Pharmic-Ute: Spring 1975

Articles published by the student branch of the American Pharmaceutical Association at the University of Utah, College of Pharmacy.

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I- <( :::, 0. 0 w t!) w -' -' 0 l&I (.) t$ • u ~ ~ c( :c a.. c, a: <( C :::> <( ._ w VJ 0 en a: w ....a> (.!) z > a: z :::, 0. en TABLE OF CONTENTS: EDITOR'S INTRODUCTION---------------- ------------------------ ------ 3 A PERIOD OF NO GROWTH?-------------------------------------------- 4 IMMUNOLOGY IN PHARMACY---------------------------------------- 5 POINTS TO PONDER --------------------------------------------------------- 7 PATIENT PROFILES AND YOU --------------------------------------- 8 PROFESSIONAL EXPERIENCE PROGRAM EXTERNSHIP ----------- -------------------------------------------------- 9 NEWS FROM ALUMNI AND FRIENDS OF PHARMACY ---------------------------------------------------------------10 DEVELOPMENT FUND -- --------------------------------------------------11 SCHOLARSHIPS AND AWARDS --------------------------------------12 ORGANIZATIONAL REPORTS----------------------------------------13 FALL AND WINTER QUARTER HONOR ROLL-------------16 STAFF: Editor ----------------------------------------------------Robert F. Laman, Jr. Business Manager ---------------------------------------------------Bill Doutre Faculty Advisor -----------------------------------------------Dr. David Roll Assistant Editor & Photographer ------------------------- Paul Dwork STUDENT A.Ph.A. OFFICERS President --------------------------------------------------------Allan Ellsworth Vice-President ----------------------------------------------Brent Whitehead Secretary -------- -------- ----------- -------- --------------------- Karen Jannussi Published by the Student Chapter of the American Pharmaceutical Association at the University of Utah College of Pharmacy Distributed to the U of U Pharmacy Students, Parents of Students of the College of Pharmacy, Alumni of the College of Pharmacy, Members of the Utah Pharmaceutical Association, and to other Colleges of Pharmacy. Your role will be an important one. You'll be their living link with the fast-paced, ever-growing , alwaysnew world of pharmaceuticals. You 'll be their man with the answers, an Upjohn representative. Physicians, pharmacists, hospital administrators ... th ey will all know your company and its products. .And respect them. They 'll listen to you. They'll know that when you speak, you speak with authority based on indepth education in your field. It's a big job. With big rewards to match right from the start. If you'd like to know more about opportunities in pharmaceutical marketing at Upjohn, please write Director, Domestic Pharmaceutical Sales, The Upjohn Company, Kalamazoo, Michigan 49001. An Equal Oppgrtunity Employ@r ~ 1971. n..ug1onnComgany.Kalamuoo. M,cn,gan l!MM m ADVERTISERS Brunswig Drug Company Deseret Pharmaceutical Company, Inc. Grand Central Stores McKesson & Robbins Incorporated Skaggs Drug Centers Upjohn Company PH A RM IC-UTE u EDITOR'S INTRODUCTION Its Good Business '' By Robert F. Laman, Jr., Editor • • IT'S GOOD BUSINESS TO BUY "DIRECT" FROM BRUNSWIG AND GET TURNOVER! BIG ENOUGH To provide larger stocks and more complete inventories which help you meet competition SMALL ENOUGH To be friendly and deeply appreciative of your patronage. FAST WE SPECIALIZE IN HELPING THE RETAIL PHARMACIST GROW AND DEVELOP HIS BUSINESS THROUGH OUR ENOUGH To give 'completely relioble - MODERN dependable - As the cover shows, it is graduation time again . These soon to be professionals will remember fondly those days in Skaggs Hall. The seemingly endless days that now seem like mere seconds. They will also begin to know what the profession has in store for them. This Pharmic-Ute is directed toward the people who have already passed these halls, the pharmacists of today. The issue provides an overview of Immunology by Dr. Shough and reference books that can be used to increase your knowledge in this area if so inclined. It also provides a number of points to ponder in our profession requiring and demanding more dedication and involvement than ever before. Dr. Linda Hart answers relevant questions on patient profiles . Dr. McMahon gives his view on how the externship is working out. I have participated in this program and felt it was a definite asset to my education. It has a lot to offer if the person involved is aggressive enough to seek it. The financial growth and prosperity of education that has arisen since the 1960's is feeling the pinch of budget restrictions and inflation today. Dean Swinyard opens the Pharmic- Ute with what this means to the College of Pharmacy and how it is coping with it. The "Alumni and Friends of Pharmacy" section in the past edition met with good response. It should be noted that a personal touch is intended here and that information concerning not only your professional life but also your family would be appreciated. The 1974 Development Fund contributors are listed in this edition. To paraphrase words of Dean Swinyard, "Many Thanks" from all of us here at the University of Utah College of Pharmacy. This edition also includes Scholarship and A ward Winners, Organizational Reports, and Fall & Winter Quarter Honor Rolls. It is my intention that this issue will stimulate thought, enjoyment and response as did the first edition of this academic year. · CARRYING A FULL LINE · FAST DELIVERY SERVICE · STORE MODERNIZATION SERVICE · TRAFFIC FLOW ANALYSIS · NEW PHARMACEUTICAL INFORMATION · HELPING PHARMACIST FIND EMPLOYMENT · COMPUTER ACCOUNT RECEIVABLE AND PAYABLE PROGRAM · MERCHANDISING COUNCILING · FINANCIAL COUNCILING · NEW STORE COUNCILING same day service. ENOUGH To 1upply you with the advantages of a printed invoice with each order. BRUNSWIG DRUG COMPANY McKESSON Serves the West ... Best & ROBBINS INCORPORATED 161 West 21st South - 2 . PH ARM IC -UTE PH ARM IC -UTE Salt Lake City, Utah Phone [phone] - A PER 1OD OF NO GROWTH? By Ewart A. Swinyard, Dean Many administrators have labeled Lhe"70's' to date as "a period of no growth" in higher education. Prospects for the immediate years ahead appear to indicate more of the same; however, it is important not to equate "a period of no growth" in state funds with status quo or stagnation. Indeed, the College of Pharmacy has made remarkable progress during this time by the judicious use of limited state funds and the energetic solicitation of federal funds for interdisciplinary programs, continuing education, and research. As a result, outstanding improvement has been made in virtually every element of the College of Pharmacy operation. This has been possible largely because of the support and encouragement of the University Administration. The dynamic leadership of President David P. Gardner and Vice President for Health Sciences, Dr. John A. Dixon, has resulted not only in the unification of the health science colleges and the University Hospital, but has also generated an enthusiasm among the faculty which has facilitated the interdisciplinary training of physicians, nurses, pharmacists, and other health workers. The long-range effect of this new "Health Science Center" will eventually be felt throughout the entire intermountain area as a result of improved availability and delivery of health care. Prominent among the interdisciplinary programs which involve the College of Pharmacy, College of Medicine, and the University Hospital are the Intermountain Regional Poison Control Program, the Radiopharmacy Program, and clinical pharmacy services in the University Hospital. The Poison Control Center is actively engaged in the interdisciplinary teaching and training of student pharmacists and physicians. Currently, the Center handles -4 - about 1,200 calls per month and assists with approximately 50 emergency cases brought into the University Hospital each month. A tie-in to the computer at the National Clearing House for Poison Control Centers, Bethesda, Maryland, provides detailed information on any one of approximately 21,000 compounds within a few minutes and facilitates the prompt dispersal of life-saving information. The ultimate benefit to the people in the intermountain area in terms of lives saved is virtually impossible to estimate. In addition to this service function, the Center is responsible for teaching clinical toxicology and providing a toxicology clerkship program which is available to all students in the College of Pharmacy. This outstanding development is largely the result of the efforts of Dr. Anthony R. Temple, Director, and Mr. Joseph C. Veltri, Associate Director of the Center. One of the newer interdisciplinary programs brings together the College of Pharmacy and the Department of Radiology, Division of Nuclear Medicine, of the College of Medicine. This Radiopharmacy Program, started in July of 1973, provides total unit dose, diagnostic radiopharmaceuticals to most of the hospitals in the greater Salt Lake area. Their production has increased from approximately 132 lots manufactured per month to 206 lots per month at the current Lime. Perhaps the most significant feature of this program is the fact that it is possible for these diagnostic procedures to be carried on more inexpensively and expeditiously. An important by-product of this operation, which is under the directorship of Harold DeBlanc, M.D., aRd Managing Director, William J. Baker, M.S., is the opportunity for pharmacy students to obtain training in radiopharmacy. Currently, the College of Pharmacy, in cooperation with Mr. John Reinertsen, Executive Director of the University Hospital, has provided clinical pharmacy services in the Divisions of Pediatrics and Rehabilitation of the University Hospital. These services, provided by Dr. John Bosso and Dr. Linda Hart, provide for the monitoring of all drug therapy in these two services, as well as a teaching program in clinical pharmacy. The ultimate value of this program to the patient will be reflected in improved drug utilization control and a reduction in the hospitalization stay which results from preventable drug problems. PH A RM IC-UTE The newest interdisciplinary program brings together the College of Pharmacy and the College of Business. Under the joint sponsorship of these two colleges, a new program has been developed which makes it possible for a student to obtain the B.S. in Pharmacy at the end of five years and the M.B.A. from the College of Business at the end of the sixth year. Currently, there are a total of 14 students enrolled in various phases of this program. The opportunities provided by this innovative approach have been recognized throughout the country. As a result, the Bergen Brunswig Corporation, with the encouragement of Dr. Rodney H. Brady (Executive Vice President Bergen Brunswig Corporation and Chairman, University of Utah National Advisory Council), has developed an externship program which provides on-the-job experience for the students during the summers between the fourth and fifth years and the fifth and sixth years. This farsighted approach to on-the-job training has encouraged pharmaceutical industry, officials of multiple drug store operations, and hospital administrators to consider the development of similar specialized externships to provide on-the-job training in their particular areas. This joint endeavor promises to be one of the most rewarding programs currently offered by the College of Pharmacy. Another service of marked interest to the pharmacy practitioner is the integrated continuing education program. The College of Pharmacy, in cooperation with the Utah Pharmaceutical Committee on Continuing Education (Utah Pharmaceuti- cal Association, Utah :State Hoard of Pharmacy, Utah Society for Hospital Pharmacy, and the College of Pharmacy), now provides four well-developed seminars or workshops each year. Attendance has been excellent and has averaged over 100 participants for each event. This program is directed by Dr. Jean Kuwahara Devenport and coordinated by Mr. C. Albert Olson, R.Ph. Research provides the life blood for progress in all of the health sciences. The successful pursuit of this area requires a faculty with a high level of expertise who can inter-relate with their colleagues, not only within their own institution, but also throughout the country. The excellence of the faculty of the University of Utah College of Pharmacy is reflected by the fact that for the academic year 1973-74 the faculty of the College of Pharmacy received 1.48 million dollars in research funds from outside the State of Utah. This notable achievement will be surpassed in the academic year 1974-75; it is estimated that in excess of two million dollars will be attracted to the University of Utah College of Pharmacy during this period of time. This is a significant tribute to the quality and outstanding efforts of a dedicated faculty. Also, it should be noted that these research efforts are directed toward areas which will ultimately lead to improved patient care and the benefit of all mankind. The College of Pharmacy acknowledges with sincere thanks the leadership and encouragement of President Gardner and Vice President Dixon which makes such outstanding development possible during a "period of 1W growth". IMMUNOLOGY IN PHARMACY By Richard Shough, Ph.D. The well-publicized "kwwledge explosion" of the 20th Century has no where been more dramatically manifest than in the field of immunology. This progress in immunology has had a significant impact on all areas of health care including pharmacy. The general applications of immunological concepts in pharmacy are described in this article. More detailed information on recent developments in immunology that may be of interest to the pharmacist may be found in the suggested references. Immunologic principles are encountered in pharmacy in three main areas: as a basis for drug action; as a basis for PH ARM IC-UTE • ' . 5 - adverse drug reactions; and as a basis for disease processes. These principles are most important in the various "clinical" or "patient-oriented" aspects of pharmacy practice. A number of drugs act through immunologic mechanisms. Most notable are the immunological ["biological"] products including the active immunizing agents (e.g., vaccines, toxoids), passive immunizing agents (e.g., immune globulins, antitoxins), and diagnostic biologicals (e.g., tuberculin, allergenic extracts). Whereas these products are used to induce (or detect) a state of immunity in the patient, a number of other drugs are used to interfere with deleterious immune responses. These include the immunosuppressives, corticosteroids, antihistamines, and the new cromolyn sodium (Intal*). The various anti-infectives, although acting by non-immunologic mechanisms, require relatively normal immunologic function in the patient in order to completely eradicate infection. The pharmacist's knowledge of the principles of immunology provides a basis for understanding the actions and indications of these drugs. Immunology is of similar importance in the area of adverse drug reactions. This is best illustrated by the fact that the single largest category of adverse drug reactions is that of drug allergy (hypersensitivity). Drug allergy is simply immunologicallymediated disease induced by a drug. It is unfortunate that many think of drug allergy only in terms of a few drugs (i.e., penicillins, foreign serums) and limited symptons (i.e., skin rash, anaphylaxis). It is true that certain drugs produce a higher incidence of allergic reactions but nearly all drugs are potential allergens. Similarly, even though skin rashes are probably the most common manifestation of drug allery, allergy may affect virtually any tissue of the body. The symptons are highly dependent upon a number of factors including the patient, drug, route of administration, dosage, and duration of therapy. The pharmacist must be constantly aware of the allergenic potential of the drugs that he dispenses as well as the various possible manifestations of drug allergy. Drug allergy is not the only adverse drug reaction that involves the immune system of the patient. A number of drugs used today have immunosuppressive activity that may render the patient more susceptible to infections and, perhaps in some cases, neoplastic disease. Significant immunosuppression may occur with - 6 - various cytotoxic drugs (antineoplastics, immunosuppressives) as well as corticosteroids when used in high doses for prolonged periods. Patients taking these drugs should be closely observed for symptoms of infectious disease which may become overwhelming in the presence of immunosuppression. Immunologically-mediated • disease is another area of immunology of great interest to the pharmacist. The most common of these are allergic diseases such as allergic asthma, hay fever, contact dermatitis, and many others. It has been estimated that 10 percent of the population is atopic, i.e., has a hereditary predisposition to allergy. Certainly these patients are well known to the pharmacist both as consumers of a wide variety of drug products and for their propensity to drug allergy. A second type of immunologically-mediated disease is that of autoimmune disease in which the individual mounts an immune response against his own tissues. Diseases involving, at least in part, autoimmunity include rheumatoid arthritis, rheumatic heart disease, lupus erythrematosus, and certain hemolytic anemias. Patients with these diseases are well known to the pharmacist too since nearly all require lifelong therapy. Finally, the alloimmune [isoimmune] diseases are those which involve an immune response against the antigens of another member of the same species. Because of the nature of these diseases, they are seen nearly exclusively in predictable populations of hospitalized patients. The most common alloimmune diseases are transfusion reactions, transplant rejection, and hemolytic disease of newborn (erthoblastosis fetalis). Looking to the future we can expect that developments in immunology will continue to affect the practice of pharmacy. Drugs already under development include new and better vaccines for the prevention of infectious diseases (e.g., venereal disease, influenza), immunotherapeutic agents for the treatment of cancer, and better immunosuppressive agents for the control of immunologicallymediated diseases. Furthermore we may anticipate that drug allergy will continue to account for a significant proportion of adverse drug reactions and that immunosuppression will assume increasing importance. One of the problems confronting the practicing pharmacist is keeping abreast of these rapid developments and little of the vast literature of immunology has been concerned specifically with pharma- ceutical applications. The "suggested references" given below deal with subjects that may be of interest to the pharmacist. Bellanti (1) provides an excellent introduction to the principles of immunology as well as a survey of the clinical applications of immunology. "Hypersensitivity to Drugs, (2) is the most extensive volume to date on the subject of drug allergy. Cluff and Johnson (3) is a very practical coverage of infectious diseases, including the immunological aspects, and Sell (4) emphasizes the immunologically-mediated diseases. The "Red Book (5) is an inexpensive, succinct reference that includes recommendations concerning immunization among its useful information. Finally, the recent "Symposium on Clinical Immunology" (6) should be of interest to those who wish to learn more of the experimental aspects of immunology and to obtain a preview of future clinical applications of immunology. Suggested References 1. Bellanti, J. A. Immunology. W. B. Saunders Company, Philadelphia, 1972. 2. Hypersensitivity to Drugs. International Encyclopedia of Pharmacology and Therapeutics, Section 75, vol. 1. Permagon Press, 1972 3. Cluff, L. E. and J.E. Johnson. Clinical Concepts of Infectious Diseases. Williams and Wilkins, Baltimore, 1972. 4. Sell S. Immunology, lmmunopathology, and Immunity. Harper and Row, Hagerstown, Md., 1972. 5. Report of the Committee on Infectious Diseases [Red Book]. American Academy of Pediatrics, Evanston, Ill., 1974. 6. Harris J. (ed.).Symposium on Clinical Immunology. Med. Clin. North America 56(2):291-581 (1972). POINTS TO PONDER by Robert F. Laman, Jr. The government of the United States is in the process of determining what criteria will be used to evaluate professional fees to be paid on a government subsidized health plan. Fortunately for pharmacy, President Ford put a moratorium on federal spending for the rest of the fiscal year. This will prevent a National Health Insurance Bill from being passed this year. Maybe, somebody is trying to look out for us and is giving us one more chance. I am not against National Health Insurance as it may sound from my opening statement. The point of concern is how pharmacy will be affected by th~s legislation if its members sit back and wait for the outcome. With National Health Insurance a new type of pharmacist must evolve; a pharmacist whose every professional action is for total patient concern and care. To achieve total patient concern and care a number of things must be done. 1. The education of the pharmacist whether newly or oldly acquired should continually be reinforced by continuing education classes that offer practical, worthwhile material and to emphasize the areas of change and how to go about it. Good journal articles, and a current pharmacy library will also aid in this area. Another helpful idea is to educate othe1 P HARM IC-UTE PH ARM IC-UTE members of the pharmacy in which you work by continually giving summary lectures at set staff meetings (which every pharmacy should have). These summary lectures could cover areas of pharmacology, biopharmaceutics, toxicology, contraindications, and warnings of various drugs. They can be a means of covering broad pharmacological classes of drugs. The lecturer from meeting to meeting can be rotated so that all members of the pharmacy staff are actively particating. Short written quizzes could be given after the presentation to see how well the material presented was understood. 2. The patient profile system is a must. The pharmacist is legally liable for anything that go~s out of his ~tore. 1:he cautions or warnmgs that he did not give to the patient because he didn't have a profile system may come_ back to h_aunt him. It may also haunt him leg3;lly if ~e has the profile system and doesn t use it. This is a risk that has to be assumed and that with proper use should not come back to hurt the pharmacist. Do not practice defensively because of a fear of a malpractice suit. . 3. Establishment of a professional fee. To prepare for the future transitio_n of National Health Insurance a professional fee charging system must be set ~P• Y?U charge the patient for what you give him in the line of services, not for some -7 - percentage of an already overpriced medication. 4. Get involved in specialized areas of pharmacy practice that can be adapted to your business. You can seek help from your local pharmacy school, your professional organization(s), or your fellow professionals already involved with these services. 5. Sacrifice to achieve the high levels of professionalism demanded by your profession. This is the real problem. Very few are willing to sacrifice to achieve the goals necessary to survive. Are you willing to accept the way the ball bounces? So why not prepare pharmacy for a better outcome from this legislation by offering extended services? The APhA pushed hard in November to initiate an active hypertensive program throughout the entire pharmacy community. There seems to be a number of reasons why this program is slow to get off the ground other than at a few locations in the Salt Lake Area. The can be monitored without a great deal of effort and essentially no new knowledge. A review of medicinal chemistry will allow a pharmacist to offer a valuable service to his patients. Many patients who are allergic to a particular medication might have a cross-sensitivity reaction to a chemically similar drug. Information concerning true allergies and possible cross-sensitivity reactions should be recorded on a profile. A self-education program about drug interactions will be more time consuming but can be accomplished using a good reference book such as Hansten's Drug Interactions or reasons are: the fear of the cost to the business (in terms of time and revenue lost), the hassle in providing this service, the inability to feel comfortable with the sphygmometer and stethoscope, and the lack of a patient profile system to monitor these patients. If you look at this in terms of numbers it is not near as frightening. K~ep in mind that it is not necessary to obtain the blood pressure of every patient who enters the store. If every pharmacist did one person a day, taking into consideration weekends and holidays, one could take 250 blood pressures a year. This number could be increased by the multiple of the number of pharmacists and interns employed by your store. The key point here is to screen those most susceptible to the disease. The profile system could be initiated for these patients as a preview and warmup for a total patient profile system. Your thoughts and criticisms are welcomed. APhA's Evaluations of Drug Interactions. In the beginning the pharmacist may have to consult the book on each possible interaction but this is part of the learning process. A pharmacist can monitor a patient's therapy for efficacy and toxicity using a patient profile. It is not necessary to have THE PROFESSIONAL EXPERIENCE PROGRAM - EXTERNSHIP PATIENT PROFILES AND YOU By Linda Hart, Phann. D. Q. Should a patient profile be kept if not monitored and only used as a device to increase professional fee? Q. What can a pharmacist do on his own to improve his ability to handle competently patient profiles? A. The maintenance of a patient profile is being advocated as a professional service to be performed by the pharmacist to improve patient care. Some members of the profession might use a patient profile as a device to increase professional fee or as an advertising gimmick to attract more customers without increasing professional service by effectively monitoring drug therapy. Of course, such actions are . 8 - access to the patient's chart or laboratory test results to effectively monitor therapy although such a data base is most helpful. With an understanding of the pharmacology of the drug and a basic knowledge of the disease states, a pharmacist can determine the appropriate questions to ask the patient to ascertain if the drug is effective and that there are no serious side effects occurring. Usually three well constructed questions will giye you this information. Using the same knowledge of pharmacology and disease, the pharmacist can utilize the profile to prevent drug-disease interactions. A profession exists to provide a service to society which can only be performed by its members. Pharmacists can provide the service of maintaining patient profiles and should, in my opinion, accept this responsibility before it is made mandatory by legislation. By James D. McMahon, Ph.D. unprofessional and unethical. Unless a profile is properly utilized it is not a professional service. A pharmacist who graduated a few years ago with no training in the techniques of monitoring therapy or drug interactions could easily become discouraged when faced with the task of maintaining profiles. However, learning on ones own to effectively utilize profiles is not impossible. Probably the best way for this educational process to occur is to start maintaining profiles and build upon what is learned each day. Very obvious problems can be discovered when utilizing a profile such as a duplication of medications. This is an advantage of the profile as a patient can easily obtain prescriptions for and consume more than one member of the same pharmacologic class. Non-compliance is another problem that becomes apparent when a profile is monitored such as the cardiac patient who obtains refills for digoxin and a diuretic without refilling the potassium chloride prescription and is thus running the risk of digitalis toxicity. The role of the pharmacist in increasing the compliance of hypertensive patients is well established. Drug abuse or the over-use of medications can also be detected using a patient profile while it might not be noticed using the traditional prescription system. All of these problems PH ARM IC-UTE . It has not been many years ago that Colleges of Pharmacy were criticized by accrediting associations if their curricula were composed to any significant extent of courses which involved the student actively in the practice of pharmacy. In other words, the student should only be taught principles which he could then apply to practice after graduation as best he could. The Profession and the States had long since recognized the need for practical experience before allowing the graduate to enter the practice of pharmacy. The Colleges, however, had not considered this type of education to be a part of their responsibility. Although many colleges began to integrate clinical clerks~ips and extern training into educational programs many years ago, it has only been in the last three years that the American Council On Pharmaceutical Education gave a clear indication that this type of training was the responsibility of the Schools and Colleges of Pharmacy. The development of the Professional Experience Program or Externship at the University of Utah College of Pharmacy began in the fall of 1973. The program was developed by the Utah Tripartite Committee on Intern Training. It was approved by the College of Pharmacy during the Winter quarter 1974 and the first three students entered the course of training in the Spring quarter 1974. PH ARM IC-UTE Basically, this program allows the student to obtain elective credit for practical professional experience in three different practice settings, namely, clinical pharmacy, community pharmacy and hospital pharmacy. The experience is controlled and structured to maximize the opportunity for the student to gain knowledge and skill in areas of practice where he has little or none. It also offers the student an unusual opportunity to observe first-hand three different types of practice before electing the one in which he wishes to practice. This training is available to the student under the course title of Pharmacy 529 for six credit hours and counts as one elective. The student spends four twenty hour weeks in each of three practice settings, e.g. clinical, community and hospital. In the clinical segment, the student spends time in lecture or discussion sessions with the clinical staff -9 - of the College, makes presentations, researches problems and participates in rounds and clerkships in the hospital. In the community pharmacy segment, the student is assigned to a preceptor in a community pharmacy -- chain, neighborhood or clinic. The student and the preceptor determine the extent of the student's experience, record it, and then from a training guide select the types of training the student will undertake and develop a time schedule for the training period. The extern's progress is evaluated each week, and at the end of the experience. Similarly, the student evaluates the site and the preceptor. The preceptor's evaluation of the student serves as a basis for credit in the course. The student's evaluation of the site and the preceptor serves as a basis for improving the experience. The extern is not paid by the preceptor, therefore, the preceptor is not allowed to use the extern as an employee. He is obligated to maintain a student-teacher relation with the student. The extern must, however, abide by all policies and rules of the training site. A coordinator from the College visits the preceptor and the student twice during each four week period to check for problems of any kind and to review the progress of the student. In the hospital pharmacy segment the procedure is the same as that outlined in the community pharmacy segment. The student may opt to take the course as many times as he wishes, however, only two electives are allowed regardless of the number of times the course is taken. Also, in the second and subsequent quarters no clinical segment is offered. The student may spent a total of twelve weeks in either the hospital or community setting or he may divide his time equally -between these two settings. He cannot spend more than one training period in any one community or hospital pharmacy. Every effort is made to place the extern in the setting of his choice. Presently, eleven community and four hospital pharmacies are participating in the program. Fifteen preceptors are being used to train students. The preceptors have been most receptive and enthusiastic about the program. Evidence of this is the fact that all have most graciously contributed time to the program over and above their normal work schedule. Up to this time, fifteen students have been involved in the training. Comments from these students have been generally favorable toward the program. All deemed the experience valuable as an educational experience, and they were also impressed with the dedication of the preceptors. In reviewing the written comments of the students and preceptors, and in conversations with them, it is quite evident that some students gained considerably more out of the training than others. It is also quite evident that this difference was not necessarily due to the preceptor or the site. It appears that some students pressed for information, challenged the preceptors and recognized and pursued opportunities for learning. Others, being less aggressive, perhaps waiting for the preceptor to "teach" them, learned, but not as much as they could have. The Professional Experience Program, like all new programs, has had numerous problems in its development related to organization, communication, evaluation, scheduling, etc. However, with the passage of each four week period, the number of problems become fewer. Presently, the Professional Experience Program offers a most unusual opportunity to the student who really wants to learn about the practice of pharmacy and to the pharmacist who wants to become involved in a challenging and gratifying experience. NEWS FROM ALUMNI AND FRIENDS OF PHARMACY If you have items that you would like to share with your friends and colleagues please complete the form on the enclosed Annual Fund Drive Envelope or simply write to us in care of: Editor, Pharmic-Ute University of Utah College of Pharmacy Salt Lake City, Utah 84112 Attention Classes of 1921-1930: Grace Youngberg Slater (1927) reminds us that we have not mentioned the Department of - 10 - . Pharmacy that existed at the University between 1917 and 1927. This program was run by the College of Medicine and graduated 46 pharmacists between 1921 and 1930. We would like to have an article on this program in a future issue of Pharmic-Ute and would appreciate hearing from members of these classes. If ,you are a graduate of this program, or if you have information on anyone who is, please write to us in care of the address given above. Lane Call (1962) is President and manager of Layton Drug Company Layton, Utah. ' Frank H. Delost (1956) is co-owner of the Bountiful Drug Company Bountiful Utah. ' ' Harold Driver is owner of Driver's Prescription Pharmacy in Ogden, Utah. Robert G. Mackie (1967) is chief pharmacist at the Kaiser Foundation Hospital, Sacramento, California. Yvonne Z. Messner (1962) is a staff pharmacist at the LDS Hospital in Salt Lake City, Utah. Lewis C. Miner (1951, 1971) is a pharmacologist at the Walter Reed Instit?te of Research in Washington, D.C. Michael S. Mortensen (1970) is a pharmacist at the Bernardo Medical Center Pharmacy in San Diego California. ' . A. Boyd Ostler (1950) is a pharmacist with the Skaggs Drug Center in Midvale u~. DEVELOPMENT FUND President's Club L. S. Skaggs, Jr. Century Club Harold E. Anderson Major Beamer Breiling Louis Goodman Jean Kuwahara Sherman Lum Steven S. Mccarter John J. Phillips Chester A. Swinyard Ewart A. Swinyard Honor Roll Mr. and Mrs. Floyd Abbott Fares Arguello Mr. and Mrs. J. W. Brazill Mr. and Mrs. Earl E. Brennan Arthur D. Broom John R. Cardinal Mary Ann Carlston Dr. and Mrs. Alan W. Castellion Alice and Lincoln Chin Cal Christensen Paul Christianson Kenneth Clinger Garth Croft Valdo Degn PH ARM IC-UTE PH ARM IC-UTE . Utah welcomes home Arthur Parkes (1952) who formerly resided in Santa l:la~bara_. California, where he was very actiye m both professional and civic affairs. Arthur, who was the first editor of Ph~c-Ute, ~s now managing Allen's Drug m American Fork and residing in Orem, Utah. Edward A. Scriven (1971) is a pharmaceutical buyer and pharmacist for Layton Drug and Kaysville Drug. Marilyn M~ller Zaitzeff (1955) is employed part-time as a pharmacist with Bartell Drugs in Seattle, Washington. Jean Kuwahara, Pharm. D., head of the Clinical Pharmacy Department at the College of Pharmacy was quietly married during the winter quarter at Park City Utah, to Scott Devenport. ' Fred Carpenter (1972) is a pharmacy ~anager at the Desert Springs Profess10nal Pharmacy in Las Vegas, Nevada. Albert Gibson (1961) residing in Las Vegas, Nevada, with his wife, Estalle, is employed at Desert Springs Hospital Pharmacy as a part time pharmacist and is also very active in the affairs of pharmaceutical organizations. Mr. and Mrs. George E. Dukes Robert Endo Sen Maw Fang Mr. and Mrs. Max B. Ferguson Edgar D. Fillipetti Marlow L. Fisher Robert A. Frampton James Freston Eldon L. Frost Ralph F. Gee David George James Gibb Alvon and Beverly Glauser Naomi Graves Grant J. Harbert son Linda Hart Pat Haussler Jim Hong Howard L. Hunter Bernard Karpf 0. W. Kasteler Fred Kogan Ronald E. Larson Harold P. Lish Kendall W. Lok Robert Mackie Robert Mason Mr. and Mrs. Adrian McOmber Frank Mielach Gen Mizutani Harley A. Mills Michael S. Mortensen Rod Moyer -11 - Dr. and Mrs. Donald P. Nash Kay Nakashima William Nichols Dr. and Mrs. George E. Osborne Ben C. Oshita Scott C. Parker Richard J. Penrose Robert Petersen Donald R. Polster Mr. and Mrs. Robert E. Reese Dr. and Mrs. David Roll Mary Sagers Ronald K. Sakamoto Jack G . Salmon Edward A. Scriven Richard Shough Cal Simper Gregory J. Skedros Grace Youngberg Slater Nate Sorkin Paul Stauffer Mr. and Mrs. Richard T. Stephens Kay Thorne William V. Trowbridge Nellie V. Vanderlinden Lawrence C. Weaver John N. West Jose Woodhead Robert L. Zimmerman Organizations Association of University Pathologists Central Utah Pharmaceutical Association Class of 1974 Kappa Epsilon, Alpha Alpha Chapter Rho Chi Society, Beta Epsilon Chapter Student American Pharmaceutical Association Utah Pharmaceutical Association Women's Auxiliary SENIOR AWARDS Lilly Achievement Award. A gold medal given to the graduating senior student having the highest scholastic average in the class. A stipend of fifty dollars, provided by the local chapter of Rho Chi Society, accompanies this award. Recipient: Gaylen M. Zentner. Upjohn Achievement Award. An engraved plaque and a stipend of $100 presented to a graduating senior student who has a superior academic average and who, in the opinion of the faculty, has best exemplified the profession of pharmacy through public service. Recipient: Karen P. Jannuzzi. Rexall Award. A bronze reproduction of a 15th century Spanish mortar and pestle mounted on a black walnut stand awarded to a graduating senior for scholastic achievement .and a particular interest in community pharmacy. Recipient: Sharon N. Irvin. Bristol Award. An engraved plaque and selected pharmacy reference book awarded to a graduating senior for scholastic achievement and a particular interest in hospital pharmacy. Recipient: Robert F. Laman. Johnson & Johnson Award. A hand-turned mortar and pestle awarded to a graduating senior for scholastic achievement and a particular interest in pharmacy administration. Recipient: Jerome R. Kalemba. Merck Award. Engraved copies of th~ - 12 - Merck Manual and Merck Index awarded to two graduating seniors for scholastic achievement and a particular interest in pharmaceutical research or clinical pharmacy. Recipients: Earl K. Leeman and William H. Doutre. Mallinckrodt Award. A sterling silver serving tray awarded to a graduating senior for scholastic achievement and a particular interest in radiopharmacy. Recipient: Patricia L. McManus. History of Pharmacy Award. Recipient: Judith Anderson. Academic Achievement Award. Recipent: Glenda E. Geister. Rho Chi. Most Improved Student Award. Recipient: George R. Tucker, Jr. The following individuals are recipients of the 1975-1976 College scholarships: Scholarship Recipient L. David Hiner --------Jann Storey L. S. Skaggs -----------Michelle Winn Robert Krebs Grace P. Swinyard ___ Judith Anderson Merit --------------------Brock Guernsey Keith Larsen Chris Jensen American Founda- Roy Tsuda tion for PharmaRussell Spence ceutical Education Gary NorDyke John Dargavel --------Helen Law John Dargavel (Pharmic-Ute Editor) -------------Steve Avey PH ARM IC-UTE ORGANIZATIONAL REPORTS RHO CHI SOCIETY Rho Chi, the quiet society people have been talking about for years, sponsored a lecture in "Black Holes" by Dr. Richard Price, Physics Department, University of Utah, during last Winter quarter. According to Dr. Price, the "Black Hole" which seems to exist in this universe is like a bestial monster of Space that devours everything that comes close to it. It even swallows all electromagnetic waves without a blink of the eyes, which is why it is called "Black Hole". Comment: Compare to the"Biack Hole", the chuckholes of our streets seem rather innocuous. In most cases you are out of it with a bump, or at most with a new hub cap or tire. If you were to stumble into the"Black Hole" in outer space, however, say bye-bye to the whole car. Driving is dangerous, on a Salt Lake City street as well as in Space. Congratulations to the newly elected Rho Chi members: Barrus, Tom W.; Chan, Wing Chin; Curia, Charles A.; Geister, Glenda E.; Guernsey, Brock G.; Hoyle, Anthony; Jannuzzi, Karen P.; Kalemba, Jerome R.; Kuwahara, Steven K.; Larsen, Keith G.; Leeman, Earl K.; Lin, Jimmy J.; Nakamura, Calvin R.; Parker, Douglas R.; Slater, James B.; Sorkin, Eugene M.; Spence, Russell A.; Christensen, John. Graduate Students: Cheminant, Robert; King, Randy; Hsu, Robert; Lin, Chin Shan. Faculty: Olsen, Carl A., R. Ph.; Uchic, John T., Ph. D. This year K.E. decided to not let the holidays go unnoticed around Skaggs Hall. Each holiday was recognized by decorations in the student lounge and refreshments for hungry people. Upcoming projects are dinners (of course); continuation of venereal disease lectures; drug surveys; participation at graduation exercises; and election of new officers. Officers for this year are: President Karen J annuzzi; Secretary Ruth Tsuda; Treasurer Pat McManus; Social Chairman Betty Hong; Historian Linda Leigh. PHI DEL TA CHI Social activities included: Monte Carlo Nite, Carnation Ball, Cabin Party, and various other parties. As far as professional projects go, we had a very successful film series during the winter quarter, and have been continuing to give our toxicology lectures to grade schools in the valley. We are now on the verge of setting up a display case in the Union Building and a Drug Information Panel. We also sponsored a bake sale every Monday in the student lounge and had a raffle during the spring quarter in order to raise money to send two representatives to our national convention in Atlanta, Georgia, this July. Our new officers for 1975 are: President, Charlie Curia; Vice President, Daryl Ek; Treasurer, Gene Sorkin; Secretary, Gary Smith; Correspondent, Russell Spence; Prelate, George Chernich; Sergeant at Arms, Kirk Brown; Inner Guard, Richard Naito. KAPPA EPSILON Pledge meetings started off the year for all K.E. members. Meetings were held for all interested in pledging, to give those third, fourth, and fifth year women interested in K.E. an idea of what K.E. is all about. K.E. is a club notorious for its dinners but also known to accomplish worthwhile projects. The project for this year was preparing venereal disease lectures for the high schools of this area. These lectures are presented with the goal of teaching high school students about venereal disease and making them aware of how the pharmacist can help them. PH ARM IC-UTE PHARMACY STUDENT WIVES Pharmacy wives have had a busy and eventful winter. January we had Dr. John Nelson, an OB-Gyn., talk to us about cancer, birth control, childbirth, and other subjects related to the female. February we took our husbands to see the Salt Lake Golden Eagles and later to the Ratskeller for pizza. March we enjoyed seeing "The Price" at the Pioneer Memorial Theater. April brought our annual luncheon and election of new officers. They are: President, Faith Stapley; Vice-President, Charlott!:! Jepson; Corresponding Secre- 13 - THIRTY-SIX YEARS IN UT AH PROMOTING THE PROFESSION OF PHARMACY tary, Collene Avey; Recording Secretary, Patty Graves; Historian, Karen Hawthorne; and Treasurer, Shawna Oblad. Graduating Senior Wives' received a membership into the Utah Pharmaceutical Association Wives Auxiliary at the Awards Banquet. They also received a PHT Diploma (Putting Hubby Through) for their aid and sacrifices throughout the school years. SAPhANEWS SAPhA has been involved in a variety of activities this year. Things got started almost simultaneously with the beginning of school with the hosting of the Regional SAPhA Convention. The multistate gathering was attended by about 80 pharmacy students. It was rated a success by the national leaders of SAPhA in attendance, with the highlight being a dented fender on Brent Whitehead's truck caused by a university shuttle vehicle checked out to Brent Whitehead. He had a hard time explaining that to the officer on the scene! Several students have gotten involved in the OTC lecture series at high schools in the valley. This project has been spearheaded by (Fig. 1, left to right) Lynn Miller and Alan Marshall. Another community service project being offered by SAPhA is hypertensive screening at University Pharmacy in Salt Lake City. This project has been organized by Cindy Ward (Fig. 2), who schedules four to five pharmacy students weekly into the pharmacy to take blood pressures and talk with patients about this disease. The following students attended the National SAPhA meeting this April in San Francisco: Evan Stapley, Delegate; Cindy Ward, Alternate Delegate; Sharon Kato; Linda Dela Mare; Brend Whitehead; Bill Doutre; Allan Ellsworth; Diane Wallace and John Douglas. The officers for 1975-1976 are pictured in (Fig. 3, left to right) Gerald Joe, Business Manager; Sharon Kato, Vice President; Rose Chilton, Secretary; and Evan Stapley, President. Fig. 1 We congratulate the men and women who have chosen pharmacy as a career and welcome you as a member of the National H~alth team. Many graduates of the University of Utah College of Pharmacy are building their future with Skaggs. Fig. 2 You, too, may find your place at SKAGGS. sfl~ . DRUG CENTERS Fig. 3 · 14 · PH A RM IC-UTE PH ARM IC -UTE - 15 - FALL HONOR ROLL 1974-1975 4.0 Dahl. S. L. Geister, Glenda Guernsey, B. G. Kuwahara, S. K. Leeman, E. K. Miya, M. T. NorDyke, G.D. Robinson, W. F. Smith, J. D. Snyder, Aurelie Stone, Linda Tucker, W. K. Zentner, G. M. 3.S-3.99 Allred, Brent Anderson, Judith Barrus, T. W. Barton, R. G. Brown, Ann Caldwell, M. D. Call. G. J. Chan, W. C. Chari, W. L. W. Christensen, J. M. Clark, T. T. Curtis, G. G. DeMartini, D. A. Edwards, D. W. Fowlks, R. K. Graham, R. A. Greenhalgh, B. R. Hamada, Lester Hoyle, Anthony Irvin, Sharon N. Jannuzzi, Karen P. Jergensen, D. 0. Joe, Gerald Kalemba, J. R. Kappa, Richard C. Lam, Pun Tak Larsen, K. G. Law, Helen Y. Naito, R. C. Nakashima, Denyse Napier, Paul Olpin, Lloyd N. Parker, D. R. Patrick, M. R. Pyper, Lee R. Robinson, Susan R. Seaman, Jody Ellen Snow, Peggy Joe Spence, Russell A. Stott, Alan L. Tsoi, Danny W. H. Tsuda, Roy Valachovic, C. S. Vickers, Evan J. Weider, P. R. Woyda, Charles Yack, Jearold W. Yeaman, Shauna L. Yee, Henry S. Yep, Vera 3.0-3.49 Adams, Kenneth - 16 - Allison, B. R. Amaral, Brenda Gail Anderson, Darrell Bakhit, Henry G. Baum, Rocky Bennett, John L. Black, Lowell I. Brown, Bruce W. Brown, Jane R. Brundage, David R. Bushnell, L. A. Chan, Allen A. Chen, Robert Colosimo, John Curia, Charles A. Daniels, Kenneth D. Dockendorf, T. A. Douglas, John D. Dow, Vicki Lynn Erdle, W. P. Passman, Ellen Felman, W. F. Gailey, Dennis K. Greenwood, B. M. Hague, Brian Hamblin, G. M. Hamilton, Paul D. Hansman, Margaret Harkness, R. W. Hoffman, J.M. Horne, Russell C. Hutzley, Terry Ann Jensen, Chris Tracy Johnston, Lynette Jung, Norman S. Keetch, Keith J. Knight, Noel B. Knudsen, W.R. Lam, Hueng C. Laman, R. F., Jr. Lawrence, C. H. Lee, W. Y. W. Ling, June Lojka, Alan Lyon,Lucy Marks, Shirley Ann Marshall, James H. Martindale, A. R. Moeller, Gary W. Moffitt, G. S. Nakamura, C. R. Neal, David Lee Nielsen, Irvin N. Nielson, Dana K. Perri, Bruno E. Petersen, J. L. Rasmussen, Shelley Reitberg, D. B. Reitz, B. A. Ross, Norman B. Seeley, A. R. Shurtz, Gary R. Slater, James B. Smith, Gary C. Smith, Roger H. Sorkin, E. M. Stefanko, T. E . Sutherland, W. B. Swilling, J. C. Towne, R. D. Tsuda, Glenn Tsuda, Ruth Tucker, G. R. VanBuskirk, Rebecca Wallace, D. L. Waller, Jerome A. Wennerstrom, Tara Wildman, Walter F. Woodall, Randy L. Wu, Karming 4.0 Geister, Glenda Jensen, Chris Tracy Seeley, Arden R. Smith, Roger H. Snow, Peggy Jo Stott, Alan L. Yack, Jearold W. Zentner, G. M. 3.5-3.99 Allred, Brent Anderson, Judith Arbon, Gary Lynn Barrus, Tom W. Barton, Richard G. Brundage, David R. Burkinshaw, B. L. Curia, Charles A. Dahl, Stephen L. Devereux, Wm. H. Edwards, David W. Erdle, William P. Fassmann, Ellen Fisher, Byron W. Graham, Ross A. Greenhalgh, B. R. Guernsey, B. G. Hamada, Lester C. Harrison, M. D. Irvin, Sharon N. Jergensen, D. 0. Joe, Gerald Jung, Norman S. Kalemba, J. R. Koelliker, M. C. Kuwahara, S. K. Larsen, Keith G. Law, Helen Y. Leeman, Earl K. Long, Susan K. Lyon,Lucy Naito, Richard H. Napier, Paul Navradszky, L. I. Nielson, Dana K. Nilson, D.R. NorDyke, Gary D. Orrock, M. W. Park, Chui Suh Parker, Douglas R. Patrick, M. R. Robinson, W. F. Sanders, R. D. Spence, R. A. Stone, Linda Sue Sunarjo, Sumini Tsuda, Roy Tucker, G. R. Valachovic, C. S. Wennerstrom, Tara 3.0-3.49 Bakhit, H. G. Bird, D. M. Brady, Scott Caldwell, M. D. Call, Gregory J. Chan, W. L. W. Christensen, John M. Christianson, S. W. Clark, T. T. Curtis, Glenn G. Dockendorf, T. A. Dow, Vicki Lynn Dyba, Richard M. Ek, DarylE. Greeman, C. R. Gailey, Dennis K. Halls, Gregory G. Hamblin, G. M. Hansman, Margaret C. Harkness, Richard W. Hickson, Lee Edward Holt, Randy M. Horne, Russell C. Houston, John D. Hoyle, Anthony Hughes, Dalton J. Hutzley, Terry Ann Jannuzzi, Karen P. Keetch, Keith J. Lam, Hueng C. Lam, Pun-Tak Lee, Wm. Y. W. Lin, Jimmy Jing-Chyi Lojka, Alan Marshall, James H. McManus, Patricia L. Moody, James I. Moss, Susan Kaye Nakamura, Calvin R. Nakashima, Denyse Y. Nalor, Helen Syme Nielson, Irvin N. Perri, Bruno E. Peterson, Mark D. Rasmussen, Shelley J. Reitz, Bruce Alan Ross, Norman Boyd Russon, Brent J. Seaman, Jody Ellen Shabestari, Shahab Shurtz, Gary R. Smith, Gary C. Smith, Jeffrey Dan Stapley, Rhonda K. Stefanko, T. E. Towne, R. D. Tsukamato, Glen Vickers, Evan James Wallace, David L. Weider, Paul R. Woodall, Randy Lyman oOo PH ARM IC-UTE UTAH'S FINEST MOST COMPLETE PHARMACIES CONVENIENT LOCATIONS • • • • • • SALT LAKE CITY, UTAH 64 East Ninth South 452 East Second South 750 East Twenty-first South 3390 South State 3271 East Thirty-third South 5520 Van Winkle Express Way BOUNTIFUL, UTAH • 6263 Orchard Drive OGDEN,UTAH • 2750 Washington Boulevard LOGAN, UTAH • 750 North Main OREM,UTAH • 1350 South State GRANGER,UTAH • 4091 West 3500 South REGISTERED PHARMACISTS ON DUTY AT ALL TIMES IN ALL OUR STORES LEADERS... IN THE DEVELOPMENT AND MANUFACTURE OF SURGICAL DEVICES ... COESERET Gf>HARMACEUTICAL COMPANY. INC. 4950 SOUTH STATE SANOY, UTAH B4070 PHONE 255-B851