UK Pharmacist run them own clinic independantly!!

Started by koomcity
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koomcity

Egyptian Pharmacist
10+ Year Member
15+ Year Member
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When I asked what is the role of pharmacist at USA at studentdoctor forum,
I found that he has no role (exactly as in our countries).
but in UK the pharmacists more chalengers!!!👍

they run them clinic independantly!!!!!!

they prescribe independantly medication for
every case from common cold till angina pectoris

I ask why US pharmacist dont demand to obtain a thing like this??
​
Royal Pharmaceutical Society​


search in this cite for keyword "Independant Priscribing Pharmacist"​
 
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happy thanksgiving for all

Did you angry of my comparison between you and UK pharmacists??

I mean that you as USA must continue to be the leader for world
and must be the first who give the pharmacists his suitable role
because he is the more aware of DRUGS more than any one

If UK srarted to give the pharmacist his role you must start

thank you​
 
NNNNNNNOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO!!!!!!!!!!!!!!!!!!!!!!!!!!!

👎 👎 👎 👎 👎
 
It appears to be some kind of collaborative practice agreement within the National Health System of the UK with the ability to expand outside of that with a supervising physician.

Since I know nothing about the health system in the UK - I have no opinion on it.

But....koomcity....you seem to be beating this drum pretty hard. Why?
 
😱
 

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if UK pharmacists can prescrible anything for cold to angina pectoris, ... why bother giving a physician a job??
🙄
 
if UK pharmacists can prescrible anything for cold to angina pectoris, ... why bother giving a physician a job??
🙄

You must not ask me ,Ask British departement of healthi
and you must trust in pharmacist skills​
 
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When I asked A doctor at USA
Medical student forum at studentdoctor MossPoh
if he see that the pharmacist will be helpfull if he is utilized in health system and participates in treatemet of patients he said:
​

Would it be helpful? Yea probably but it is a country by country thing. I know from my personal experience that other countries utilize pharmacists a bit more than the U.S. (not saying we don't here). For example, in germany I went to a doctor and he basically made sure everything was ok, wrote down the symptoms and maybe a suggessted medication. The phamacist wherever I went was in charge of determining if that was the proper medication for me. He would look at the symptoms and what other medications, if any, I was taking. Even for stuff that is OTC in the US you had to go up and describe your symptoms. Which while annoying, isn't exactly a BAD concept. The self medication stuff can lead to problems since people have the more is better philosphy often​
 
koomcity.....I saw your post in the other forum & I wondered....are you trolling to begin a fight?

Because we do not want a fight here on this forum, have to defend ourselves on another forum, nor do we want to be pulled into one with prescribers in the US. We have a wonderful interdependent working relationship.

Is it perfect? No Could it be improved? Yes Do we want to be like the British National Health System...well thats political & probably best dealt with in another forum like Topics in Healthcare.

But...we like what we do. And - you never answered by question - Why are you beating this drum here? I can appreciate you wanting to discuss the topic with your fellow UK pharmacists, but you keep trying to get those of us who are US pharmacists to get involved.

We are very involved with patients and their medications here, have some collaborative practice agreements in which there is prescriptive authority, do counsel & assist pts with both rx & otc medications & are, for the most part, pretty good at advising when the pt should go back to their physician or dentist. However...we don't diagnose conditions (other than the common cold or similar circumstances in which an otc will work). We leave that for physicians & dentists.

What else do you want?
 
yah u r rite but physians look down on us they think of us as simple crap who just knows to dispense thats the thing bothering us in countries like ours a pharm d degree holder cant even write doctor with his name while physians with bachelor degree in medicine and surgery can
 
yah u r rite but physians look down on us they think of us as simple crap who just knows to dispense thats the thing bothering us in countries like ours a pharm d degree holder cant even write doctor with his name while physians with bachelor degree in medicine and surgery can

When it comes to science, we (pharmacists) are on par with the physician. Whereas they focuse more on the human body, we concentrate on the medication that either alleviate pain or cure it outright. Thus, we know the human body fairly well, too. Physicians, while they take a course in pharmacology in med school, they will never be as knowledgeable as we are when it comes to drug regimen for the patients well being. In fact, physicians follow the recommendation of pharmaceutical companies that want their products use. I respect what physicians do; but come to think of it, I just radiate with excitement at my future in pharmacy. And you know what? I'm writing Dr. before my name, 'cause I'm pretty sure I've earned it!!

P.S. Any comment Dr. SDN1977 ?
 
When it comes to science, we (pharmacists) are on par with the physician. Whereas they focuse more on the human body, we concentrate on the medication that either alleviate pain or cure it outright. Thus, we know the human body fairly well, too. Physicians, while they take a course in pharmacology in med school, they will never be as knowledgeable as we are when it comes to drug regimen for the patients well being. In fact, physicians follow the recommendation of pharmaceutical companies that want their products use. I respect what physicians do; but come to think of it, I just radiate with excitement at my future in pharmacy. And you know what? I'm writing Dr. before my name, 'cause I'm pretty sure I've earned it!!

P.S. Any comment Dr. SDN1977 ?

Comments....from me?????🙄

Well....I'm a PharmD...but some folks call me Dr....others don't - it actually doesn't matter to me. Most all the physicians I work with call me by my first name & I do likewise, unless we're around pts or others who would require a more professional demeanor. That, even in my younger years, never bothered me.

However...I would encourage all of you to become humble! You will know drugs very well after your 3 or 4 years of pharmacy school - more than I know since you're graduating so much later than me.

But....know this! You will never, ever, ever know cardiac drugs better than an electrophysiology cardiologist....unless, you do a speciality in cardiovascular pharmacy & continue with it. I would say the same with oncology drugs, neonatal cardiology drugs, antiretroviral therapy.....unless you do a specialty residency AND continue to work within the field. There are many, many fields of medicine this applies to.

These physicians have not just completed 4 years of medical school....they have completed 4-5 years of residencies in their field along with fellowships and ....... they do this one area of specialty every day!

As a pharmacist....know your limits. You have so much knowledge to give & contribute....but, in my very humble opinion, I do not need to compare myself to any other profession. I am good at what I do. There are pharmacists who can do some areas of our profession far, far better than myself (an oncology pharmacist - can't remember her name right now & others) and, likewise, I do some things better than others (I probably know tpns better than Zpak). It doesn't make one of us better nor worse than the next guy....we have just chosen different paths.

But....it won't take you very long working as a pharmacist to hear stories about a diagnosis which was missed or not discovered & not because the physician was not capable. Medicine is not easy......just like keeping our patients compliant with their medications is not easy....I have never thought for one minute I could diagnose a pt beyond that which can be treated with an otc medication & even then, I'm very careful to know when to refer a pt to a physician.

I am a Doctor of Pharmacy - not Medicine. There is a clear & distinct difference. I'm proud & happy to do what I do & the physicians I work with respect me. But...I've earned it. Your title is meaningless unless you can prove that you're worth it!

ps...digoxin...I'm thinking you're also from another country than the US. We don't know your system of healthcare wherever you're from & ours is not necessarily better than yours - we certainly have our healthcare issues here! But....I would encourage the use of the spell check feature on your computer if you want to enter into a discussion with being on the same par as physicians in the US. I say that not to make fun, but to help your argument come across more effectively. I wish we could help you with your dissatisfaction with your field, but I have nothing to offer. Sorry🙁
 
thanks for your reply sdn ur words really encouraged me and m feeling better abt my profession i am from pakistan a country where physians dont accept pharmacists a healthcare teams member ny ways thankss
 
Comments....from me?????🙄

Well....I'm a PharmD...but some folks call me Dr....others don't - it actually doesn't matter to me. Most all the physicians I work with call me by my first name & I do likewise, unless we're around pts or others who would require a more professional demeanor. That, even in my younger years, never bothered me.

However...I would encourage all of you to become humble! You will know drugs very well after your 3 or 4 years of pharmacy school - more than I know since you're graduating so much later than me.

But....know this! You will never, ever, ever know cardiac drugs better than an electrophysiology cardiologist....unless, you do a speciality in cardiovascular pharmacy & continue with it. I would say the same with oncology drugs, neonatal cardiology drugs, antiretroviral therapy.....unless you do a specialty residency AND continue to work within the field. There are many, many fields of medicine this applies to.

These physicians have not just completed 4 years of medical school....they have completed 4-5 years of residencies in their field along with fellowships and ....... they do this one area of specialty every day!

As a pharmacist....know your limits. You have so much knowledge to give & contribute....but, in my very humble opinion, I do not need to compare myself to any other profession. I am good at what I do. There are pharmacists who can do some areas of our profession far, far better than myself (an oncology pharmacist - can't remember her name right now & others) and, likewise, I do some things better than others (I probably know tpns better than Zpak). It doesn't make one of us better nor worse than the next guy....we have just chosen different paths.

But....it won't take you very long working as a pharmacist to hear stories about a diagnosis which was missed or not discovered & not because the physician was not capable. Medicine is not easy......just like keeping our patients compliant with their medications is not easy....I have never thought for one minute I could diagnose a pt beyond that which can be treated with an otc medication & even then, I'm very careful to know when to refer a pt to a physician.

I am a Doctor of Pharmacy - not Medicine. There is a clear & distinct difference. I'm proud & happy to do what I do & the physicians I work with respect me. But...I've earned it. Your title is meaningless unless you can prove that you're worth it!

ps...digoxin...I'm thinking you're also from another country than the US. We don't know your system of healthcare wherever you're from & ours is not necessarily better than yours - we certainly have our healthcare issues here! But....I would encourage the use of the spell check feature on your computer if you want to enter into a discussion with being on the same par as physicians in the US. I say that not to make fun, but to help your argument come across more effectively. I wish we could help you with your dissatisfaction with your field, but I have nothing to offer. Sorry🙁

Question: If you are saying that physicians (specialists) know drugs better than pharmacists and pharmacists role as dispensers is already shrinking with technology advancing so fast - do we need pharmacists in hospitals at all in the future?
 
Question: If you are saying that physicians (specialists) know drugs better than pharmacists and pharmacists role as dispensers is already shrinking with technology advancing so fast - do we need pharmacists in hospitals at all in the future?

Lots of reasons! A pt gets admitted, for example with a broken hip (oh - could be my mom.....altho this scenario didn't happen to her, I've seen it often enough). She is scheduled for a hip replacement. The ortho admits & gets her h&p. The pt tries to remember her drugs, may have an SO or spouse who helps & we now get these orders - some of which the ortho guy knows nothing about & figures we will call if they need fixing:

Coreg 125mg po bid
Vivelle Dot 10mg daily
Serzone 25mg hs
Trazodone 5mg hs
Coumadin 4mg qd - which is stopped

He/she orders Kefzol 1Gm IV x 3 starting am of surgery.

We call & fix all the drug strengths, but get a call from the nurse asking for the Kefzol stat - we say we sent it, but she says we sent the wrong stuff - we sent Cefazolin (this is a new nurse or foreign grad perhaps - inexperienced at least).

Now..post op...the pt came thru fine, but suffers a retroperitoneal bleed for whatever reason, needs an abdominal look & repair. Now we have another surgeon on the case & probably a hospitalist. The pt develops pneumonia - due to aspiriation while on vent or who knows...from a developing sepsis??? Now..we need to dose an aminoglycoside, get the pt off the lovenox on the heparing, adjust the dosing to the changing renal function, perhaps get tpn started if the pt doesn't get off the vent & can't tolerage the GI feedings (all the while getting the nurses to dose the drugs correctly with continuous GI feedings)...This is just one example...there are so many more.

In other words...hospitalized pts get complicated. The specialist certainly knows his/her area of drugs better than I, but I can help get all the specialists desires working optimally when things get complicated. Rarely does a cardiologist know how to adjust an aminoglycoside dose when renal function goes to h*ll on a handcart, but we can help there. Likewise...we can help when the pt has needs beyond their area of expertise.

We do have a function - many, many functions & far too many to list (I'm just waiting for Caverject to jump all over me🙄 ). Just realize....what your limits are & they most definitely are not limited to dispensing. In fact.....many hospital pharmacists don't dispense anything other than their knowledge. I have yet to ever see a hospital be willing to do away with a pharmacist. Most hospitals want 24 hour coverage by pharmacy.....so we aren't going away in that setting.