pharmacy education newsletter, issue 3

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PharmacyEducationNewsletter

InternationalPharmaceuticalStudents’ Federation

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[email protected]://pharmacy-ed.ipsf.org

PENeditorial

Dear IPSFers,

Today, IPSF pharmacy education releases its third monthly newsletter. We’re still on the start but we are improving especially with your suggestions and comments as well as your par-ticipation. Do not hesitate to submit any idea of article you find relevant for PEN!

I would like to present briefly what are the axis of today’s publication. First, Ms.Vhony is shar-ing with you an amazing experience about the local association journal that become inter-national and recognized scientific magazine. Vhony was Phuture coordinator last year and she is taking care of this new magazine. I am full of happiness and pride when I see motivat-ed people taking IPSF experiences back home to improve their associations work. We are all meant to give back to our mother associations at least a little of what they gave us in terms of friendships, care, self-fulfillment and free food! It is even better when you make your associa-tion grow bigger and be a model to follow for IPSF! This said, we are aiming to make the same process with IPSF scientific magazine Phuture! Second, Radek attended the WISE in Qatar and will be sharing with you an “educational” trip, a must-read! Then, Ali from Kuwait will tell

you about a biannual event taking place in his university. The last article is truly a pleasure to read, it deals with prescribing drugs to the el-derly. It is a short version of Ms. Sailishni’s the-sis, which will give us an insight about a very important topic: How to deal with complex patients.

Recently, Radek and myself represented IPSF in an NGOs meeting in UNESCO Paris. While at-tending a bioethics committee meeting, one of the lecturers said : “ too much science kills culture …”. This made me think about how us , pharmacist, need to learn a lot of complex scientific information, while in practice (when dealing with patients) we use much more simplified approach, which turns our scien-tific background into … culture.This is particu-larly true when it comes to complex patients. The pharmacist is the scientist who turns his science into culture, thus being the closest healthcare professional to the people … Think about it.

Enjoy reading and Viva la pharmacy.

contentpublicationteam

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Mr. Marouen Ben Guebila

Chairperson of Pharmacy Education2012-2013

Design & LayoutMs. Alexandra Marques

Cover photoWISE Qatar 2012by Mr. Radoslaw Mitura

Proofread by

[email protected]@ipsf.org

Pre-event

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4th Kuwait IPCAli Qadsawy Al Shammari

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Ms. Yuqian Liu [Editor-in-Chief]Ms. Michelle Garner

Ms. Hannah Svedlung

IPSF Chairperson of Media and Publications

Ed innovationBIMFI

Pony Purnamasari H

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FIPEd cornerIPSF-FIP Student Learning Experience Questionnaire

Naoko Arakawa

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World Innovation Sum-mit for Education 2012

Radoslaw Mitura

Prescribing Challenges in Elderly Patients

Sailishni KartigayamPage 8

PENpre-event

4th Kuwait International PharmacyConference by Mr. Ali Qadsawy Al Shammari Kuwait, KPSS

Faculty of pharmacy at Kuwait University holds an international conference every two years. the 4th Ku-wait International Pharma-cy Conference will be held from February 4 to 6, 2013. This year’s conference will include contemporary is-

sues and developments from pharmacy practice to basic pharmaceutical science. There will be ple-nary sessions and proffered oral abstracts as well as posters related to advances in pharmacotherapy, medication adherence, drug delivery and pharma-cogenomics. Invited lectures will be given by distin-guished scholars from North America and Europe as well as from the Gulf region.

Workshops will deal with a variety of topics in-cluding pharmacy education ( Medication adher-ence and the social responsibility of schools of phar-macy to address this problem in Society) as well as patient education techniques (Role of pharmacists in assessing well-being of the patient pre and post treatment). The newest scientific discoveries will be a part of the programme as well (Tools for optimi-zation of individualized chemotherapy , Nanomedi-cine: polymeric systems for controlled drug delivery to tumors, Drug delivery for multi-drug resistance and metastatic cancers).

Healthcare inter-cooperation is a key element for the success in a clinical environment, This interest-ing topic is detailed in the workshop: New health delivery models in relation to patient-centeredness and health teams.

A lot of interesting talks and lectures will deal with topics related to pharmacy, and we’re also ex-pecting an international attendance to this confer-ence.

If you have been working on one of the topics up mentioned then don’t hesitate to submit your ab-stract to [email protected] .

Visit http://www.kipc2013.com/ for more infor-mation.

PENEd innovation

BIMFI(Berkala Ilmiah Mahasiswa Farmasi Indonesia/Scientific Journal Of Indonesian Pharmaceutical Students)

To Address The Needs Of Pharmacy Students In Publishing Their Studiesby Ms. Pony Purnamasari H, President of BIMFI, University of Indonesia (UI)

Directorate General of Higher Education Ministry of Education and Culture (DGHE) in Indonesia has identified that a lack of pub-lished studies can hinder further development and improvement of clinical prac-

tice. Therefore, DGHE, through Health Professionals Education Quality (HPEQ) Project-Students’ Com-ponent, supports an e-journal to facilitate health professional students in publishing their studies and find earlier studies for references. As a national scaled organization which facilitates pharmacy stu-dents in Indonesia, ISMAFARSI actively contributes in managing BIMFI (Scientific Journal of Indonesian Pharmaceutical Students). ISMAFARSI and all of the health professional students have collaborated to initiate and manage a big umbrella which will cope with publications of all health professionals students, BIMKES (Indonesian Health Professional Students’ Journal). Therefore, BIMKES is divided into several units according to the professions which contribute papers. Those units are JIMKIfor medi-cines, BMKGIfor dentistry, BIMIKI for nursing, BIMABI for midwifery, BIMFI for pharmacy, BIMGI for nutri-tion, and BIMKMI for public health. It is founded and managed 100% by Indonesian students. The stu-dents are trained by experts in managing journals

prior to taking over responsibility for managing the journal.

The Scientific Journal of Indonesian Pharmaceuti-cal Students is peer-reviewed and allows access to abstracts and full-text. The journal is devoted to the promotion of pharmaceutical sciences and related disciplines (Pharmacology, Pharmaceutical Tech-nology, Pharmaceutics, Biopharmaceutics, Phar-macokinetics, Pharmaceutical Medicinal Chemistry, Computational Chemistry & Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmaceuti-cal Analysis, Pharmacy Practice, Clinical & Hospital Pharmacy, Cell Biology, Genomics & Proteomics, Pharmacogenomics, Bioinformatics including bio-technology, cell & molecular biology, Pharmaceuti-cal biotechnology/microbiology, medical and other life sciences, etc).

ISSN (International Standard Serial Number) of Scientific Journal of Indonesian Pharmaceutical Stu-dents is 2302-7851. It has a printed version and is published twice a year. BIMFI has also recieved an award as The Most Cooperatid Journal by Directo-rate General of Higher Education Ministry of Educa-tion and Culture-World Bank Mission.

Although Scientific Journal of Indonesian Phar-maceutical Students is primarily devoted to original research papers, the journal also welcomes reviews

PENEd innovation

on current topics of special interest and relevance. All manuscripts will be subjected to rapid peer re-view. Those of high quality (not previously pub-lished and not already under consideration for pub-lication) will be published. Papers submitted could be in Bahasa or English, and in a means or article, reference, study report, refreshing pharmaceuticals & health article, advertorial, practical instructions, or editorial. The papers are original works of the au-thor (no plagiarism), which is made based on the competency of the students (pharmacy).

Now, we are proud to launch the first edition of our electronic journal at www.bimfi.bimkes.org. This website is available in Bahasa and English and is accessible now. The website was officially soft launched on Oct 20th, 2012 at The Education Harmo-nization of Indonesian Heath Professional Students Conference, and witnessed by all health profes-sional students in Indonesia through a video con-ference. The grand launch will be held on National Education Day on May 2013. By using technologies we could enhance the equity of knowledge from Sabang until Merauke (which are the east and west border of Indonesia). We believe that everyone in this world has the same right to get education and

access to knowledge so researchers are encouraged to apply and publish their articles at BIMFI. The arti-cles are also an open access for all the readers after a simple registration at on the web. Hopefully this will generate improved health research amongst new researchers. Do not hesitate to contact us at [email protected] or [email protected]. We also love to share our experiences and ideas in this field.

Viva la Pharmacie !

PENEd innovation

Medical care of the elderly re-quires a body of knowledge and skills distinct from those needed in other medical fields.

Exposure to specialised training in geriatric practice will enhance the capacity of physicians and general practitioners to provide appropriate high quality health care both for the

relatively healthy well older person and for those elderly who are hospitalised with multiple medical problems.

Adverse drug effects are effects that are unwanted, uncomfortable, or dangerous. Common examples are oversedation, confusion, hallucinations, falls, and bleed-ing. Among ambulatory people ≥ 65 years, adverse drug effects occur at a rate of about 50 events per 1000 per-son-years. Optimising drug therapy is an essential part of caring for an older person. The process of prescrib-ing medication is complex and includes: deciding that a drug is indicated, choosing the best drug, determining a dose and schedule appropriate for the patient’s physi-ological status, monitoring for effectiveness and toxicity, educating the patient about expected side effects, and indications for seeking consultation.

Prescribing for older patients presents unique chal-lenges. Many medications need to be used with special caution because of age-related changes in pharmacoki-netics (absorption, distribution, metabolism, and excre-tion) and pharmacodynamics (the physiologic effects of the drug).

I. MEDICATION USE BY OLDER ADULTS

Medications (prescription, over-the-counter, and herbal preparations) are widely used by older.

Herbal and dietary supplements — Use of herbal or dietary supplements (eg, ginseng, ginkgo biloba extract, and glucosamine) by older adults has been increasing, from 14 percent in older women in 1998 to 26 to 27 percent in 2002 and 49 percent in 2006. Often, clinicians do not question patients about use of herbal medicines and pa-tients do not routinely volunteer this information.

Herbal medicines may interact with prescribed drug therapies and lead to adverse events, underscoring the importance of routinely questioning patients about the use of unconventional therapies. Examples of herbal-drug therapy interactions include ginkgo biloba extract taken with warfarin, causing an increased risk of bleed-ing.

II. POLYPHARMACY

Polypharmacy is defined simply as the use of multiple medications by a patient. The precise minimum number of medications used to define “polypharmacy” is vari-able, but generally ranges from 5 to 10.

There are multiple reasons why older adults are espe-cially impacted by polypharmacy:

• Older individuals are at greater risk for adverse drug events due to metabolic changes and de-creased drug clearance associated with aging; this risk is compounded by increasing numbers of drugs used.

• Polypharmacy increases the potential for drug-drug interactions.

• Medication adherence may be poor due to visual or cognitive compromise in many older adults.

Prescribing Challenges in Elderly Patients by Ms. Sailishni Kartigayam

PENEd innovation

III. UNDERUTILIZATION OF APPROPRIATE MEDICATION

Much attention has been paid to over-prescribing for older adults and under-prescribing appropriate medica-tions.

Clinicians may be better at avoiding over-prescribing of inappropriate drug therapies than at prescribing in-dicated drug therapies. Accordingly, many older adults need to take six or more essential medications. In this context, clinicians may make informed decisions to “un-der prescribe,” to foster compliance with essential medi-cations, limit drug interactions, and prioritize health benefits for active treatment of serious conditions over preventive therapies or conditions that have less impact on quality of life.

Factors leading to unintended underutilization in-clude clinicians not recognizing medication benefit in the older population, affordability, and dose availability.

IV. A STEPWISE APPROACH TO PRESCRIBING

Regardless of the sequence of steps, what is essential in prescribing is to continually reappraise the patient’s medication regimen in light of his or her current clinical status, goals of care, and the potential risks/benefits of each medication.

Review current drug therapy — Periodic evaluation of a pa-tient’s drug regimen is an essential component of medi-cal care for an older person. Such a review may indicate the need for changes to prescribed drug therapy.

Discontinue unnecessary therapy — Clinicians are often reluc-tant to stop medications, especially if they did not initi-ate the treatment and the patient seems to be tolerating the therapy. Sometimes, this exposes the patient to the risks for an adverse event with limited therapeutic ben-efit.

Consider adverse drug events for any new symptom — Before add-

ing a new therapy to the patient’s drug regimen, clini-cians should carefully consider whether the develop-ment of a new medical condition could be linked to an existing drug therapy.

Substitute with safer alternatives — When drug therapy is in-dicated for the older patient, it may be possible to sub-stitute a safer alternative for the current regimen. As an example, in treatment of non-inflammatory arthritis, acetaminophen may provide adequate pain relief and be a safer alternative to NSAIDs .

Reduce the dose — Many adverse drug events are dose-related. When prescribing drug therapies it is important to use the minimal dose required to obtain clinical ben-efit. As an example, one study evaluated the relationship between prescribing of the newer atypical antipsychotic therapies (eg, olanzapine, risperidone, and quetiapine) and the development of parkinsonism in older adults.

Simplify the dosing schedule — When multiple medications are required, greater regimen complexity will increase the likelihood of poor compliance or confusion with dos-ing.

Prescribe beneficial therapy — The fewer-the-better ap-proach to drug therapy in older adults is often not the best response to optimizing drug regimens. Avoiding medications with known benefits to minimize the num-ber of drugs prescribed is inappropriate. Patients must be informed about the reason to initiate a new medica-tion, and what the expected benefits are.

So, as a conclusion we as pharmacists as a part of the healthcare team should encounter the errors and make the necessary amendment for the betterment of the geriatrics patients.

Thank you

“Age is an issue of mind over matter. If you don’t mind, it doesn’t matter.”

PENFIPEd corner

There is much global interest in quality and standards of professional pharmacy education as health policy world-wide becomes more focussed on extending the roles of pharmacy practitioners to provide more effec-tive medicines-related health services. To achieve higher and equitable quality, the global infrastructure for phar-macy education needs to be mapped to the required competencies of pharmacy practitioners in order to meet the given health needs in any country. As students are at the centre of pre-service education, their input is important in the development of educational policies and practices. It is of global interest and relevance to survey the student learning experience.

“FIPEd - IPSF Student Learning Experience Ques-tionnaire” is the continuation of the IPSF Moving On II, which was a project with the main focus on the pharma-cy students’ perceptions on their education (data being collected since 2004 by IPSF) and has now been revised to include the students’ ways of studying about their de-gree based on Study Process Questionnaire (Biggs, 1987) as well as the original Moving On II questionnaire based on Course Experience Questionnaire (Wilson et al., 1997).

Students’ approaches to learning are likely to affect future habits of lifelong learning, which is now one of the important aspects of professional development for pharmacists. Furthermore, the students’ expressions about how they go about their learning are a key indica-tor in assessing how well pharmacy education systems are working (Biggs, 2001). Thus, the new additions to the questionnaire will enable the capture of better evidence on how students perceived their learning experiences throughout their undergraduate periods.

The “FIPEd - IPSF Student Learning Experience Questionnaire” will allow world-wide comparisons and mapping of the learning experiences and the quality of learning of students enrolled in pharmacy programmes. It is the largest study of its type to date. Data collected will provide key evidence for education advancement.

The “FIPEd – IPSF Student Learning Experience Questionnaire” English version is now on-line (http://www.codegnet.org.uk/moII_2013/) and in 6 different languages (Arabic, French, Japanese, Mandarin-Chinese, Portuguese, and Spanish) from January 2013. The next article will provide more information about this project and other translations online.

Please remember that your voice is the best evidence to inform the future of pharmacy. Tell us how you feel about your learning experiences and become change-makers.

References:

Biggs, J. B. 1987. Student Approaches to Learning and Studying, Hawthorn, Australian Council for Educational Research.

Biggs, J. B. 2001. Enhancing Learning: A Matter of Style or Approach? In: Sternberg, R. J. & Zhang, L. (eds.) Perspec-tives on Thinking, Learning, and Cognitive Styles. New York: Routledge.

Wilson, Keithia L., Lizzio, Alf & Ramsden, Paul 1997. The de-velopment, validation and application of the Course Experi-ence Questionnaire. Studies in Higher Education, 22, 33-53.

FIPEd -IPSFStudent Learning Experience Questionnaire: Giving your voice to evidence-based advancement of pharmacy education by Ms. Naoko Arakawa, PhD Candidate, FIP Collaborating Centre

PENFIPEd corner

FIP Education Initiatives and WHO are implementing a global survey that aims to collect information:

To ascertain the educational background of the pharmacy workforce and production capacity;

To ascertain quality assurance accreditation mechanisms and processes.

The data will be used to identify gaps, shortages and cooperation opportunities, besides provid-ing the evidence-based information needed for investment policies that will reduce existing gaps

and increase pharmacy education capacity.

The participation of all pharmacy education institutions in this survey is vital to provide a better understanding of current pharmacy education issues, and will assist in the development of global

pharmacy education policy recommendations.

For these reasons, FIP and WHO have sent an invitation to the Deans of all schools of pharmacy to complete the Global Survey of Pharmacy Schools. Please help us by ensuring that your Dean or School leader has completed the survey for your pharmacy school/faculty/department [www.fip.

org/education].

Should you wish to provide data on behalf of your school or your country please contact Andreia Bruno [email protected] to obtain the information to be able to complete the survey. If you have any comments or

questions concerning the project please send them to [email protected].

A million thanks in advance for your help!FIPEd Development Team

FIP-WHO Global Survey of Pharmacy Schools

Has your school responded?

PENhighlight

World Innovation Summit for Education 2012:Doha, Qatar, 12 -14 November by Mr. Radoslaw Mitura, IPSF President 2012-13

After I had solved problems with my lost passport, obtained a new visa and changed the flight tick-ets, finally I was going to Qatar for this great conference. The meeting was organised perfectly and I was welcomed by the organisers right after I entered the arrival hall and

was transferred to my hotel in a very convenient way.

When relaxing in my comfortable hotel room, I started going through the conference materials included in the welcome bag. The quality stunned me, so my expecta-tions for the conference itself had been raised. I couldn’t wait for it to start.

In the morning the conference began with the official opening ceremony, attended by Her Highness Sheikha Moza from Qatar. The opening was transmitted by the television, as were many of the following sessions. With sophisticated welcome words the event started.

During those three days, more than 1000 prominent participants, from diverse education, corporate, political and social backgrounds had an opportunity to gather together at the Qatar National Convention Centre to dis-cuss collaborative methodological approaches to foster education long-term strategies to improve education and inspire innovation. Several high-level interactive discussions were offered. The attendees were given an opportunity to interact with the speakers and experts in the field, share their best experiences and challenge themselves and their thinking during plenary sessions and debates. The workshops and focus sessions allowed the participants to discuss specific issues. More than 70

sessions and related activities allowed a unique oppor-tunity for all the attendees to learn and broaden their educational horizons, with a particular focus on cutting-edge practices in the field of education, building its fu-ture and networking with distinguished guests from di-verse sectors.

The WISE Prize for Education and 6 WISE projects were awarded this year to highlight outstanding activities un-dertaken to address the educational needs around the globe. More on www.wise-qatar.org, which also contains recordings of several sessions that took place during WISE 2012.

For me, this conference was a great opportunity to connect with high-level experts, academics and policy makers in education. The sessions were rewarding and enjoyable. Thus, I totally recommend visiting the website to get a taste of WISE, its initiatives and overall – success.

InternationalPharmaceuticalStudents’ Federation

PO BOX 842002508 AE Den HaagThe Netherlands

Tel: +31 70 302 1992Fax: +31 70 302 1999

Email: [email protected]: www.ipsf.org

pharmacy education newsletter, issue 3

Documents

ipsf pharmacy education

ipsf experiences

kuwait university

complex patients

kpssfaculty of pharmacy

ali qadsawy al shammari

science kills culture

new magazine