Saturday, October 25, 2008

DOCTOR Vs PHARMACIST - Separation of Prescribing from Dispensing

THIS ARTICLE MENTIONS ABOUT OUR PRACTICE SYSTEM IN MALAYSIA. READ THROUGH...
(USA ARTICLE)
Separation of prescribing from dispensing

In most jurisdictions (such as the United States), pharmacists are regulated separately from physicians. Specifically, the legislation stipulates that the practice of prescribing must be separate from the practice of dispensing. [citation needed] These jurisdictions also usually specify that only pharmacists may supply scheduled pharmaceuticals to the public, and that pharmacists cannot form business partnerships with physicians or give them “kickback” payments. However, the American Medical Association (AMA) Code of Ethics provides that physicians may dispense drugs within their office practices as long as there is no patient exploitation and patients have the right to a written prescription that can be filled elsewhere. 7 to 10 percent of American physician practices reportedly dispense drugs on their own.

In other jurisdictions (particularly in Asian countries such as China, Hong Kong, Malaysia, and Singapore), doctors are allowed to dispense drugs themselves and the practice of pharmacy is sometimes integrated with that of the physician, particularly in traditional Chinese medicine.

In Canada it is common for a medical clinic and a pharmacy to be located together and for the ownership in both enterprises to be common, but licensed separately.

The reason for the majority rule is the high risk of a conflict of interest. Otherwise, the physician has a financial self-interest in “diagnosing” as many conditions as possible, and in exaggerating their seriousness, because he or she can then sell more medications to the patient. Such self-interest directly conflicts with the patient’s interest in obtaining cost-effective medication and avoiding the unnecessary use of medication that may have side-effects. This system reflects much similarity to the checks and balances system of the U.S. and many other governments.

A campaign for separation has begun in many countries and has already been successful (like in Korea). As many of the remaining nations move towards separation, resistance and lobbying from dispensing doctors who have pecuniary interests may prove a major stumbling block (e.g. in Malaysia).

The future of pharmacy

In the coming decades, pharmacists are expected to become more integral within the health care system. Rather than simply dispensing medication, pharmacists will be paid for their patient care skills.

This paradigm shift has already commenced in some countries; for instance, pharmacists in Australia receive remuneration from the Australian Government for conducting comprehensive Home Medicines Reviews. In the United Kingdom, pharmacists (and nurses) who undertake additional training are obtaining prescribing rights. They are also being paid for by the government for medicine use reviews. In the United States, the Clinical pharmacy movement has had an evolving influence on the practice of pharmacy. Moreover, the Doctor of Pharmacy (Pharm.D.) degree is now required before entering practice and many pharmacists now complete one or two years of residency training following graduation. In addition, consultant pharmacists, who traditionally operated primarily in nursing homes are now expanding into direct consultation with patients, under the banner of “senior care pharmacy.”

LIST OF TOP 50 BLOGS ABOUT PHARMACY RELATED INFORMATIONS

Dear Pharmacy Friends,
This is the Top 50 Pharmacy Blogs taken from Nursing Guide Web Site. Feel free to surf and get the informations.
It is intended to let people know where they can go on the web to read daily posts about various topics having to do with prescription drugs and medications.

This list of 50 blogs is broken down into the following categories:

* Pharmacy Opinion Blogs

* Pharmacy News and Informational Blogs

* Professional Development Blogs

* Pharmacology Blogs

* Pharmaceutical Blogs

Each of the 50 blogs in the "Top 50 Pharmacist Blogs" article has a link for easy access. I encourage you to take advantage of this convenient "tour" around the so-called Pharma blogosphere to see what else is out there for you.

- http://www.nursingdegreeguide.org/2008/top-50-pharmacist-blogs/

PFIZER SETTLES CELEBREX DRUG INJURY CASE

Pfizer Settles Most Bextra And Celebrex Drug Injury Cases

Company Will Pay $745 Million In Settlements To Conclude 90% Of These Lawsuits

(Posted by Tom Lamb at DrugInjuryWatch.com)

An October 17, 2008 Wall Street Journal (WSJ) article, "Pfizer to Settle Celebrex and Bextra Suits", broke the news and provided the details:

Pfizer Inc. has agreed in principle to pay $894 million to settle litigation related to its painkillers Celebrex and Bextra.

The bulk of the settlement, $745 million, will resolve 90% of the known personal injury suits that allege the painkillers caused heart attacks and strokes, according to Pfizer, which will take a third-quarter pre-tax charge to earnings of $894 million, a statement provided by the company said.

Attorneys General in 33 states and the District of Columbia, who have filed suits relating to Pfizer's promotion of Bextra, will receive $60 million of the settlement; the remainder, $89 million, will resolve class actions alleging fraud in connection with the promotion of Celebrex and Bextra.

The settlement does not cover securities fraud litigation that has been filed in connection with Celebrex and Bextra.

Pfizer's Celebrex is the last among a group of painkillers called Cox-2 inhibitors that is still sold in the U.S. From the October 17 WSJ article:

"Pfizer stands by the safety and efficacy profile of Celebrex," said Joe Feczko, Pfizer's chief medical officer.

Bextra was recalled in April 2005 by the FDA and Pfizer. At the time, the FDA said it was the increased risk of serious skin reactions that was the reason for Bextra being pulled off the market.

Vioxx was recalled in September 2004 by the FDA and Merck due to cardiovascular side effects. In late 2007 Merck agreed to pay $4.85 billion in a so-called "global settlement" of all personal injury and wrongful death cases involving Vioxx use in the U.S.
- WALL STREET JOURNAL, DRUG INJURY WATCH.COM

Tuesday, October 21, 2008

POSITIVE ATTITUDE AND THINKING IS THE KEY TOWARDS PROGRESS & DEVELOPMENTS!

To all my Pharmacy Friends,

Talking about “Positive” n “Attitude” is something not in my capacity to discuss in general. I’m ordinary human beings as you all and not professional in this subject.

But anyway, I believe if anyone looking for success in career developments, one should be very positive in life, good thinking, attitudes and drive of winning mentality.

I would like to share with all of you regarding our planing to have a Malaysia Pharmacist Assistant Conference or Convention. I did discuss with one of the very senior Pharmacist Assistant regarding having a Conference for our profession.

You know what he said. He told me: “ why you all like to do big thing without knowing what is Conference”…. Then he ask me to just organised a workshop instead !
We are living in the world of technology, knowledge and advancement. There are no time to catchup with others if we are still slow in progress.

It may look un-organised for the very first Conference or Conventions, but only through the first step we can go further and make a better and perfect one. The very first step is the mother of all success ! Don’t you think that?

Most of the Junior PPF and some dynamic Seniors with vision in future, agree with me to have a conference and scientific meeting for ourself and organised by Association.

My friends, the number one enemy is within us. That is the NEGATIVE MIND ! If we already set our thoughts with negative things, nothing will come on our way accept luck.

So, please join hand together… have a very POSITIVE MIND AND ALSO POSITIVE ATTITUDE! PROGRESS WILL TALK ON ITS OWN !

Sunday, October 19, 2008

MAJLIS KONVOKESYEN KSKB KALI KE-4, PADA 18 OKT 2008 DI PICC, PUTRAJAYA

Dibawah adalah gambar-gambar yang diambil semasa saya, Hj.Harun dan En.Nazri Mohd Esa menerima jemputan menghadiri majlis konvokesyen KSKB kali ke-4. Turut sama hadir ialah YDP PPFM Tn.Hj.Kamaruddin dan Mdm Puspa (Koordinator Prog.Farmasi,PNC International College, Nilai)
MAAF KERANA GAMBAR KURANG JELAS.

Thursday, October 16, 2008

WELCOME TO OUR NEW PHARMACY DIRECTOR

WE ARE MOST WELCOME OUR NEW DIRECTOR OF PHARMACY SERVICES DIVISION, MINISTRY OF HEALTH MALAYSIA , YG. BERBAHAGIA PUAN EISAH BT A.RAHMAN.

MAY OUR DIVISION WILL PROGRESS BETTER AND BETTER WITH POSITIVE INTERACTIONS AND HARMONIOUS AMONG ALL CATEGORY STAFF UNDER PHARMACY SERVICES DIVISION OF MALAYSIA.

Wednesday, October 15, 2008

SEJARAH PROFESION PENOLONG PEGAWAI FARMASI

( Ingin saya menulis sejarah berkaitan profesion ini supaya umum, para PPF junior2 dan yang hampir lupa dapat mengingatkan kembali asal usul profesion ini. Selamat membaca)

LATARBELAKANG

Profesion Penolong Pegawai Farmasi bermula sekitar bulan September 1957 iaitu sebulan sesudah Kemerdekaan Malaya. Pada masa itu latihan dijalankan di premis Sekolah Latihan Jururawat, Hospital Besar Pulau Pinang. Latihan dijalankan disana sehingga tahun 1964. Kolej latihan adalah dinamakan sebagai Sekolah Latihan Pembancuh Ubat. Pada ketika itu, Latihan adalah dijalankan secara teori selama setahun dan ”on job training selama 2 tahun”. Pelatih batch 1-12 pada masa itu diserap terus sebagai penjawat awam dan menerima gaji bulanan RM52.50 (batch pertama). Mulai Batch 13 barulah sistem biasiswa atau elaun pelatih diperkenalkan. Gaji PPF selepas latihan dulu ialah antara RM 52.50 - RM422.00.

Pada tahun 1964, sekolah latihan Pembancuh Ubat telah berpindah ke Makmal Ubat dan Stor, Jalan Universiti (G.M.S – General Medical Store) dimana sekarang telah dijadikan IbuPejabat Perkhidmatan Farmasi Malaysia (Bahagian Perkhidmatan Farmasi KKM).
Latihan disini dimulakan dengan pengambilan pelatih pertama seramai 26 pelatih sahaja. Kemudian dengan pembinaan 2 lagi Makmal, jumlah pengambilan ditambah menjadi 120 pelatih setiap tahun. Di kawasan yang sama jugalah latihan Pembantu Makmal Kimia Ubat dijalankan yang kita ketahui kemudiannya telah di ‘asimilasi’ menjadi Penolong Pegawai Farmasi.

GELARAN JAWATAN

Gelaran jawatan sebenarnya didapati berubah sebanyak 4 kali. 3 kali secara rasmi dan sekali tidak rasmi. Secara rasmi, gelaran pertama iaitu pembancuh Ubat diguna mulai 1957 – 1981(ketika itu dalam bahasa Inggeris di panggil Dispenser) . Gelaran kedua iaitu Pembantu Farmasi dilulus dan diguna mulai 1982 sehinggalah 31 Mei 2008 dan kemudian mulai 1 Jun 2008 secara rasminya diubah sebagai Penolong Pegawai Farmasi. Tetapi ramai yang tidak mengetahui ada satu lagi gelaran yang diguna secara tak rasmi pada 1981-1982 iaitu JuruUbat. Semasa itu gelaran tersebut tidak diluluskan kerana ia kelihatan golongan Profesional. (Maklumat daripada Senior) Selepas itulah ia diubah kepada Pembantu Farmasi.

PERKEMBANGAN LATIHAN

Kembali kepada latihan. Pada tahun 1998 Menteri Pelajaran ketika itu iaitu Yang Amat Berhormat Dato’Seri Najib Tun Abd Razak telah meluluskan sijil latihan Pembantu Farmasi kepada Diploma Farmasi. Selepas penyediaan kurikulum, program ini dinaik taraf dan Bahagian Perkhidmatan Farmasi telah meluluskan nama diploma kepada Diploma Pembantu Farmasi bermula tahun 2000 (walaupun diluluskan Diploma Farmasi). Nama sekolah juga di ubah kepada Kolej Pembantu Farmasi dengan Pengajar dari kalangan bekas Pembantu Farmasi pertama selepas naik taraf seramai 7 orang.

"Walaubagaimana pun semua Senior tidak akan lupa akan jasa dan kenangan latihan oleh Miss E.L Leong , Pharmacist @ Pengetua Sekolah sebelum itu yang telah banyak memberi sumbangan dan jasa besar kepada Profesion ini. (Semoga roh beliau dicucuri rahmat....)"

Mulai tahun 2004, Kolej Latihan telah berpindah kali ketiga ke premis sekarang iaitu Kolej Sains Kesihatan Bersekutu, Sg.Buloh dengan imej baru dan penambahan Pengajar seramai 13 orang.
(Termasuk Ketua Program-maklumat sehingga 2008)

Kursus pula telah diubah mengikut sistem Universiti dengan kredit point dan pembelajaran semester. Kursus Diploma Farmasi mengambil masa 3 tahun dan dikendalikan mengikut sistem semester yang merangkumi 6 semester.

Empat semester iaitu tahun 1 semester 1 & 2, Tahun 2 semester 1 dan Tahun 3 semester 2 dikendalikan dibawah Program Diploma Farmasi di Kolej Sains Kesihatan Bersekutu, Sg.Buloh.
Pada tahun 2 semester 2 dan tahun 3 semester 1, pelatih perlu menjalani latihan klinikal di hospital-hospital kerajaan, klinik kesihatan dan institusi yang di iktiraf oleh KKM.



Brsambung........

Sunday, October 12, 2008

ADAKAH ANDA BERSEDIA UNTUK PERUBAHAN?

Pen.Pegawai Farmasi kini sedang menghadapi "tsunami" kemasukan Pegawai2 Farmasi (PRP)setiap tahun dan ini telah mengakibatkan kebanyakan post-post PPF yang kosong dikebanyakan Institusi samada Hospital atau Kesihatan tidak diisi oleh Pentadbiran Farmasi Negeri masing-masing.

Keadaan ini kelihatan sangat ketara. Jika dilihat dari sudut positif, Malaysia akan mempunyai cukup tenaga mahir dan profesional di barisan hadapan di kaunter dan dapat memberikan satu perkhidmatan yang cukup informatif kepada pelanggan khasnya.
Pen.Pegawai Farmasi juga seharusnya menerima fakta dan akur kepada perkembangan profesion Pegawai Farmasi dan juga pelan yang disediakan oleh KKM. PPF tidak seharusnya melawan dan 'demand' hak untuk dispen kerana tugas itu termaktub dalam undang-undang.

Pen.Pegawai Farmasi harus menitik beratkan kemajuan dalam aspek tugas-tugas teknikal
dan berjuang hak untuk mendapat tugas tersebut supaya ia boleh di gazetkan dalam akta dan dikawal oleh satu badan seperti di USA, UK dan Kanada.

Jika dilihat dari sudut sejarah keatas negara-negara maju, Profesion "Pharmacy Technician" di Amerika dan Eropah berkembang sangat pesat jika dibandingkan dengan lain-lain profesion. Di Amerika bilangan Pharmacy Technician telah melepasi angka 250,000 orang. Pada 1996,Jabatan Tenaga Buruh Amerika menjangka bilangan Pharmacy Technician adalah sekitar 150,000 pada tahun 2006 tetapi bilangan sebenar Pharmacy Technician pada 2006 ialah 285,000 ! Peningkatan adalah dianggarkan 32% sehingga 2016. (rujuk http://bls.gov/oco/ocos252.htm.)

Berdasarkan sejarah bidang Farmaseutikal, kita juga sebenarnya sedang mengikuti semua langkah-langkah dan kemajuan dalam aspek pembangunan "Pharmaceutical-care" dari negara-negara maju. Mereka telah lama meletakkan Pharmacist di barisan hadapan dikaunter-kaunter dan kita baru mengikuti langkah tersebut.

Apabila tiba pada satu tahap nanti, keperluan akan meningkat kepada Pegawai Farmasi terhadap perkhidmatan klinikal yang tinggi dan kepakaran. Mereka mungkin tiada masa lagi untuk kerja-kerja teknikal yang remeh mengikut tahap pendidikan tinggi profesion mereka. Itulah yang berlaku di Amerika dan United Kingdom. Kerana itulah ujudnya juga pendaftaran Pharmacy Technician di U.K oleh Royal Pharmaceutical Society of Great Britain yang mengawal Pharmacy Technician disana dan di Amerika pula oleh Negeri masing-masing seperti Texas State Pharmacy Board, California State Board of Pharmacy dll. Di Kanada juga mempunyai pendaftaran Pharmacy Technician iaitu Pharmacy Technician Board of Canada.

Daripada pengalaman-pengalaman di luar negara dalam bidang farmaseutikal yang berkembang pesat, tidakkah kita berfikir pada suatu hari nanti semua PPF juga akan menerima pengiktirafan ini? Adalah diharapkan pihak pengurusan lebih berfikiran terbuka dan menerima ahli-ahli dalam keluarga Farmasi demi kualiti dalam perkhidmatan farmaseutikal.

Kesilapan kita memilih nama gelaran juga mungkin menyebabkan rasa kurang senang di pihak pengurusan tertinggi oleh beberapa pegawai tinggi disana. Ini secara tidak langsung akan melambatkan sebarang proses tuntutan kepada perkembangan profesion kita.

Sekiranya kita memilih gelaran yang lebih bersifat teknikal(Teknologis) dan bukan pentadbiran(Penolong Pegawai) iaitu seperti dalam post pertama saya- Pharmacy Technologist, kita mungkin dapat mendalami dalam bidang ini dengan usaha untuk mendapatkan hak kita dalam tugas-tugas teknikal. Pihak pengurusan tinggi Farmasi juga akan lebih lembut dan lebih berkerjasama dalam tuntutan kita.

Jika dalam bahasa melayu gelaran teknikal ini boleh disebut Teknologis Farmasi (Pharmacy Technologist) samada Diploma atau selepas mendapat Ijazah Teknologi Farmasi (Degree in Pharmaceutical Technology) dan Ijazah Farmaseutikal Sains (Degree in Pharmaceutical Science).

Mungkin ada yang akan bertanya selepas mendapat Ijazah tersebut apa pula peranan PPF dan di letakkan diUnit mana? Pegawai-Pegawai Farmasi pula tidak harus rasa terancam sekiranya PPF melanjutkan pelajaran sehingga Ijazah kerana satu hala tuju dan peranan harus disediakan dahulu sebelum menerima Ijazah tersebut dalam perkhidmatan teknikal Farmasi. Kita tidak harus "cross over" dan tidak "overlap" dalam tugas harian perkhidmatan farmaseutikal dengan Pegawai.

Memang mudah untuk ditulis tetapi untuk praktikkannya dan menyediakan satu kertas kerja yang komprehensif, rasional dan cukup justifikasi, kita memerlukan satu Jawatankuasa PPF yang mantap, kreatif, dinamik, pintar, berpengalaman,sifat tidak berkira masa, pemikiran positif, fleksibel dan komited kepada perkembangan profesion.


Walau apapun memang ini kelihatan satu mimpi indah seperti dalam post saya sebelum ini.

- think positive and work towards profesionalism

DEGREE IN PHARMACEUTICAL TECHNOLOGY IN USA

Today i went through a site which offer a degree in Pharmaceutical Technology from one of the college in USA. The total credit points of this degree is similar as our Diploma in Malaysia with 96 credit points.
Check this site : http://www.columbustech.edu/healthsciences/programs/pharmacy_technology/default.htm
Down here is the info I paste from the website.

Pharmacy Technology Diploma and Degree
(columbus technical college, usa)
Degree and Diploma: Pharmacy Technology is offered as an Associate of Applied Science (A.A.S.) degree program and as a diploma program.

Diploma Program:

Pharmacology is one of the principal pillars of modern medical practice, and your expertise in that area will place you at the heart of modern medicine. Your areas of expertise will include pharmaceutical calculations, sterile medication preparation, medical dispensing, medical terminology, and knowledge of medication interactions. Your computer skills will enable you to keep the accurate records necessary for quality patient health. The clinical practicums you experience will provide you the opportunity to study and practice your craft, while working side-by-side with and learning from practicing medical professionals. Your diploma will enable you to work at a trauma center, a hospital, or an assisted-living community. Your skill will also be in demand in the retail world, whether it is in an individual drugstore or a retail chain pharmacy.

Degree Program:

The Pharmacy Technology Associate Degree Program prepares you for employment in pharmacy departments in hospitals, clinics, long-term care facilities, commercial businesses, and other related facilities. The program develops you academically and professionally with a focus on knowledge base, technical skills, and work ethics. The program emphasizes didactic and clinical instruction necessary for job attainment, retention, and advancement. As a program graduate, you will be eligible to sit for a national certification exam for Pharmacy Technologists. If you have completed prerequisite coursework, you can compete for summer or winter admission into this program.

Length of Program:
• 76 Credit hours for Diploma.
• 96 Credit hours for Degree.

Diploma Program Sequence
SUBJECTS :
General Mathematics
Medical Terminology
Introduction to Microcomputers
English
Anatomy and Physiology
Basic Psychology
Pharmaceutical Calculations
Pharmacy Technology Fundamentals
Basic Inorganic Chemistry
Principles of Dispensing Medication
Pharmacology
Principles of Sterile Medication Preparation
Pharmacy Technology Practicum
Advanced Pharmacy Technology Principles
Advanced Pharmacy Technology Practicum

Degree Program Sequence
SUBJECTS :
College Algebra
Medical Terminology
Introduction to Microcomputers
Composition and Rhetoric I
Anatomy and Physiology I
Introduction to Humanities
Fundamentals of Speech
Anatomy and Physiology II
Principles of Economics
Introductory Psychology
Pharmaceutical Calculations
Pharmacy Technology Fundamentals
Basic Inorganic Chemistry
Principles of Dispensing Medication
Pharmacology
Principles of Sterile Medication Preparation
Pharmacy Technology Practicum
Advanced Pharmacy Technology Principles
Advanced Pharmacy Technology Practicum

Last updated: October 6, 2008.

Friday, October 10, 2008

PEN. PEGAWAI FARMASI - "EXTENDED & EXPANDED ROLE "

Penolong Pegawai Farmasi dijangka akan menerima perubahan dari skop tugas dan peranan dalam masa terdekat ini. Mesyuarat Teknikal PPF Kesihatan di KK Kuala Gula, Krian telah membuka satu lembaran baru dan Bhg.Pembangunan Kesihatan Keluarga (Caw.Kesihatan Primer) pada dasarnya telah bersetuju untuk menimbangkan cadangan di Bengkel tersebut dan membawa hasil Bengkel serta kertas cadangan tersebut ke Mesyuarat Teknikal Pegawai-Pegawai Farmasi Kesihatan Peringkat Kebangsaan di Port Dickson pada 8-10 November 2008 akan datang. Kita menerima sokongan yang baik daripada Ketua Pen.Pengarah Bhg.Pembangunan Kesihatan Keluarga (Peg.Farmasi Kanan).

Walaubagaimanapun selepas persetujuan di Mesyuarat Teknikal tersebut, Pegawai-Pegawai Farmasi akan menilai dalam aspek atau ruang mana kita boleh dipertimbangkan untuk peranan baru tersebut. Kemudian baru usul tersebut akan di panjangkan ke Bahagian Perkhidmatan Farmasi, KKM.

Apapun pada saya ia adalah satu perkembangan positif. Oleh yang demikian, saya mohon jika ada dikalangan anda mempunyai idea-idea yang bernas, sila sediakan kertas kerja untuk cadangan Extended & Expanded Role untuk PPF dan email kepada saya(pfganesh@gmail.com) sebelum 1 November 2008. Ketua Pen.Pengarah BPKK telah beri mandat pada saya untuk edit dan sediakan kertas cadangan tersebut untuk di compile dan sertakan bersama kertas kerja dari bengkel terdahulu di Kuala Gula selepas didapati lengkap dan komprehensif.

Kepada Pen.Pegawai Farmasi diseluruh Malaysia!, saya menyeru anda semua tampil kehadapan dan bantu menyediakan bersama-sama kertas cadangan tersebut demi pembangunan dan kemajuan Profesion kita.

Friday, October 3, 2008

PHARMACIST ASSISTANT WORKSHOP 2008

OUR FIRST WORKSHOP AFTER GETTING THE NEW TITLE AS PHARMACIST ASSISTANT (PREVIOSLY PHARMACY ASSISTANT) OR IN MALAY REFERED TO "PENOLONG PEGAWAI FARMASI".
PROGRAMME WAS HELD AT KK KUALA GULA KRIAN, PERAK ON 20th - 23rd AUGUST 2008. GROUP WAS SPLIT INTO 4 AND A BRAINSTORMING SESSION DONE TO DISCUSS ABOUT 4 IMPORTANT TOPIC : 1. STAFFING & NORM 2. EXPANDED & EXTENDED ROLE 3. PPF NEW VISION 4. POST BASIC COURSE

MY KLINIK- KK TAIPING (TYPE 2 KK)