Ready for Session 2?
Ready for Session 2?
Quiz 1 will be on June 26th, 2018. The quiz will be 50 questions.
Quiz 1 will be based on the first two pages of the Top 200 drugs list that was given out in class June 19th.
Quiz 2 will be on June 28th, 2018. The quiz will be 50 questions. You will not need a calculator!
Quiz 1 and Quiz 2 will be posted Saturday June 30th, 2018 for your review.
Thank you for your efforts. Please study hard and take the materials seriously and you should do fine on the quizzes. Best of Luck!
For questions or concerns please email me.
PDF of Syllabus Session 2: Syllabus Session-2 June-August 2018
PDF of Lecture 1 Notes: Lecture 1 — June 14, 2018
MP4 Audio of Lecture 1:
Homework: Please review the web-links in the PDF documents. Study Lecture 1 Notes — do appropriate web-searches of the material outlined in the Lecture Notes. Review Top 200 quiz on PTCB Website: http://www.ptcbpracticetest.com/top-200-drugs-quiz/
Have a great weekend and questions or concerns please feel free to email.
Teaching is difficult. Teachers — especially the great teachers, they just don’t receive enough credit. I have actively been teaching a non credit pharmacy technician class the past 8 weeks, while also performing Preceptor duties for 4th year Pharmacy School students.
What have I learned while doing both simultaneously?
Obviously the biggest difference is that teaching in the community pharmacy is a more hands on experience in that there’s real life scenarios and people versus teaching in the classroom where there’s only the lecturer, student, book, and white board/chalk board to convey the message.
In the classroom there’s the “audience effect”. You’re lecturing, and you can easily become the only speaker if there’s not a question you give your audience to answer. Thus, you have to exert more of your body and brain energy into focused segments to convey an effective message.
This burden of energy expenditure being on the speaker/lecturer can be lightened only by actively engaging the student by using the white board, computer, or book to create examples and questions of real life scenarios.
Energy expenditure while teaching in the pharmacy is reduced in comparison to the classroom. The drugs, the patients, the real life scenarios are there to be be used as living examples of why the student must study physiology, pharmacology, infectious disease, pharmaceutics, and so on and so forth.
The student can easily view the drug by going to the shelf. They can learn the pharmacology and use of the drug by simply looking at the package insert that comes with the drug. They can observe the practicing pharmacist or pharmacy technician and learn from their behaviors, movements, speech, and thought process in working together as a team to produce the appropriate final product. The examples do not have to be created in the pharmacy — because the examples are there to be observed, studied, learned, and memorized for the present and future use with patients that day and the days ahead.
This accumulation of knowledge by the pharmacy student and pharmacy technician while on externship can produce a foundation of knowledge for how to talk, when to talk, when not to talk, and when to act.
First point… Good teaching isn’t a lecture, it’s a conversation.
Second point… Good teachers find common ground with the student — so that the thoughts expressed by the teacher can be easily understood by the student.
Third point…Good teachers find out what their student’s baseline of knowledge is. By understanding their current knowledge or lack thereof — the Good teacher can elevate and motivate the student to an appropriate and/or desired level of competency.
Conclusion — I have a long way to go in becoming identified as one of the “good teachers”. However, I’ve identified these three points too consider while playing this role.
May 8th, May 9th, May 15th — review
May 17th — Quiz 4 and Lecture
Quiz 4 will be posted Thursday May 17th at noon answers on Sunday May 20th
Calendar Checklist — May 22nd — Exam (Closed Book)
May 23rd — Exam Results
The Dispense As Written Codes that I use regularly in my practice are:
DAW 0 = NO PRODUCT SELECTION INDICATED
DAW 1 = SUBSTITUTION NOT ALLOWED BY PRESCRIBER
DAW 9 = SUBSTITUTION ALLOWED PLAN REQUESTS BRAND
Why is this important?
Dispense as written codes are important in billing/filing claims correctly to a patient’s insurance plan. Claims must be billed/filed correctly so that patients receive the appropriate drug products at the correct price.
For me… DAW 0 is used most of the time (this holds true for most pharmacists), while DAW 1 is used sparingly; a drug example for those who are not Pharmacists as to when a Pharmacist uses DAW 1 is seen in the case of prescribing Brand Name Synthroid. Prescribers often write for Brand name Synthroid instead of Levothyroxine because this drug has a Narrow Therapeutic Index (NTI). Due to the NTI, formularies often include both the Brand and Generic products on their formularies so that patients receive appropriate pharmaceutical treatment for their thyroid conditions.
If you’re interested in reading more about NTI, please visit the FDA’s website and review the powerpoint “Quality and Bioequivalence Standards for Narrow Therapeutic Index Drugs.”
DAW 9 is increasingly becoming popular and being put into place by Pharmacy Benefit Managers (PBM’s). Typically generics have been dispensed because the generic product is the cheaper alternative when compared to the brand name product. However, increasingly manufacturers have been offering PBM’s rebates for the monies that they pay the pharmacies on the drugs cost.
In short…even when prescribers write a prescription and sign Product Substitution Permitted — the pharmacist must dispense the brand name product for the product to be covered by the patient’s insurance. This is done by changing the computer DAW code from a 0 to a 9.
So you may be asking, “how is it more profitable for the PBM’s to have higher priced drugs on their drug formularies?” I found a great article published by NCPA entitled “PBM Revenue Streams and Lack of Transparency”. The article is a quick read and outlines why Brand Name products continue to be on formulary even when a generic competitor enters the market.
Examples of using DAW 9 in my practice (Generic Drug — Condition Treated)
Dexmethylphenidate ER — ADHD
Diazepam Rectal Gel — Seizures
Methylphenidate ER — ADHD
Budesonide Respules — Asthma
What’s the effect on people and the market?
In my practice this leads to a major consultation point…
The reason that this is so important…
DAW 0 versus DAW 9 seems like such a trivial issue, but the increased prevalence of this small change can impact our patient’s compliance and can drive up the cost for providing healthcare.
If you have Questions related to this topic? Please feel free to leave a comment.
The interview begins—and you have already reviewed the candidate’s resume’. They meet all the qualifications, and even have some excellent references. You hire the candidate, and around six months to one year later after their up and down performance you and the employee decide that it’s best to part ways.
So what happened? The interview went well…check. The references seemed to be great…check. Yet, once the candidate got the job — they had a fatal flaw that was impossible to overcome.
They just didn’t seem to care.
They didn’t care about the customers, didn’t care about their daily performance, didn’t even seem to care about their evaluations… Which ultimately meant that the product they were serving up to your loyal base was average at best. They had just enough good days to make you think maybe it would work out, interspersed with enough bad days to make you shake your head.
It’s pretty weird when you think about it. And naturally, you have to feel a bit disappointed. Typically, I’ll even replay their interview over in my mind; trying to figure out what I missed during my evaluation. Going through this process forces the manager to ask themselves what checkboxes are the most important to be checked before making a commitment to offer the candidate a position.
A few days ago, a colleague reminded me of her words on the hiring process prior to me taking on a management position. She’s held multiple management positions. And she said, “when you hire someone, find a person with good customer service…if the person has good customer service, you can typically work around some of their deficiencies…”
I would add to her statement — that the job candidate’s deficiencies can even be remedied with appropriate teaching and training. So, then the manager must ask themselves, “am I a good enough teacher/trainer to remedy the candidate’s deficiency or do I currently have someone on staff that can be an appropriate educator/mentor for the job candidate?”
I don’t know of any degrees/diplomas to my knowledge that are being conferred by colleges and universities in the field/study of CARING @ WORK. Thus, what questions could be asked to determine if a candidate meets your standards? I guess… you could simply just ask the magical question, “do you care… or will you care? But, unfortunately you will most likely just get a canned answer.
So I suggest going through what-if scenarios with your candidate using a diagram for what you consider to be right and wrong answers for each of your scenarios. This I believe is the best method for gaining a little more insight into determining if a candidate truly possesses the traits required to serve your customer base.
Learning how to write in plain English has been one of the most useful concepts I have learned. Effective written communication is a business litmus test. If done well, it can help the business professional build their personal brand.
Plain English is defined in Wikipedia as being…
A style of communication that uses easy to understand, plain language, with an emphasis on clarity, and avoidance of complex vocabulary.
Personally, this has been extremely important to me in the following areas:
Thus, out of respect to the the art of writing in Plain English this is the conclusion of this blog post.
So…what do you do for a living?
We all have our canned answers to describe ourselves to the strangers that ask us this question. So…I suppose for a moment, pause and reflect upon the answers you have given throughout the years.
Think of those times you were hesitant to state your job title; and also think of those times you were proud to state your job title. Consider the times you were either happy, sad, or indifferent when someone asked you “what do you do for a living.” One thing is for certain; professional competence, college diplomas, jobs, and socio-economic status do not correlate to happiness, fulfillment, and satisfaction.
We are all on a wave but each person’s wave has different lengths. Being self aware and cognizant of this fact provides each of us with small boosts to our emotional intelligence score.
The dreaded “first impression” can certainly have different outcomes when you’re able to live in the moment of a conversation instead of replaying canned questions and answers.
If we agree that human beings are much more than job descriptors and titles; consider your own life story…
If someone had to introduce you in front of an audience; would you expect them to come to the microphone and blurt out your job title and degrees… then walk away from the microphone and sit back down?
Maya Angelou famously said, “At the end of the day people won’t remember what you said or did, they will remember how you made them feel.” Ultimately, that’s what this blog post is about.
When you meet people for the first time, please let the experience be organic. Leave the canned answers and questions in the pantry closet. I have learned from my own personal experiences that this is an important concept to apply in my life. By making this small decision, it has allowed me to not blindly box people into categories or groups—because everyone has their own story to tell.
When you meet a person for the first time, consider this… those diplomas, job titles, and trophies on the mantle are simply short highlights to the various chapters that fill a person’s unfinished book of life.
Take home statements…
Author, Sam Blakemore, August 4, 2017.
I got into a rather interesting discussion with a friend recently. He works in higher education and asked me the following question after reading my blog post Considering “workplace levers” in office politics…
“At a university, who is your customer…the student or the parent of the student?”
My response was quick..
The student is the customer… the college student is around 18 years of age, and thus has the final decision to attend the institution. Yes, their parents have great influence in their college decisions; but it’s my opinion that colleges must treat the student as the customer because they’re the folks attending class, living on campus, and being active members of the student body. Additionally, many student’s take on student loan debt even when parents do have the ability to make payments towards their children’s college education.
Ultimately, students graduate and become alumni. The alumni hopefully become donors to continue the advancement of the institution. If the university mistakenly treats parents as the customer throughout these formative four to five years the student is on campus—there is the potential that the graduates won’t become actively engaged in efforts to both donate and raise donations.
My friend’s response…
You’re wrong! Parents are the customers because they’re paying the bills!
Who won this argument you might ask?
This round and round again debate got me thinking…
How often do managers ask themselves, “who is my customer and why?” In my scenario the university is the business and the customer(s) are the student and/or parent.
So the business owner and/or manager has a decision to make.
A short list of factors to consider when selecting and defining your customer:
Ultimately, the business has to understand who their customer is to effectively market their product. Effective marketing is tough; as marketing to the wrong audience can have a negative effect on the long term health and growth of the company.
For example…does a children’s toy company create an advertisement campaign geared toward the child or the parent?
Who is your customer? And what decision trees did you employ to come to your conclusion?