Notice bibliographique
Résumé
My recent career change was initially a source of worry. I was making a huge transition: leaving my practice as a staff pharmacist in a family-based community pharmacy to start a new practice as a pharmacy manager in a clinic that specializes in drug addiction and pain management. The clinic offered an inter-collaborative practice where the pharmacy team works with the physicians to manage patients' addictions and pain so that they can lead productive lives. In addition to working closely with physicians, I would have the opportunity to develop personal relationships with patients who receive methadone on a weekly or even daily basis. I would be focusing on medications that I had never dispensed before, with patients who are typically stereotyped as being “difficult.” The job was associated with a mix of pros and cons, but overall, the opportunity was unique and its appeal prompted me to take on the challenge. I am thrilled to say that I made a very fulfilling career decision. My relationship with my patients extends beyond their medications, as they often share their ups and downs with the pharmacy team. The working relationship that I have with the physicians is critical in managing patients' pain, drug addiction and the adverse effects from their medications. The physicians are just an office door (or a Blackberry message) away and they are truly dedicated to resolving any medication issues that may arise. This practice environment is also the perfect opportunity for pharmacists to use their skills and offer pharmaceutical opinions, which aligns well with the Ontario government's novel reimbursement of expanded services. You are entitled to a professional fee if you make an intervention at the time of dispensing that requires a physician consult for a patient who is an Ontario Drug Benefit recipient.1 Based on the conversation with the physician, you can choose either to not dispense, dispense as prescribed or adjust the prescription.1 Working closely with methadone and Suboxone, I make sure that patients have a valid prescription for only 1 dose per day (prescriptions with duplicate start dates may be overlooked and the patient may be double-dosed) and that the prescription extends until the patient's next visit with his or her physician (so that the patient does not go into withdrawal). If there is therapeutic duplication or therapy needed, I make an intervention and consult the physician. I also monitor patients' doses to make sure that any increases or decreases are by an appropriate amount and consult the physician if I have a concern. Not only has my new position been a delightful change in environment, but it has allowed me to be part of moving the profession forward to focus on our cognitive utility in medication management. Through this experience, I have learned that even in different practice environments, there is always opportunity to exercise your knowledge and make a difference. I'm looking forward to more expanded services for pharmacists!
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,010 | 0,002 |
| Communication savante | 0,009 | 0,004 |
| Science ouverte | 0,002 | 0,012 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,534 | 0,218 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».