Course of Study

List of Contents

STUDENT PHARMACIST-INTERNS

PHARMACY DEGREES

      Doctor of Pharmacy (Pharm.D.) Program

      M.S. and Ph.D. Programs

GRADUATION UNDER A PARTICULAR CATALOG

PRESCRIBED WORK FOR ALL DEGREES - BASIC EDUCATION REQUIREMENTS

SUGGESTED FINE ARTS & HUMANITIES ELECTIVES

SUGGESTED SOCIAL & BEHAVIORAL SCIENCES ELECTIVES

THE INTERNSHIP PROGRAM


STUDENT PHARMACIST-INTERNS

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PHARMACY DEGREES

Pharmaceutical care and implementing change

The role of the pharmacist has undergone a metamorphosis over the past century. Pharmacists entered the 21st century as apothecaries, whose function was to procure, prepare, and evaluate medicinal drugs. That function waned as the industrial age took over the production of pharmaceuticals and pharmacists simply distributed these medicines. About 25 years ago the picture began to change. With the development of more sophisticated medications and increased knowledge regarding their mechanisms of action, clinical pharmacists appeared on the scene. As the 21st century approaches, the pharmacy profession, like other components of the health care system, faces new challenges; however one thing is very clear: as a result of the continuing revolution in education and training programs and practice innovations, pharmacy practice has a more patient-oriented and less product-oriented focus.

There is little debate that the use of prescription and non-prescription medications constitutes the primary therapeutic means available to treat illness. Although medication use has assumed this primary role, its provision to patients occurs through a highly fragmented system of prescribing, dispensing, administering, and monitoring. While each party in the process believes it is making rational, positive contributions to the process, increasing concern is being expressed regarding the need for improved quality of medication use and the need for a reduction in medication-related problems.

The result of this fragmentation has been characterized as "medication misadventuring." Misadventure means great misfortune or disaster. In fact, much of the problem is not inherent in the drugs themselves but rather in the way they are prescribed, dispensed, used or misused. The contribution of patient non-compliance, preventable adverse effects and drug interactions, therapeutic failures, and medication-induced hospitalizations to health care costs is estimated to be in the tens of billions of dollars each year. If that is the case, pharmacists are best equipped to have a major positive impact on this problem.

National professional pharmacy organizations as well as pharmacy educators believe that pharmacists should accept additional responsibility and assume greater authority in cooperatively managing patients' medication use. By assuming this leadership, pharmacists can assure optimal therapeutic outcomes and reduce the extent of preventable medication-related problems.

To these ends the profession has embraced the concept of "pharmaceutical care". Pharmaceutical care includes the determination of the drug needs for a given individual and the provision not only of the required drugs but also of the services necessary (before, during and after treatment) to ensure optimally safe and effective therapy.

Pharmaceutical care is a patient-centered, outcomes-oriented pharmacy practice that requires the pharmacist to work in concert with the patient and the patient's other healthcare providers to promote health, to prevent disease, and to assess, monitor, initiate, and modify medication use to assure that drug therapy regimens are safe and effective.

Two components must be present whenever pharmaceutical care is delivered: