The renaissance of the independent pharmacy (or the necessity of going out on your own . . .)
Notice bibliographique
Résumé
When we last checked in with reid mcdonald and Anita Cumbleton, we found them working in Calgary (Reid doing locums and Anita at a large corporate pharmacy). Anita expresses concerns with “the pill-counting factory,” with no overlap of pharmacists and often no technician, so patient care services are virtually impossible. But they are biding their time (and saving their money) until they can open their new independent pharmacy in Cochrane, Alberta. What they have learned is that there are a few steps (not as many as you might think, but all crucial) to opening a pharmacy: pharmacy design and approvals by the regulatory authorities; lease agreements; architectural plans; renovations; and coordinating the installation of computers, software, and telephones, just to name a few. And, for new grads, another issue is credit; most don’t have any assets to borrow against. Nevertheless, Reid and Anita are hoping to open later this spring. Meanwhile, back in Thunder Bay, Bryan Gray surprised me (and himself, I think) by opening his own independent pharmacy. When we last checked in with him, he was working in the same building as the Fort William Clinic. You will recall that the family health team was moving to a new building, so patient volume at the pharmacy was declining, and Bryan was getting bored (or as he says, “my mind was rotting”). After the family health team moved to its new building, an opportunity to open the River Terrace Pharmacy, alongside the newly relocated Fort William Clinic, became available. He realizes that many of the barriers to practising to his full scope are now gone. In fact, the family health team is now approaching him to create all kinds of new services. What is so striking to me is the similarities between these stories. Less than a year ago, these new pharmacists were hired specifically to embrace the new practice opportunities. All have left their first employer when it became apparent that in order to practise to their full scope, they needed to be their own bosses. And all of them have made the move to open their own pharmacies. They have shown an extraordinary focus on what is important for pharmacy practice and patient care as well as remarkable courage in embracing what they think is the right course. Could this be the renaissance of the independent pharmacy? Of course, it’s too early to tell whether they’ll be able to make a living based primarily on providing patient care services. Stay tuned as we follow their stories (with our fingers crossed). ■
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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 | 0,006 | 0,017 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,014 | 0,020 |
| Communication savante | 0,016 | 0,018 |
| Science ouverte | 0,002 | 0,011 |
| Intégrité de la recherche | 0,006 | 0,024 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,035 | 0,016 |
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 ».