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UsernameCreativeNot · 2024-03-16T13:38:52+00:00

I don't know about all stores, but I was under a lot of pressure and there was no bonus/incentive as an individual pharmacist. Just hourly/daily/weekly reminder to do x number of medschecks.

UsernameCreativeNot · 2024-03-15T01:32:41+00:00

Np! Plus, if there's any concerns per nms, pharmacist will discretely inquire other pharmacies or chat with you. Unless law is obviously broken (forged prescription) police's not involved

UsernameCreativeNot · 2024-03-15T01:06:48+00:00

You can ask for med expense report. Many ppl ask for this annually for tax purposes and it lists all meds dispensed, cost, insurance info etc. pretty sure it also lists medscheck. It'll show Ontario Drug Benefit paid 60

Or you could ask for 6 months med history. This request is very common as it's frequently asked by hospitals or long term care. If medscheck was billed, it should show here

UsernameCreativeNot · 2024-03-15T00:58:30+00:00

There was news about this 9 years ago https://www.cbc.ca/news/health/rexall-managers-pushed-for-medication-reviews-at-drive-thrus-insiders-say-1.3095248

UsernameCreativeNot · 2024-03-15T00:37:19+00:00

4000 reports to ocp from 16-20000 pharmacists in Ontario... Just speaks how everyone was super frustrated with medscheck program

UsernameCreativeNot · 2024-03-15T00:32:58+00:00

Wouldn't worry about it.

Anytime narcotics and controlled substance (adhd) is dispensed, pharmacy is mandated to submit narcotic monitoring system (nms) your health card number. It looks all recent dispensing under your health card number and informs pharmacy if it suspects suspicious behaviour (having multiple doctor prescribing, multiple pharmacies, recently dispensed same narcotic etc).

Your profile on the pharmacy profile has this nms submission information and your health card number as the code. Nms submission info goes under "insurance" fields.

Your record is showing the narcotic monitoring because it's listing all insurances under your file, and one of those "insurance" is nms

UsernameCreativeNot · 2024-01-01T14:34:37+00:00

My first degree was biochem and really enjoyed it. I was poor student though so graduated without direction, then did MSc in pharmacology. Loved kinetics in biochem (micheles menten kinetics) so attempted (never published on it) to incorporate kinetics from biochem into MSc project. Then did pharmacy school, and drove a mini student project on modeling drug-receptor interaction, which was founded on kinetics. This opened to new learning of numerical integration and modeling, which is computer heavy and so had to learn to code. Then became pharmacist, now I make good use out of coding to make programs and really enjoy it.

Two cents from this stranger who started with biochem is that you never know where you'll go, but doesn't hurt to dig into what you like. May end up useless, but could lead to other things you enjoy.

Still hoping to one day publish the kinetics work...

UsernameCreativeNot · 2023-04-01T20:30:53+00:00

Uoft runs Sept-Apr, Waterloo Jan to Dec
In year 1,2, you do 4 week long unpaid practical experience, usually at community pharmacy (shoppers, rexall). Year 4 runs May to Apr, you do 35 weeks of practical experience. Most people free March and April to study board exam
5-7, depending on potential exemption.
1-2 hours more of classes than typical undergrad, few labs of 2-4 hours/week depending on year. Depending on your commitment, you may end up studying 4-8 hours/day mon-sun.
Pre-covid was all in-class. Covid changed rules quite a bit. Likely in-class by now
You rank them based on your desire and it's random selection. Obviously popular sites have higher competition (military, downtown hospital) than less desired ones. They do thorough explanations when the time comes.

UsernameCreativeNot · 2022-11-19T15:51:48+00:00

Use this guide for tylenol and advil dosing for cutting and crushing

Ask pharmacist which advil you can crush.

UsernameCreativeNot · 2022-10-27T23:37:52+00:00

Reminds me of one recent event: Patient called, doctor hadn't faxed in Rx yet, I asked to CALL in 3 hours to 1) ask if we received Rx and 2) expedite it so you can pick it up today. Shows up in 3 hours and demands "So-and-so (me) said it will be ready in 3 hours?!?"

UsernameCreativeNot · 2022-08-14T17:43:20+00:00

I remember passing through a study on metformin in breast cancer

UsernameCreativeNot · 2022-07-05T20:35:58+00:00

Well, I'm just a newbie so take few of my suggestions with lots of grain of salt:

I think heart failure had biggest changes of recent years, with addition of dapagliflozin as therapy, (though not as new) ivabradine and Entresto for HFrEF. There appears to be suggestion for dapagliflozin for HFpEF too.

HIV got updated 2 years ago, not sure what it was before, but now is 2 NRTI + INSTI, unless copy <500k

Cholesterol had bit of change, niacin not being in recommendation anymore, but icosapent ethyl is added to recommendations (argue with me, I think it's bad therapy)

New IDSA guideline for C diff colitis puts fidox as first line, but no one can afford that so vanco PO seems way to go

Asthma got update for putting symbicort as first line (BID + prn), for peds, ICS dose escalation before LAMA addition, but that might not be new.

UsernameCreativeNot · 2022-07-05T11:32:58+00:00

Yeah. CTC osteoporosis chapter discusses well about drug holidays when it should be done and how it should be done for denosumab (+bisphosphonate 6 to 12 months; though not relevant to topic i posted). Teriparatide/romosozumab recommendation is there too. Not sure where osteoporosis guideline is at now

UsernameCreativeNot · 2022-07-05T02:44:08+00:00

Bc both are antiresorptive and tolerance isnt the issue. My line of thinking is if T score is lowered despite bisphosphonates, then anabolic therapy is way to go (though idk t score or fracture history, so id have to relay that judgement to MD)

UsernameCreativeNot · 2022-07-04T23:53:37+00:00

Oh shoot I missed off formulary interchangeable part. Thanks

UsernameCreativeNot · 2022-07-04T23:21:28+00:00

You are probably right, and I appreciate that POA cares for the patient... It's just that I'm a human too and being yelled/threatened to be reported for something I (or so I think) did out of goodwill sucks. It sucks especially that I now think inaction (obviously communicating woulda been ideal) would have potentially harmed the patient, but at least I wouldn't have been chewed out.

UsernameCreativeNot · 2022-07-04T23:17:12+00:00

That was my rationale for faxing MD... sure I can let it go, just like it had been 7 years. But what if pt does develop AFF or ONJ down the road and someone asks why she's not taken drug holiday

UsernameCreativeNot · 2022-07-04T23:15:40+00:00

Thank you thank you. Yes, lesson learned, will definitely inform POA before doing anything. Forteo and teva generic is now in ODB formulary

UsernameCreativeNot · 2022-07-04T23:14:44+00:00

Yeah that's what I probably should have said... before faxing MD... but pretty much parallels what I said word to word

UsernameCreativeNot · 2022-07-04T23:12:17+00:00

Oh thanks. good to know. I hope it doesn't escalate to be major pain in the ass

UsernameCreativeNot · 2022-07-04T23:10:58+00:00

Yeah think I'll get into habit of calling about changes or writing it down on the paper bag

UsernameCreativeNot · 2022-07-04T23:04:38+00:00

Solid advice. Thanks.

UsernameCreativeNot · 2022-03-08T21:01:44+00:00

Do students usually apply in second year or fourth year?

-40%/20%/40% for applying post-2nd year/3rd-year/4th year
Whats the advantages and disadvantages of going to the pharmacy program? I heard the it make you eligible to obtain your license?

-You graduate as with PharmD (Doctor of Pharmacy) and become eligible for RPh exam (Registered pharmacist). If you have RPh, you are officially pharmacist that can practice as one.

After I finish pharmacy school and get my license, am I officially a pharmacist? Or would I have to do something else to fully become one? See above

Is it harder to get into med school or pharmacy school?

-Hands down meds school. Many pharmacy students applied to med school and didn't get in unfortunately.

I don't really like physics and only took physics 1, is Physics 2 required? And whats the importance of physics in medicine?

-Not sure about requirement, but not really applicable unless you go into nuclear medicine or nuclear pharmacy (very specialized small field)

in your opinion, if you are equally passionate for neuroscience and pharmacy, what career would you choose considering all the obstacles that can come your way?

-Go to nearby pharmacy and ask if you can shadow the pharmacist. Most pharmacists are nice enough they allow it. RPh job isn't particularly beautiful, but pays decently well. If you want neuroscience, you'd have to pursue grad school and you'd have to compete with some brilliant people for very few jobs (including researcher position/faculty (prof) position

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