kg/day (maximum 15 mg elemental iron/day) Children: 3 to 6 mg elemental iron/kg/day in 2 to 3 divided doses (maximum 60 mg elemental iron/day)

Elderly

Low dose therapy at 15 mg elemental iron/day if adult dosing is not tolerated

Pregnancy

Non-anemic: supplementation recommended with prenatal formulations of 15 to 30 mg of elemental iron/day Iron deficiency: usual adult dosing in addition to prenatal supplementation

Deficiency Iron deficiency can cause anemia, developmental delay, cognitive and intellectual impairment, adverse pregnancy outcomes, impaired immune function and hair loss. Supplements are used to prevent and treat deficiency, and during pregnancy when requirements are higher. General dosing guidelines are listed in Table A. Iron is available in various forms, each providing a different elemental iron content and absorption profile (Table B). Dosages should be calculated based on the elemental iron content.

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A hematology profile should be measured once after two to four weeks of treatment, then as needed. The hemoglobin usually normalizes within two to four months with appropriate dosing, treatment of concurrent deficiencies and correction of the underlying cause. Continuing therapy for four to six months after the hemoglobin normalizes is necessary to fully replete iron stores. A low maintenance dose and dietary modification may be required.


• Store supplements safely. The bright colouring of formulations may attract children.

Guidelines on iron supplements • C onsider both adequate dosage and patient tolerance when choosing a preparation. • Ingest in upright position with plenty of fluids and avoid lying down for 10 minutes. • To maximize absorption: Take on an empty stomach, divide doses over the day, take with orange juice or Vitamin C, and avoid antacids, calcium, milk, high fiber foods and caffeinated beverages within two hours. • Oral supplements may cause: Nausea, dyspepsia, diarrhea, vomiting, constipation and dark stools. • With the exception of dark stools, side effects usually subside with continued therapy. • To minimize side effects: Initiate low dose and increase over four to five days, try iron salt with less elemental iron and take with food. • Liquid preparations may stain teeth - mix with juice/water and drink through a straw. Brushing teeth with sodium bicarbonate removes existing stains.

Toxicity When transferrin's binding capacity is exceeded, excess iron circulates in its free form. Iron in this state readily accepts and donates electrons, causing iron to alternate between ferric (Fe2+) and ferrous (Fe3+) forms. This can catalyze production of hydroxyl radicals in tissues causing cellular injury and organ failure. Symptoms of iron toxicity begin a few hours post ingestion. Serious toxicity can include vomiting, gastrointestinal bleeding, hypotension, metabolic acidosis, shock and hepatic failure. Death can occur within 48 to 96 hours in severe cases. An acute ingestion of less than 40 mg/kg elemental iron is unlikely to produce serious toxicity. However, an acute ingestion of more than 40 mg/kg should be assessed at a hospital emergency room. References available on request at info@bcpharmacy.ca. Comments or DPIC article topic suggestions can be sent to info@dpic.ca.

Table B: Oral iron preparations Iron salt Ferrous gluconate

Common brands Generics

Elemental iron % 12%

Palafer Generics Ferrous fumarate

Palafer Suspension

33%

Generics Ferrous sulfate

Fer-In-Sol Generics

20%

Formulation (elemental iron)

Adult dosage

Comments

Tablet 300mg (35mg)

1 to 3 tablets bid to tid**

Tablet 300mg (100mg)

1 tablet bid

Suspension 300mg/5mL (20mg/mL)

3mL tid

Tablet 300mg (60mg)

1 tablet tid

Liquid 5mg/mL (15mg) Liquid 0mg/mL (6mg)

4mL tid 10mL tid

- PharmaCare covers generics - Stains teeth – brush/dilute/use straw

PharmaCare coverage

Ferrous sulfate ER

Slow Fe

30%

Tablet 160mg (50mg)

1 to 4 tablets daily

- May offer less side effects - Absorption possibly reduced

Heme iron polypeptide

Proferrin

12%

Tablet 398mg (11mg Heme)

1 tablet tid

- Bovine derived Hgb Heme Iron - Absorbed well – with/without food

Capsule 150mg (150mg)

1 capsule daily

- With or without food - Polyride Ultra – fortified with Vit.C/B12

1 teaspoon (60mg)

1 teaspoon tid

- Dissolve in water/juice/soft foods - Does not stain teeth

Polysaccharide-iron complex

Feramax Polyride Fe 100% Feramax Powder

Ferric ammonium citrate*

18%

HVP chelated iron*

Requires conversion to Fe3+ for absorption - True elemental iron content listed - Chelated to hydrolyzed vegetable protein (rice source)

1mg (1mg)

Ferrous bisglycinate*

20%

Iron-amino acid chelate

Carbonyl iron*

98-100%

Not a true iron salt; microparticles of highly purified elemental iron

*There are a myriad of diverse iron formulations. These are listed for information purposes. One preparation is not preferred over another. Patient tolerance should be the guide. **Bid = two times a day. Tid = three times a day. www.bcpharmacy.ca

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CYRIL LOPEZ  |  CHIEF OPERATING OFFICER

We aim to exceed your expectations Our service to members covers much more than just benefits The goal of our staff here at the Association is to provide a quality of service that exceeds the expectations of our members in every way. While this might seem like a difficult or lofty goal, after working at the BCPhA for eight years I can honestly say that it truly is our aspiration. I pick up the phone every time it rings, even though research says multi-tasking is inefficient. If you reach my voicemail you’ll hear that my greeting commits to responding to callers by the next business day. We understand that pharmacists face a chaotic practice environment and sometimes there is no escape. Your need might not align neatly within our list of “to do” time slots for that day, but we are always willing to accommodate this. No doubt we will occasionally fall short, but we remain committed to providing service that surpasses your expectations. One of the ways we have been working on this is a recent upgrade of our database system. The new system will allow us to enhance the quality of service we provide and cater to the 37 per cent growth in membership we have enjoyed over the last five years, without needing to employ additional staff. While grading our level of service quality, it is important to separate issues about membership services from problems relating to policy, practice and advocacy. The difference between the two categories is the degree of control we have over resolving member issues. Policy, practice and advocacy issues may arrive on the desk of any one of our staff members. For example, an issue might begin with a call to Nelson Chen on payer adjudication, but winds itself over to the CEO office when our team discovers that it actually involves a policy issue. Our protocol is that when the solution is not immediately obvious to a team member, it is shared within the team and escalated to senior executives. Sometimes the issue requires a new position to be adopted or clarified by the Association. In that case it is taken to the Board of Directors for approval. The role of the Directors is to liaise with members and bring their voices to the decision-making process and development of Association policies. Like other professional associations, the Board has chosen a governance model, rather than an operational model, and hence is

not involved in the day-to-day operations of the Association. The CEO reports to the Board as a whole, and no single board member, officer or committee has authority over the CEO. This setup allows the Board to focus on long-term strategic issues while the CEO directs staff who enhance the expertise of our staff pharmacists with skills in communication and issue management, government, public relations and advocacy, finance, regulatory, legal and tax matters. We saw the benefit of having a staff of diverse, multi-skilled individuals when it came to the issue of long-term residential care facilities being required to renew prescriptions every six months. This was an issue for many years with seemingly no clear resolution. While reviewing payer audit issues, staff investigated the applicable rules and, together with our staff pharmacists, determined a practical solution that met the practice as well as payer regulations. Another more recent example is the response to members’ needs via the in-house development of the Regulatory Compliance Bootcamp series, followed by the Pharmacy Claims Compliance Officer Training Program. We also have a well-developed MLA Outreach Program, which enables members across BC to build better awareness and understanding about the importance of pharmacy with Members of the Legislative Assembly. These are unique programs developed specifically for the pharmacy profession. So, if you have a question or are unsure about any issue that arises in your practice, remember you have a dedicated team of Association staff members willing to help you. We can focus on the details of practice, operational, legal and communication issues, as well as inter-professional and stakeholder matters. Call us and let us take care of the issue. Many times we will have the solution already and other times we can redirect you to the appropriate place or take time to investigate and determine a solution. No doubt, with pharmacy being a key sector in a complex health-care system, we will face instances where finding a solution takes time — maybe a lot of time — and patience affords us the ability to see the issue in its entirety. Our role is to take care of these issues on your behalf so you can focus on providing exceptional patient care.

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DEREK DESROSIERS  |  DIRECTOR, PHARMACY PRACTICE SUPPORT

Promoting your professional services one patient at a time Increase loyalty, build trust and earn more money Promoting professional services directly to patients during your everyday one-on-one personal interactions can be a challenge for many pharmacists. We tend to focus our discussion with patients solely on the issue that brought them to the pharmacy that day. Usually it's a prescription or some advice about an over-thecounter recommendation. In my experience I have seen many pharmacists struggle to bridge those interactions to offering other professional services. A specific example of this is vaccine administration. Most pharmacists will only discuss vaccines with patients when the patient comes to the pharmacy specifically asking about vaccine information or to have a vaccine administered. Pharmacists rarely broach the subject of vaccines when the patient has come to the pharmacy for something else. But that doesn’t have to be the case. There are some very effective communication techniques that can be used to take patient conversations to a different place, thereby allowing you to promote yourself and your professional services. Enhancing your communication skills will assist you in creating more meaningful and long-lasting relationships with patients. This will help you increase patient loyalty as well as the confidence and trust patients have in you for all of the services you provide. It will also make them more willing to reach into their wallet and pay you for those non-dispensing professional services.

The workshop is ideal for pharmacists who interact with patients in the community. Content and program structure will be grounded in evidence and best practices and the learning environment will be interactive, safe and supportive. We have engaged Callie Bland, a professional coach, to develop and deliver this workshop. In addition to being a professional certified coach she is also a registered nurse. The workshop will be followed by small group coaching calls, facilitated by Callie Bland, with three to four participants on each call. Calls will occur about four weeks after the workshop. The purpose of the group coaching call is to create accountability for implementing these skills, engage in a reflective practice about the learning opportunity and stimulate a community of learning around communication skills. Participants on each call will be encouraged to share and discuss their experiences implementing the skills they learned during the workshop. Participants will also develop brief learning plans to promote skill implementation. The workshop is designed to be highly interactive and will address what mindset and specific communication skills are associated with effective patient communication in the pharmacy.

The first workshop in 2016 is scheduled for Saturday, January 30. Visit www.bcpharmacy.ca/counterside-care for more information To that end we are launching a new educational initiative. The progroup_ad_v3.ai 13/11/2008 4:23:24 PM and to register. title is “Enhancing Counterside Care: Effective Communication from the Inside Out.” It’s an interactive four-hour workshop that will help pharmacists improve their communication skills and enable them to engage with the patient in an effective and meaningful way during each and every encounter — be it at the NEW CAR PURCHASE PLANS A voice for community counter, in the pharmacy or over the phone. Strong member benefitpharmacy partner member benefit partner All Makes & Models since 1985 1985 since communication skills will allow you to enhance the pharmacist-patient relationship and counterside visit us online: Te l: 6 0 4 - 2 7 0 - 4 4 6 6 To l l F r e e : 1 - 8 8 8 - 3 8 5 - 4 4 6 6 experience for both pharmacists and patients. P R O G ROUP B C . C A 390 H owa r d Av e. B ur na by, B C , V5B 3P 8 C

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FINANCIAL TRENDS

Using RRSPs to plan for retirement savings By Glenn Schoenroth, CFA Share the love and the money. RRSP season is upon us and using income-splitting strategies between spouses can provide significant tax savings. Income splitting is a tax-planning technique to shift income from a taxpayer paying a high rate of tax to another taxpayer within the family paying tax at a lower rate. The objective is to provide both spouses with similar sized RRIF incomes in the future and thus similar income tax rates in retirement. One of the most simple, yet effective, methods of income splitting is achieved by contributing to a spousal RRSP. If one spouse is likely to have a significantly lower retirement income, then spousal RRSP contributions should be considered. When a spousal RRSP contribution is made, the spouse making the contribution will claim the contribution on their tax return, while the contribution will be deposited in the other spouse’s (i.e. annuitant’s) RRSP. Note you can choose to split your contribution limit between a spousal RRSP and your own plan. Contribute to your spouse’s plan until their expected retirement income equals yours. If you are 71 or older and you still have earned income, you can still contribute to a spousal RRSP if your spouse is age 71 or under. Continue with regular RRSP contributions but choose the right time to claim your RRSP deduction. While it is advisable to make your RRSP contribution each year, you can choose to delay claiming the tax deduction until a future tax year. If your income tends to fluctuate from year to year, it may be advantageous to defer the tax deduction to a future year when your income, and thus your tax rate, will be significantly higher. While this strategy delays some of the tax savings, your contribution is growing tax-deferred. Should you contribute to your TFSA or RRSP, or both? If you’re wondering whether you should invest in a TFSA or RRSP, the answer depends on a number of factors including your tax bracket, your investment time horizon and your need for liquidity. Generally

speaking, if your tax rate is high, make RRSP contributions first and then contribute to your TFSA with any additional funds. What happens when you turn 71? You have two main options available to allow you access to your RRSP assets: Option 1: Convert to a RRIF. Option 2: Purchase either a life annuity or term certain annuity to age 90. Although you can convert all or a portion of your RRSP assets to a RRIF or an annuity at any time, you must convert all RRSP assets by December 31 of the year in which you turn age 71. This conversion occurs on a tax-deferred basis. If converting to a RRIF, all of the investments held in your RRSP can be transferred directly into the RRIF account. Given today’s low interest rate environment, in almost all cases an annuity is not a worthwhile option to consider. That could change if we see a significant rise in interest rates. A RRIF is basically an extension of an RRSP. The difference is it’s intended to provide an ongoing flow of income. Unlike an RRSP, a RRIF requires that you receive at least a minimum annual payment. The RRIF option provides a lot of flexibility giving you control over the management of your assets, flexibility of annual income and potential tax minimization. Additionally, if you’re receiving income from the RRIF you’ll be able to allocate up to half of that income to your spouse or common-law partner. In many cases, the optimal allocation will be less than the allowable 50 per cent maximum. This article is supplied by Glenn Schoenroth, an investment advisor with RBC Dominion Securities Inc., member CIPF. This article is for information purposes only. Please consult with a professional advisor before taking any action based on information in this article. Glenn can be reached at 604.257.7196.

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COACH CALLIE

Boost your career satisfaction for 2016 By Callie Bland, B.Sc., BSN, RN, CPCC, PCC The beginning of a new year is often a time for reflection and renewal. Upon reflection, you may realize that you are not completely happy with your career. Perhaps you are experiencing some signs of burnout or maybe you’re just coasting along in your career and this is causing your satisfaction to dwindle. If this sounds familiar, it’s time to give your career a boost. We often navigate our careers according to other people’s definitions of success. We focus on what other people want — both from us and for us. Defining what success looks like for you will help bring greater meaning and purpose to your work and life. Here are four suggestions to get you started on your journey to get more fulfillment professionally: 1. Establish personal mission and vision statements for your career. A mission statement is an enduring statement of purpose. It describes what you do, who you do it for and how you do it. A vision statement on the other hand is an idealized view of where or what you would like for your career in the future. Having a personal vision and mission is distinct from the statements of the organization you work for. Personal statements reflect what you can uniquely contribute and how you can do so. Creating clear statements helps you stay connected to what you appreciate about your career and the impact you have on those you serve. 2. Identify what motivates you in your career. Discover the factors and conditions that motivate you. For example, you might find yourself more motivated when providing direct patient care, rather than doing the more technical tasks that limit your interactions with patients. Answering the following questions can help you identify some of the factors that motivate you: • • • • •

When do you find yourself feeling most alive in the workplace? What drives you to continue doing the work that you do? When you’re at your best in the workplace, what is happening? Who do you feel most energized around at work? What did you feel most proud of over the last year? What allowed you to have this sense of pride in your work?

It’s important to determine what your key motivators are so you can try to create more of these conditions and opportunities in

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your career. Maintaining motivation helps keep you engaged and productive in the workplace and will generate career sustainability. 3. Establish a personal development plan. An annual career development plan is a tool to help you organize and structure your professional growth and track progress. Start by identifying three to five key priorities, which are broad areas for growth. Under each priority establish three to five SMART (Specific, Measurable, Achievable, Realistic, and Time-related) goals you’d like to achieve over the next six to 12 months. It’s important to choose goals that resonate with you and align with your strengths, passions and core values. Taking a strengths-based approach to goal setting allows you to create more opportunities to express your unique talents in the workplace. Once you’ve identified SMART goals for each of the key priorities, brainstorm and select action-oriented strategies that will allow you to achieve your goals. Ensure your goals have a specific time frame. This will create a sense of urgency, promote forward momentum and help you manage your energy proactively. There is a balance between planning and leaving space for unexpected opportunities that arise. Stay open and available in the moment to opportunities that will boost your career. 4. Enlist support from others. Elicit support from others, such as your coworkers, friends and family members, by sharing aspects of your development plan. When others understand what you want more of in your career, there is a greater possibility for them to find ways to contribute to your learning and growth. Engaging in a mentoring relationship is also an excellent resource when reenergizing your career, whether you are the mentor or mentee. I encourage you to take some time to pause and reflect on what would boost your career in 2016, plan and then take action to achieve it. Callie Bland is an executive coach and registered nurse with more than 15 years’ experience in both public and private health-care systems. She specializes in partnering with health-care professionals and leaders to build capacity to lead themselves, others and systems more effectively. Contact Bland via www.coachcallie.com.


CLINICARE PHARMACISTS

Pneumococcal vaccination in adults By Julianna Fang, B.Sc. (Pharm.), R.Ph., CDE, Larry Leung, B.Sc. (Pharm.), R.Ph., and Jason Min, B.Sc. (Pharm.), R.Ph. Pharmacists are getting busier every year providing an increasing number of immunizations to patients. Just as we help patients make informed decisions when managing their drug therapy, it’s important that we do the same when it comes to vaccinations. We have recently received more questions regarding the pneumococcal conjugate vaccine 13-valent (PCV13, Prevnar 13) and the difference between it and the other publicly-funded pneumococcal polysaccharide vaccine 23-valent (PPV23, Pneumovax 23). We had a patient come to us who had heard about Prevnar 13 and wondered which vaccine would be better for her. The patient: • 68-year-old female, NKDA. • PMHx: COPD, hypertension, atrial fibrillation — all well controlled. • Medications: budesonide/formoterol 200mcg one puff twice daily, ramipril 10mg od, hydrochlorothiazide 12.5mg od, apixaban 5mg twice daily, diltiazem CD 240mg od . • Past immunizations: influenza annually. PCV13 covers 13 strains of Streptococcus pneumoniae and contains polysaccharides conjugated to a diphtheria protein carrier. This conjugation allows for a T-cell mediated immune response, which results in longer immunological memory. PPV23 on the other hand covers 12 of the same strains as PCV13, and 11 additional strains. It is a polysaccharide vaccine that interacts directly with B cells, resulting in shorter immunological memory. In BC, about 25% of invasive pneumococcal disease (IPD) cases are due to strains common to both vaccines, and 34% of cases are due to strains covered only by PPV23. Since 2013, the National Advisory Committee on Immunization (NACI) has recommended PCV13 for adults of any age if they are immunocompromised. This is based on evidence suggesting improved efficacy and immunogenicity. This includes hematopoietic stem cell transplant (HSCT) and HIV-positive patients. The NACI concluded there was insufficient evidence to recommend PCV13 for healthy elderly or populations with other chronic conditions (e.g. diabetes, kidney disease).

In BC, PCV13 has long been publicly-funded for routine immunization of children under five, asplenics up to age 18 and HSCT patients. As of April 2015, the BC Centre for Disease Control (BCCDC) expanded coverage of PCV13 to include HIV patients. When PCV13 is being used in this population the recommended schedule is one dose of PCV13, followed by a second dose of PPV23 in eight weeks. Neither guideline from the NACI nor BCCDC provided strong recommendations on PCV13 use in elderly patients with chronic conditions, so we conducted a literature search for more current evidence. One study in patients over the age of 65 found significantly higher immunogenicity after PCV13 vaccination for 10 of the 12 strains common to both vaccines, and non-inferior immunogenicity for the remaining two common strains. Another study examined efficacy of PCV13 in patients over age 65 with chronic conditions, excluding immune-suppression, and found a vaccine efficacy of 45% for prevention of community-acquired pneumonia, and 75% for prevention of IPD (septicemia, meningitis, etc.). Comparatively, a Cochrane review of polysaccharide pneumococcal vaccines suggested efficacy for prevention of IPD but not for pneumonia or mortality. Safety data suggests similar risks for common adverse effects such as localized reactions, fever and malaise for both vaccines. After discussion with the patient, we agreed that given her age and comorbidities, she is at relatively higher risk for pneumococcal disease. Some recent evidence suggests PCV13 may provide improved immunologic response and protection against pneumonia, with no increased risk, compared to PPV23 in elderly patients with chronic conditions. However, Canadian guidelines still do not recommend PCV13 over PPV23 in this population as there is not enough proof of additional benefit. Based on this, we recommended she receive PPV23. Julianna Fang is a practicing clinician with Clinicare Pharmacists Inc. and a community pharmacist. She is committed to continued learning, and passionate about improving patient care through patient education and interdisciplinary collaboration. References available upon request at info@bcpharmacy.ca.

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ON THE COVER | PHARMACOGENOMICS

DNA and drugs Personalized medicine is the future of pharmacy

Pharmacist Cameron Bonell (left) talks with patient Lori Robinson. Robinson, who was on warfarin, says pharmacogenomics in the community pharmacy benefits patients. “It’s more convenient,” she says.

By Angie Gaddy

Lori Robinson believes her DNA not only unlocks the secret to better prescriptions, but also more convenient health care.

The 57-year-old Kelowna resident is one of 200 British Columbians who volunteered to have her genome sequenced as part of a first-of-its kind research project that paves the way for determining what medications and in what dose work for them using her local pharmacist. The project, funded by the BC Pharmacy Association and Genome BC, with research done by UBC’s Faculty of Pharmaceutical Sciences, set out to test whether community pharmacies across the province could deliver pharmacogenomics to patients no matter where they live. “I think it’s a great idea,” Robinson says of using her DNA to determine what drug works for her. “Anything that will help with medication working better for patients, I don’t see anyone having a problem with it.”

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Roy Edwards (left) discusses being part of the pharmacogenomics research project with his pharmacist Cameron Bonell (right) at Lakeside Medicine Centre Pharmacy in Kelowna. Edwards provided his DNA sample to determine what impact his genes would have made to his dose of warfarin.

Robinson was on warfarin, one of more than 150 medications impacted by a patient’s genetics. After having deep vein thrombosis, in which a blood clot developed in her leg, doctors put her on warfarin, an anticoagulant that thins the blood and helps prevent life-threatening embolisms. As a patient new to warfarin, Robinson had to go to the hospital daily for tests that monitored her international normalized ratio (INR). INR values that were too high or low meant she was at risk for excessive bleeding, a stroke or heart attack. Later, she had to go to the lab for testing every few days and even had to have her INR tested in Hawaii while she was on her honeymoon.

Robinson says she would have preferred to go to her local pharmacy as soon as she was prescribed the drug to have her DNA queried to determine the right dose from the start. “It was a hassle,” she says. “It will be useful for patients to be able to have less issues with their drugs and have things done at the pharmacy rather than having to wait in line ups. It will be more convenient. Pharmacists have the knowledge. They know their patients.” The research project, named “Pharmacogenomics for Precision Drug Therapy in the Community Pharmacy” trained 39 pharmacists at 33 pharmacies across BC in educating and collecting saliva samples for Continued on page 18

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ON THE COVER | PHARMACOGENOMICS

“I think we've always known that this is where the future of pharmacy is headed,” says Kelowna pharmacist Cameron Bonell (right), one of 39 pharmacists trained to counsel patients and collect their saliva samples for DNA sequencing as part of the first phase of the pharmacogenomics research project.

DNA testing from patients. In November, the final 200th sample arrived at UBC’s Sequencing Centre at Pharmaceutical Sciences. “We weren’t out to test the science,” says Geraldine Vance, CEO of the BCPhA. “We know the science works. What we wanted to find out is could this be done by community pharmacies. And we proved it could.” Each community pharmacist underwent rigorous training that included faceto-face, one-on-one training on patient privacy and consent as well as operational procedures like sample collection and shipping back to UBC for sequencing the DNA. As part of the first phase of the project, the BCPhA enlisted the help of consultant group EY and its health-care team to conduct two rounds of stakeholder interviews, which included interviews with doctors. This month, the BCPhA will meet with physicians to develop plans for communications protocols around patient information.

Right: Pharmacists Curt Fowkes (left) and Brent Kyle (right) recruited 17 patients at their stores, Hart Drug Mart and Phoenix Dispensary, in Prince George to participate in the pharmacogenomics project.

A surprising learning from the project was the enthusiastic uptake by patients and pharmacists, says Dr. Corey Nislow, UBC’s lead researcher for the project. “Not a single individual declined to be part of this project,” Nislow says. “And the pharmacists wanted to learn everything they could.”

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ON THE COVER | PHARMACOGENOMICS

Right: Kelowna pharmacist Cameron Bonell readies the DNA sample kit. Patients who participated in the project provided their saliva sample, which was sent to the University of British Columbia for sequencing and analysis.

The next step of the project is to launch a 1,000 patient trial across Canada, which the BCPhA hopes will begin later this year.

participating in the project and recruited 23 patients at his Lakeside Medicine Centre Pharmacy.

“This project very effectively proved this could be done,” he says. “Now we want to make sure what worked in BC will work in the Prairies, will work in the Maritimes and Quebec and Ontario.”

“I think we've always known that this is where the future of pharmacy is headed,” Bonell says of the project. “To really get an idea of how to dose or how to manage people's medication before you start giving them drugs is obviously going to give you a head start on finding the right medication for an individual. So the bigger question I guess is how we can start to get this rolled out in a bigger way so that pharmacy has a role in the whole genomics selection of medications.”

And time is of the essence. As technology continues to advance, more peoples’ genomes are being sequenced at an exponential rate. “We can’t wait,” Nislow says. “That information is coming in, and it’s not waiting. We need to understand how to take that huge amount of data and distill it into actionable advice and not be left in the dust.” For pharmacists, it makes sense to stake their claim in this area, both because of their own expertise and for patients’ convenience. “Pharmacists are everywhere. There are more than 9,000 community pharmacies across Canada,” BCPhA’s Vance says. “It’s a natural fit. They’re the medication experts who adjust and adapt prescriptions already based on their knowledge of how drugs work. This is just adding another tool for them to use.” Kelowna pharmacist Cameron Bonell agrees. He was one of the 39 pharmacists

The second phase of the project will examine not just warfarin, but will expand to look at other medications impacted by a person’s genetics and deliver reports back to the patient and their prescribers. Community pharmacists will counsel and collect patient samples and send them back to UBC for sequencing and analysis. Roy Edwards has been going to Lakeside Medicine Centre Pharmacy in Kelowna for 26 years. Edwards, who has been on warfarin and had a number of heart issues including bypass surgery and six heart attacks, says he volunteered to be part of the research study to give back. “This will bring a lot of good to patients,” Edwards says of pharmacogenomics at community pharmacies. Pharmacies,

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he says, are the obvious place to access care. “You've just got to go around the corner, and that's the one you frequent, and they have all your records. It's very convenient.” Other pharmacists echo Edwards’ thoughts. Curt Fowkes, a Prince George pharmacist, says accessibility and expertise are the key for patients. Patients that he sees at his Hart Drug Mart and Phoenix Dispensary sometimes have to drive an hour just to do blood work. Having pharmacy as the conduit to personalized medication in all areas — not just big city centres — is important for patient care. “We’re here all the time,” he says. “Patients trust us. They come to us and ask us what we think.” Patients are ahead of the curve, says Fowkes. They understand the importance and want to see better health care and less waste. Pharmacogenomics is a way to get there. “I really try to make sure people realize that this is not just about the here and now, but it’s about benefits down the road,” he says. “Benefits we can’t even quantify yet.” - With reporting by Matilda Meyers in Kelowna.

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COMPLIANCE OFFICER TRAINING

Avoiding costly audit risks How Remedy’sRX approached its compliance program By Matilda Meyers During their already hectic workdays, pharmacists often say they don’t have time to search through various documents to find information about the many requirements they must meet. There are manuals for third-party providers, private payers, privacy practices, the College of Pharmacists of BC bylaws on top of specific pharmacy company expectations. Tina Cesiunas, manager of special projects for Remedy’sRX, said lack of time was one of the biggest discoveries her pharmacy company made while implementing a compliance program in more than 25 pharmacies across British Columbia, Alberta and Ontario in the past year.

Remedy’sRX began its process more than a year ago, after becoming increasingly aware of the threat of PharmaCare audits. The company decided to implement a program that would both increase gross profit and minimize audit risks. “We started on the program back in October last year [2014], and then we attended the BCPhA bootcamp, and that really fueled us to start delving into creating a compliance program,” Cesiunas says.

“That was definitely a big eye-opener for us,” Cesiunas says. “We want to put all that information together in one place so that noone ever has to question where to reference their information.” She has now created an important reference document for each of the provinces in which Remedy’sRX operates, and pharmacists can access both an electronic and hard copy. This is just one of the many tools Cesiunas created as part of her compliance program to help pharmacists understand and adhere to requirements and policies expected of them from regulators and payers. The improvements made through the program will help protect Remedy’sRX from the very real threat of audit recoveries, which can average $200,000 a year for a single pharmacy. BCPhA provides regulatory compliance support Such threats are why the BC Pharmacy Association originally created the Regulatory Compliance Bootcamp in the fall of 2014. The bootcamp’s aim was to help pharmacists and owners increase their awareness of practice and business risks. As a follow-up, the Association recently added the Pharmacy Claims Compliance Officer (PCCO) Training Program, that trains a pharmacy technician or assistant to become a dedicated compliance officer, who conducts reviews and makes sure the pharmacy is doing its best to meet various requirements. Cesiunas shared her personal story at BCPhA’s two PCCO training programs in October and November 2015. She shared with participants what she has learned while developing and implementing a national compliance program.

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Tina Cesiunas, manager, special projects for Remedy’sRX, led the development and implementation of a compliance program in 25 pharmacies across Canada.


COMPLIANCE OFFICER TRAINING

Timeline of compliance program at Remedy’sRX October 2014 Remedy’sRX started its compliance program.

October 19, 2014 Attended the BCPhA Regulatory Compliance Bootcamp.

November 2014 to February/March 2015

Tina Cesiunas, manager, special projects for Remedy’sRX, shared her personal story of implementing a compliance program for Remedy'sRX at BCPhA’s two PCCO training programs in October and November 2015. “We’re able to create action plans to get us from where we are now to where we need to be, in order to make sure we support our best practices,” she says.

One of the most valuable things Cesiunas gained from the BCPhA bootcamp was an awareness that they were not the only pharmacy experiencing compliance issues. “As soon as you know that you’re not alone it makes you a little more comfortable to start opening up and to ask questions to the Association and to the Colleges,” she says. “I didn’t have to do all of the research on my own, I could reach out to them. They were really good resources.” She recommends the Association’s PCCO training as a logical follow-up to the bootcamp. “I think it’s a really good first-step program to introduce both pharmacy management and pharmacy assistants to the importance of why every pharmacy should be looking at compliance and the areas for opportunity to change process,” Cesiunas says. Getting started on a compliance program She recommends participants use the templates provided as part of the

PCCO training handbook as the first step in setting up a program. The templates contain valuable information about the key compliance areas and the requirements. “You don’t need to reinvent the wheel, just start with something that is solid and exists already and then build your own template from that,” Cesiunas advises. She believes it is essential to secure commitment and buy-in from management in order to make the program a success. “Your management needs to identify that this is something that they are very aware of and that they want to monitor, and it will trickle down from there,” she says. How Remedy’sRX is avoiding audit risks For Remedy’sRX, part of minimizing audit risk involved developing an internal audit tool that provided accurate data of where some of their key compliance issues might be. “We’re able to create action plans to get us from where we are now to where

Researched what should be achieved with the audit and the requirements of the provincial Colleges, provincial payers and private payers. Created a formal template to use with pharmacies as an audit tool.

April to June 2015 Finalized the tool, discussed with company management and then implemented baseline audits on each division. New tools and programs were not introduced to pharmacies at this point. The situation needed to be determined before education and resources were provided.

July 2015 Summarized the information gathered to see where adjustments were needed and opportunities for education. Pharmacies were given time to implement the changes before the second round of audits.

December 2015/ January 2016 Second round of audits due to start.

Continued on page 22

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COMPLIANCE OFFICER TRAINING we need to be, in order to make sure we support our best practices,” Cesiunas explains.

the final results of success come after the second round of audits, scheduled for January 2016. During the second round of audits they will also be able to see how the program was received by pharmacy staff and the impact of education programs.

The whole process took a little more than a year, but she says the time frame will vary depending on the size of the organization. For a timeline of the compliance program at Remedy’sRX to date, see the chart on the previous page.

“That’s when we’ll be able to go through and see what changes have been made and how far we have progressed, based on our baseline audits,” Cesiunas says.

Cesiunas says one of the biggest challenges of the project was time, and during her presentation at the PCCO training she stressed that “everything worthwhile takes time.”

What needed to change

Firstly, Remedy’sRX needed to find time to do the program, amid the company’s busy schedule and other initiatives. Secondly, during the implementation phase, she also found it was important to schedule the audit at a time that suited the pharmacy along with ensuring follow-up with managers to discuss results. Cesiunas’ main piece of advice to future compliance officers is to educate pharmacy managers about why the company is starting the program and what its goals are. “It’s not a penalty program,” she emphasizes. “You just want to make sure that the practices you have in place now are meeting all the requirements, and that it’s a positive thing.” The Remedy’sRX program is designed for managers, with tools and resources developed to help them educate their staff. For example, Cesiunas explains, “We might put out a tool or a tip sheet on what to look for with basic prescription requirements. Then we would tell them that our expectation is that you would communicate this with the staff who deal directly with data entry or the intake of prescriptions.” Feedback from managers has been very positive. “I think people at first might be a little concerned, but we’ve always addressed this program as it’s not a penalty. We are not here to point out errors,” Cesiunas says. Remedy’sRX has only gone through its first round of audits, so Cesiunas says

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An example of a process that has been improved upon since the initial round of audits is related to the frequent dispensing authorization form. “We noticed that our pharmacies were looking for a little more guidance,” Cesiunas explains. In response they developed a program that added structure and included a policy on how to complete, monitor and track forms, together with a timeline and schedule for when to follow-up. There is undoubtedly a fine balancing act that goes on between having the time to provide high-quality patient care as well as exceptional administration. “Depending on the size of your organization it might seem like an overwhelming task that you don’t have time to do or you don’t have the experience,” Cesiunas says. “Everyone likes to believe that they are doing everything according to what’s expected, but what we’ve noticed is that over the past couple of years, all of the third-party payers are auditing more aggressively and will recover every prescription or claim error without question, it’s very black or white." “I think it’s important for pharmacies to identify having a compliance officer within their own pharmacies to be able to monitor and ensure that the practices they’re using today will minimize audit risk and also lead to preventative measures for any future audits.” BCPhA will hold more regulatory compliance support programs in 2016. Visit www.bcpharmacy.ca/regulatorycompliance-support for more information.

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STUDENT NEWS

UBC students enter Pharmacy Moguls’ Den Fourth year UBC pharmacy students recently participated in Pharmacy Moguls’ Den, their version of the reality TV show Dragon’s Den, in which entrepreneurs pitch their business ideas to secure financing from venture capitalists. Held on November 27 and December 4 at the UBC Faculty of Pharmaceutical Sciences, the event had student teams present to a panel of judges that included pharmacy leaders, owners and professors, as well as a diverse audience of fellow students, practicing pharmacists and faculty. Students were required to present a business plan for a sustainable patient care service that could be implemented in the community. The winning team on November 27, “BoosterVac”, was selected based on presentation quality, sustainability/ profitability and meeting patient needs/supporting the profession. Their concept was to offer patients a 30-minute one-on-one session with a clinical injection certified pharmacist who would provide a comprehensive assessment of their immunization status and administer publicly-funded vaccines if required. “Our clinic strives to promote and optimize vaccination status amongst the adult population aged 18-35 years, which has the lowest reported immunization coverage both in BC and Canada,” says Jennifer Jun, a member of the BoosterVac team. The winning team on December 4 was "COACH Rx". Their proposal used telehealth services to ensure


Fourth year students from “BoosterVac”, the winning team at the UBC Pharmacy Moguls’ Den competition on November 27 (left to right) Jennifer Jun, Sahar Moafi, Shirin Malek, Saem Park, Allison Jinn, Hailey Khong, Brittany Robinson, and course instructor, Dr. Alan Low. Photo by David Cai.

continuity of care for rural patients discharged from hospital after a cardiovascular event. The projects took hundreds of hours of development and were a culmination and application of the students’ pharmacy management course learning. The event was designed to foster conversations between investors and students about the actual implementation of their business model. Teams also prepared a detailed report as their term project for the course.

Clinical Associate Professor Alan Low, who taught the UBC class, says the business plans were based on real data, interviews, personal communications and research done during the term. “These projects leverage the creativity and ingenuity of new pharmacist graduates to develop sustainable services to make use of expanded scope and help patients,” Low says. David Cai, a third-year pharmacy student and BCPhA Student Ambassador, said all real-world factors were taken into

consideration in the proposals, including location, target population, realistic finances, staff involvement and efficiency. “The ideas ranged from travel health, cardiovascular-risk testing, booster vaccinations, and tele-health,” Cai says. “Every group was both professional and well-prepared. The presenting students spoke with certainty, fully conveyed their research and gave ample reason on how their ideas can prosper.”

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CPHA Approval of MifeGymiso

Canadian Pharmacists Association: Providing leadership on national pharmacy issues By Mark Dickson, B.Sc. (Pharm.), MBA One of the many benefits of being a member of the Canadian Pharmacists Association (CPhA) is having an organization that represents the voice of the profession on national issues that have the potential to affect our ability to improve health outcomes and enhance drug access. Here are three areas in which CPhA has been working on national issues: Drug access and affordability

In July, Health Canada approved MifeGymiso (mifepristone and misoprostol tablets) for the medical termination of pregnancy in Canada. CPhA is disappointed that, at this initial stage, access will be limited through distribution only at clinics through physician dispensing and will not involve community pharmacists. Clearly, pharmacists can and must play a key role in the distribution and patient care associated with this medication to ensure it is provided in a safe, convenient and timely manner. CPhA is continuing to work with Health Canada to leverage pharmacists’ expertise in the dispensing and appropriate use of medications. Mark Dickson is on the BCPhA Board of Directors and was selected as the CPhA representative for two years from 2015 to 2017.

GOVERNMENT ADVOCACY

Cherie Payne joins as new manager of public affairs

Last June, CPhA launched a comprehensive multi-phased consultation to develop a national consensus for a pan-Canadian pharmacare framework. The objective is to ensure that the pharmacist profession and its interests are represented in the national discussion around pharmacare. As the national voice of Canadian pharmacists, CPhA is committed to ensuring the pharmacists’ voice is heard while working with other stakeholders to ensure all Canadians have access to pharmacy services and safe and appropriate drug therapies. A national pharmacare program needs to be about more than a program for purchasing discount medications. Physician-assisted death The Supreme Court decision in Carter v. Canada brought the important discussion of physician-assisted death to the forefront. This, of course, has important pharmacy practice implications. CPhA has been working with its members to ensure that Canadian pharmacists’ views and perspectives are represented in the legislation required as a result of the Supreme Court decision. CPhA conducted a survey in October to ensure the diverse views of pharmacists across the country would inform the work of the committee tasked with developing a response. A total of 256 BC pharmacists stepped up to complete the survey. Overall, pharmacists see a vital role for their profession but want rights of conscience protected. CPhA participated in the External Panel on Options for a Legislative Response and was able to highlight early considerations in the development of legislation as it pertains to pharmacy practice. Work with government on this important issue will continue in the coming months.

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Cherie Payne, who joined the BCPhA as its new manager of public affairs on December 1, 2015, is pictured with Canadian Prime Minister Justin Trudeau during the 2015 federal election campaign. Payne will hold a key role in government advocacy.

Cherie Payne joined the BC Pharmacy Association as its new manager of public affairs on December 1, 2015. In her role, Payne will manage public affairs and hold a key role in government advocacy. Payne has an impressive background that includes a law degree, experience working for a former federal minister of health and work as a consultant with a major communications consulting firm. She has worked for a wide spectrum of clients in the health-care sector. We sat down with Cherie and asked her a few questions about the role of advocacy in the pharmacy industry. 1. What do you see on the horizon for pharmacy in BC? Everyone in health care talks about “bending the cost curve”. Budgets are tight and as Canada has an aging population, we


a win for patients, a win for pharmacists and a win for the health-care system.”

know that payers are demanding more efficient use of money and patients are expecting improved health care. That’s the exciting thing about community pharmacy. Pharmacy delivers publicly-funded services through private organizations. This helps save the public system money. 2. If there were one thing that individuals should know about advocacy, what would you tell them? Effective advocacy is about demonstrating to government how you can help them achieve their policy and business goals. Unfortunately, too often individuals assume they can go to government officials or other stakeholders and make a request entirely based on what they want. What’s important in advocacy is showing how pharmacists can solve important problems. To use the old cliché, a “win-win” situation. 3. A large focus in public affairs is building “awareness” of pharmacy. What’s the role of awareness-building in policy change? Many British Columbians do not yet understand the full range of expertise pharmacists have. Case studies and human interest stories showcase the ways pharmacists help reduce physician wait times, speed patient access to primary health-care services, and are on the cutting edge of advancements in technology that pinpoint how medications interact and are metabolized in individualized ways. We must continue to educate the media, government and patients through concrete examples of the role pharmacists play in communities in each region of the province. If you have a story about great patient support in your community, please let us know!

SMOKING CESSATION

Pharmacists now key access point for butting out On January 1, the BC government made it easier for patients who want to make 2016 the year they quit smoking — by removing an unnecessary step and taking advantage of the skill and accessibility of pharmacists.

Johal educates pharmacists on using their medication management skills to improve Pharmacist Ajit Johal of Wilson Pharmacy in Port Coquitlam. the quality of life of patients with COPD, or chronic obstructive pulmonary disease, which is a longterm disease often caused by smoking. He sees upwards of 100 patients over a three-to-six month period, counseling them on smoking and COPD. “Now that we’ve taken the 8-1-1 step out of the way, pharmacists are going to be the key access point in smoking cessation,” Johal says. “There are a lot of medications that can help with COPD, but the only thing proven to stop lung function decline is smoking cessation. If we can get patients to quit smoking it will be of tremendous benefit to their overall health and wellness.” Johal says COPD is underdiagnosed. Often patients attribute shortness of breath to poor physical fitness or age, when in fact it is a progressive chronic disease. Too often a diagnosis occurs when the disease becomes more severe. At that stage, the disease has already done a lot of damage. “As the most accessible health-care professionals, pharmacists can make a difference early,” Johal says. “It’s a huge opportunity for pharmacists. It allows us to build a relationship with the patient.” When British Columbians signed up for the program prior to this recent change, they had an initial consultation with a nurse on the phone and answered various intake questions such as how many cigarettes they smoked per day or if they had tried to quit before. This left little opportunity for pharmacists to build a rapport with patients when they eventually showed up at the pharmacy, Johal says. “The opportunity to really engage with a patient is there now,” he says. “Now if clients are not doing well with a particular NRT or have issues related to smoking cessation, like weight gain, they can have those conversations with their pharmacist. Before patients weren’t necessarily discussing those issues with pharmacists.”

Patients who enroll in the BC Smoking Cessation Program no longer have to call HealthLink BC on 8-1-1 before becoming eligible to receive publicly funded Nicotine Replacement Therapy (NRT) products. Instead, they can go directly to their community pharmacy.

In addition to removing the step of patients calling 8-1-1, the program also now includes lozenges and inhalers as part of NRT options, not just patches and gum.

“This is a huge step in the right direction in mobilizing the under-utilized role of pharmacy,” says Pharmacist Ajit Johal, clinical services coordinator who oversees clinical programs for Wilson Pharmacy in Port Coquitlam. “The government’s decision is

“The government is giving us an opportunity to make a difference,” he says. “We should make good on it and show benefits for the investment.”

Johal encourages fellow pharmacists to brush up on their smoking cessation knowledge.

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FLU SHOTS

Raising awareness of pharmacists' role in immunizations Now more than ever, busy BC families are taking advantage of pharmacies as an accessible and convenient option for getting their flu shot. During the 2015-16 flu season the BCPhA helped raise awareness of the important role that pharmacists play in immunizations. On December 3, the BC government amended the Pharmacists Regulations to allow qualified pharmacists to administer intranasal immunizations to patients as young as two years old.

The BCPhA had advocated for this scope change, together with reducing the restrictions to pharmacists’ injection authority. The latter has not yet been fully achieved but the Association will continue to advocate for it. Intranasal content will also be integrated into BCPhA's Administration of Injections Certificate program for pharmacists not yet authorized to administer injections. Check www.bcpharmacy.ca for upcoming dates and locations.

Pharmacist Henry Kwok of Peoples Drug Mart was one of a number of community pharmacists who gave flu shots to their local Members of the Legislative Assembly to help raise awareness about immunizations. Kwok gave a flu shot to the Hon. Suzanne Anton, MLA for Vancouver-Fraserview, on November 11.

BCPhA past-president David Pavan administers the flu shot to MLA Darryl Plecas, Parliamentary Secretary to the Minister of Health for Seniors. The BCPhA participated in an event at the BC Legislature on November 5 to kick off the flu season.

BCPhA Board member and community pharmacist Alex Dar Santos immunizes Linda Reid, MLA for Richmond East in early November. Last year, it’s estimated that BC pharmacists gave nearly half a million flu shots. This is up from nearly 30,000 shots in the 2009/10 flu season, when pharmacists were first given the authority to administer injections.

Community pharmacist Anoop Khurana ensures his local MLA for Vancouver-Hastings, Shane Simpson, is protected from the flu. Khurana provided Simpson with his flu shot on November 20.

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PAST PRESIDENTS’ DINNER

Past Presidents’ Dinner honours those who have served Below: Outgoing President David Pavan (left) was presented with the Past President Award by Derek Desrosiers, Director of Pharmacy Practice Support in his role as Board member of the Canadian Foundation for Pharmacy.

On November 27, the BCPhA hosted its annual Past Presidents’ Dinner to honour outgoing President David Pavan and those who have served in previous years. Thirteen past presidents attended, along with current BCPhA Board members, CEO Geraldine Vance and directors of the Association. Pavan was presented with the Past President Award by Derek Desrosiers, Board member of the Canadian Foundation for Pharmacy. Desrosiers is also a past president and the current director of Pharmacy Practice Support at the BCPhA.

Below: Past presidents (left to right) attending the dinner were David Hill, Geoff Squires, Linda Gutenberg, Ken Foreman, Derek Desrosiers, David Pavan, Ron Stein, Frank Archer (back row), Ken McCartney, Wendy Mays, Fred Wiley, Ed Reid and Greg Shepherd.

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BCPHA STUDENT AMBASSADORS

Pharmacy leaders group inspires and connects

New student ambassadors selected

By Aaron Sihota In a packed, glass-enclosed room in a downtown Vancouver bar, 30 pharmacists connected to learn and debate how the influence of design, health technology, and a new pharmacy care model can open up new opportunities for clinical care and business growth. They also had quite a bit of fun at the same time. Started in the fall of 2015, the network of Pharmacy Leaders of Tomorrow (PLoT) is a pilot initiative that is part networking and part business and leadership development. Together with several other pharmacists and Gerry Spitzner, I established PLoT to connect new community pharmacists with each other and assist them to achieve pharmacy business innovation and leadership excellence. It is the first of its kind in Canada to be organized at the grassroots level by a group of community pharmacists from diverse practice settings. The Canadian Foundation for Pharmacy has supported the initiative for its inaugural year. Part of the goal is to create a supportive environment for developing new pharmacists’ understanding of the various economic and political concepts that shape the profession today. These dynamic meetups address topics ranging from building mutually effective prescriber-pharmacist relations to entrepreneurship and the integration of health technology to optimize workflow. PLoT serves as a platform to inspire new pharmacists to take new approaches and to think about how to create positive change within your own practice environments. During each monthly meetup, a different guest host facilitates and stimulates discussion and learning, aiming to inspire change in personal and overall practice. The pharmacy community’s support has been amazing and the last two meetups were both sold out. PLoT hopes to continue to inspire, engage, and connect young pharmacy leaders to help ensure our profession positions itself as being innovative and economically sustainable. For more information: www.facebook.com/ pharmacyleadersoftomorrow or www.leadersofpharmacy.com. Aaron Sihota is co-founder of PLoT and a BCPhA Alumni Ambassador.

Second-year UBC student Jerry Mejia is one of two new students selected for the BCPhA Student Ambassador program.

First-year student Jenny Jiang is keen to use her experiences to promote the pharmacy profession in her role as a Student Ambassador.

After combing through numerous applications and conducting several interviews, BCPhA Student Ambassadors have selected two new recruits to join the program. Second-year student Jerry Mejia and first-year student Jenny Jiang will help the group continue to provide a channel of communication between UBC pharmacy and the Association. Mejia got his Bachelor of Science in Psychology from UBC and then chose pharmacy because it combined his passions for health care and connecting with people. He is drawn to the ambassador program because it reminds students that everything they do is ultimately to ensure, provide, and enhance holistic patient-centred care. “Pharmacists are innovative, qualified, and accessible resources for patients in our communities,” says Mejia. “As students, this is something that can get lost easily given the demands of pharmacy school.” Mejia believes being a student ambassador will put him in a strategic position to help himself and his peers immerse themselves in these values through networking events, lectures, and other professional development initiatives. Jiang is a first-year student in the brand new UBC Entry-to-Practice (E2P) Doctor of Pharmacy program. In her first year she volunteered at a community pharmacy. She enjoyed the work environment and developed a passion for the pharmacy industry. Currently, Jiang works as a core member in the start-up team of CRC Drugs, a new independent pharmacy in Richmond. “The insight I have obtained from this experience will benefit my role as a student representative for the BCPhA, where the advocacy and promotion of the profession is a focus,” Jiang says.

Pharmacy Leaders of Tomorrow meet to network and develop business and leadership skills.

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Mejia and Jiang join fellow students Jason Alessio and Adam Smylie (both fourth-year students), David Cai and Kevin Sin (thirdyear students) and Sharni Sandhar (in her second year). For more information about the program visit www.bcphastudents.ca.


CAREER LISTINGS

ARE YOU MAXIMIZING THE VALUE OF YOUR MEMBER BENEFITS? Pharmacy members can place free Career Opportunities listings in this section and on the BCPhA website. Job postings for pharmacy technicians and assistants are also distributed by the Pharmacy Technician Society of British Columbia (PTSBC). A new enhancement to the best pharmacy job board in BC! Pharmacist members looking for new career opportunities can post their resumes for free on the Hire-aPharmacist page. To learn more, visit the Recruitment section of bcpharmacy.ca ABBOTSFORD

financial acumen, excellent communication and organizational skills, strong customer/patient satisfaction orientation, strong leadership and decision-making skills. Submit resumes via www.Rexallcareers.ca. Pharmacist - full-time We are looking for a pharmacist to join our pharmacy team. We are a destination for compounding and natural health in the Chilliwack area. We are looking for a pharmacist who is injection certified, methadone maintenance therapy certified, and who is comfortable doing medication reviews and consultations with the customers. Experience with Kroll is preferable. Only those selected for an interview will be contacted. Send resumes to Linda Gutenberg, Director of Pharmacy at lgutenberg@forewest.ca, submit online at www.chilliwackpharmasave.com, fax: 604.514.8393 or call 604.315.3273. COQUITLAM

Looking for a full-time pharmacist with a minimum of four years of experience. Call 604.866.7453.

Pharmacist - full-time

Pharmacy assistant - part-time Seeking a part-time pharmacy assistant for pharmacy located inside the Abbotsford Regional Hospital. Remuneration based on experience. Contact Shaf by cellphone only 604.866.7453. BARRIERE Pharmacy technician - full-time Barriere IDA Pharmacy is looking for a full-time registered pharmacy technician to join its team. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: work in a fast-paced, detail oriented environment, work well with both patients and other health care professionals, manage and maintain inventory, have good communication skills and a willingness to learn. Barriere IDA Pharmacy is a member of the Munro Pharmacy Group. We operate a number of pharmacies throughout the BC interior. Our stores are equipped with the latest technology. We take pride in offering prompt friendly prescription service and helpful advice on patients' pharmacy needs. Send resumes to Regan Ready, pharmacist/pharmacy operations via email: regan@teamrx.net, Dona llida@telus.net or call 1.855.99.REGAN toll-free. BURNS LAKE Pharmacy manager - full-time The pharmacy manager is responsible for managing store pharmacy operations and maintaining a professional and cohesive working relationship with the front store manager and staff. Required skills: Pharmacy license to practice in the province in which you are applying, experience in retail pharmaceutical systems and dispensing procedures i.e. Nexxsys, previous pharmacy management experience preferred, ability to maintain the optimum balance between the profession and business of pharmacy, strong

DEASE LAKE Pharmacy technician - full-time

CHILLIWACK

Pharmacist - full-time

area or send resumes to Jody McBlain, owner at pharmasave282@gmail.com, fax 250.428.9082 or call 250.428.9080.

Specialty Prescription Services is seeking a full-time pharmacist until the end of March 2016, with the possibility of an extension or transition to permanent. Unique specialty pharmacy environment with high level of patient contact. Excellent communication skills is a must. Candidate should be highly motivated and possess strong work ethics. Experience with Kroll is preferred. Open 8am to 6pm Monday to Friday. No weekends or holidays. Competitive wage. Interested candidates send resume to pharmacy.bc@ mckesson.ca or fax 604.942.7917. CRESTON

Pharmasave Telepharmacy in Dease Lake is looking for a full-time registered pharmacy technician to join our team. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: work in a high paced detail oriented environment, work well with both health care professionals and the general public, manage and maintain inventory, balance cash, have good communication skills and a willingness to learn. Send resumes to Alan Williamson, owner at ps214@shaw.ca. DELTA Pharmacist - full-time We are looking for full-time pharmacists for our Lower Mainland pharmacies. Experience with WinRX/Kroll and Microsoft Office (Word, Excel, etc.) are necessary. The successful applicant is required to have at least one year of experience working in a community pharmacy and must be injection certified. You must also have a good working knowledge of PharmaCare and third party billing policies, medication reviews, and experience with blister packing. You must be a strong communicator, clinically oriented, and willing to further your pharmacy practice and patientcentered care. Wages start at $37/hour. Full medical and dental benefits are provided after a trial period of three months. If interested, email your resume and cover letter to shafik@wescanapharmacy.com. Pharmacy assistant - full-time

Pharmacy manager - full-time We are an independently owned, thriving community pharmacy, with a focus on delivering superior patient care. We are looking for a motivated, experienced professional to lead our pharmacy team. This position is best suited to an individual who possesses a strong work ethic and a desire to develop the pharmacy business, particularly in the areas of clinical practice and specialty compounding. We offer a generous compensation package, which is negotiable based on experience. There is also an opportunity for part ownership for the right individual. If this opportunity interests you, submit a resume and cover letter to Mr. Jody McBlain, owner/pharmacy manager at pharmasave282@gmail.com. Pharmacist - full-time or part-time We are looking for a full or part-time pharmacist to join our friendly, professional team. We take pride in providing superior patient care in a thriving community pharmacy. Pharmacists overlap on weekdays and work alongside two or three pharmacy assistants to allow the provision of prompt and courteous pharmacy services. If you are a motivated pharmacist looking for a rewarding career, visit www.crestonvalleybc.com to learn more about our community and surrounding

www.bcpharmacy.ca

Looking for an experienced pharmacy assistant or registered pharmacy technician with at least one to two years of community pharmacy experience. Must be aware of all PharmaCare and third party billings and regulations as well as College bylaws. Must be proficient in Microsoft Office (Word, Excel, etc.) and familiar with PharmaCare related service paperwork (medication reviews, flu and travel vaccinations, adaptations, methadone and compounding, etc.). Mandarin, Punjabi, Hindi, or Italian language fluency is an asset. This is a full-time job (40 hours/week). The ideal candidate must be comfortable taking on a supervisory and leadership role. Wages range from $15-20/ hour depending on qualifications and experience. Forward your resume and cover letter to shafik@wescanapharmacy.com. FORT MCMURRAY Pharmacist - part-time Two permanent part-time positions are available. Overwaitea Food Group, one of Western Canada’s leading food and consumer-goods retailer, operates more than 100 pharmacies in BC and Alberta under the following banners: Save On Foods, PriceSmart Foods, Coopers Foods, Urban Fare and Overwaitea Pharmacy. We provide a

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very professional pharmacy practice environment and are committed to challenging and growing our staff, caring for people, healthy living for our shoppers and patients, innovation and investing in our future. Join the OFG and make your career prescription complete. Send resumes to Denise Nilsen, Regional Manager, Pharmacy Operations at denise_nilsen@owfg.com. GOLD RIVER Pharmacy technician - part-time Part-time pharmacy technician required in Gold River. This is a telepharmacy location. Successful candidate must be energetic, adaptable, work well with other health-care professions and the public. Send resume to Colleen, Owner at collhogg@hotmail.com, fax 250.285.3375 or call 250.285.2275.

HUDSON HOPE Pharmacy technician - full-time Pharmasave telepharmacy in Hudson Hope is looking for a full-time registered pharmacy technician to join our team. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: work in a high paced detail oriented environment, work well with both health-care professionals and the general public, manage and maintain inventory, balance cash, have good communication skills and a willingness to learn. Send resumes to Alan Williamson, owner at ps214@shaw.ca. KAMLOOPS Pharmacist - part-time

We are hiring a full-time pharmacist to work in our independently owned pharmacy in Golden, BC attached to the only medical clinic in Golden. Pharmacy hours are Monday to Friday 9am to 5pm; no weekends or holidays. The wage for this position is $50/hour with a benefit package. For more information on Golden and all it has to offer, visit www.golden.ca. If you would like to apply for this position or need further information, contact Darren Belik. Send resumes to gourlayscanmore@telus.net, submit online at www. gourlayspharmacygolden.ca, fax: 403.678.3916 or call 403.678.5288.

Manshadi Pharmacy is looking to hire a part-time motivated pharmacist to work in a well-established independent retail pharmacy. Experience working in a busy pharmacy is a requirement. We specialize in diabetic care, compounding and home health care products. Great team that supports our pharmacists. We prefer a long-term commitment. Kamloops is a great place to be. We are close to two ski hills, Sun Peaks and Harper Mountain, and dozens of nearby lakes. Good community to raise a family with all needed amenities. Thankyou for your interest but only qualified applicants will be contacted. Send resumes to Missagh Manshadi, pharmacist/owner at missagh@ manshadipharmacy.com, submit online at www. manshadipharmacy.com, fax: 1.250.434.2527 or call 1.250.574.0111.

Pharmacist - part-time

Pharmacy technician - full-time

Job opportunity available immediately. We are looking for a committed and licensed, part-time pharmacist to work in our independently owned pharmacy in Golden, BC This small, clinical pharmacy is attached to Golden’s only medical clinic. It is one of three independent pharmacies in the Gourlay’s grouping of stores; other locations are in Banff and Canmore, Alberta. Send resumes to gourlayscanmore@telus.net, submit online at www.gourlayspharmacygolden.ca, fax: 403.678.3916 or call 403.678.5288.

Full-time pharmacy technician wanted for busy compounding pharmacy. Glover’s Medicine Centre Pharmacy is open Monday to Friday 9am - 5:30pm, Saturday from 10am - 3pm and closed on Sunday. If the hire is a regulated pharmacy technician the starting wage will be $22/hour plus full benefits. If not, wages are open to negotiations depending on experience and fit with the pharmacy. Contact Aaron Glover during store hours on 250.851.3131.

GOLDEN Pharmacist - full-time

HAZELTON Pharmacy manager - full-time A new pharmacy in Hazelton is looking for a pharmacy manager. If you are interested in learning more about this opportunity send your resume to Alan Williamson, owner at ps214@shaw.ca. Pharmacy technician - full-time Pharmasave telepharmacy in Hazelton is looking for a full-time registered pharmacy technician to join our team. The successful candidate must be reliable and energetic and demonstrate an ability to perform the following tasks: work in a high paced detail-oriented environment where accuracy is of utmost importance, work with both the general public and health-care professionals, manage and maintain adequate inventory levels, balance cash, have good communication and phone skills, have good computer skills and a willingness to learn. Send resumes to Alan Williamson, owner at ps214@shaw.ca or call 604.926.5331.

Pharmacy technician - full-time We are looking for registered technician. The successful candidate will possess empathy, kindness and humility. Excellent working environment, RRSP, full health package and good salary are awaiting you. Send resumes to Missagh Manshadi, owner/pharmacist at missagh@ manshadipharmacy.com, submit online at www. manshadipharmacy.com, fax: 250.434.2527 or call 250.574.0111. KELOWNA Pharmacy manager - full-time Reporting to the regional pharmacy director, the position of pharmacy manager, long term care is responsible for managing the pharmacy operations according to company guidelines, professional standards, all applicable provincial and federal laws and regulations and the provision of patient focused services. Responsible for maintaining a cohesive working relationship with the staff. Send resumes to Chantelle Holoiday, talent acquisition consultant, western Canada at CHoloiday@rexall. ca, fax: 1.877.781.6072 or call 780.341.4955. Pharmacist - part-time Overwaitea Food Group, one of western Canada’s leading food and consumer-goods retailer,

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operates more than 110 pharmacies in BC and Alberta under the following banners: Save On Foods, PriceSmart Foods, Coopers Foods, Urban Fare and Overwaitea Pharmacy. We provide a very professional pharmacy practice environment and are committed to challenging and growing our staff, caring for people, healthy living for our shoppers and patients, innovation and investing in our future. Join the OFG and make your career prescription complete. Send resumes to Sammy Lee, regional manager, pharmacy operations at sammy_lee@owfg.com. LAKE COWICHAN Pharmacist - full-time Island Pharmacy is looking for a full-time pharmacist based in Lake Cowichan. Send resumes to rx1700@gmail.com, submit online at www.islandpharmacy.ca, fax: 778.356.1112 or call 778.356.1110. LANGLEY Pharmacist - full-time Independent community pharmacy in Langley seeking a full-time pharmacist that is injection certified with excellent verbal and written communication skills. The store specializes in blister packaging, group homes, compounding, medication reviews, ostomy, wound care, mastectomy, compression stockings and medical supplies. Experience in these areas are an asset. Store hours are Monday to Friday 9-6, Saturday 9-5, closed Sundays and all statutory holidays. Position includes rotating Saturdays. We offer competitive wages and benefits. If interested in joining our busy team send your cover letter and resume to Margaret Wiens or Steven Kitson, pharmacy manager or owner at valphar@hotmail. com, submit online at http://valleypharmacy.org, fax: 604.534.8678 or call 604.534.1332. Pharmacist - full-time Seeking a highly motivated, charismatic and driven pharmacist. This position is best suited for individuals with a well-developed business acumen and excellent clinical service skills. Starting wage is $31-49/hour, depending on experience and performance. Qualifications: Bachelor of pharmacy, licensed to practice in BC, superior interpersonal skills, strong verbal and written communication skills, commitment to providing exceptional customer service, computer proficiency (Kroll), experience/certification in geriatrics is an asset but not required. Hours: 36 hours/week. Send resumes to pharmacycareltd@gmail.com. Pharmacy technician - full-time Full-time registered technician wanted for busy long-term care pharmacy. Previous experience with WinRx and automation is recommended but not required. At least one year of experience with longterm care required. Newly registered technicians are encouraged to apply. Send resumes to Linda Gutenberg, director of pharmacy at lgutenberg@ forewest.ca or call 604.315.3273. Only those selected for an interview will be contacted. This position will start as soon as possible. LOGAN LAKE Pharmacy technician - full-time Logan Lake IDA Pharmacy is looking for a full-time registered pharmacy technician. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following


tasks: Work in a fast-paced, detail oriented environment, work well with both patients and other health care professionals, manage and maintain inventory, have good communication skills and a willingness to learn. This pharmacy is a member of the Munro Pharmacy Group. We operate a number of pharmacies throughout the BC interior. Our stores are equipped with the latest technology. We take pride in offering prompt friendly prescription service and helpful advice on patients' pharmacy needs. Send resumes to Regan Ready, pharmacist/pharmacy operations manager at regan@teamrx.net, call 1.855.99-REGAN toll-free or email Dona llida@telus.net.

Pharmacy assistant - part-time

LOWER MAINLAND

Pharmasave Telepharmacy in Masset is looking for a full-time registered pharmacy technician. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: Work in a high paced detail orientated environment, work well with both health-care professionals and the general public, manage and maintain inventory, balance cash, have good communication skills and a willingness to learn. Send resumes to Alan Williamson, owner at ps214@shaw.ca.

Pharmacist - part-time London Drugs has a part-time opportunity available in the Lower Mainland. Join a clinical and patient focused team using the latest robotic dispensing machines plus counseling booths and counseling rooms. Competitive salary and compensation packages, scheduled meal breaks and opportunities to advance to roles such as travel medicine, long term care, pharmacy management, CDE, injection pharmacy and patient care pharmacy. Send resumes to Shawn Sangha, pharmacy operations manager at ssangha@ londondrugs.com. MAPLE RIDGE Pharmacist - full-time Cottonwood Pharmasave in Maple Ridge is looking for an experienced pharmacist to cover a maternity leave position. We have a busy pharmacy that focuses on providing quick, caring, and patient centered customer service. We are looking for a pharmacist that is proficient with Kroll pharmacy software, comfortable with pharmacy services such as medication reviews and adaptations, and familiar with compounding. Pharmacists with at least one year of experience are encouraged to apply for this position. Send resumes to spremji@ forewest.ca. Pharmacist - full-time, part-time, relief We are looking for a full-time or part-time pharmacist for a small independent compounding pharmacy in the Lower Mainland. Experience with WinRx preferred but will train right candidate. Must be injection certified, authorized to dispense methadone, good knowledge of PharmaCare and third party billing, clinically oriented, enjoy doing medication reviews, strong verbal and written communication as well as organizational skills, able to perform in a fast-paced environment, must be flexible and a team player, and be business minded with a patient focused attitude. This is an ideal position for someone looking to further their knowledge of pharmacy and grow with a company. Above average compensation and benefits. Send resumes to alouettepharmacy@gmail.com. Pharmacy technician - full-time Completed a pharmacy technician course or equivalent. Self-motivated and fast learner with good communication and interpersonal skills. Duties to include: Manage drug inventory and receiving, assist in preparing prescriptions, maintain workplace in good order and capable of working under minimum supervision. Competitive wages. Apply in person, call 604.467.0753 or send cover letter and resume to: DrugStore Pharmacy 8551, 22427 Dewdney Trunk Rd, Maple Ridge, V2X 7X7.

We are looking for a part-time (possibly fulltime) pharmacy assistant. Must be motivated, a self-starter, have a current driver’s license, have a flexible schedule and possess good communication, customer service and organizational skills. Someone that can also be a team player and is interested in learning. We are willing to train the right candidate. Compensation dependent on experience. Send resumes to alouettepharmacy@ gmail.com or fax: 604.467.3714. MASSET Pharmacy technician - full-time

MCBRIDE Pharmacy technician - full-time Robson Valley IDA Pharmacy in McBride is looking for a full-time registered pharmacy technician. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: Work in a fast-paced, detail oriented environment, work well with both patients and other health-care professionals, manage and maintain inventory, have good communication skills and a willingness to learn. The pharmacy is a member of the Munro Pharmacy Group. We operate a number of pharmacies throughout the BC interior. Our stores are equipped with the latest technology. We take pride in offering prompt friendly prescription service and helpful advice on patients' pharmacy needs. Send resumes to Regan Ready, pharmacist/pharmacy operations via email: regan@teamrx.net, Dona llida@telus.net or call 1.855.99.REGAN toll-free. MIDWAY Pharmacy technician - part-time Boundary Telepharmacy in Midway is looking to hire a part-time registered pharmacy technician to work one to two days per week in a unique pharmacy environment. Telepharmacy uses cutting edge video conferencing technology to connect technician and public to a pharmacist in another location. The technician has a fantastic opportunity to use all their learned skills, as compared to a regular pharmacy environment. Good communication and management skills are essential. Pharmacy is located a 1.5 hour drive from Kelowna or Penticton, on the US border. Competitive wage. High job satisfaction as we are an integral part of this small community's health-care team. Send resumes to Cris Bennett, pharmacy manager/owner at boundarypharmacy@ gmail.com, fax: 250.449.2867 or call 250.449.2866. MISSION Pharmacy technician - full-time Seeking a full-time registered pharmacy technician. Must have good communications skills and work well in a team environment. Send resumes to

www.bcpharmacy.ca

Ellie Rahmani, pharmacy regional director - BC at Erahmani@rexall.ca. NAKUSP Pharmacy technician - full-time Pharmacy technician position available in picturesque Nakusp. Try a change of pace in this beautiful and relaxed West Kootenay town located only 2.5 hours from the Okanagan. Enjoy skiing, hiking, fishing and the famous hot springs in this spectacular unspoiled lakeside paradise. Talk about job satisfaction. Come practice in a community which really appreciates its pharmacy. Work as an integral part of the health-care team, where you get the support you need to practice patientoriented care. Flexible schedule and vacation (no evenings, Sundays or holidays). Competitive wages. Come enjoy your life. Send resumes to Troy Clark, owner at troyclark6@gmail.com, submit online at www.peoplesdrugmart.com or call 250.265.2228. NANAIMO Pharmacist - part-time London Drugs has a part-time opportunity in Nanaimo. Join a clinical and patient focused team using the latest robotic dispensing machines plus counselling booths and counselling rooms. Competitive salary and compensation packages, scheduled meal breaks and opportunities to advance to roles such as travel medicine, long term care, pharmacy management, CDE, injection pharmacy and patient care pharmacy. Send resumes to Shawn Sangha, Rx operations manager at ssangha@londondrugs.com or fax: 604.448.1075. NEW AIYANSH Pharmacy technician - full-time Pharmasave telepharmacy in New Aiyansh is looking for a full-time pharmacy technician. Send your resume in confidence to Alan Williamson (owner) at ps214alan@shaw.ca or call 604.926.5331. NEW WESTMINISTER Pharmacist - Full-time Key responsibilities include: Checking prescriptions for accuracy, counseling on prescription medications, OTC counseling, health management consulting, and collaboration with pharmacy assistant to accurately dispense prescription medications. Qualifications: Bachelor of Pharmacy, license to practice in the province seeking employment, superior interpersonal skills, strong verbal and written communication skills, commitment to providing exceptional customer service, and computer proficiency. Work hours: Flex schedule - some weekends and evenings. Send resumes to sabeeh@globalhealthmanagement.ca. Pharmacy assistant - full-time or part-time Pharmasave Columbia Square is looking for a full-time or part-time compounding technician/ assistant. Experience with compounding is preferred. PCCA or Medisca compounding training is a definite asset. Minimum two years’ experience working as an assistant and experience with Kroll software is required. Candidates must be hard-working, organized, quick to learn, and good with calculations. Excellent communication and customer service skills are a must. Located across the street from New Westminster Skytrain station. Send resumes to pharmacy.ps275@shaw.ca or fax: 604.525.5608.

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NORTH VANCOUVER Pharmacist - part-time Edgemont Pharmasave in North Vancouver is currently looking for an experienced pharmacist for a part-time position. You must be dedicated to customer service and certified to give injections. Minimum two years of experience, should be proficient with Kroll pharmacy software, and comfortable with pharmacy services such as medication reviews and adaptations. Send resumes to spremji@forewest.ca. Pharmacist - part-time Part-time pharmacist needed in North Vancouver for a minimum of 10 hours/week and maximum 20 hours/week. Must be fluent in Kroll. Send resumes to Hassan, owner at hlalani2@gmail.com, fax: 604.971.5183 or call 604.356.3531. Pharmacy technician - full-time Required qualifications: Must be licensed to practice as a pharmacy technician in BC, superior interpersonal skills, strong verbal and written English communication skills, commitment to providing exceptional customer service, computer proficiency. Desired qualifications: Experience in long-term care an asset, exposure to Kroll computer software, efficient time management abilities, effective organization and planning skills. Job duties: Checking prescriptions for proper dosage, compounding prescribed pharmaceutical products, dispensing prescribed pharmaceuticals, maintaining medication profiles of customers, ensuring proper storage of pharmaceutical products, maintenance of pharmacy stock through inventory control systems. Send resumes to Pharmtechjob2015@gmail.com. Pharmacy assistant - full-time We are looking for a motivated person to help with daily tasks in our busy pharmacy. Pharmacy experience will be considered an asset but is not required. Preference will be given to candidates who can demonstrate strong communication skills and have good references. Send resumes to hlalani2@gmail.com or call 604.356.3531. PENTICTON Pharmacy assistant – full or part-time We are seeking pharmacy assistants committed to providing excellent patient care, with superior interpersonal and communication skills, data entry experience and who have the ability to perform in a fast-paced environment. Your team player attitude and excellent customer service skills will help us to provide exceptional patient care and ensure seamless service. In return for your valued contribution to our team, we offer challenging, rewarding work and a competitive compensation package. Required skills: Experience with Nexxsys an asset, professional attitude, friendly and customer-service oriented, attentive to details and ability to multi-task, reliable, hard-working and a quick learner, exceptional communication and organizational skills. Send your resume and cover letter to 7179rx@rexall.ca or submit online at 7179general@rexall.ca. PORT COQUITLAM Costco Pharmacy operates 70 pharmacies in eight provinces across Canada. Our pharmacies provide an environment that enhances patient care, together with great rates, benefits and

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PORT HARDY Pharmacy manager - full-time You will be responsible for managing store pharmacy operations and maintaining a professional and cohesive working relationship with the front store manager and staff. Required skills: Pharmacy license to practice in the province in which you are applying, experience in retail pharmaceutical systems and dispensing procedures i.e. Nexxsys, previous pharmacy management experience preferred, ability to maintain the optimum balance between the profession and business of pharmacy, strong financial acumen, excellent communication and organizational skills, strong customer/patient satisfaction orientation, strong leadership and decision-making skills. Submit resumes online at www.Rexallcareers.ca. Pharmacist - full-time Demonstrate strong sales ability, leadership, energy, passion and communication skills as we strive to be recognized as the Canadian leader in pharmacy health care. Consult with patients to maximize Rx and OTC sales. Provide professional advice and applicable dialogue with patients on prescription and OTC products to provide excellent customer service. Be aware of any instore events and support these events within the store. Supervise pharmacy technicians. Ensure company standard operating procedures, policies, professional standards and applicable laws and regulations are followed. Implement proper pricing and receiving procedures to minimize shrinkage. Maintain the dispensary inventory level within the prescribed guidelines through accurate perpetual inventory records. Submit resumes at www. Rexallcareers.ca. POWELL RIVER Pharmacy manager and pharmacist - full-time Overwaitea Food Group, one of Western Canada’s leading food and consumer-goods retailers, operates more than 110 pharmacies in BC and Alberta under the following banners: Save On Foods, PriceSmart Foods, Coopers Foods, Urban Fare and Overwaitea Pharmacy. We provide a very professional pharmacy practice environment and are committed to: Challenging and growing our staff, caring for people, healthy living for our shoppers and patients, innovation and investing in our future. Join the OFG and make your career prescription complete. We are currently seeking a pharmacy manager and pharmacist for our location in Powell River, BC. Send resumes to Sammy Lee, regional manager, pharmacy operations at Sammy_lee@owfg.com. PRINCE GEORGE

Pharmacist - full-time

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opportunities. If you are seeking a challenging and rewarding career in a professional retail pharmacy, we are looking for you. The qualified candidates will be highly motivated to provide excellent pharmacy care and customer service. If you are interested in a great opportunity, apply by completing our online job application and sending your resumes to Ed Toth, pharmacy operations manager, at etoth@ costco.com or fax: 425.427.7735.

Jan/Feb 2016

Pharmacy manager - full-time You will be responsible for managing store pharmacy operations and maintaining a professional and cohesive working relationship with the front store manager and staff. Required

www.bcpharmacy.ca

skills: Pharmacy license to practice in the province in which you are applying, experience in retail pharmaceutical systems and dispensing procedures i.e. Nexxsys, previous pharmacy management experience preferred, ability to maintain the optimum balance between the profession and business of pharmacy, strong financial acumen, excellent communication and organizational skills, strong customer/patient satisfaction orientation, strong leadership and decision-making skills. Submit resumes online at www.Rexallcareers.ca. Pharmacist - full-time Overwaitea Food Group, one of Western Canada’s leading food and consumer-goods retailer, operates more than 110 pharmacies in BC and Alberta under the following banners: Save On Foods, PriceSmart Foods, Coopers Foods, Urban Fare and Overwaitea Pharmacy. We provide a very professional pharmacy practice environment and are committed to: Challenging and growing our staff, caring for people, healthy living for our shoppers and patients, innovation and investing in our future. Join the OFG and make your career prescription complete. Send resumes to Livia_ Chan@owfg.com. Pharmacist - full-time. Demonstrate strong sales ability, leadership, energy, passion and communication skills as we strive to be recognized as the Canadian leader in pharmacy health-care. Consult with patients to maximize Rx and OTC sales. Provide professional advice and applicable dialogue with patients on prescription and OTC products to provide excellent customer service. Be aware of any instore events and support these events within the store. Supervise pharmacy technicians. Ensure company standard operating procedures, policies, professional standards and applicable laws and regulations are followed. Implement proper pricing and receiving procedures to minimize shrinkage. Maintain the dispensary inventory level within the prescribed guidelines through accurate perpetual inventory records. Submit resumes online at www. Rexallcareers.ca. Pharmacist - part-time London Drugs has a part-time opportunity in Prince George. Join a clinical and patient focused team using the latest robotic dispensing machines plus counselling booths and counselling rooms. Competitive salary and compensation packages, scheduled meal breaks and opportunities to advance to roles such as travel medicine, long term care, pharmacy management, CDE, injection pharmacy and patient care pharmacy. Send resumes to Shawn Sangha, Rx operations oanager at ssangha@londondrugs.com or fax: 604.448.1075. RICHMOND Pharmacist - part-time We are seeking a part-time pharmacist that is very clinically minded and focused on patient care. Our pharmacy would love to increase more clinical offerings so that we may provide the best care possible to our patients, so a pharmacist with a passion for keeping their clinical skills up-to-date and relevant would be ideal for this position. Send resumes to Geoff, pharmacy manager at pharmasave038@shaw.ca or call 604.241.2898.


SICAMOUS Pharmacy technician - full-time Eagle Valley IDA Pharmacy in Sicamous is looking for a full-time registered pharmacy technician to join its team. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: Work in a fast-paced, detail oriented environment, work well with both patients and other health-care professionals, manage and maintain inventory, have good communication skills and a willingness to learn. Eagle Valley IDA Pharmacy is a member of the Munro Pharmacy Group. We operate a number of pharmacies throughout the BC interior. Our stores are equipped with the latest technology. We take pride in offering prompt friendly prescription service and helpful advice on patients' pharmacy needs. Send resumes to Regan Ready, pharmacist/ pharmacy operations manager at regan@teamrx. net, call 1.855.99.REGAN toll-free or email Dona llida@telus.net. SORRENTO Pharmacist - full-time Munro’s Sorrento Prescriptions is accepting applications for a full-time pharmacist for primarily the Sorrento store plus some shifts at stores in Salmon Arm, Enderby, Sicamous and Armstrong. We are looking for someone who is enthusiastic and energetic, wants to use their full scope of practice for medication reviews and injections, can assist in setting up clinic days for 10 stores and work with telepharmacy, is willing to travel and interested in becoming a store manager in a progressive and innovative setting. We offer competitive salary, paid fees and educational programs, travel expenses, and a chance to see different areas of BC. We are open seven days a week, with our latest shift until 7pm. Applicant would be expected to work two weekends per month. Send resumes to llida@telus.net or fax: 250.523.6541. SURREY Pharmacy manager - full-time Pharmacy manager required for Shoppers Drugmart #2224 Riverside starting on January 15, 2016. Ideal candidate must have at least two years’ experience as a pharmacist and some experience in management. Send resumes to asdm2224@ shoppersdrugmart.ca. Pharmacy manager - full-time Reporting to the regional pharmacy director, the position of pharmacy manager, long term care is responsible for managing the pharmacy operations according to company guidelines, professional standards, all applicable provincial and federal laws and regulations and the provision of patient focused services. Responsible for maintaining a cohesive working relationship with staff. Send resumes to Chantelle Holoiday, talent acquisition consultant - Western Canada at CHoloiday@rexall. ca, fax: 1.877.781.6072 or call 780.341.4955. Pharmacy manager - full-time Impact Plaza Pharmasave in Surrey is looking for a pharmacy manager or full-time pharmacist who we can train to become our pharmacy manager. We are a compounding pharmacy and PCCA member. We are a busy community based, independent pharmacy, and we also serve the compounding needs of the Guildford area. You will have the opportunity to develop your skills in compounding. You must have strong counselling skills, injection

authority, and enjoy medication reviews. We are looking for an individual with strong work ethic, highly energetic, strong communication and leadership skills. Mandarin speaking will be an asset. We offer competitive wages and full benefits including professional fees, medical and dental. Send resumes to Lap Wu, owner at lap.wu@ shawcable.com or call 604.377.2669. Pharmacy manager - full-time We are looking for a pharmacist manager for our new pharmacy opening January 2016. We are an independent, community-based pharmacy providing patient-centered care. We require a pharmacist with the following qualifications: Highly motivated and with a strong work ethic, strong customer service skills, good communication and leadership skills, ability to work proactively as a member of a dynamic and energetic team, willingness to actively participate in patients’ health-care outcomes, and various managed care initiatives. We offer stability, a competitive wage, and a benefits package. We pride ourselves on our dedication to our employees and interest in long term relationships. Send resumes to hr@nazpharmacy.com or fax: 604.608.3230.

the BC interior. Our stores are equipped with the latest technology. We take pride in offering prompt friendly prescription service and helpful advice on patients' pharmacy needs. Send resumes to Regan Ready, pharmacist/pharmacy operations manager at regan@teamrx.net, call 1.855.99.REGAN toll-free or email Dona llida@telus.net. VANCOUVER Pharmacist - full-time We are looking for a pharmacist to join our growing company. We are an independent, communitybased pharmacy providing patient-centered care. We require the following qualifications: Highly motivated and with a strong work ethic, strong customer service skills, good communication and leadership skills, ability to work proactively as a member of a dynamic and energetic team, willingness to actively participate in patients’ health-care outcomes, and various managed care initiatives. We offer stability, a competitive wage, and a benefits package. We pride ourselves on our dedication to our employees and interest in long term relationships. Send resumes to hr@ nazpharmacy.com or fax: 604.608.3230.

Pharmacist - full-time

Pharmacist - full-time

Temporary one-year full-time pharmacist contract starting mid to end of December. Key responsibilities of a Shoppers Drug Mart pharmacist include: Checking prescriptions for accuracy, counseling on prescription medications, OTC counseling, health management consulting, participation in SMD programs (including cognitive/enhanced services as these programs may evolve over time and as required by the business), collaboration with pharmacy assistant to accurately dispense prescription medications. Qualifications: Bachelor of Pharmacy, license to practice in province seeking employment, superior interpersonal skills, strong verbal and written communication skills, commitment to providing exceptional customer service and computer proficiency. Flexible schedule, with some weekends and evenings. Send resumes to asdm267@ shoppersdrugmart.ca or call 604.588.6451.

Full-time community pharmacist position in East Vancouver. Punjabi/Hindi speaking is an asset. Must be familiar with Kroll and have at least two years’ experience. Send resumes to pdhillon1@ me.com.

Pharmacist - full-time, part-time Pharmacist needed for independent 'full-service' community pharmacy. Requirements: Registered full pharmacist in good standing in BC, trained in PPP-66; MMT experienced, authorized to administer injections, fluent in English. Details: Shift selection from 6am – 4pm on weekdays and 6am – 2pm on weekends: 356/year. Experienced support staff and management team and consistent patients amidst friendly community. Benefits: Paid annual vacations, employment contract guarantee, compensation between $40-45/hour: contingent on job performance. Send resumes to Venus, operations manager at ewhpharmacy@hotmail.com. VALEMOUNT Pharmacy technician - full-time Valemount IDA Pharmacy is looking for a full-time registered pharmacy technician to join its team. The successful candidate must be reliable, energetic and demonstrate an ability to perform the following tasks: Work in a fast-paced detail oriented environment, work well with both patients and other health care professionals, manage and maintain inventory, have good communication skills and a willingness to learn. We are a member of the Munro Pharmacy Group, which operates a number of pharmacies throughout

www.bcpharmacy.ca

Pharmacist - part-time Part-time pharmacist position available, experienced in retail and residential home care pharmacy, exceptional communication and organization skills, familiar with Telus RxA or RxT program, and able to work productively as a member of a dynamic team. Please, no phone calls about this job. Send resumes to ymm@yyoung.com or fax: 604.630.1001. Pharmacist - part-time A growing independent new pharmacy specializing in patient-centered care. We dispense methadone but are not your typical methadone pharmacy. Known for our outstandingly efficient operations and loyal patient population, we have created a great environment to work and thrive. Seeking a pharmacist who is highly motivated, with a strong work ethic, strong customer service skills, good communication and leadership skills, ability to work as a member of a dynamic and energetic team, and most importantly willingness to actively participate in patients’ health-care outcomes. Position is a permanent part-time leading to fulltime. We offer stability, competitive pay structure and a great benefits package. We pride ourselves on our dedication to our employees and interest in long term relationships. Send resumes to drimrantejani@gmail.com. Pharmacy technician - full-time Full-time registered pharmacy technician position available. Experienced in retail and production pharmacy, exceptional communication and organization skills, familiar with Telus RxA program, and able to work productively as a member of a dynamic team in a fast paced environment. Please, no phone calls about this job. Send resumes to ymm@yyoung.com or fax: 604.630.1001. Pharmacy assistant - full-time Looking for an assistant or technician with five years’ experience and both pharmacy inventory

Jan/Feb 2016

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and front store management skills. Ability to efficiently blister pack. Has excellent grasp of Kroll software. Punjabi/Hindi speaking would be an asset. Send resumes to pdhillon1@me.com. Pharmacy assistant - full-time, part-time Established independent pharmacy seeking full-time pharmacy assistant. Responsibilities include: Greeting patients at prescription drop-off and pick-up, receiving and entering prescriptions, preparing and compounding medications, cashier duties and inventory maintenance, general work place organization. Assets: Good customer service skills, prior pharmacy experience or graduation from a pharmacy assistant school, general knowledge of government/private insurance, ability to operate Kroll computer software, Cantonese and/or Mandarin speaking skills desirable. We offer competitive wages with excellent training and support. Submit your resume, including email address and phone number, to mjsrxmanager@gmail.com. VERNON Pharmacist - part-time Overwaitea Food Group, one of Western Canada’s leading food and consumer-goods retailer, operates more than 110 pharmacies in BC and Alberta under the following banners: Save On Foods, PriceSmart Foods, Coopers Foods, Urban Fare and Overwaitea Pharmacy. We provide a very professional pharmacy practice environment and are committed to: Challenging and growing our staff, caring for people, healthy living for our shoppers and patients, innovation and investing in our future. Join the OFG and make your career prescription complete. We have a part-time pharmacist position available in Kelowna and Vernon. Send your resume to Sammy Lee, regional manager, pharmacy operations at sammy_lee@owfg.com. VICTORIA Pharmacist - full-time, part-time or relief Attractive opportunity for full-time, part-time or relief pharmacists in Victoria. Excellent wages, health benefits, great hours in a friendly neighborhood pharmacy. Send resumes to har@ sparklit.com or call 250.818.1468. Pharmacist - part-time London Drugs has a part-time opportunity in Victoria. Join a clinical and patient focused team using the latest robotic dispensing machines plus counselling booths and counselling rooms. Competitive salary and compensation packages, scheduled meal breaks and opportunities to advance to roles such as travel medicine, long term care, pharmacy management, CDE, injection pharmacist and patient care pharmacists. Send resumes to Shawn Sangha, pharmacy operations manager at ssangha@londondrugs.com or fax: 604.448.1075. Pharmacy technician - full-time Registered pharmacy technician required to work at Heart Pharmacy IDA, owned and operated by Naz Rayani. Our focus is on patient-centered practice with a desirable and friendly population. All applications are confidential. Compensation is commensurate with experience. Send resumes to jobs@victoriapharmacy.com. Pharmacy assistant - full-time The Overwaitea Food Group is one of western Canada’s largest grocery retailers. We have over

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110 locations in many communities across BC and Alberta. The company operates under multiple banners including Save-On-Foods, PriceSmart Foods, Overwaitea Foods, Coopers Foods and Urban Fare. We distinguish ourselves through five core values: Service, people, innovation, integrity and of course, fun. We’re different and we’re proud of it. Our commitment: To foster a work environment that encourages personal growth, training and opportunities to be promoted from within. Required: Completion of an accredited pharmacy assistant program or two years’ dispensary experience. Candidates must possess excellent communication and customer service skills. Kroll computer experience is an asset. Send resumes to pharmacyemployment@owfg.com. WEST KELOWNA Pharmacist - full-time Job description: Key responsibilities of a Shoppers Drug Mart pharmacist include: Checking prescriptions for accuracy, counseling on prescription medications, OTC counseling, health management consulting, participation in SDM programs (including cognitive/enhanced services as these programs may evolve over time and as required by the business), collaboration with pharmacy assistant to accurately dispense prescription medications. Qualifications: Bachelor of pharmacy, license to practice in the province seeking employment, superior interpersonal skills, strong verbal and written communication skills, commitment to providing exceptional customer service and computer proficiency. Work hours: Flex schedule, with some weekends and evenings. Send resumes to Chris Carter, associate/ owner at asdm2297@shoppersdrugmart.ca, fax: 250.769.7023 or call 250.769.7012. WHITE ROCK/SOUTH SURREY Pharmacy assistant - full-time Our Pharmasave in the White Rock/ South Surrey area is looking for a knowledgeable pharmacy assistant. You must have completed an accredited pharmacy assistant program or have a minimum of two years dispensary experience. Qualified candidates should possess excellent communication and customer service skills. Kroll computer and compounding experience are assets. Email your resume and cover letter to MyPharmasave@telus.net.

OPPORTUNITIES ACROSS BC Pharmacist – full-time and relief The Overwaitea Food Group (OFG) proudly provides professional, patient-centered care through more than 110 pharmacies across BC and Alberta. We’re a leading-edge food and consumer goods retailer known for our belief that wellbeing is about prevention, not just intervention. And thanks to the breadth and depth of our well-established health related offerings, our pharmacists are in a unique position to counsel clients about nutrition and wellness. At OFG, we're committed to fostering a work environment that encourages personal growth, training and career opportunities and provides continuous learning. We offer an attractive compensation package and our extensive benefits package for full-time pharmacists is one of the industries finest. New grads are welcome to apply. Send resumes to pharmacyemployment@owfg.com.

www.bcpharmacy.ca

Pharmacy technician - full-time Costco Pharmacy is looking for pharmacy technicians for various locations across BC (Vancouver, Burnaby, Richmond, Surrey, Port Coquitlam, Langley, Langford, Nanaimo, Kelowna, Kamloops and Prince George). Costco Pharmacy provides a practice environment which enhances patient care and is equipped with semi-private and private counselling areas. We have a great working environment and opportunities for advancement, in addition to highly competitive rates. We are seeking ambitious, high-energy pharmacy technicians who enjoy working in a fast-paced team environment. If you are highly motivated to provide excellent pharmacy care and customer service and would like to inquire about available positions send resumes to etoth@costco.com, fax: 425.427.7735 or call 604.444.9344.

OPPORTUNITIES OUTSIDE BC ALBERTA Pharmacy assistant - part-time We are currently looking for a part-time pharmacy assistant for our pharmacies in Alberta. The successful applicant should have excellent communication and customer service skills. The following skills would be considered an asset: previous pharmacy dispensary experience, experience using the Kroll pharmacy software, and pharmacy assistant or technician certification. The pharmacy assistant/technician will be reporting to the pharmacy manager and staff pharmacists. The duties may include but are not limited to: typing new prescriptions, counting and labeling prescriptions, receiving and entering drug inventory, preparation of compliance packs, unpacking and stocking drug orders. Only shortlisted applicants will be contacted. Send resumes to pharmacyemployment@owfg.com. GRAND PRAIRIE, AB Pharmacy assistant - part-time We are currently looking for a part-time pharmacy assistant for our pharmacy in Grande Prairie, AB. The successful applicant should have excellent communication and customer service skills. The following skills would be considered an asset: previous pharmacy dispensary experience, experience using the Kroll pharmacy software, pharmacy assistant or technician certification. The pharmacy assistant/technician will be reporting to the pharmacy manager and staff pharmacists. The duties may include but are not limited to: typing new prescriptions, counting and labeling prescriptions, receiving and entering drug inventory, preparation of compliance packs, unpacking and stocking drug orders. Sorry but only short-listed applicants will be contacted. Send resumes to pharmacyemployment@owfg.com. MANITOBA Pharmacist - full-time Advance your pharmacy career with Save-OnFoods. With over 100+ pharmacies in over 50+ communities across BC and Alberta, and growing in Saskatchewan and Manitoba, our pharmacy team members share a passion for healthy living and quality patient-centered care. Our pharmacy team members are made up of hardworking people who thrive in a demanding and changing environment and are deeply committed to their patients. We offer: Friendly, professional


and supportive work environments, flexibility, stability and great compensation packages, and opportunities to develop your leadership skills, expand your scope of practice and advance your career. Pharmacist positions available in: Winnipeg, Manitoba. Send resumes to Livia Chan, regional manager, pharmacy operations at livia_chan@owfg.com. SASKATCHEWAN Pharmacist - full-time Advance your pharmacy career with Save-OnFoods. With over 100+ pharmacies in over 50+ communities across BC and Alberta, and growing in Saskatchewan and Manitoba, our pharmacy team members share a passion for healthy living and quality patient-centered care. Our pharmacy team is made up of hardworking people who thrive in a demanding and changing environment and are deeply committed to their patients. We offer: Friendly, professional and supportive work environments, flexibility, stability and great compensation packages, and opportunities to develop your leadership skills, expand your scope of practice and advance your career. Pharmacist positions available in: Regina and Yorkton. Send resumes to Livia Chan, regional manager, pharmacy operations at livia_chan@owfg.com.

the Forewest program you become a shareholder of your store and receive your full pro-rata share of its income in addition to your normal salary. We have several ownership opportunities available at this time. Contact Don Fraser, CEO and president, via phone: 604.788.9315 or email: dfraser@forewest.ca. Peoples Drug Mart is an established and proven pharmacy banner that will make your pharmacy business more successful and profitable. We provide outstanding marketing support and services for a low monthly fee. Unlike other banners, Peoples Drug Mart does not charge a percentage of sales. Our belief is that the profits from your hard work should stay in your business. With Peoples, you get the best of both worlds, outstanding support and services, and the ability to maintain your profits. If you are interested in purchasing, selling or opening a new pharmacy, contact Frank Cucca toll free: 1.877.450.6006, ext 18 or 604.619.4846 or email frankc@pdmstores.com. SUNSHINE COAST - PHARMACY FOR SALE Are you looking for a turnkey pharmacy that will provide profits from the first day you take ownership? We have an established full service, patient-centric pharmacy for sale on the beautiful Sunshine Coast of BC. For details email buyapharmacy@gmail.com.

BUSINESS OPPORTUNITIES

SURREY - PHARMACY FOR SALE

Are you thinking of selling your pharmacy? Overwaitea Food Group may be interested. If you would like more information email pharmacybuyer1@gmail.com.

Are you thinking of buying a pharmacy? We have one for sale in Surrey. The pharmacy is patient care focused and has well established methadone clientele in place. If you would like more information contact via email only: nancycooper59@hotmail.com.

Forewest Holdings partners with local pharmacists and currently owns 34 Pharmasave locations. We have been partnering with local pharmacists for more than 30 years. We are currently looking for opportunities to acquire more community pharmacies in BC and Alberta. Contact us if you are ready to sell all or part of your store. Forewest is also always looking for pharmacists who would like to become part owners of a pharmacy. Under

UCLUELET - PHARMACY FOR SALE Independent Pharmacy in Ucluelet. Owner retiring. Well established business with growth opportunity for young, entrepreneurial pharmacist(s). Flexibility with purchase agreement and hours worked. Email phil@rxownership.ca, fax: 866.818.3384 or call 778.435.2108.

Welcome to the newest members of the BCPhA! Pharmacist (General) members: Jarred Aasen, Doaa Abdelazeez, Raana Amin, Abdulmateen Bagwan, Ting Yi Chang, Min Chun Chen, Stefan Chua, Stefan Culos, Stephanie Daoust, Carole Dean, Neal Dharsi, Gurvinder Gill, Dolores Girard, Ma Angela Gumangan, Youngjoo Han, Rimon Ibrahim, Yen-Chu Lai, Aram Lee, Zoe Leslie, Zhaojing Liu, Anne Louie, Soha Mansour, Robert Milroy, Ramy Nagib, Kim Nguyen, Dorothy Ochieng, Sejin Park, Soyun Park, Nasheena Poonja, Caroline Pope, Rafik Ramadan, Navreet Randhawa, Anthony Rinaldi, Amita Sharma, Shiv Sharma, Darin Shaw, Paul Sherman, Charlotte Suttie, Sarah Taylor, Thanh Thai, Bernadette Thomas, Michelle Thomson, Trent Tschirgi, Jacqueline Twadrous, Sarita Valji, Xiaofan Wang, Erica Webb, Hugo Wong, Hugo Wong, Hwayoung Yang, Meng Zhen Yu, Congcong Zhang and Elizabeth Zhang.

Pharmacy (Corporate) members: Capitol Hill Pharmacy, McKesson Canada - Retail Banner Services, Stenberg College, Fraserview Pharmacy Ltd., King George Medic Pharmacy, Lynn Valley Pharmacy, Manshadi Pharmacy, Pacific Pharmacy #1, Pacific Pharmacy #2 and Pharmasave Health Centre #207.

www.bcpharmacy.ca

ASSOCIATION CONTACTS Geraldine Vance Chief Executive Officer 604.269.2860 geraldine.vance@bcpharmacy.ca Cyril Lopez Chief Operating Officer 604.269.2869 cyril.lopez@bcpharmacy.ca Derek Desrosiers Director, Pharmacy Practice Support 604.269.2862 derek.desrosiers@bcpharmacy.ca Angie Gaddy Director, Communications 604.269.2863 angie.gaddy@bcpharmacy.ca Cherie Payne Manager, Public Affairs 604.269.2868 cherie.payne@bcpharmacy.ca Vince Lee Manager, Marketing 604.269.2867 vince.lee@bcpharmacy.ca Bryce Wong Manager, Pharmacy Practice Support 604.269.2865 bryce.wong@bcpharmacy.ca Matilda Meyers Manager, Communications 604.269.2866 matilda.meyers@bcpharmacy.ca Nelson Chen Coordinator, Pharmacy Practice Support 604.269.2880 nelson.chen@bcpharmacy.ca Ray Chow Database Administrator, Member & Corporate Services 604.269.2882 ray.chow@bcpharmacy.ca Maria dela Cruz Executive Assistant & Project Coordinator 604.269.2861 maria.delacruz@bcpharmacy.ca Linda Tinnion Assistant, Member Services 604.269.2864 linda.tinnion@bcpharmacy.ca Starr Rempel Administrative Assistant Member & Corporate Services 604.261.2092 starr.rempel@bcpharmacy.ca 604.261.2092, Toll-free: 1.800.663.2840 info@bcpharmacy

Jan/Feb 2016

THE TABLET

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SAVE THE DATE!

BCPhA Annual Conference 2016 May 26 to 28 in Kelowna, BC at the Delta Grand Okanagan Visit www.bcpharmacy.ca/conference to learn more and register!