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The Reinvented Pharmacist

Redesigning the Health Care Delivery System

Monday, October 18th, 2010
Writing in the Archives of Internal Medicine (Volume 170, No. 15, October 11, 2010),  pharmacy professor R. Joseph Guglielmo, PharmD, responded to the suggestion made by Kevin Grumbach, MD, that in a redesigned health care delivery system, “all healthcare workers should function at the top of their level of training and skill with genuine teamwork.”

In an ideal team care setting, doctoral trained pharmacists “would not count pills” but would “counsel patients about complex polypharmacy regimens and spearhead interventions to eliminate medication errors, with pharmacy technicians and automated devices handling medication dispensing in retail pharmacies.”

In his response, Dr. Guglielmo examined this model as it has evolved in the hospital setting. He explained that one reason more of that role was not being performed in community pharmacies was that the current reimbursement system pays for drug dispensing—and not for medication therapy management.

Several questions came to my mind when I read this. Do doctoral trained pharmacists really want to undertake this role? Is it a role society wants them to play?  How long after graduation and functioning in a dispensing role does the pharmacist lose the skills, knowledge, or confidence to perform that role?  Does a pharmacist have to have a PharmD degree to be able to do this?

What do you think?
Blog Info
Fred Eckel, RPh, MS, Editor-in-Chief of Pharmacy Times
Blog Description
This blog focuses on what our Editor-in-Chief sees as the future of pharmacy.
Author Bio
Fred Eckel, RPh, MS, is the Editor-in-Chief of Pharmacy Times, a position he has held since 2002. Mr. Eckel is a professor at the Eshelman School of Pharmacy, University of North Carolina at Chapel Hill. He serves as executive director of the North Carolina Association of Pharmacists.

In this blog, Eckel will provide commentary on relevant issues impacting pharmacists and pharmacy professionals, including the merging of pharmacy benefit managers, the implications of health care reform, the conversion of major drugs from prescription to over-the-counter, trends in pharmacy careers, and opioid abuse. He will also discuss legislative issues that impact pharmacists, and comment on the evolving role of the pharmacist.
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