The renaissance of the independent pharmacy (or the necessity of going out on your own . . .)
Bibliographic record
Abstract
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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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.017 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.014 | 0.020 |
| Scholarly communication | 0.016 | 0.018 |
| Open science | 0.002 | 0.011 |
| Research integrity | 0.006 | 0.024 |
| Insufficient payload (model declined to judge) | 0.035 | 0.016 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".