Academic Pharmacy Now: 2018 Issue 4 by AACP

Academic Pharmacy

The News Magazine of the American Association of Colleges of Pharmacy

NOW

Volume 11 2018 Issue 4

An Eye-Opening Experience A student hotspotting program gives future pharmacists and healthcare providers insight into how to care for patients with complex needs and encourages interprofessional collaboration. 18

Also in this issue: More Than Makeup 5 Building Better Practices with Pharmacists 12

Pharmacists Help People Live Healthier, Better Lives.

who we are @AACPharmacy

Academic Pharmacy The News Magazine of the American Association of Colleges of Pharmacy

Pharmacists Help People Live Healthier, Better Lives.

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NOW

CEO & Publisher

Lucinda L. Maine Editorial Advisor

Lynette R. Bradley-Baker Founded in 1900, the American Association of Colleges of Pharmacy is the national organization representing the interests of pharmacy education. AACP comprises all accredited colleges and schools of pharmacy, including more than 6,600 faculty, approximately 63,800 students enrolled in professional programs and 4,800 individuals pursuing graduate study.

Editorial Director

Maureen Thielemans Managing Editor

Jane E. Rooney

Letters to the Editor

We welcome your comments. Please submit all letters to the editor to communications@aacp.org.

About Academic Pharmacy Now

Academic Pharmacy Now highlights the work of AACP member pharmacy schools and faculty. The magazine is published as a membership service.

Editorial Assistant

Kyle R. Bagin

Freelance Writer

Athena Ponushis

Change of Address

For address changes, contact LaToya Casteel, Member Services Coordinator, at lcasteel@aacp.org.

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Freelance Writer

Emily Jacobs

Communications Advisor

Stephanie Saunders Fouch

Art Director

Tricia Gordon Digital Designer

Sean Clark

Academic Pharmacy NOW ď&#x201A;§ 2018 Issue 4

Volume 11 2018 Issue 4

@AACPharmacy a look inside

community impact

Not Just Skin Deep

The popularity of cosmetic science is growing amongst current and prospective student pharmacists, and the reasons for its attractiveness are more than meets the eye.

Edible Chemotherapy: Could Particles From Milk Lead to the End of Infusions? A University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences professor received an NIH grant to figure out how milk exosomes can deliver chemotherapy.

East Tennessee State University Receives USPHS IPEC Award The university is recognized for its collaborative efforts and work with the community to curb opioid use.

campus connection

Embedding Pharmacists with Physicians

New tools connect physicians and pharmacists to build stronger collaborative relationships.

@AACPharmacy

27 Apply for 2019

SOTL Grants Spotlight Excellence in the Academy Experience the Cuban Healthcare Delivery System with AACP

Leading a Revolution A record-setting Pharmacy Education 2018 showcased an Academy focused on building future leaders in healthcare who are dedicated to helping people live healthier, better lives.

Academic Pharmacy NOW ď&#x201A;§ 2018 Issue 4

community note publisher’s impact

Dear Colleagues: How is it possible that each AACP Annual Meeting surpasses those that preceded it—both in numbers of attendees and the overall quality of the programming? I always respond to such a question with the simple equation: the meeting is built and delivered by members for members and so many willing volunteers step forward to make it “the best ever”— a phrase that still rings in my ears from Boston. Members bring challenges and innovations, and that keeps the program relevant to attendees. And then there is the networking! The Annual Meeting is our most important platform for awards as well. This year’s lineup of award recipients presented an array of some of the greatest contributors to the Academy: Milap Nahata, Melissa Medina, Suresh Madhavan and Kathleen Giacomini took top honors. Student innovations and institutional commitments to community engagement were also recognized. The latter being the University of Colorado receiving the Lawrence C. Weaver Transformative Community Service Award. AACP participates in award programs off the Annual Meeting platform as well. In June, Admiral Brett Giroir, Assistant Secretary of Health in the Department of Health and Human Services, participated in recognizing collaborators at East Tennessee State University for their work in blunting the opioid crisis in the Appalachia region. This is the second annual U.S. Public Health Service/IPEC recognition for interprofessional engagement in significant public health activities. ETSU is making a difference through their comprehensive programs at the community and regional level. And what a difference other programs profiled in this issue of Academic Pharmacy Now have the potential to make, including students in “hotspotting” efforts in underserved communities and integrating pharmacists’ medication management services into physician group practices. I firmly believe both practices will grow fairly rapidly over the next several years, opening up exciting new collaborative practice opportunities for pharmacists across the country. Having just returned from the annual congress of the International Pharmacy Federation (FIP) I can attest that these practices are blooming across the world and most specifically in the United Kingdom where the National Health Service view this as a remedy for a significant shortage of General Practitioners. The profession will celebrate American Pharmacists Month in October, and AACP and our partners will launch our public-facing media campaign as well. Helping people fully grasp the capability of our graduates to help them resolve their healthcare challenges and live healthier lives is the heart of the campaign. I am looking forward to telling the stories— your stories of high impact care to make medication use more rational and effective. Sincerely,

Lucinda L. Maine, Ph.D., R.Ph. CEO and Publisher

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community impact

Not Just Skin Deep The popularity of cosmetic science is growing amongst current and prospective student pharmacists, and the reasons for its attractiveness are more than meets the eye. By Maureen Thielemans

You can’t read a lifestyle blog or magazine today without seeing the buzz word: self-care. The term often conjures up images of makeup, haircare and the like, promising dramatic outcomes to improve your appearance or even well-being. Understanding the components of personal care items, such as the pharmacology of everything that goes into your shampoo, makeup or deodorant—and the synthesis of these items—is a science. Academic Pharmacy Now spoke with Dr. Kavssery Ananthapadmanabhan, professor of pharmaceutical sciences, at the University of Cincinnati’s James L. Winkle College of Pharmacy about why cosmetic science is an attractive field and what career pathways exist for new or returning students.

on the skin, scalp or any other surface,” he said. “We can actually analyze products’ performance directly in people.” Interest in personal care is surging, but why? The population is aging globally, noted Ananthapadmanabhan. Personal care companies often conduct research in adults ranging in ages from 18 to 65. Testing products on the skin of a 70 year-old, for example, isn’t common which means we aren’t as knowledgeable about the skin problems of aging individuals, he added. “It’s a new era and a lot more research is required.”

Older patients aren’t the only target group for personal care companies. Skin protection for children is also an important research focus as problems can develop at a young age and continue throughout their lives. “Research has shown that protecting What’s In a Name? the skin barrier and allowing the skin Cosmetic science is more than just to develop actually can prevent future makeup and facial cleansers, said Ananthapadmanabhan. A person’s skin, harm. With technology changing and an increased focus on key groups such hair, scalp and oral hygiene are just as aging adults and young children, some of the important components of there’s a lot more interest in cosmetic the study of cosmetic science. Because science careers.” of its ubiquitous presence in many of our day-to-day rituals, a common Something For Everyone misconception about cosmetic science Cosmetic science is very multidisis that there’s not much new to learn ciplinary, Ananthapadmanabhan about the field. However, advances in said, which means the University of technology have led to better and more Cincinnati’s cosmetic science program advanced products, which leads to furattracts all types of students. “Some ther studies of their effects on patients. may have a chemical engineering or “We now have a lot more instrumentabiology background and have a desire tion so we can measure things directly

to do more with their training. There are those who want to do traditional research in a Ph.D. track, or those who work in the industry and may have plateaued in their current position.” Among the College of Pharmacy’s degree and certificate offerings is a traditional onsite Master of Science and Ph.D. degree, as well as an online M.S. and graduate certificate in cosmetic science, and a bachelor’s-master’s program. The compressed B.S.-M.S. (4+1) program allows students to complete two degrees in five years, a B.S. degree in Chemistry or Biology and an M.S. degree in Cosmetic Science. Under-

community impact

Photo courtesy of the University of Cincinnati James L. Winkle College of Pharmacy

UC students make a skin cream emulsion in the cosmetic science lab.

“Research has shown that protecting the skin barrier and allowing the skin to develop actually can prevent future harm. With technology changing and an increased focus on key groups such as aging adults and young children, there’s a lot more interest in cosmetic science careers.” —Dr. Kavssery Ananthapadmanabhan

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graduates are introduced to cosmetic science subjects during their third and fourth years, while also completing internships with companies during the summer. That means they have some technical experience before beginning the master’s portion of coursework. An online graduate certificate in cosmetic science is ideal for individuals who don’t want to complete a full master’s degree but are interested in learning more about skin care or formulation science, Ananthapadmanabhan said. For example, industry professionals who have been out of school for the last 10 or 15 years may want to earn a certificate first, then complete a master’s without having to take the GRE.

Photo courtesy of the University of Cincinnati James L. Winkle College of Pharmacy

community impact

“It offers ease for students and allows us to evaluate their academic performance in the certificate program.”

A Bright Future Career paths for cosmetic science graduates are varied and plentiful. Personal care industry giants, such as P&G, Johnson and Johnson and Unilever, attract graduates to their labs around the world. Another key group of employers are chemical companies, such as BASF, as they supply raw materials for skin care and have begun doing more research on products, Ananthapadmanabhan said. Small, independent testing labs are also interested in cosmetic science

graduates. They perform clinical testing for personal care or chemical companies, including performing measurements on skin and statistical analysis of data. Ananthapadmanabhan added that some graduates are flexing their entrepreneurial muscles by starting their own personal care companies or small research firms. “The Internet has made it a lot of easier for marketing these types of things. People are getting into personalized cosmetics and it’s definitely an area that’s growing.” P

Cosmetic science is very multidisciplinary, Ananthapadmanabhan said, which means the University of Cincinnati’s cosmetic science program attracts all types of students. Some elect to do traditional research in a Ph.D. track while others may currently work in the industry and want to extend their education and training by joining the program.

Maureen Thielemans is director of communications at AACP.

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community impact

East Tennessee State University Receives USPHS IPEC Award The university is recognized for its collaborative efforts and work with the community to curb opioid use. By Emily Jacobs Even as health experts and community opioid problem, forming the Prescripleaders across the country launch varition Drug Abuse and Misuse Working ous initiatives to address the ongoing Group. The working group applied for opioid crisis, the situation remains dire. and received a five-year grant from the In Tennessee, more than 1,186 state National Institute on Drug Abuse. residents died from opioid overdoses in “That was a game-changer for us,” said 2016, a rate of more than three deaths Dr. Nicholas Hagemeier, associate every day, according to the Tennesprofessor at ETSU’s Gatton College of see Department of Health. Physicians Pharmacy and a member of the original prescribed state residents a total of 6.9 working group. “It facilitated inframillion prescriptions for pain medicastructure growth here at the university tion that same year. Law enforcement and on three research projects. From officials have seen a rise in heroin there, things just took off.” and fentanyl use, while hospital staff witnessed increased emergency room The program now has more than 250 visits related to opioid use. Fragmented members, including clinicians, nonprofresources and a lack of coordination its, insurance company representatives, have hindered the state’s attempts to ETSU faculty and students and comresolve this wide-reaching problem. munity members. Through its working group and two-year-old Center for PreEast Tennessee State University’s mul-

scription Drug Abuse Prevention and Treatment, ETSU has received more than $2.4 million for opioid-related research, hosted numerous presentations about the crisis and launched a formalized opioid treatment program with the support of local health systems and government. The variety of perspectives has contributed to the value of the working group, said Hagemeier.

Partnerships Are Key Collaboration through research is one of the factors that contributed to the program receiving the USPHS IPEC award. Many states have multiple, competing programs aimed at reducing opioid dependence. The ETSU program, however, is focused on partnerships. The program’s collaborators include not

tidisciplinary opioid program recently received the 2018 Public Health Excellence in Interprofessional Education Collaboration Award. Given by the U.S. Public Health Service (USPHS) and the Interprofessional Education Collaborative (IPEC), the award (now in its second year) recognizes collaborators in health professional schools that take a unique approach to addressing public health issues. ETSU researchers have found that both collaboration and community focus are two major factors in curbing the opioid crisis. ETSU’s program began in 2012, when a small group of experts gathered to discuss and brainstorm the region’s

Academic Pharmacy NOW  2018 Issue 4

USPHS and IPEC recognized ETSU’s exemplary efforts to fight the opioid crisis with their submission, East Tennessee State University Responds to the Opioid Epidemic Through Interprofessional Education, Community Engagement, Research, and Clinical Care.

community impact

only subject-matter experts, but anyone who may see the effects of opioid use disorder: patients, family members, faith-based leaders and other community partners. Organizations that want to replicate ETSU’s success should consider several factors. Programs should be designed not just by a university or government entity, but with community input as well. Programs should create an outline of their plan, using evidence-based practices, and continually document their results. Sustainability, rather than a short-term solution, is the key to success, said CDR Oluchi Elekwachi, USPHS, director of regulatory review at the U.S. Food and Drug Administration, who serves as the USPHS liaison to AACP. Elekwachi noted that communication among healthcare providers and patients is often a barrier in the opioid crisis. “I think quite often we have survivors who have genuine needs, such as chronic pain or mental health, that should be addressed alongside their opiate use,” she said. “As health professionals, we need to know the whole picture of the patient.”

Among the program’s numerous collaborators, pharmacists play a crucial role. Pharmacists are uniquely positioned to contribute to patient education about appropriate opioid use and disposal, as they are highly accessible to community members. However, there is currently little research available on exactly how pharmacists can influence a patient’s drug use. As a result, pharmacists may be reluctant to challenge the status quo. One of ETSU’s goals is to promote research that can shed more light on how community pharmacists might participate in patient education and substance use disorder treatment. Targets for further study include increasing awareness of physical therapy and other non-opioid methods of pain relief, as well as medication-assisted treatment for opioid use disorder. Receiving the USPHS IPEC award, Hagemeier said, helped affirm the work that ETSU is doing through the program. With support from the state of Tennessee and the university, ETSU’s Center for Prescription Drug Abuse Prevention and Treatment will continue to advance its understanding of the opioid epidemic. Researchers are joining the program to help develop new interventions for pharmacy and primary care settings. Researchers also intend to translate their existing findings into practical applications. “There’s a lot of work that needs to be done, and we’re happy to help advance it,” said Hagemeier. P

(Right to Left) Dr. Robert P. Pack, Alice McCaffrey and Angela Hagaman were presented with the USPHS IPEC award during the Summer 2018 IPEC Council Meeting in Washington, D.C.

Tell Us How You’re Fighting the Opioid Crisis AACP is launching an environmental scan to collect and share successful practices that academic pharmacy is involved with to combat the ongoing and evolving opioid epidemic. The information collected will not only inform the Academy and other stakeholders of the level and type of activities being conducted by academic pharmacy but it will also serve to determine further actions that AACP and the Academy can pursue in this area. To access the Collection of Activities to Combat the Opioid Epidemic Survey please visit http://bit.ly/AACPOpioidSurvey. An activity is broadly defined—it can be a collaboration, initiative, lecture, partnership or program. It can be in the area of advocacy, education, teaching, practice, research and/or service. It can be internal to the college or school or pharmacy (e.g., activity targeting students, faculty, staff and/or administration) or external to the college or school of pharmacy. You can find more information about the survey by visiting the AACP website at www.aacp.org/ opioid.

Emily Jacobs is a freelance writer based in Toledo, Ohio.

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community impact

Generally, you can’t eat chemotherapy. That’s because your digestive system breaks down the molecules you eat into smaller pieces that can be absorbed through the gut into the bloodstream. “For example, when you eat a steak or any kind of protein, you digest it and it gets chewed up into tiny amino acids that are absorbed. This is why you can’t swallow vaccines or many other types of drugs; the environment in the stomach is simply too harsh. You have to get them injected or else they get chewed up,” said Dr. Tom Anchordoquy, an investigator at University of Colorado Cancer Center and professor at the Skaggs School of Pharmacy and Pharmaceutical Sciences. However, there is an exception to this rule.

Recognition From Receptors The idea that components in mother’s milk avoid being completely broken down and instead deliver intact, functional molecules into a baby’s bloodstream isn’t entirely new. Anchordoquy pointed to a 2014 study in which RNA contained in special particles known as exosomes found in cow’s milk were shown to alter the expression of genes in humans who drank the milk. “But nobody believed it,” Anchordoquy said. “Of course, it’s common knowledge that the things you ingest are degraded, so even after this study, nobody really thought these particles in milk could survive the digestive system.”

exosome to pass. Importantly, the receptor involved in this process is present in the human gut all throughout life, not just when we are babies. There’s another very important point: “Instead of just these little particles, you can put a drug in them,” Anchordoquy said. (Other studies, which Anchordoquy said were also not widely believed, showed that drugs incorporated into milk exosomes fed to mice could later be found in the mouse bloodstream.) These exosomes in milk encase and transport the things a mother’s body wants to give to her baby. Instead, Anchordoquy hopes to encapsulate molecules of chemotherapy.

A major reason that no one believed “Cows and humans are similar enough this study is that no one could underthat cow proteins bind to the human stand how it could possibly work. Anreceptors and are transported by the chordoquy’s work provides an answer. same mechanism. When you drink A mother’s milk helps the baby resist “Your body’s endothelium, including the milk, cow exosomes bind to these infection by giving the baby antibodcells that line your intestine, has these receptors and it moves cow molecules ies, which help the immune system to receptors that recognize antibodies on into your blood,” said Anchordoquy. recognize and respond aggressively to milk exosomes. These receptors in the certain types of infections. And, imporgut bind antibodies on milk exosomes, Finding the Right Drug Design tantly, these antibodies contained in and transport the particles across the In terms of clearing the hurdles toward milk are not degraded by the digestive gut into blood,” Anchordoquy said. It’s becoming an actual drug delivery stratsystem. Instead, after they are ingested, as if the handshake between antibody egy, the idea of using milk exosomes to they make their way intact into the and receptor opens a tiny portal, allow- deliver chemotherapy has two imporbloodstream. ing only the antibody and its attached tant things going for it: First, many che-

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motherapy drugs have already earned FDA approval for use in humans; and second, humans have consumed cow’s milk for thousands of years and it is known to be safe. Of course, a nod from the FDA to test milk-based chemotherapy isn’t the only hurdle. Another challenge is the processes needed to load chemotherapeutics into these particles. “That’s the trick—the process by which you load the drug,” Anchordoquy said. “That’s what we’ve got to figure out. The real barrier here is how efficiently you can load the drug into the exosome and what drugs can you load in.” Some drugs may work, while others may not. And different variations of drug design techniques may work better with some chemotherapies than others.

“Now we have the prospect of stuffing cow’s milk with chemotherapeutics, and who wouldn’t love to just drink a glass of milk or eat an ice cream cone instead of being infused?” —Dr. Tom Anchordoquy

Anchordoquy, along with collaborator Dr. Michael Graner, associate professor in the CU School of Medicine Department of Neurosurgery, were recently awarded a research grant from the National Institutes of Health to discover and design the best possible combinations. In fact, the team is already sourcing milk from Mucca Bella Dairy (Carr, CO) and running experiments to test strategies for loading drugs into milk exosomes. “Chemotherapy requires going to the hospital. It’s inconvenient, it forces cancer patients to be around other sick people and it costs the healthcare industry billions of dollars every year. But now we have the prospect of stuffing cow’s milk with chemotherapeutics,” Anchordoquy said. “And who wouldn’t love to just drink a glass of milk or eat an ice cream cone instead of being infused?” P This article originally appeared in August 2018 on the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences blog. Reprinted with permission.

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campus connection

Embedding Pharmacists with Physicians New tools connect physicians and pharmacists to build stronger collaborative relationships. By Athena Ponushis

The American Medical Association wants to help physicians improve patient care. Through its STEPS Forward initiative, the AMA has broken down practice transformation into 50 strides, or modules in this Webbased, how-to, toolkit for physicians, each addressing a common practice challenge, offering solutions and implementation strategies. One way to enhance patient care, raise physician satisfaction and support practice sustainability is clear: embedding pharmacists into the practice. The AMA turned to Dr. Hae Mi Choe, director of pharmacy innovations and partnerships, associate dean and clinical associate professor at the University of Michigan College of Pharmacy, to create the module. Making pharmacists part of the team is not new; what makes this module different is it’s presented to a physician audience, who otherwise might not look for evidence of how a pharmacist helps the practice or actively seek out steps toward implementation. “A physician is not going to dig through pharmacy journals to gain this type of information,” Choe said. “Having easy access to the roadmap of integrating pharmacists into their practice is very important for adoption and implementation.” Therein lies the duality of the module. It entices physicians while helping

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pharmacists and schools of pharmacy expand their practices or programs. From Choe’s perspective, schools may need the boost, because the more physicians open their practice doors to pharmacists and see the benefits, the more physicians will be calling on pharmacists. “At Michigan, physician organizations have been hiring ambulatory care clinical pharmacists left and right. We don’t have enough pharmacists who are trained to do this work. …One health system just hired and onboarded eight pharmacists, and in the ambulatory care world, that’s amazing,” Choe said. “I’ve been working in the ambulatory care setting for 25 years, and I never thought I would see a day where we can’t meet the need of physician organizations that want a pharmacist.” Schools are being creative as they integrate pharmacists into practice models, and they are developing tools to equip pharmacists to have the integration conversation. They feel the urgency, opportunity and responsibility to prepare students to meet what Choe perceives to be a “burning need” for pharmacists in ambulatory, community-based healthcare.

Moving Pharmacists Forward Recognizing the evolution of the pharmacist’s role in non-traditional settings, the AMA reached out to Choe to create

a STEPS Forward module that it could circulate throughout the physician community. Choe felt the timing was perfect. Physician leaders had been contacting her from across the country, eager to hear how she had developed the integrated pharmacy practice model at the University of Michigan Medical Group. Choe had been talking to physician leaders and administrators individually and she thought she could use this forum to reach a much broader audience within the AMA circle. She saw the module as the perfect place to discuss how to integrate pharmacists into physician offices or other ambulatory care settings. Embedding herself into a single primary care practice in 1999, Choe knew her value to the team, but she had to find a way to demonstrate that value. A diabetes management program gave her the opportunity, as she worked with providers to start the therapeutic management and lifestyle education program, enhancing the care diabetes patients were already receiving from their physicians. Choe established relationships with physicians and earned their trust. Physicians started making instrumental introductions and referring their patients to her. She built up her patient panel to provide services to 18–20 patients per clinic day. She grew the University of Michigan Medical Group’s embedded

campus connection

Embedding Pharmacists Into the Practice

gave her a new appreciation for what pharmacists can do. She used her experience to craft the module, detailing six steps to collaborating with pharmacists, answering commonly asked as well as murkier questions surrounding integrations, providing downloadable tools and resources, as well as outlining case studies describing different approaches toward collaboration for inspiration.

Collaborate with pharmacists to improve patient outcomes

CME CREDITS: 0.5

Hae Mi Choe, PharmD, University of Michigan College of Pharmacy, University of Michigan Medical Group, University of Michigan Health System

Connie Jean Standiford, MD, University of Michigan Health System, University of Michigan Medical School

Marie T. Brown, MD, FACP, Associate Professor, Rush University, American Medical Association

How will this module help me to maximize the role of the pharmacist in my practice? 1 Details six STEPS to collaborate with a pharmacist or pharmacy technician and evaluate impact 2 Answers commonly asked questions around integrating pharmacists into your practice 3 Provides tools and resources to guide you through the process 4 Outlines case studies describing different approaches to collaboration

pharmacist program to 11 pharmacists working across 14 primary care sites. “From 1999 to 2009, we had two other practices adopt my practice model. Then in 2009, when the Patient-Centered Medical Home was introduced to the University of Michigan Medical Group and Blue Cross Blue Shield of Michigan incentivized our health system to develop this team-based care model, I used that opportunity to expand our program across all primary care sites,” Choe said. “Then BCBSM approached me and asked if I’d be interested in scaling our model outside

of our health system, across the state. That came with the creation of Michigan Pharmacists Transforming Care and Quality Initiative. I was financially supported by BCBSM to work with physician organizations around the state to emulate our practice model. We now have pharmacist programs similar to ours in 21 of 42 physician organizations across the state.” Stepping outside of academic walls and joining with other organizations on a similar mission showed Choe how great the need was for pharmacists in community physician practices and

The module may be geared toward physicians, but its content provides direction and support for pharmacists and colleges of pharmacy looking to integrate, too. “Faculty members who are charged with developing a clinical practice in ambulatory care so that they can provide innovative practice sites for their students during their clerkship rotations can certainly reference this module to gain insights into practical steps to take and tools to use to start the practice,” Choe said. “Students who have been trained and exposed to this type of innovative model could then go out when they graduate and replicate and scale that type of practice, so I think it’s kind of like planting the seed.” Striving to prepare pharmacists to run a productive practice in outpatient clinical environments, Choe created what she calls a crash course mock clinic that puts pharmacists right in the hot seat, in front of simulated

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patient instructors, trying to reconcile what patients say versus what physicians’ notes indicate, exposing them to elements that are critical to run an efficient clinic. She hopes colleges as a whole put appropriate emphasis on ambulatory or community-based care in their curriculum and would like to see a united vision for training students to service this “burning need.”

Extending a Physician’s Reach The Ohio Northern University HealthWise program started as a wellness clinic for employees. Under Director Dr. Michael Rush, assistant clinical professor of pharmacy practice at the ONU College of Pharmacy, HealthWise has grown to become the clinical brand for the college, expanding services to include a retail community pharmacy, medication therapy management call center, drug and health information call center and a mobile health clinic that travels to rural, underserved areas providing access to healthcare through free screenings, health education and care coordination. But in the beginning, when HealthWise was only a wellness clinic, one physician took notice. He was pleased with the results he was seeing in his patients, who were also ONU employees going to the clinic, so he reached out to the college and asked if they could work with him a few days a week to provide care for his patients with diabetes. That was 2010, the beginning of the college’s partnership with the family medicine practice. Rush and the collaborating physician integrated pharmacists into the practice following the process that Choe laid out in her STEPS Forward module:

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Decide how the practice can benefit from including a pharmacist. The pharmacist complements the physician practice, focusing on patient education; medication use to prevent, cure and manage disease; and improving patient outcomes. Many publications demonstrate the improved outcomes for chronic diseases when pharmacists collaborate with physicians.

Identify the roles pharmacists can have in a physician practice setting. These include assessing patients by gathering accurate medical and medication histories; consulting with physicians to create disease management plans; educating patients about their health, disease and medications; and empowering patients to take responsibility for their own health through knowledge and support. Pharmacists bring value in managing medication therapy for patients with chronic diseases, such as high blood pressure, diabetes, and asthma or COPD. Pharmacists also monitor patient progress in between office visits to help patients meet therapy goals and adhere to treatment. Patients with chronic disease who reach treatment goals for those diseases help to improve the quality ratings of the practice and increase practice reimbursement.

Find your pharmacist or pharmacy technician match. Physician practices that are interested in collaborative relationships with pharmacists can turn to schools or colleges of pharmacy or partner with hospitals or community pharmacies to identify clinicians. Although Choe’s model is one in which pharmacists are embedded in the medical practice, other models include physicians collaborating with pharmacists who are not located at the practice but may be at hospitals, community pharmacies or other clinical care settings in the community.

Prepare and set expectations for your team and patients. It’s important to establish a workflow in the practice so that patients receive care from the appropriate healthcare provider without experiencing long wait times or appointment times.

Determine the resources the pharmacist needs and the impact on the physician’s workflow. Common needs for a pharmacist incorporated into a medical practice include space for appointments with patients; access to the electronic health record and billing and scheduling systems; access to drug information resources; and private space for consultation with physicians.

Measure impact. The practice can track health outcomes, provider and patient satisfaction with the pharmacy service and changes in health literacy. For example, in the family medicine clinic the team tracked laboratory data and found improvements for patients with diabetes in hemoglobin A1c concentrations and blood glucose concentrations. Patients also expressed that they felt more comfortable managing their condition after working with the pharmacist.

campus connection

“Colleges of pharmacy must continue to recognize the important public health role of the profession as they train pharmacists, particularly preparing them to be entry points into the healthcare system and providing primary care with a focus on health education, disease prevention and wellness.” —Dr. Michael Rush

The collaboration is excellent training ground for future physicians and pharmacists. Both medical students and pharmacy students need experiential education, and learners can be integrated in the collaborative practice model to expand the work of the providers and improve patient care. In Rush’s practice, student pharmacists or pharmacy residents attend to patients with Rush providing supervision and consultation. “I think pharmacists are going to play a greater role in providing primary care in the future,” Rush said. “The physician shortage will increase through 2030, and pharmacists are generally easily accessible and well trained to help patients understand their health risks, engage in prevention and wellness activities and serve as an interface for patients with other healthcare providers in a complementary way. Colleges of pharmacy must continue to recognize the important public health role of the profession as they train pharmacists, particularly preparing them to be entry points into the healthcare system and providing primary care with a focus on health education, disease prevention and wellness. There will come a time not too far down the road where the fee-for-service model that we’re used to seeing for billing will be less common and we’ll begin to see more of a fee-for-performance model, where the physician and other providers involved in a patient’s care are reim-

bursed based off of the outcomes of the patient. When that day comes, that will only re-emphasize the importance of having a pharmacist on your team.”

Community Pharmacists Making the Call Early in her faculty career, Dr. Melissa Somma McGivney, associate dean for community partnerships and associate professor at the University of Pittsburgh School of Pharmacy, was embedded into a physician office practice. There, she saw that the physicians trusted her because she was right there with them. When she realized that they did not see community pharmacists in the same way, she became devoted to connecting pharmacists and physicians to care for patients no matter where they are. McGivney recognizes that there are patients—high-risk, high-need, highly connected to the healthcare team—who can greatly benefit from the pharmacist working directly in the practice with the physician, but she and her colleagues have also identified patients who need the expertise of a pharmacist who are not highly connected to their healthcare team. These individuals might not have strong health insurance, so they wait until a critical moment to seek help and end up in the emergency room or hospitalized, but they are connected to a community pharmacy with an accessible pharmacist. McGivney and her team have focused on how to position

that community pharmacist to be highly connected to the local physicians. Through a series of grant-funded research projects, McGivney and her colleagues have created different tools that they are continuing to test. The main crux of their work is trying to meaningfully connect a pharmacist who is already working with a physician, though the two might not see it yet. “We’ve learned that it’s really about mutual patients, that’s an important term that we’ve begun to use. When a patient has prescriptions filled at a pharmacy, that patient has chosen that pharmacist and chosen that prescriber, so when you talk about connecting them and making things better together, that really resounds with physicians,” McGivney said. “It becomes a different conversation when you start talking about the things you already have in common. This isn’t a health plan telling the physician something has to happen, this is, ‘Your patient chose you. Your patient chose me, the pharmacist. We are both responsible for this patient, so how do we help our patient?’” One of their research projects has exposed interesting findings regarding dispensing data (a.k.a. billing data). Through that data, a pharmacist can find out who the high prescribers are for a particular pharmacy and see what their patient population looks like based on prescription claims. “We have

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“Patients need someone to help them navigate the complexities of medication use, so from an academic standpoint, it’s our responsibility to prepare our students to be active, clinically minded individuals no matter where they practice.” —Dr. Melissa Somma McGivney worked with pharmacies to create an infographic, a really simple one-pager that pharmacists can take to a physician’s office and talk to prescribers about their mutual patients,” McGivney said. “The infographic may just be a tool, but it’s an excuse to start a conversation.”

feels schools can make a real impact by looking at high-performing, experiential learning sites and connecting those sites with faculty to figure out how the school can do research that advances the practice.

The University of Pittsburgh has also That conversation may go like this: been integral in developing the Penn“One of our recent graduates went to a sylvania Pharmacists Care Network, family physician with the infographic a clinically integrated network with and said, ‘OK, we have over 60 mutual over 100 community pharmacies in patients, and over 20 of them are on an the state providing advanced patient antidepressant or antianxiety agent,’” care services. The school serves in a McGivney said. “The physician was leadership capacity, a quality assurance surprised and said, ‘I didn’t realize capacity and a research capacity within this. What can we do?’ So one step the the group. With similar networks pharmacist and physician took was developing nationwide, McGivney sees getting those patients on a medication abundant partnership opportunities synchronization program, because it’s for schools of pharmacy in the develhard sometimes when you have depres- opment phase, the research phase and sion or anxiety to always remember also in an educational capacity with to get your medications. Medication the pharmacies that tend to be highsynchronization becomes like a support performing and open to working with system in a sense, with the pharmacist students. doing an outbound call every month to “I deeply believe that what we as pharcheck on the patients and make sure macists contribute that’s so unique they get their prescriptions. That’s a is our knowledge and understanding simple example, but one that became of medications and how medications very meaningful for that pharmacist impact individuals and populations, and that physician, and we believe, and how we can work to really make it those patients.” better for people,” McGivney said. “As A second research project recognizes we continue to evolve in healthcare, we the school’s desire to share this opneed to be part of the team, and that portunity with other pharmacists, so happens through logistics. Some of McGivney and her team are developing that might be the pharmacist physically a toolkit that will be disseminated to positioned closer to the physician, or pharmacists across the country later through technology that enables pharthis year, as part of a Community macists and physicians to collaborate Pharmacy Foundation grant. McGivney better, or through legal channels that

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take away the barriers for us to collaborate, but that need for us to be an active member of that team is clear. Patients need someone to help them navigate the complexities of medication use, so from an academic standpoint, it’s our responsibility to prepare our students to be active, clinically minded individuals no matter where they practice.”

Nimble and Creative Models of Care The University of Colorado Skaggs School of Pharmacy has had faculty and pharmacy residents embedded in federally qualified health centers or community health clinics working alongside physicians for years. Dr. Gina Moore, assistant dean for clinical and professional affairs and associate professor, said what they’re starting to see that’s new are the Comprehensive Primary Care Plus (CPC+) funds, and that’s creating more positions for their pharmacists. CPC+ is a national primary care medical home model that aims to strengthen primary care through payment reform and transformation in the delivery of care. Clinics working with the school have been awarded CPC+ funds and medical directors have chosen to allocate a portion of those funds for clinical pharmacy services. “We’ve hired three new positions this year with those CPC+ dollars,” Moore said. “They’re PGY2-trained ambulatory care pharmacists. One was hired for our geriatric clinic. We already have

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Danielle Fixen, Pharm.D., BCGP, BCPS (left) conferring with Maria Vejar, DNP, GNP-BC at the University of Colorado Hospital Seniors Clinic.

so I think we have to be nimble and creative with some of the models of care,” Moore said. Moore thinks having access to the electronic medical record may be an embedded pharmacist’s most important resource. Having a template for the pharmacist’s patient notes provides ongoing documentation in the medical record of any changes to the medication regimen. Electronic health records are also key for measuring impact.

pharmacists in the geriatric clinic but the school how they could find more this new position focuses on transifunding for pharmacists to help the tions of care. Another hire was for a practice with other disease states. brand new internal medicine clinic that “Integrating pharmacists has been never had clinical pharmacy services relatively easy because the physicians before, and the other hire is a hybrid have really bought into the value of the model providing clinical pharmacy clinical pharmacists,” Moore said. “We services for some of our smaller clinics, probably get more demands than we the WISH Clinic, which is comprehencan fill.” sive care for women, as well as for a The challenge is the funding, which family practice.” leads to innovative thinking, such Moore said the geriatric clinic reached as a new project at the University of out to the school, recognizing the need Colorado where physicians and providfor a pharmacist’s skills to help treat ers in primary care can consult with its patients’ complex needs. With other specialists via the electronic health partnerships, the school moved slowly, record. Clinical pharmacists are on the integrating into a physician practice list of specialists, so physicians can by starting an anticoagulation clinic, consult with them on questions about where the physician quickly realized drugs or drug regimens. “It’s great that the potential of pharmacists and asked physician practices recognize the need,

“A lot of times you can track clinical outcomes via the electronic health record and that’s really important to understand, particularly as we move to value-based reimbursement, that your practice can document the better care that comes with a clinical pharmacist,” Moore said. “It’s better for the pharmacist and for the physician audience to understand things like, how many changes did the pharmacist really make? How important was that? Did they really identify patients, perhaps with compromised renal function that needed a dosage adjustment to their medication? Oftentimes, physicians might think, ‘I get along just fine, I’ve done this for years,’ but then when they see the changes that a pharmacist can make to really improve that patient’s medication regimen, they truly understand the impact that that pharmacist is having.” P Athena Ponushis is a freelance writer based in Ft. Lauderdale, Florida.

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More than 10 years ago, Dr. Jeffrey Brenner was running a clinic in Camden, New Jersey, that provided family health services for a Medicaid-enrolled population. He began encountering individuals who were repeatedly going to the emergency room and accounting for the majority of the ER’s costs. These “super utilizers”—patients with complex medical and social needs who accounted for excessive, avoidable healthcare costs—became known as hotspotters. Brenner went on to establish the Camden Coalition of Healthcare Providers, which runs an annual Interprofessional Student Hotspotting Learning Collaborative that allows students to engage with high-need patients through a curriculum that encourages interdisciplinary teams to collaborate to build relationships with patients.

The program’s goal, explained Gladys Antello, a program manager at Camden, is to engage students from health professions early in their careers so they understand the complexities facing these patients and the best way to work with them. “We’ve learned that it takes an interprofessional team to engage with this population,” she noted. “The student hotspotting teams reflect that. We

have students who are studying to be pharmacists, and they are working with nursing, medical and social work students as well as others.” The six-month-long program begins in September, with each team representing a minimum of three professions. Students follow a curriculum that has them engaging with three to five patients in their communities and working with preceptors and experts in the field as they see patients in healthcare settings. About a year or so ago, in the program’s fifth year, Camden decided to request proposals for institutions that wanted to serve as hubs, which would be responsible for recruiting interprofessional teams within their communities and partnering with nearby institutions to ensure professional diversity among the teams. “We found that there was a high cost for students to travel for these events,” Antello said. “We also wanted to build the field across the nation.” From numerous applications, the hubs selected were Thomas Jefferson University, in Philadelphia; Southern Illinois University, Springfield; Samuel Merritt University, in Oakland, CA; and the University of Utah, Salt Lake City. According to Antello, Camden is exploring how the experience informs students’ perceptions: “Has it changed the way they work with patients with complex needs? Has it changed their thinking? Did it change their specialty?” The student hotspotting experience offers a framework for

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“Student hotspotting allows student pharmacists to experience how to build relationships with colleagues, how to work together and how to face challenges they will face in practice. If they’re able to do that together now, with the toughest patient population they have experienced...it will better prepare student pharmacists for how healthcare delivery can be simply redesigned or how to work collaboratively with others in their communities.” — Dr. Janice Frueh

collaborating with other professions and gives students a greater appreciation for working on interprofessional teams. “The value of the student hotspotting program is that they are getting this orientation to patient-centered care,” said Vince Leone, Camden’s program manager of instructional design. “The onus isn’t just on the social worker or the nurse, it’s on every profession, including pharmacists.”

Reality Check Samuel Merritt University’s first experience with Camden’s student hotspotting program in 2016 convinced the leadership to apply to become a hub. Last year about 75–80 students participated, three quarters of which were SMU students and the other quarter representing partner institutions. SMU, the only one of the four hubs that does not have a school of pharmacy, partners with other institutions on interprofessional education and relies on those partners to provide a pharmacy perspective. “This coming year we’re being much more selective when choosing students,” noted Dr. Michael Negrete, assistant vice president, academic affairs, who manages the program and holds a Pharm.D. “We’re probably going to end up with a total of 40 students on five teams. Each hub has its own internal teams and also supports external teams based out of other institutions. Last year we had two external teams from UCLA and this year we’ll have a team from the University of Washington.” Negrete’s work in the provost’s

office on interprofessional education activities aligned with Camden’s hotspotting program and its priorities around health and wellness. Each team has about six students as well as faculty advisers and practice advisers, who could be ER physicians, nurse case managers, social workers or other professionals who help identify prospective patients. “Students usually go into the hospital in pairs to talk to patients and tell them about the program and create expectations about what it is and what it is not,” Negrete explained. “The patient educates the students about what their needs are, including what their living conditions are and what social support structure they have. The students decide if that patient meets the criteria, and if the patient agrees to participate, they move forward. The experience can include home visits, or students may accompany patients to doctor visits or social service agencies. The program isn’t designed for students to intervene in the patient’s clinical care. Instead they help patients identify their underlying unmet needs and help them navigate the local resources that can meet those needs. The student’s role in this program is more along the lines of a community health worker.” As Camden’s Vince Leone explained, the curriculum is made up of experiential events as well as asynchronous elements. “If students are working with a client in the community, they can access a short video on best practices. They can access

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“Working with these individuals who have so many barriers to healthcare and other things going on making it hard for them to care about their health is really eye-opening for students...We need to respect our patients and their experiences and understand how at some points in time, those other things are more urgent than health.” — Dr. Amber King

a checklist with elements to consider if they are doing a home visit for the first time,” he said. “They have monthly case conferencing calls with the preceptors. There is a skills lab that solidifies the theoretical learning and experiential learning they’re doing in the field. It all culminates in a capstone presentation with the students thinking about how to continue this work.” Feedback from SMU students has been positive, aside from some frustration in the first year with the program’s operational side and difficulty accessing resources. “These are patients with significant challenges,” Negrete admitted. “For some teams, their patients passed away. The fact that students got to see the world through their eyes and develop compassion and empathy, it really transformed their views on everything. They really get an appreciation for these social challenges and how they drive health.” He said it prompted students to ask questions such as: Does the patient have a way to get to the doctor? Do patients have a refrigerator to store the healthy foods they should be eating? Is their neighborhood a safe place to get exercise? Negrete said the student hotspotting experience provides a good reality check regarding what advice pharmacists can offer patients. If you have a patient who smokes, he suggested, but that person is homeless and unsure where he or she will sleep that night, smoking may be a coping mechanism. Focusing on getting that patient to quit smoking

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might not be the best starting point. “[Hotspotting teaches students to] meet the patients where they are and figure out what they are motivated and able to do,” he said. “It’s giving them a much better sense of the gritty reality.” Working on an interprofessional team gives students who aren’t in the same program the opportunity to learn to function effectively to achieve a common goal, he added. “You’re dealing with people from multiple professions. You have to acknowledge the barriers and deal with them. Most health systems aren’t readily set up to operate these programs. Students have to navigate bureaucratic challenges. That’s the reality. It’s teaching the students the importance of grit and perseverance.”

Building Relationships With Providers and Patients For some of the hubs, hotspotting activities are woven into the curriculum. At the Jefferson College of Pharmacy at Thomas Jefferson University, P3 students who apply to participate can get independent study credits, while hotspotting is a co-curricular activity for P4 students who apply and are accepted. Dr. Amber King, associate professor, said the university is right across the river from Camden, is in close proximity to underserved populations and has a center for interprofessional education, which made it an ideal candidate to become a hub. “This is a great win-win in that it helps students, patients and potentially the health system if we find that these interventions

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are actually saving money and preventing people from going to the emergency room so often,” she said. This year, two additional faculty from the college of pharmacy who work in ambulatory care clinics will be joining teams as advisers. “A physician approached each of them in their clinics and asked if they would help precept a team,” King explained. “It’s great to see providers asking for a pharmacist on the team.” She said the opportunity for students to work on these teams is unique because it has the potential to have a real impact on individual patients and the health system. “We talk so much about the social determinants of health and how they impact someone’s ability to care for their health, but that’s really not something you can learn in the classroom,” she continued. “Working with these individuals who have so many barriers to healthcare and other things going on making it hard for them to care about their health is really eye-opening for students. Someone might not care about having hypertension at that moment because he or she is worried about where to sleep that night or how to pay the rent. It really opens students’ eyes and gives them insight and empathy. We need to respect our patients and their experiences and understand how at some points in time, those other things are more urgent than health.”

Frueh has been collaborating with SIU’s School of Medicine since 2009, working with underserved patient populations in the area. Her colleagues at the SIU School of Medicine became aware of the hotspotting program through that work and suggested putting teams together. The program allows student pharmacists to build on their skills around patient-centered care. “Camden’s curriculum provides the students with background evidence and tools related to working with medically and socially complex patients,” she noted. “Student pharmacists learn some new concepts they are not getting from the required curriculum. Motivational interviewing is in our curriculum but trauma-informed care is not. The student pharmacist works with the patient and also coaches the other team members to be

King said this interprofessional education experience helps student pharmacists see the value that they provide to the healthcare team early on in their education and careers. “It helps them advocate for the profession, and see the benefits they can provide to patients and the unique things they can bring to the table,” she said. “When you know that as a student, that just makes you a better clinician and gives you a more solid foundation to build upon.” At the Southern Illinois University hub site, student hotspotting is an elective experience for P3 and P4 students. Somewhere between 60-80 students participate on hotspotting teams each year, with about four to eight of those being student pharmacists, according to Dr. Janice Frueh, clinical associate professor at the Southern Illinois University Edwardsville School of Pharmacy.

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provide additional support to the patient between visits to help the patient achieve those goals, which might mean getting lab results completed or accessing transportation services.” Frueh added that the student hotspotting program was also appealing because it meets the school’s interprofessional education objectives. “Within our curriculum, we’ve really focused those IPE experiences on the four core competencies from IPEC,” she said. “It’s not just about doing something together, it’s about really building students who can practice together. Student hotspotting fits all four of those competencies that IPEC has put out.” Camden compiled data to share this fall regarding student satisfaction with the program and how it’s helped prepare participants for healthcare careers. In terms of patient clinical outcomes, the program has been an obvious success for the Springfield area. Frueh said that in the past two years, the hotspotting program has saved the two local hospital systems about $2 million.

able to help with setting up access to financial resources that would be more sustainable for the patient. All students on the team support patients in accessing all of their benefits and accompanying them to primary care doctor visits. Students help work with the primary care provider in terms of establishing patient-specific goals, and then

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Frueh received feedback from student pharmacists indicating that this experience has been the most challenging aspect of their training but has also helped them feel more connected to other healthcare professionals and made them more resilient. “In order for healthcare to transform, to be more sustainable financially and also to be seen as more of a partner by patients, we will need to find solutions together,” she pointed out. “The way student hotspotting is designed, it touches on all the things that are going to be important in healthcare transformation. Many community pharmacy practices are in a silo of healthcare delivery. Student hotspotting allows student pharmacists to experience how to build relationships with colleagues, how to work together and how to face challenges they will face in practice. If they’re able to do that together now, with the toughest patient population they have experienced, even if they end up in a practice that looks like a silo, it will better prepare student pharmacists for how healthcare delivery can be simply redesigned or how to work collaboratively with others in their communities.”

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“The value of the student hotspotting program is that they are getting this orientation to patient-centered care. The onus isn’t just on the social worker or the nurse, it’s on every profession, including pharmacists.” — Vince Leone

A New Approach to Care The University of Utah College of Pharmacy is making student hotspotting a curricular component after offering it as an extracurricular activity last year. About 10-15 P3 students signed up for the elective course this year. Dr. Kyle Turner, clinical assistant professor, was faculty adviser during a pilot phase of Camden’s program and then applied to have the university become a hub. Turner appreciates the interprofessional aspect of the student hotspotting program and that it represents value-added education. “It’s giving back to the healthcare system. We are making an impact at the same time that our students are learning,” he pointed out. “It’s a shift toward value-based healthcare. The way we practice is really in a value-based manner where we’re looking at saving costs and improving outcomes.”

As other hub leaders mentioned, the program provides insight into what a patient’s life really looks like. “Some of these principles—trauma-informed care, the social determinants of health and the role we play in that—are nearly nonexistent in pharmacy education,” Turner noted. “I hope the students recognize some of the things that drive poor health outcomes and they see some of the manifestations of these things. I hope they remember that we need to take a different approach and focus in on what the patient really needs.” He thinks the student hotspotting experience opens students’ eyes to a new way of providing care for the future. “They have a really meaningful experience with other professions and a better understanding of where they fit in the care continuum. It’s a real team experience and figuring out that dynamic and how you navigate that.”

The ultimate goal, he continued, is to change Turner also thinks it’s important that all of the practice. “As we educate students in this way, they students bring their professional lens to the will come into their professional spheres with a experience and run the patient’s experience different perspective that we hope will begin to through their own professional filter. “When they drive changes in the way we practice,” he said. come back together as a team, they can connect “How can we work together with actual practitiopatients to the right services,” he said. “They get ners and be a bridge for students? We’re educatthe benefits of a broad array of connections and ing and preparing students for a different kind of skill sets. One of the goals of this program is to healthcare system. We’re influencing the student establish authentic relationships. Many of these but also influencing the system as well.” P patients [in underserved communities] have had very negative experiences with the healthcare sysJane E. Rooney is managing editor of Academic Pharmacy Now. tem. Now they are developing deep relationships with healthcare providers that will regain their trust in healthcare again. That’s one of the biggest benefits for everyone involved.”

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Project Name Rutgers Ernest Mario School of Pharmacy Constructed Value $20 - $60 Million

2018

Project Type New Building Construction/ Building Renovation Project Completion Date September 2017 Owner/ Client Rutgers University

Project Achievement

Construction Manager Jacobs

Award

Architect/Engineer Clarke Caton Hintz Builder Epic Management, Inc.

CMAA Metro NY/NJ Chapter

Rutgers Ernest Mario School of Pharmacy

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Courtesy: Jeffrey Totaro

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Apply for 2019 SOTL Grants

Spotlight Excellence in the Academy

The Scholarship of Teaching and Learning Grants, sponsored by AACP and AFPE, provide research funding for active members of AACP who are engaging in educational research. The proposal must address an issue of Priority #3 of the AACP Strategic Plan. Each grant of up to $4,000 maximum will be awarded in July to be used the following school year. The application deadline is Monday, Jan. 7. Learn more: http://bit.ly/AACPSoTL.

Nominations for the following awards will be accepted beginning October 1. The deadline to submit nominations is December 5. • Robert K. Chalmers Distinguished Pharmacy Educator Award • Paul R. Dawson Award for Excellence in Patient Care Research • Volwiler Research Achievement Award • Lifetime Achievement Award To submit a nomination packet, visit: http://bit.ly/AACPAwards.

Experience the Cuban Healthcare Delivery System with AACP Join AACP and your academic pharmacy colleagues on a special delegation to Cuba. Take advantage of this outstanding professional development opportunity to network with AACP leadership and your peers while gaining a holistic view of the Cuban healthcare delivery system and pharmaceutical industry. You can view more details on the AACP delegation website here: https://bit.ly/2MmEh1G. Questions? Contact us at mail@aacp.org or complete a preliminary interest form here: https://bit.ly/2KlZ886. Dates: January 21–26, 2019; 6 days and 5 nights. Itinerary: View a preliminary itinerary here: https://bit.ly/2MtxTFY. Fee: The $4,750 fee includes group transportation within Cuba, meetings, accommodations in double-occupancy rooms, entry fees for cultural visits, the service of a national guide, and most meals.

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Leading a Revolution A record-setting Pharmacy Education 2018 showcased an Academy focused on building future leaders in healthcare who are dedicated to helping people live healthier, better lives. By Kyle R. Bagin Boston was a fitting host for the 2018 AACP Annual Meeting, as a historic number of attendees gathered to learn, connect and shape the future of the profession. Amid discussions focused on the growth in roles for the pharmacist and an ongoing opioid epidemic, Pharmacy Education 2018 served as the premier space for the Academy to gather its thoughts and find its voice.

Happy at Work “When we look at the [research], studies all show the same thing—When we are happy, we are more effective in the workplace. We learn happier, better, faster and more.” During the Opening General Session, best-selling author Dr. Annie McKee shared her insight into the power of purpose, hope and friendship in creating happiness and resultantly, ensuring a healthy and productive workplace. “Work needs to feel like a calling, not a job,” she began.

In order to be happy at work, “there has to be a focus on hope— hope enables us to get up every day and move towards a better future!” Dr. Annie McKee tells the Opening General Session.

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This progress, however, isn’t achieved without leadership and discipline. “Great leadership starts with personal transformation,” she said. “Outdated myths and mindsets about the meaning of work hold back the development of more great leaders.” The push to dispel outdated mindsets continued into Monday’s Science Plenary, with keynote speakers Dr. Marjorie Jenkins and Dr. Rebecca Sleeper. “Women’s health is not sex and gender medicine. Sex and gender variables are basic tenants to provide personalized patient care and move toward precision medicine,” Dr. Jenkins began the plenary. By first presenting a brief regulatory history of women’s inclusion in research activities and clinical trials, the duo quickly proved their point. “It’s amazing that when we talk about evidence-based care and medicine, we sometimes forget the research pipeline may not be applicable to everyone every single time,” Dr. Jenkins stated. Or put more simply, “Without the data, science cannot find the answer.”

Dr. Rebecca Sleeper and Dr. Marjorie Jenkins answer audience questions following their presentations at the Science Plenary.

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AACP Annual Meeting Boston, Massachusetts July 21â&#x20AC;&#x201C;25, 2018

Pharmacy Education 2018 Posters Now Available Online Miss a poster session at Pharmacy Education 2018? The Research and Education, Student Competition and School posters from Boston are now available to view, in high-definition, on AACP Connect. Left: A new addition in 2018, student pharmacists, graduate students, residents, fellows and postdocs presented their work in the Student Poster Competition alongside Research and Education and School poster presenters. Below: A graphic facilitator captured the Science Plenary as-it-happened, drawing the data and stories presented by the speakers in real-time.

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Tuesday’s General Session took a further look into the future, as Dr. Bertha Madras, professor of psychobiology at Harvard Medical School, called upon pharmacists to continue their work fighting the ongoing opioid crisis. “Pharmacy has many roles to play,” she stated. “But above all, they are at the intersection of physicians and patients.” Addressing the Academy specifically, Dr. Madras told the crowd, “You are laying the groundwork for future pharmacists,” and preparing them to face the opioid issue head-on.

Social Academy Pharmacy Education 2018 represents a community coming together, and that’s no more apparent than on social media. Members shared resources, live-tweeted sessions, took selfies and more across Twitter, Facebook and Instagram with #PharmEd18. Relive some of the highlights: @BRileyPharmD: “Your best friend started as a stranger” @RobbieSamuels Learning the art of the schmooze. #pharmed18 @TweetTheADean: President Scott states that student mental health is not just the responsibility of counselors and advisors - it is the responsibility of each and every one of us. #aacp2018 #pharmEd18 @AACPharmacy @sascottrx @AACPharmacy: “Although it isn’t a spa vacation, #PharmEd18 is a time to learn from master educators such as @RunBlue @DrJeffCain @drceciliaplaza [and others!] ...How you teach makes a lasting impact,” says Dr. Medina. @MargaritaDiVall: “The egg (happiness) comes before the chicken (success)” - absolute truth @anniemckee #pharmEd18 @AACPharmacy

Above: Immediate Past President Dr. Steven A. Scott gives his final remarks during the Tuesday General Session. “Meeting good people is like walking into a perfume store. Whether you make a purchase or not, you will still receive the fragrance.” Below: Pharmacy Education 2018 set a record for AACP Annual Meeting attendance, with more than 2,600 registrants.

@AACPharmacy: “We must consider the diversity of our profession at every turn. Not only will the profession benefit, but #publichealth will benefit from a diverse #pharmacy workforce,” @DavidDAllen at #PharmEd18. – at Hynes Convention Center @librarianem: The LIS section of @AACPharmacy immediately gave members stickers to decorate their name badges for #PharmEd18 “so everyone knows how awesome we are.” I have found my people. @David_Steeb: Struggling with how to help students meet face to face throughout the world? Consider virtual opportunities for student driven collaboration #PharmEd18

Raising the Bottom Line Pharmacy Education 2018 partnered with the organization Bottom Line to support low-income and first-generation-to-college students with donations and postcards of support. If you’d still like to make a donation, please visit: bit.ly/AACPBottomLine.

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@adampate_hepate: Packed talk on resilience in students and breaking the stigma of mental health. Maybe an opportunity for a community to start? #pharmed18 @AACPharmacy @stuartthaines @DrJeffCain @UK_COP: Nothing like getting a bunch of competitive faculty in a room to see whose team escapes first. @DrJeffCain looks like he might be having a little too much fun. #PharmEdBreakout #PharmEd18 Kyle R. Bagin is Digital Media Manager at AACP.

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Innovation Exposition The latest technology and cutting-edge information came together in the Exhibition Hall and during Research/Education Poster Sessions spanning two days. Attendees browsed innovative tools to advance their work, while networking with peers about their posters.

See You in Chicago! Join us in Chicago, July 13â&#x20AC;&#x201C;17, for Pharmacy Education 2019. Registration opens in Spring 2019.

Interested in exhibit and sponsorship opportunities for the 2019 Annual Meeting in Chicago? Contact Tabbetha Marron, AACP Media & Event Sales, at 410-316-9856 or tabbetha.marron@mci-group.com.

AACP greatly appreciates the support from our meeting sponsors, whose contributions make this event possible: Platinum Sponsors

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February 23–26, 2019 Tampa, Fla.

Have an Idea to Share? Present a Microsession at INvolve 2019 AACP is seeking proposals from members to present microsessions at the 2019 INterim Meeting, Feb. 23–26 in Tampa, Fla. Packing information and insight into 10-minute segments, microsession presenters will provide a brief, 5–7 minute overview of their programs related to a specific topic, followed by a 3–5 minute Q&A. Microssessions must address one of these topics: Regional Campuses, Student Leadership or Preparing Students for Corporate Culture. Interested in submitting a proposal? Visit http://bit.ly/INvolve19Microsessions. Proposals in the form of a 250 word abstract should be submitted by Monday, Nov. 12.

Interested in a Future Student-Focused Institute? The 2018 Fall Institute, Student Affairs: Strategies to Promote a Culture of Well-being among Students and Faculty, is currently sold out. If you or a team from your institution is interested in attending an Encore Institute later in 2018 or early 2019 focused on student mental health and well-being, please complete this form: http://bit.ly/2018FallInstituteWaitlist.

Academic Pharmacy Now: 2018 Issue 4

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