Sunday, December 9, 2018

As their roles change, Pharmacists need new Regulations, Norms, and Freedom from Corporate Interests

Pharmacists play an essential role in the healthcare system today, one that is ever-expanding.  They check for drug interactions, watch for signs of opioid over-prescribing, and try to determine whether a drug for one condition prescribed by one doctor will negatively impact the patient because of another diagnosis the patient has.  In hospital units, their roles have become yet more complex- often serving on various quality committees, managing daily dosages of medications like warfarin and vancomycin, and more.  I rely upon them in the hospital daily- to catch mistakes, and to advise on drug dosages and choices.  Many in the community give flu vaccinations, and some are even trying to gain "provider" status under Medicare, allowing them bill directly for treating patients.  This has been accompanied by a drastic change in the preparation of the average pharmacist- where once it was a 5 year bachelor's degree, now it is a graduate degree- a change recent enough that as of 2014, over 60% of pharmacists practicing had trained under the old system.