9 Charting the ‘new normal’ in Canadian community pharmacy practice: scoping review
Why this work is in the frame
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Bibliographic record
Abstract
<h3>Introduction</h3> To identify the Canada-wide changes in community pharmacy practice in response to the COVID-19 pandemic and to assess what is currently being practiced. What are the emerging practices and regulations that keep community pharmacies safe (customers and professionals) during the COVID-19 pandemic and what are the implications of these changes? <h3>Methods</h3> Review includes primary studies (i.e., experimental, quasi-experimental, observational, and qualitative study designs) and grey literature that broadly focused on policies, regulations, and recommendations developed for Canadian community pharmacies during the COVID-19 pandemic. Study abstracts and full texts were screened for eligibility by two reviewers, independently. Data extraction of relevant studies were also done independently by two reviewers. All discrepancies were addressed through further discussion or adjudicated by a third reviewer. Presentation of the extracted data focuses on descriptive frequencies and thematic analysis and the results are presented in diagrammatic or tabular form, with a narrative summary of the findings. <h3>Results</h3> Team members screened fifty-five citations and considered five to meet the inclusion criteria, with an additional 449 grey literature items. Pharmacists rely on regulatory and professional associations as their primary information source, yet corporate employers were found to offer better resources for communicating policies to pharmacists.<sup>1</sup> In the pan-Canadian context, Health Canada granted pharmacists new permissions for prescribing, including extending and renewing prescriptions<sup>2 3</sup> while simultaneously recommending that pharmacists should limit patient medication supplies.<sup>2 4</sup> Although COVID-19 updates were regularly being sent by regulatory bodies and national associations, pharmacists were either unaware of where to find or did not understand available information.<sup>1 2 4 5</sup> <h3>Discussion</h3> As Canada emerges from the COVID-19 pandemic, there is a ‘new normal’ for community pharmacy practice, or an expanded role in the overall healthcare system. This review adds to the understanding of how pharmacies faced challenges of incorporating rapidly evolving information into practice, while maintaining client care and worker safety. <h3>References</h3> Austin Z, Gregory P. Resilience in the time of pandemic: the experience of community pharmacists during COVID-19. <i>Research in Social and Administrative Pharmacy</i> 2021;<b>17</b>(1):1867–75. Elbeddini A, Hooda N, Yang L. Role of Canadian pharmacists in managing drug shortage concerns amid the COVID-19 pandemic. <i>Canadian Pharmacists Journal/Revue des Pharmaciens du Canada</i> 2020;<b>153</b>(4):198–203. Merks P, Jakubowska M, Drelich E, Świeczkowski D, Bogusz J, Bilmin K, <i>et al</i>. The legal extension of the role of pharmacists in light of the COVID-19 global pandemic. <i>Research in Social and Administrative Pharmacy</i> 2021;<b>17</b>(1):1807–12. Elbeddini A, Botross A, Gerochi R, Gazarin M, Elshahawi A. Pharmacy response to COVID-19: lessons learnt from Canada. <i>Journal of Pharmaceutical Policy and Practice</i> 2020;<b>13</b>(1):1–8. Gregory PAM, Austin Z. COVID-19: how did community pharmacies get through the first wave? <i>Canadian Pharmacists Journal/Revue des Pharmaciens du Canada</i> 2020;<b>153</b>(5):243–51.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.004 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
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 it