PRESENTATION OUTLINE
Outline
- Evolution of pharmacy practice
- Building 5in5
- Designing information
Pharmacy practice is changing.
Injections & Immunizations
Medication reviews & reconciliation
But we still seem to be held back.
But there's more to it than that
We can also lack confidence and defer
(i.e. "Please advise")
We can fear and thus avoid our new responsibilities
We can be paralyzed by the ambiguity of clinical practice
We can get stuck worrying what others think of us
And this can all lead us to be risk averse
What makes people change?
Individual: Self efficacy (believe you can do it)
Behavioural: Observing that there is a benefit to a new skill or behaviour
Environmental: Getting good support
Modelling: Watching others perform the new skill or behaviour
In other words, we need to build change
How do you build an idea?
Advice 1: Validate your good idea. Sketch it out and test it for free.
Is (Susan the totally competent pharmacist you don't know) allowed?
Lesson: It's easier to imagine change for someone else.
Yes. It's a good idea but...
Advice 2: Now get a bit of money and build something cheap
Phew. Still a good idea...but not quite right...
What have you been doing?
Lesson: Helps to reflect on your own practice.
Did everyone else do this poorly?
Lesson: Helps to see where you stand in a group.
Advice 3: Now get more money, hire some talent and build a minimally viable product.
Lesson: You get better buy-in with an MVP than with an idea.
Advice 4: Use your MVP and test it with your users
Example: Shana picked up an amoxicillin suspension for her son's ear infection. He has taken 2 of 7 days. She just spilled the bottle. Can David renew the prescription to provide Shana with a new bottle to cover the remaining 5 days?
Interpretation in the manual
Adaptation Flashcard: Ontario College of Pharmacists
Example: Jason currently takes quetiapine 300mg daily, methadone 130mg daily. The physician wants to start citalopram 10mg daily. There is no ECG available.
Infographics: Tejal Patel, Jamie Kellar, Ai-Leng Foong
Ramadan Flashcard: Wasem Alsabbagh
Infographics--Region of Waterloo Public Health
Naloxone Facts: Mike Beazely
Next steps: Apps in Fall 2018
Take home: If we're going to change we're going to do it together.
Take home: Find a good idea and think it through step-by-step.
Take home: Play to your strengths. Seek out others who are different.
Take home: You never know where it will lead.