Authors
Ragucci, Kelly R.O'Bryant, Cindy L.
Campbell, Kristin Bova
Buck, Marcia L.
Dager, William E.
Donovan, Jennifer L.
Emerson, Kayleigh
Gubbins, Paul O.
Haight, Robert J.
Jackevicius, Cynthia
Murphy, John E.
Prohaska, Emily
UMass Chan Affiliations
Meyers Primary Care InstituteDocument Type
Journal ArticlePublication Date
2014-06-01
Metadata
Show full item recordAbstract
The American College of Clinical Pharmacy and other stakeholder organizations seek to advance clinical pharmacist practitioners, educators, and researchers. Unfortunately, there remains an inadequate supply of residency-trained clinical specialists to meet the needs of our health care system, and nonspecialists often are called on to fill open specialist positions. The impact of clinical pharmacy specialists on pharmacotherapy outcomes in both acute care and primary care settings demonstrates the value of these specialists. This commentary articulates the need for postgraduate year two (PGY2)-trained clinical specialists within the health care system by discussing various clinical and policy rationales, interprofessional support, economic justifications, and their impact on quality of care and drug safety. The integrated practice model that has grown out of the American Society of Health-System Pharmacists Pharmacy Practice Model Initiative (PPMI) could threaten the growth and development of future clinical specialists. Therefore, the ways in which PGY2-trained clinical pharmacist specialists are deployed in the PPMI require further consideration. PGY2 residencies provide education and training opportunities that cannot be achieved in traditional professional degree programs or postgraduate year one residencies. These specialists are needed to provide direct patient care to complex patient populations and to educate and train pharmacy students and postgraduate residents. Limitations to training and hiring PGY2-trained clinical pharmacy specialists include site capacity limitations and lack of funding. A gap analysis is needed to define the extent of the mismatch between the demand for specialists by health care systems and educational institutions versus the capacity to train clinical pharmacists at the specialty level.Source
Pharmacotherapy. 2014 Jun;34(6):e65-73. doi: 10.1002/phar.1430. Link to article on publisher's siteDOI
10.1002/phar.1430Permanent Link to this Item
http://hdl.handle.net/20.500.14038/37270PubMed ID
24752824Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1002/phar.1430