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CANADIAN ASSOCIATION OF PHARMACY STUDENTS AND INTERNS LETTERS

CAPSIL - JACEIP
LE JOURNAL DE L’ASSOCIATION CANADIENNE DES ETUDIANTS
ET DES INTERNES EN PHARMACIE

In this Issue:
The Role of Pharmacists in Smoking Cessation
Pura Vida in Costa Rica
One Team: Working to Shape the Future of Health Care
CAPSIL - JACEIP

Table of Contents Thank you to all CAPSI Club Members for


A Message From the President . .....3
Mots de la Présidente .....................4
Words from the Editor ................... 5
your sponsorship:
New Educational Outcomes for First
Professional Degree Programs in
Pharmacy in Canada . .....................6 GOLD SPONSORS - GOLD SPONSORS -GOLD SPONSORS
Executive Council Updates . ........... 7
Elections Announcement ............. 12
Annonce des Élections . ................ 13
A Unified Voice for Pharmacy ...... 14
The Role of Pharmacists in Smoking
Cessation ....................................... 15
One Team: Working to Shape the
Future of Health Care ................... 18
PDW 2011 Saskatchewan ............. 19
Sponsor Message: CPhA .............. 21
Publicité: APhC .............................22
Namibia, Land of the Brave and the
Rich ...............................................24
Pharmaceutical care in Bulanga,
Uganda..or Lack Thereof ..............26
IPSF experience: Leila Clayton .... 27
IPSF visitor: Clementine ..............29
A Lesson Learned: Don’t Stereotype
Your Patients ................................ 31
Sponsor Message: TEVA - Teen SILVER SPONSORS - SILVER SPONSORS -SILVER SPONSORS
Smoking Prevention Program ......33
A Path With No Obstacles Leads
Nowhere . ......................................34
An Unexpected, Unplanned
Internship With CSHP . ................36
CSHP Corner . ............................... 37
Sponsor Message: CSHP ..............38 CAPSI CLUB - CAPSI CLUB -CAPSI CLUB -CAPSI CLUB
Sponsor Message: Ax/iz Financial:
Rx for Your Good Financial Health .
.......................................................39
Letter to the Editor .......................40

CAPSIL Staff
Joanne Shin (British Columbia)
Kristen Marlow (Alberta)
Lindsey Berast (Saskatchewan)
Laura Delavau (Manitoba) CAPSIL - JACEIP
Chelsea Barr (Waterloo) is published by the Canadian Association of Pharmacy Students and
Karen Chan (Toronto) Interns (CAPSI) as a service for its members.
Émira Glenza (Laval) All published articles reflect the opinions of the authors and not
Mylène Mahfouz (Montréal) necessarily the opinions of CAPSI or its sponsors.
Stephanie Farnham (Dalhousie) Please email your comments and articles to:
Chris Grant (MUN) Yin Hui - capsil@capsi.ca
Please contact your local rep for information on how to contribute

Fall 2010 - Automne 2010 2


CAPSIL - JACEIP
A Message From the President
Hello CAPSI Members,

The pharmacy school year is now well under way since the start of a new pharmacy
school year in September. Whether you are on your clerkship, co-op placement or simply
attending classes at your university, I hope everything is coming along well as you approach
steps closer to becoming a pharmacist.

With Professional Development Week (PDW) 2011 around the corner, local
competitions have begun to bring the best competitors of each school to compete nationally
on the Saskatoon stage. This is a chance for all the pharmaceutical care related skills learnt in the classroom to
be applied to practice. Currently, CAPSI National is in the process of finalizing a new competition, Evidence-
Based Competition, to focus on the use of evidence-based practice application to patient cases. Look forward to
more details of this from our VP education, Jeannine Oliver, within the upcoming year.

As a CAPSI member, you are also a member of the International Pharmaceutical Students’ Federation
(IPSF). Having participated in a research Student Exchange Programme (SEP) in Alexandria, Egypt, this
summer, I can say first hand, it is definitely an incredible pharmacy related experience beyond the Canadian
borders. Getting involved with international pharmacy can be an exchange, hosting a pharmacy student from
abroad or attending the upcoming world congress in Thailand, contact our Student Exchange Officer Kendell
Langjans or IPSF Liaison Suzanne Soneff for more details.

Right now is an exciting time to be in pharmacy, and the opportunities to get involved are endless! If you
are a new member, I challenge you to try at least one competition, symposia or community outreach program.
For returning members, I challenge you to try something new, like participating in your school’s Pharmacy
Awareness Week or IPSF Health Campaign, running for a CAPSI National position or attending PDW in
Saskatoon. I encourage you to take full advantage of the professional development opportunities available
through your CAPSI membership, beyond the academia. I wish you all the success in your endeavors in the
coming year, and I simply can not wait to meet you in Saskatoon!

Sincerely,

Polly Kwok
Polly Kwok
National President
4th Year Pharmacy Student, University of British Columbia

Fall 2010 - Automne 2010 3


CAPSIL - JACEIP
Mots de la Présidente
Bonjour membres de l’ACEIP,

L’année scolaire en pharmacie est maintenant bien en cours depuis le début de la


nouvelle année scolaire en Septembre. Que vous soyez en stage ou tout simplement en cours
à votre université, j’espère que tout s’en vient bien au long de vos démarches pour devenir
un(e) pharmacien(e).

Avec la Semaine de perfectionnement professionnel (SPP/PDW) 2011 qui s’en vient,


les compétitions locales ont commencé à apporter les meilleurs compétiteurs de chaque
école qui seront en compétition à l’échelle nationale à Saskatoon. C’est une chance pour
appliquer en pratique tous les compétences en soins pharmaceutiques qui sont apprises en classe. Actuellement,
l’ACEIP nationale est en train de finaliser un nouveau concours, basé sur les preuves de la concurrence, pour
mettre l’accent sur l’utilisation de l’application pratique au sujet des cas des patients. Attendez pour plus de
détails qui viendront durant l’année de notre vice-présidente d’éducation, Jeannine Oliver.

En tant que membre de l’ACEIP, vous êtes également un membre de la Fédération internationale des
étudiants en pharmacie (FIEP). Ayant participé à un programme de recherche d’échanges d’étudiants (SEP) cet
été à Alexandrie, en Egypte, je peux dire, de première main, que c’est vraiment une expérience en pharmacie
incroyable lié au-delà des frontières canadiennes. S’impliquer dans la pharmacie internationale peut être sous
forme d’échange, en accueillant un étudiant en pharmacie d’un autre pays ou en assistant à la conférence
mondiale à venir en Thaïlande. Contactez notre agent d’échange d’étudiants, Kendell Langejans, ou notre
liaison avec la FIEP, Suzanne Soneff, pour plus d’information.

Il est présentement un moment excitant pour être en pharmacie, et les occasions de prendre part sont
infinies! Si vous êtes un nouveau membre, je vous mets au défi d’essayer au moins une compétition, d’assister
aux colloques ou à un programme de sensibilisation communautaire. Pour les membres qui se sont renouvelés,
je vous mets au défi d’essayer quelque chose de nouveau, comme participer à la Semaine de sensibilisation à
la pharmacie ou la campagne FIEP sur la santé à votre école, appliquer pour un poste de l’ACEIP nationale
ou assister à PDW à Saskatoon. Je vous encourage à profiter pleinement des possibilités de perfectionnement
professionnel offertes par votre adhésion à l’ACEIP, au-delà du monde universitaire. Je vous souhaite tout
le succès dans vos efforts dans l’année à venir, et j’attends avec plaisir de vous rencontrer à Saskatoon!

Cordialement,

Polly Kwok
Polly Kwok
Présidente nationale
Étudiante de 4ème année en pharmacie, Université de la Colombie-Britannique

Fall 2010 - Automne 2010 4


CAPSIL - JACEIP
Words from the Editor
As I began organizing all the submissions for this issue of the CAPSIL, I found that the
articles perfectly encapsulated the pharmacy education experience. From challenges faced
in the admission process (Jeffery Liu, page 33), to experiences in summer employments
(Charles Au, page 35), to the awesome times abroad (pages 24 - 28), to the reflections on
our changing profession, this issue reminded me of the fun (and non-so-fun) times I’ve had
in during my university years.
The past few months have been both exciting and scary. Our profession is being faced
with many opportunities and challenges, and we as students are right in the midst of the
change. Take a look at your fellow students’ thoughts on our expanding scopes on pages
14 (Chelsea Barr) and 15 - 17 (Amanda Teti). Our neighbour of the south -- APhA-ASP
provided a glimpse of the initiatives they are taking to advance the profession (page 18). Last, but certainly not
least, from the Association of Faculties of Pharmacy of Canada (page 6) comes an article on the direction our
faculties is pledging to take with our education.

Without further ado, scroll down and enjoy!

Yin Hui
Yin Hui
CAPSIL Editor
4th Year Pharmacy Student, University of Toronto

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10-088

Fall 2010 - Automne 2010 5


CAPSIL - JACEIP
Guest Column

New Educational Outcomes for First Professional


Degree Programs in Pharmacy in Canada
T he Association of Faculties of Pharmacy
of Canada (AFPC) is a national non-profit
organization that provides leadership, the promotion
Collaborator, Manager, Advocate, Scholar, and
Professional. Emphasis is placed on the multiple
roles of graduates through explicit statements within
and the recognition of excellence in pharmacy the appropriate educational outcomes.
education and scholarly activities in Canada. Recognizing that the Educational Outcomes for
An important activity of the AFPC is to establish First Professional Degree Programs in Pharmacy in
educational outcomes for educating students to Canada is a dynamic document, AFPC has approved
become pharmacists in a process for review
Canada. The educational ... educational outcomes are formatted which includes a
outcomes are routinely 1-year interim, and
used in the planning, with the overall goal of graduating a 3-year full review.
implementation Medication Therapy Experts ... The new educational
and evaluation of outcomes have been
university pharmacy widely disseminated
degree programs. The Educational Outcomes for to all Faculties, national pharmacy organizations and
First Professional Degree Programs in Pharmacy selected other national organizations. Presently, each
in Canada were approved by the AFPC Council at pharmacy Faculty is in the process of using the new
its Annual Meeting in June 2010. These outcomes educational outcomes to review and make revisions
will replace previous educational outcomes for a to the current curricula.
Baccalaureate Pharmacy Graduate in Canada (Final AFPC is in the process of establishing the
report May 28, 1998) and the educational outcomes necessary levels and ranges of competency for
for entry-level Doctor of Pharmacy Graduates in each educational outcome, which will indicate the
Canada (May 2007). (See previous educational expected level of performance for graduates.. Once
outcomes: http://www.afpc.info/content.php?Section this second phase is completed, the Educational
ID=4&ContentID=21&Language=en. Outcomes and respective competency levels will
The 2010 Educational Outcomes were form an essential component of the foundation
developed by an AFPC Task Force that received against which pharmacy schools across Canada will
feedback from the AFPC Council, The Association of be accredited.
Deans of Pharmacy of Canada (ADPC), all Faculties Students are encouraged to become aware and
of Pharmacy across Canada, and selected pharmacy understand the education outcomes as they reflect
stakeholders. The result was the development of one the intended outcomes for pharmacy education in
set of educational outcomes for all entry-to-practice Canada. The document is posted on the AFPC website
pharmacy programs in Canada, regardless of the http://afpc.info/downloads/1/AFPC_Education_
degree offered (Bachelor of Science in Pharmacy or Outcomes_AGM_June_2010.pdf. If you have any
PharmD (entry-level)). questions or feedback about the new Educational
The revised educational outcomes are formatted Outcomes please contact your local AFPC councilor
with the overall goal of graduating Medication (to locate your faculty AFPC councilor see http://
Therapy Experts. This requires graduates to www.afpc.info/content.php?SectionID=2&ContentID
integrate knowledge, skills and attitudes from seven =11&Language=en. Alternatively please contact Dr.
educational outcomes which have been defined Harold Lopatka, AFPC Executive Director, by email
under the roles of: Care Provider, Communicator, hlopatka@telus.net or phone 780-868-5530. n

Fall 2010 - Automne 2010 6


CAPSIL - JACEIP
Executive Council Updates
Past President council. We work diligently President-Elect
Bradford Elliott throughout the year to advocate Jillian Grocholsky
for our members and to promote
On May 14th, 2010, the official My term as President-Elect thus
the profession of pharmacy. From
changeover for the 2010 – 2011 far has been filled with countless
a personal perspective, I wrote
CAPSI National Executive learning opportunities. I have
a letter addressed to Ontario’s
Council took place at the Canadian been fortunate to work closely
Health Minister Deborah
Pharmacists Association (CPhA) with both the current and past
Matthews in response to the
Annual National Conference in CAPSI presidents, as they have
generic drug reform announcement
Calgary, Alberta and my transition proven to be excellent resources
in Ontario in April 2010 in order
from National President to Past– throughout my transition into
to express our concerns, as future
President. I have now been with this role. In addition to learning
practitioners, with the proposed
CAPSI for about two years and the functions and intricacies
cuts. As well, in collaboration
though there have been many of CAPSI in preparation for a
with the University of Toronto and
challenges, the experience has successful term as president, the
University of Waterloo pharmacy
been extremely rewarding and President-Elect is also responsible
student society presidents, we
has provided me with many fond for contributing to, and chairing
developed a nationwide petition
memories. I would like to send various subcommittees including
that obtained over 800 signatures
my utmost appreciation to the the website and constitutional
in under 48 hours. To those of
2009 – 2010 CAPSI Council review committees.
you who provided us with your
for their passion, dedication and The website committee has
support, thank you! We recently
commitment to the association, to work diligently over the summer
launched http://www.pharmacy-
the pharmacy students of Canada months alongside our new CAPSI
jobs.ca in partnership with CPhA
and to the profession of pharmacy. Webmaster Franky Liu. We are
and Workopolis. This website aims
You have helped to make my year pleased to announce the launch of
to promote the free movement of
as President an unforgettable one! a completely redesigned CAPSI
pharmacists across the country.
The role of Past-President is one website. The updated layout and
Please take a look and post your
that has been designed to enhance design boasts many new and
resume for free (before November
continuity within CAPSI through exciting features such as tabbed
30th for a chance to win a $500
continued supervision over the submenus, a more intuitive
Future Shop Gift Card)!
activities of the association. I navigation scheme and a new
We are committed to
will continue to collaborate with integrated search function that
consistently improving our
the President and other executive will allow users to find all of the
communication with organizations
council members to ensure the CAPSI information they may need
such as CPhA, local pharmacy
current President–Elect, Jillian with ease. You will also find a
student societies and with
Grocholsky, will be ready for her direct link to the new pharmacy-
you, our members. If you have
term as President beginning in jobs.ca site. Be sure to check it
any questions, concerns, or
May 2011. In addition, I will sit on out!
comments, please do not hesitate
council committees and participate The constitutional review
to contact your local CAPSI
in meetings to provide any committee has been busy
representatives, or myself directly
pertinent information or advice reviewing the many of the
at pastpres@capsi.ca. For more
from a ‘historical’ perspective. Association’s official documents,
information regarding the CAPSI
Since my last update to providing suggestions and making
National council and some
membership, it has been business revisions where necessary.
of our initiatives, please visit
as usual for the CAPSI National Documents currently undergoing
http://www.capsi.ca

Fall 2010 - Automne 2010 7


CAPSIL - JACEIP
Executive Council Updates
review include CAPSI’s position drives to improve member insuring your future. Not only
paper on Entry Level PharmD benefits. Responding to emails will there be amazing door prizes
as well as documents related to from the local reps, national but they’ll be providing $5.00 per
a sponsorship initiative that is council, pharmacist members, person to CAPSI National AND
in the works entitled “Friends and pharmacy students from other new this year, $5.00 per person to
of CAPSI”. Stay tuned for countries also keeps me busy! your local graduation fund!
more information regarding As a member of the Translation Stay tuned for more updates
this exciting new initiative! Committee and Constitution and we look forward to working
Preparations are currently being Review Committee, I have been with you this year. Feel free to
made for the review of the revising documents and providing email me at vpcom@capsi.ca if
Association’s constitutional by- feedback to the chairpersons. I you have any ideas, questions,
laws and operating manual such have also started organizing the comments or concerns regarding
that the CAPSI membership national elections for PDW and your membership benefits!
may approve any changes at this the call for nominations has been
year’s Professional Development included in this issue. Please
Week Annual General Meeting in visit the CAPSI website for more
Saskatoon. information on the position Vice President
I look forward to meeting descriptions and contact Education
many new faces at PDW 2011 your local rep or myself at Jeannine Oliver
and encourage your continued secretary@capsi.ca to find
involvement with CAPSI. With out why becoming involved on
many exciting changes on the Since May, I have been serving
the National Level is a great
horizon in pharmacy, there is no as your VP Education and have
experience and unique learning
better time to get involved! had the opportunity to work on a
opportunity!
number of initiatives for the 2010-
2011 term. When I was elected
to National Council at PDW in
Executive Vice President Toronto, I set a number of goals
Secretary Communications for myself and this position and
Megan Riordon Maria Zhang since then I have been working to
accomplish these.
During the summer months, I
Since being elected, I have Hey CAPSI! Welcome to a worked to prepare the documents
attended the 2010 CPhA brand new year of pharmacy. for CAPSI’s four competitions
Conference in Calgary and have Whether it’s your first or last year, (Patient Interview Competition,
now completed the minutes we’ve got plenty of benefits lined OTC Competition, Compounding
from the conference as well as up for you. So far this year, I’ve Competition and Student Literary
the minutes from our Summer been coordinating with your local Challenge) and formulated the
Teleconference so will post them representatives and our corporate patient scenarios for the PIC and
to the website once they are sponsors to bring you key parts of OTC Competition. This task could
approved by council during our your benefit package including the not have been completed without
Fall Teleconference. As Chair re-vamped Apotex backpacks and the hard work of the Competition
of the Membership Committee, our TEVA waterbottles. For our Review Committee, made up of
I have been assembling our graduating class, Ax-iz financial Brad Elliot, Pascale Lanthier-
nationwide membership database group will be giving a very Labonté and Sarah Creaser (thanks
and will soon be working with the informative information session for all your hard work CompRC!).
committee to discuss membership to the 4th year students regarding In addition to preparing for
Fall 2010 - Automne 2010 8
CAPSIL - JACEIP
Executive Council Updates
this year’s local competitions, I and returning CAPSI members the symposia held by your local
have been working to bring a new a sincere welcome! Since the school will provide you with
competition to CAPSI members. beginning of my position in May utmost benefit in learning about
The  Evidence Based Practice at the CPhA conference in Calgary, the current issues and trends in
Competition  will present teams there has been one major change to pharmacy.
of four pharmacy students with a the position – what was originally As for interprofessional
clinical scenario that requires them known as the VP Interprofessional collaboration, I am writing an
to identify, prioritize and resolve Affairs has now been changed article for our fellow students
drug-related problems (DRPs). to the VP Professional Affairs; south of the border in the
In order to answer the clinical and thus I have an expanded next issue of the American
question at hand, each team role in the promotion of your Pharmacist Assocaitions’ Student
will have to critically appraise professional development. Aside Newsletter to briefly outline what
scholarly articles and formulate a from advocating interprofessional interprofessionalism initiatives
response. Potential sponsors are collaboration, I have to date been are occurring in Canada nation-
being approached and with their involved with the coordination of wide. In the meantime, please
generous support, CAPSI hopes to outreach programs, your yearly contact me - I appreciate your
bring you this exciting opportunity symposia, as well as the new feedback and am interested in
in the 2011-2012 year. CAPSI stickers that some schools knowing about local initiatives for
In the coming months, I will now have. Use of this sticker on interprofessional collaboration that
be finalizing the PIC and OTC your ID cards will facilitate us you may be seeing in your school.
Competition scenarios for National in our CAPSI-only events, and If you are looking to promote
Competitions that will take place to provide you with the most interprofessional initiatives within
at PDW in Saskatoon. In addition, experience from CAPSI. your school, leave me an email.
I will be work ing to expand the The popular Operation You can contact me at vppa@
CAPSI National OSCE Case Washup and Operation Allergy capsi.ca and I will be more than
Bank. These cases are reviewed outreach programs are underway happy to help you. Best wishes
by the PEBC and are available to this year once again! Participate in for an amazing school year!
Local CAPSI Chapters that plan your school for outreach initiatives
to hold Mock OSCE events. to a local elementary school and
  While there have been teach the kids the importance
challenging moments, my of washing their hands by
experience as VP Education has demonstrating with a cool gel Finance Officer
be an extremely rewarding one! If that lights up under ultraviolet Amy Wong
you would like more information light. There may be more outreach
or are interested in running initiatives coming up soon, so Hi everyone!
for this position, please do not keep your eyes peeled. Please My first job as Finance Officer
hesitate to contact me via email at contact your local representatives back in the spring was to draft
vped@ capsi.ca.  for more information. the upcoming 2010-2011 Budget,
Your symposia this year will which was approved by council
incorporate one of two topics that at the CPhA conference. Since
will be discussed nation-wide: the
Vice President Drug Reform policy currently
then, I have updated QuickBooks
with all of last year’s transactions,
Professional Affairs seen in some provinces, or Harm prepared all the necessary
Lora Wang Reduction that may be seen in documents and touched base
your local areas. Both are hot with our accountant to file taxes
I would like to wish all new topics of the year and attending for the fiscal year end. CAPSI

Fall 2010 - Automne 2010 9


CAPSIL - JACEIP
Executive Council Updates
National ended the year with a Canadian students interested in as Chairperson of Professional
positive number and upheld fiscal hosting a pharmacy student or Development and Chairperson
responsibility. travelling abroad through SEP of Public Health respectively for
In September, I moved the to contact me or your local IPSF the 2010-2011 year; and my co-
CAPSI account to ScotiaBank, representative – I love hearing delegate Suzy, whose passion for
as they are now our official bank from Canadians interested in pharmacy and IPSF never ceases
sponsor. Additionally, I have been IPSF, which has become near and to amaze me. The 2011 World
in touch with Maria in drafting dear to my heart over the past 2 Congress will be Aug 3-13 in
invoices to all CAPSI Club years. The Canadian deadline HatYai, Thailand, and I encourage
members as well as competition for SEP applications this year is everyone to attend!
and award sponsors. Currently, December 23, 2010. Applications Closer to home, I’m continuing
I am working with Kendell are done through the IPSF work on the CAPSI-IPSF Health
in sending reimbursement database, which is currently under Campaign Award to be awarded
cheques to all qualifying Student construction. Students can find at PDW in Saskatoon. Hopefully
Exchange Program participants more information on how to apply this year we will have sponsorship
from this past summer. I am and pay their application fees on for a monetary prize for the
also continually keeping track of the CAPSI website. winning school to put towards
all incoming revenue as well as This summer I had the IPSF activities. I’ve also started
expenditures using QuickBooks opportunity to represent Canada recruitment for host pharmacists
and comparing it against our at the 56th IPSF World Congress for SEP in summer 2011. If you
budget to ensure we are where we in Ljubljana, Slovenia along with or someone you know is interested
need to be financially. 11 other Canadians. Suzanne in showing an international
See you all at PDW Saskatoon! Sonneff and I were your Official student what pharmacy practice is
Delegates, which meant we went like in Canada, please contact me
to all of the meetings in the at seo@capsi.ca.
General Assembly to represent
Student Canadian interests. Over 300
Exchange Officer students from 45 different
Kendell Langejans countries participated in 10
days of activities, including IPSF Liaison
The IPSF Student Exchange team-building exercises, Suzanne Soneff
Program in Canada continues to educational lectures, and the first
grow. This summer we placed public health campaign as part of
Since CphA, I have been
16 international students in a Congress, educating Slovenians
working with Kendell to learn
community and research positions about HPV. Special shout-outs go
my duties as IPSF Liaison. I am
across the country, and sent 19 to Stephanie Ma (U of T), Monica
usually busy reading reports from
Canadian students abroad – Chung (U of T), and Pamela
other countries about the project
you can read more about their Fu (UBC) for making it to the
they have been running and
experiences in this issue of the finals in the Patient Counselling
answering e-mails about pharmacy
CAPSIL. This means that next Event, especially to Stephanie
in Canada for students who are
summer we will be able to send who won the beginner category;
interested in doing an exchange or
24 Canadian students abroad! Shirley Yeung (UBC grad) who
coming for a post grad program.
Thank you to all of the local finished her term as Chairperson
My first big task was to represent
IPSF representatives and students of Professional Development;
CAPSI at the 56th World Congress
who contributed to the program Eric So and Sharon Leung (both
in Ljubljana, Slovenia at the
this summer. I encourage all UBC grads) who were elected
beginning of August.

Fall 2010 - Automne 2010 10


CAPSIL - JACEIP
Executive Council Updates
In addition to attending the months I will be working with the their thoughts, opinions and
congress, I also participated in local IPSF liaisons to organize ideas. Since CPhA, I have been
Leaders in Training, a leadership this year’s diabetes, health and coordinating with the CAPSIL
program that brought together 14 wellness campaign and I will be reps from each school and
students from across the world. I working on promoting the 57th other organizations to gather
am also on the IPSF Development IPSF World Congress in Hatyai, submissions to this issue.
Fund Committee, where I will be Thailand. In addition, I also serve as
a part of the review committee in the chair for the Translations
selecting candidates to receive Committee. Thus far, we have
financial aid from IPSF in order translated various documents for
to allow those students to attend the CAPSI competitions that take
events such as congress, SEP CAPSIL Editor place throughout the year. A big
and other conferences. Yin Hui thanks for everyone who helped
Since coming back from out, and to Pascale Lanthier-
congress, I have also been trying The CAPSIL is published three Labonté, Megan Riordon,
to promote Japan’s Pharmaceutical times a year for the purpose of and Jessica Proulx King for
Tour, which has been generously keeping CAPSI members up- proof-reading and last minute
opened to Canadian students. In to-date on the executive council translations!
September, I was working with activities and current issues Please feel free to contact me
UBC’s local council to recruit affecting pharmacy practice. It at capsil@capsi.ca, or your local
new members and promote IPSF/ also strives to serve as a medium CAPSIL rep to submit an article
SEP. In the next few weeks/ for students to share and discuss for future issues! n

INDUSTRIAL PHARMACY RESIDENCY PROGRAM


LESLIE DAN FACULTY OF PHARMACY
UNIVERSITY OF TORONTO
Original application forms, letters of reference and transcripts for the one-year Industrial Pharmacy Residency
Program, sponsored by the Leslie Dan Faculty of Pharmacy, University of Toronto, in cooperation with the
Faculty of Pharmacy, University of Montreal and participating companies, should be sent to the coordinator
of the program 144 College Street, Toronto, ON. M5S 3M2 during the period of November 1, 2010 to January
31, 2011. The participating companies for the 2011 – 2012 term are expected to be: Eli Lilly Canada Inc.,
ESI Canada Inc., GlaxoSmithKline Inc., Hoffmann-LaRoche Ltd., Merck Frosst Canada Ltd., Patheon Inc.,
ratiopharm and Takeda Canada. For further information, please contact the coordinator, J. Graham Nairn
at 416-978-2881 or the assistant, Diana Becevello at 416-978-2880. Full information is provided at the
website www.pharmacy.utoronto.ca

Fall 2010 - Automne 2010 11


CAPSIL - JACEIP

CAPSI National Executive Council Elections


CAPSI National is now accepting applications for the following Executive Council positions for the 2011-2012 council year.

Your Executive Council is made up of eleven positions. Eight of these positions are elected at the PDW Conference each year. The
positions are as follows:

• President-Elect
• Executive Secretary
• VP Communications
• VP Education
• VP Professional Affairs
• Finance Officer
• International Pharmacy Students’ Federation (IPSF) Liaison
• CAPSIL Editor

Elections proceedings will take place on Friday, January 14th, 2011 at PDW 2011 in Saskatoon, SK. If you would like further details
regarding any of these positions, please contact your Senior or Junior CAPSI Representative, and he/she will help you to get in touch
with the Executive member currently holding the position. Alternatively, I can be reached at secretary@capsi.ca and I will place you in
contact with the appropriate individual.

Interested candidates are encouraged to consult the summary of portfolio descriptions detailed in Section 3.2 of the Operating Manual
on the CAPSI website (capsi.ca).

What do I need to do?

Interested applicants are required to:


- Submit a signed nomination form (available from your local CAPSI Senior or Junior Representative);
- Prepare a curriculum vitae (CV) and letter of intent detailing the candidate’s qualifications, goals and reasons for seeking the
position;
- Deliver a five-minute speech during the Election Proceedings at PDW (any candidate that cannot attend PDW must submit a five-
minute videotaped speech).

All application materials must be postmarked or emailed to Megan Riordon secretary@capsi.ca no later than December 31st, 2010.
Videotaped speeches may be mailed or uploaded to YouTube. (Please contact me for further details.)

Alternately, applicants may also submit their application to their Senior or Junior CAPSI Representative 24 hours prior to the
election proceedings at PDW 2011 (January, 14th, 2011 at 0930hrs). No late applications will be accepted.

Interested candidates are asked to contact their


Senior or Junior CAPSI Representative for more information.

Fall 2010 - Automne 2010 12


CAPSIL - JACEIP

Élections du conseil exécutif national de l’ACEIP (CAPSI)


L’ACEIP (CAPSI) a ouvert les élections et accepte les mises en candidature pour les postes suivants sur le conseil exécutif pour
l’année 2011-2012.

Votre conseil exécutif est formé de onze postes. Huit d’entre eux sont élus à chaque SDP – congrès PDW. Les postes sont les suivants :

• Président(e) élu(e)
• Secrétaire exécutif(ve)
• VP Communications
• VP Éducation
• VP Affaires interdisciplinaires
• Responsable des finances
• Responsable de la liaison à l’ I.P.S.F.
• Éditeur du JACEIP

Les procédures électorales auront lieu le vendredi 14 janvier 2011 au PDW 2011 à Saskatoon, SK. Si vous désirez de plus amples
informations sur ces postes, veuillez contacter vos représentants Senior ou Junior et il/elle vous aidera à entrer en contact avec le
membre du conseil occupant présentement ce poste. Aussi, je peux être rejoint à secretary@capsi.ca, et je vous mettrai en contact avec
la personne appropriée.

Tout le matériel de mise en candidature doit être marqué du sceau de la poste ou à secretary@capsi.ca au plus tard le 31 décembre
2010. La date limite pour postuler sera 24 heures avant le processus électoral au PDW 2011 (14 janvier 2011 à 9h30 AM).

Les candidats intéressés sont priés de communiquer avec leur représentant Senior ou
Junior de l’ACEIP (CAPSI) pour d’autres informations.

Fall 2010 - Automne 2010 13


CAPSIL - JACEIP
Student Perspective

A Unified Voice for Pharmacy


By: Chelsea Barr, University of Waterloo

I n early April, the Government


of Ontario Ministry of Health
and Long-term care announced
proceeded with the proposed cuts
and left many pharmacists feeling
undervalued and defeated. Since
adequately reimburse pharmacists.
Although pharmacists in Alberta
currently enjoy the responsibilities
massive cuts to health care the implementation of these cuts, of the authorization to adapt
spending that would remove $750 the push for pharmacy services prescriptions, prescribe in an
million in professional allowances has all but come to a standstill, emergency, and administer
to pharmacies, while only making providing a dismal outlook for injections, this move by the
slight increases to dispensing fees further compensation in Ontario Government of Alberta proved yet
and other professional services. pharmacies. again to the pharmacy community
While the government justified However, while Ontario that a patient-care oriented
these cuts as “eliminating abuse pharmacists spent the summer practice is not something that we
of the system” and “offering advocating against these proposed will be seeing any time soon.
patients wider access to lower-cost cuts, pharmacists in Alberta were So what can we, as students,
medicines”, what it meant for most working towards a new pharmacy do to ensure that our role as
pharmacies was that there would compensation model through health care providers is not
now be a $200,000 to $300,000 the Pharmacy Practice Models undervalued? We need to let our
loss of annual funding used for Initiative (PPMI). This much provincial governments know
direct patient care, with no real less-advertised initiative involved that the knowledge and skills we
plan in place to compensate for 107 pharmacies in Alberta and have will provide optimal drug
these losses. was to provide a model through therapy outcomes for our patients
In response to these which Alberta pharmacists could and lead to an increase of wellness
announcements, pharmacists, be compensated for the care in our communities. We need to
students, technicians and patients they provided under their new be a unified voice on issues such
banded together to protest the expanded scope of practice. as funding cuts, expanded scopes
cuts that would restrict patient Disappointingly, on June 29, of practice, and cognitive service
care for those who need it most. 2010, after a full year of a pilot reimbursement. Pharmacy services
We saw websites, news releases, project launch and research, are an integral part of the public
YouTube videos, Facebook Minister Zwozdesky of Alberta health care system, one that should
groups, campaigns, and rallies all Health and Wellness announced not be undervalued or trivialized
devoted to by provincial governments. n
proving that Pharmacy services are an integral
pharmacy part of the public health care system ... Editor’s Note:
services are For more information on the
valuable should be undervalued or trivialized... Ontario Drug Reform, please
to Ontario visit the Ontario Community
citizens, and that pharmacists that, “more evidence [was] Pharmacies at: http://ontario.
need to be compensated for the needed to substantiate the cost communitypharmacies.ca/
care they provide. However, effectiveness and value to the More information on the
despite the campaign put forth health system”. Without a Alberta’s PPMI can be found
by many dedicated groups, on backing by provincial government, at the Alberta Pharmacist’s
June 7, 2010, Minister Matthews third party payers will also not Association: http://www.rxa.ca/

Fall 2010 - Automne 2010 14


CAPSIL - JACEIP
Student Perspective
The Role of Pharmacists in Smoking Cessation
Fighting the war against nicotine dependence
By: Amanda Teti, Memorial University of Newfoundland

C igarette smoking produces


a substantial burden to
society’s healthcare system. In
however, is its role in increasing
insulin resistance, the risk of
infectious diseases, complications
fact, tobacco use is the most to surgery, along with a multitude
common cause of preventable of other problems. 4 Cigarette
death and disease in Canada smoke harms nearly every organ.1
and the United States. 1,2,3 Tobacco smoke contains over 4000
Many people are aware chemicals, with nicotine being the
of the link between culprit for its addiction potential.
tobacco use and the Its high capacity for addiction
acceleration of can be credited to the release of
cardiovascular dopamine in the mesolimbic area,
disease and a.k.a. “the reward pathway”, as
lung cancer. well as in the corpus striatum
Less well and prefrontal cortex. 1,4 As
known, such, ‘nicotine dependence’ is
labelled as a medical disorder
in the Diagnostic and Statistical
Manual of Mental Disorders
(DSM-IV), as it encompasses a

Continued on page 16

Fall 2010 - Automne 2010 15


CAPSIL - JACEIP
craving and withdrawl symptoms had ever asked them whether
Continued from Page 15 that would otherwise lead the they used tobacco or ever
cluster of cognitive, behavioural patient to seek his/her next advised them to quit found that
and physiological symptoms (an cigarette. The dose of nicotine is pharmacists were the health care
essential feature for the diagnosis lower compared to smoking and professionals that enquired about
of substance dependence). 5 Thus, is gradually diminished, with the their habits the least, with only
despite the fact that nicotine itself ultimate goal
has a relatively minor role in the of obtaining 68% of [patients] would be either
toxic effects of cigarette smoke, its abstinence
extremely high addictive capacity
“very or extremely likely to meet with a
at the end of
makes it a pharmacological target the treatment pharmacist for one-on-one counselling”
in the fight against smoking. period.
Since quitting ‘cold turkey’ Pharmacists are in an excellent 4.9% of participants reporting that
results in the highest rates of position to provide tobacco- their pharmacist had asked them
relapse, it is recommended cessation services. As one of about tobacco use, and only 1.9%
that all smokers trying to quit the most accessible health care reported that their pharmacist
be offered medication.1 There professionals, pharmacists had advised them to quit.10 This
exists several drug replacement are ideally situated on-site in finding suggests a possible area of
therapies targeted at blocking the the pharmacy where smoking improvement in which pharmacists
reinforcing effects of nicotine. cessation products are obtained. could take a more active role in
Among these include the As an added benefit, NRT products smoking cessation counselling.
prescription medication bupropion do not require a prescription, Results from studies done
(Zyban), which exerts its action and as such, pharmacists can on NRT patients’ perception
by blocking cholinergic receptors provide these products on the of the role of pharmacists in
in the dopaminergic pathway, spot to smokers that walk into smoking cessation counselling
and varenicline (Champix), an the pharmacy expressing or even are encouraging. In one particular
alpha4beta2-nicotinic receptor contemplating a desire to stop study, 63% percent of participants
partial agonist that reduces the smoking. believed that receiving advice
pleasurable effects of smoking. 6,7 Having received training in or assistance from a pharmacist
Other drugs target CYP2A6, the tobacco cessation approaches, would either “probably or
cytochrome primarily responsible pharmacists are competent definitely increase a smoker’s
for the metabolism of nicotine.4 professionals capable of providing likelihood of being able to
In doing so, they increase nicotine these services. Furthermore, a quit”.11 Furthermore, 68% of
levels from tobacco use and thus ‘train-the-trainer’ model has been participants stated that they would
reduce the urge to smoke. The implemented, in which pharmacist be either “very or extremely
drug methoxsalen does this by educators are distributing curricula likely to meet with a pharmacist
blocking CYP2A6, however it is to pharmacy schools to enhance for one-on-one counselling”.11
related to significant toxicity, thus tobacco cessation training of These findings, together with
making its routine clinical use pharmacy students.9 This has led the ideal point-of-purchase
problematic. 4,6 to an increase in pharmacists’ position of the pharmacist in the
First-line treatment for smoking interest and confidence in pharmacy, strongly suggests that
cessation is, paradoxically, providing smoking cessation pharmacists are perfect candidates
nicotine replacement therapy services. In a recent survey
9
for providing smoking cessation
(NRT).8 It works through the conducted by Hudmon, 71% of counselling.
concept of harm reduction, as pharmacists stated that they felt One area in which pharmacists
it provides a source of nicotine tobacco cessation counselling is can be of huge assistance to the
free of the toxic hydrocarbon an important activity.9 However, patient is in the selection and
components found in cigarettes. one particular study that asked dosing of a smoking cessation
By administering nicotine to the participants to report whether
patient, NRT assists in reducing Continued on Page 17
specific health care professionals

Fall 2010 - Automne 2010 16


CAPSIL - JACEIP
Nicotine has a relatively short situations which will increase
Continued from Page 16 half-life of two hours; thus, by the patient’s desire to smoke,
product. Selection of a particular the time a smoker has gone to bed and to accordingly have the
smoking cessation product should and wakes up, approximately four patient plan to avoid these places.
be individualized and tailored half-live passed, and the drug is When arranging follow-up, the
to the specific individual. When therefore almost 94% eliminated. 6
pharmacist should set a specific
choosing a product for a specific It thus comes as no surprise time aside to call the patient or
individual, many factors should be that many smokers will seek a schedule a meeting. During this
considered. Among these include cigarette as soon as they wake monitoring time, it is important for
patient preference, previous up in the morning in an attempt the pharmacist to be empathetic
experience with medications, to relieve or avoid withdrawl and praise patient progress.1 This
current medical conditions, symptoms. Patients that display
5
is also a good opportunity to
medication compliance issues this behaviour (i.e. smoke their monitor for drug-related problems,
and cost of treatment.12 There first cigarette within 30 minutes of thus decreasing the patient’s
exists a variety of formulations waking-up) are considered highly risk of relapse.1 Ultimately, it is
amongst NRT alone, each one nicotine dependent and it is thus important to create a therapeutic
consisting of different advantages recommended that they start with relationship so that the patient
and disadvantages. The popular the 4mg pack. 1,12
feels comfortable to report back
transdermal patch is low to the pharmacist at the
maintenance, requiring the Pharmacists are in an excellent position first signs of a relapse,
patient to change the patch so as to abort it as soon
only once a day. It provides to provide tobacco-cessation services as possible. 8
a continuous baseline- The well-established
like level, with nicotine levels Since the pharmacist is in health consequences of smoking,
rising slowly over the 24 hours. direct contact with the patient alongside with the exposure to
Of the different NRT treatments, each time they come to pick second-hand smoke, is responsible
it takes longest for peak levels up their smoking cessation for millions of preventable deaths
to be obtained (approximately medication, the pharmacist has annually. The use of smoking
3-12 hours versus 30-60 minutes several opportunities to intervene. cessation products helps decrease
for the other formulations) ; 1,12
The Clinical Practice Guideline patients’ risk of relapse. Patients
however, as such, it provides a for Treating Tobacco Use and have expressed the view that
larger challenge to the patient as Dependence recommends a “5 pharmacist-assisted cessation is
it is the NRT that least resembles As” approach - ask about tobacco an appealing approach to smoking
the instant gratification received use at every visit, advise patients cessation. Thus, pharmacists are
when one smokes a cigarette. The to quit, assess willingness to quit, in an excellent position to provide
oral inhaler is a convenient option assist with quitting, and arrange smoking cessation counselling
for those people who desire to follow-up counselling.11 Studies to patients. With the combination
satisfy the hand-to-mouth smoking have found that delivery of the last of pharmacotherapy, behavioural
behaviour that they have become three As have been particularly modification counselling, follow-
accustomed to. A disadvantage low – however their use is of up monitoring and support,
of this formulation however, is large importance. When assisting
11
pharmacists can play a very
its higher cost ($550-900 per 12 a patient in a quit attempt, it is important role in the war against
week treatment period).1,12 The important to use a combination nicotine dependence. n
gum and lozenge formulations of both pharmacotherapy
come in two strengths: 2mg and behaviour modification For references, please see appendix
and 4mg. When deciding on counselling. The pharmacists available at http://capsil.capsi.ca
which strength a patient should should help the patient identify This article was awarded the 2010
commence on, the most important anticipated challenges and ways to Alcohol and Drug Dependency
factor to consider is a patient’s overcome them. A good example Commission Commemorative
level of nicotine dependence. of this is identifying social Award in MUN

Fall 2010 - Automne 2010 17


CAPSIL - JACEIP
Guest Column
One Team:
Working to Shape the Future of Health Care
From the American Pharmacists Association Academy of Student Pharmacists
By: Steven Zona, APhA-ASP National President

W ith
number
the
of
increasing
specialists
and professionals involved in
professionals who are committed to
the best possible care for patients.
No matter what area of pharmacy
APhA-ASP is working to further
the goals of interprofessional
collaboration through advocacy,
the care of patients today, the you choose to practice; you will communication, and collaboration.
be directly touched by the need to This year APhA-ASP is partnering
importance of communication and
effectively collaborate with other with the National Student Nursing
coordination between members of
health care professionals to provide Association (NSNA) and the
the health care team is a key factor the optimal outcomes for your American Medical Student
in positive patient outcomes. For patients. If we want to be effective Association (AMSA) to write a
one patient White Paper on interprofessional
undergoing collaboration and formulate
a routine Collaboration is ... creating an active and recommendations to help improve
surgical ongoing partnership of health care and collaboration in all settings. With
procedure the recent passing of the health care
non-health care professionals... reform legislation, we are working to
in the
hospital, the advocate to ensure that pharmacists
health care providers we must foster are involved in the medical home
number of clinical specialists they
these relationships so that everyone models and play integral parts in
encounter can be staggering: an
can understand the bigger picture accountable care organizations
anesthesiologist, a cardiothoracic and the care of our patients can be included in the legislation. To
surgeon, a recovery room nurse, optimized. increase communication, we are
and a pharmacist just begins the Throughout this upcoming year, participating in an article swap with
list of health professionals that APhA-ASP members are being NSNA and AMSA to help expose
could be involved in a patient’s challenged to make it our mission to each other to the clinical training and
care. branch outside of our comfort zone expertise that each of our professions
There are many ways in which and build better connections with brings to the care of our patients.
these professionals can collaborate our colleagues so that we can take Building these trusting relationships
to enhance the care of the patient. advantage of the clinical opportunities and lines of communication now
There are also many ways in which that the trailblazers of our profession will ensure that others seek out our
collaboration can go wrong and fought to create. expertise in medication therapy in the
problems result. care of our patients. Increasing
It is from examples like this communication can also help
that we look to our future and to create a shared advocacy
this year’s American Pharmacists for positive change in the
Association Academy of Student provision of health services
Pharmacists (APhA-ASP) for our patients. The future
president’s theme is built: “One of health care is right in front
Team: Working together to shape of us, and we must form One
the future of health care.” Team with our colleagues to
Collaboration is more than just become the next generation of
forming a team of practitioners, health professionals practicing
but rather creating an active not from separate disciplines,
and ongoing partnership of but working together, as one, to
health care and non-health care shape the future of health care. n
APhA-ASP Interprofessional Meeting

Fall 2010 - Automne 2010 18


CAPSIL - JACEIP
PDW 2011 Saskatchewan

The College of Pharmacy and Nutrition at the other community and charity associations. Keynote
University of Saskatchewan is excited to invite speaker Steven Lewis is an adjunct profession with
pharmacy delegates from across the country to the Center for Health and Policy Studies at the
Saskatoon for Professional Development week 2011, University of Calgary, he has served on numerous
January 12-16 2011. The conference will take place boards and committees, including the Canadian
at the TCU convention center in downtown Saskatoon Institutes of Health Research’s Governing Council,
with delegate hotels just blocks away. This year the Saskatchewan Health Quality Council, and the
theme for PDW is “Wide Open Future, Un Avenir Health Council of Canada. There are also numerous
Sans Limite”. As pharmacists, our possibilities are other exciting speakers who promise to make us as
as endless as the Saskatchewan horizon. With the students think about where our future is headed.
emergence of prescribing opportunities, the shift After spending the day at the conference
toward primary healthcare teams, and the newly- delegates will enjoy socializing at the numerous
sharpened focus on pharmaceutical care, there social events. Saskino Royale will be an exciting
are many exciting directions for the profession to opening night, where delegates can play casino
take. PDW 2011 hopes to accentuate these various games in order to win prizes. On the second night
opportunities for pharmacy as a career. come with us to one of Saskatoon’s finest nightclubs
PDW 2011 promises to be a thought provoking and experience the wild wild west. On Friday night
and exciting convention with speakers intended experience the true prairie spirit and dance the night
to stimulate your thinking about the future of our away to the “Last Saskatchewan Pirate”. On your
chosen field. This year’s Motivational speaker is final night in Saskatoon come and create your own
Catriona Le May Doan, this Olympic gold medal happily ever after at our Fairytale formal. Don’t
winning speed skater currently holds the Olympic miss out on your chance to experience the true prairie
record for the 500m long track race and during her spirit and learn from some of the leaders in health
career broke 13 world records. She is a spokesperson and in our own field of pharmacy.
for the Saskatchewan Blue Cross, as well as various See you in Saskatoon for PDW 2011! n

Fall 2010 - Automne 2010 19


CAPSIL - JACEIP

It’s an easy decision! Join online at


www.pharmacists.ca/students for:
s Discounts on essential texts, including Therapeutic
Choices and the NEW edition of Patient Self-Care
s Subsidized CPhA conference registration
s Regular members-only email communications
s Summer employment and Board of Directors opportunities
s Complimentary one-year membership upon graduation
s New! National job board at www.pharmacy-jobs.ca —
Your prescription for success starts here!

The Canadian Pharmacists Association


Supporting you wherever your profession takes you.

Fall 2010 - Automne 2010 20


CAPSIL - JACEIP
Sponsor Message
The Canadian Pharmacists Association welcomes you back to class!

It is officially time to welcome you all back to another academic year. For those new to pharmacy, welcome!
This will most definitely be an exciting year for you. You can look forward to becoming familiar with the world of
pharmacy through classes and professional events, and making lifelong friends and colleagues at the same time. As
for returning students, I’m sure you are looking forward to completing another year, bringing you one step closer to
your professional career!
Being a pharmacy student can be demanding. It is essential to prioritize the many important aspects of your life.
Academics, course loads, classmates, friends, professional and social events such as Professional Development Week
and Pharmacists Awareness Week will fill up your calendar. Make time though for looking at our future profession
from a broader perspective.
The Canadian Pharmacists Association (CPhA) is the national association for all pharmacists and our leading
advocacy body. We can easily become directly connected to what is going on in pharmacy on a national level through
involvement in CPhA. One of the simplest ways to stay connected is through complimentary student membership in
CPhA. I urge you to sign up online at www.pharmacists.ca/students. The process is fast, simple and free of charge!
There are several benefits offered to students who are members, including:

• Discounted prices on CPhA publications and resources, including the brand new edition of Patient Self-Care
and the CPS
• Student registration rates for the CPhA Annual National Conference
• Monthly member email updates that keep you informed on the current changes in pharmacy – Student
ClikInfo newsletter just for us!
• Complimentary access to the electronic version of the Canadian Pharmacists Journal (CPJ)
• Subscriptions to CPJ at a discounted price
• One full year of complimentary membership upon graduation that includes access to e-CPS and print copies
of CPJ
• On-campus lunch & learn sessions and professional seminars

An exciting national job board, Pharmacy-Jobs.ca, has been launched by CPhA and CAPSI in partnership
with Workopolis NicheNetwork. The site is Canada’s premier job board for professional pharmacy jobs in Canada,
connecting students and practising pharmacists with up-to-date job opportunities from a variety of employers across
Canada. As our profession moves forward and changes, jobs and the way we as pharmacists practice pharmacy will
also change. Through Pharmacy-Jobs.ca we can stay on top of current job postings and what employers are looking
for. The job board will also include student and intern positions across the country. These opportunities will apply
to students immediately, and will become an essential tool to those nearing the completion of their degrees and
convocations.
As CPhA’s Board representative for students, my main role is to shed light on the needs and concerns of
pharmacy students. The Canadian Pharmacists Association recognizes that today’s student body is the future of the
pharmacy profession and remains committed to our needs. If at any time you have any questions or concerns do
not hesitate to contact me at leah.phillips@mail.usask.ca, or the CPhA office at members@pharmacists.ca. Finally, I
wish you all a year of success with your studies full of personal, academic and professional growth.

Sincerely,

Leah Phillips
CPhA Student Board Member
3rd year student - College of Pharmacy and Nutrition
University of Saskatchewan

Fall 2010 - Automne 2010 21


CAPSIL - JACEIP
Publicité
L’Association des pharmaciens du Canada vous souhaite une bonne rentrée!

Il est temps de déclarer officiellement le début d’une nouvelle année universitaire et de souhaiter la bienvenue à tous
ceux qui commencent leurs études en pharmacie. Cette année sera pour eux sans doute passionnante. Ils se familiariseront
avec le monde de la pharmacie durant les cours et les activités professionnelles et pourront par la même occasion lier
des relations d’amitié et de camaraderie durables. Quant à ceux qui reviennent, ils doivent avoir hâte de poursuivre leurs
études pendant cette nouvelle année et de se rapprocher un peu plus de leur carrière professionnelle.
Il n’est pas toujours facile d’être un étudiant en pharmacie, car il faut constamment prioriser des aspects importants
de la vie. Les professeurs, les cours, les camarades de classe, les activités professionnelles et sociales, comme la Semaine
de développement professionnel et la Semaine de sensibilisation à la pharmacie, rempliront votre emploi du temps.
Prenons cependant quelques minutes pour aborder notre profession future dans une perspective élargie.
L’Association des pharmaciens du Canada (APhC) est l’association nationale de tous les pharmaciens et la principale
organisation qui défend leurs intérêts. En nous investissant dans l’APhC, nous pouvons savoir de première main ce
qui se passe dans le monde de la pharmacie à échelle nationale. L’une des façons les plus faciles de s’y investir est de
devenir membre étudiant de l’APhC, l’adhésion y étant gratuite. Je vous invite à vous y inscrire en ligne à l’adresse www.
pharmacists.ca/students. Le processus est rapide, simple et gratuit. Voici quelques-uns des avantages qui s’offrent aux
membres étudiants :

• Prix réduit pour les ressources et publications de l’APhC, notamment la toute nouvelle édition de Patient Self-
Care et le CPS;
• Frais d’inscription réduits pour les étudiants à la conférence nationale annuelle de l’APhC;
• Mises à jour mensuelles par courriel adressées aux membres, pour les informer des changements qui ont lieu dans
le monde de la pharmacie – un bulletin ClikInfo étudiants, rien que pour nous!
• Accès gratuit à la version électronique de la Revue des pharmaciens du Canada (RPC);
• Rabais sur l’abonnement à la RPC;
• Adhésion gratuite pour l’année qui suit l’obtention du diplôme, comprenant l’accès à e-CPS et les versions
imprimées de la RPC;
• Déjeuners-conférences et séminaires professionnels sur le campus.

L’APhC et l’ACEIP, en partenariat avec Workopolis NicheNetwork, ont lancé Pharmacy-Jobs.ca, un extraordinaire
tableau d’affichage d’offres d’emploi à l’échelle nationale. Ce site est le premier tableau d’affichage d’emplois pour les
professionnels en pharmacie du Canada, qui informe les étudiants et les pharmaciens en exercice des occasions d’emplois
proposées par de nombreux employeurs de tout le pays. À mesure que notre profession avance et change, les emplois et
la façon dont les pharmaciens exercent leur profession changeront aussi. Grâce à Pharmacy-Jobs.ca, nous pouvons nous
tenir au courant des postes vacants et de ce que les employeurs cherchent. Le tableau affichera également des occasions
d’emploi pour les étudiants et les internes de tout le pays. Ces occasions intéresseront les étudiants immédiatement et
deviendront un outil essentiel pour ceux qui finiront bientôt leur formation et obtiendront leur diplôme.
À titre de représentante des étudiants auprès du conseil d’administration de l’APhC, mon principal rôle est d’apporter
un éclairage nouveau aux besoins et aux préoccupations des étudiants. L’Association des pharmaciens du Canada sait que
les étudiants d’aujourd’hui sont l’avenir de la profession et leurs besoins lui tiennent à cœur. Si vous avez des questions ou
des préoccupations, vous pouvez communiquer avec moi en tout temps à leah.phillips@mail.usask.ca, ou au siège social
de l’APhC, à members@pharmacists.ca. Je vous souhaite à tous une belle réussite dans vos études et dans vos activités
personnelles, estudiantines et professionnelles.

Sincères salutations,

Leah Phillips
Représentante des étudiants au conseil d’administration de l’APhC
étudiante en 3e année - College of Pharmacy and Nutrition
Université de la Saskatchewan

Fall 2010 - Automne 2010 22


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Fall 2010 - Automne 2010 23


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Student Travels
Namibia, Land of the Brave ... and the Rich
By: roshina BaBaei-rad, University of toronto

“W e have a saying in
Namibia... as long as
you’re alive, you’re rich.” Agnes,
medications as prescribed? Were
they practising safe sex?
not, did they comprehend the
If
a snack and left the wrappers and
an empty can of Sprite in the car.
This gave me chills, knowing that
my favourite counsellor at the consequences of such neglectful someone had been sitting there
Katutura Health Centre, tells me behaviour? It took me weeks to moments ago while we were at a
this after I explain to her that realize that ignorance was not the bar 20 meters away. In contrast,
I’m not wealthy. She says this cause of their carefree attitude. our Namibian friends found this
after I’ve spent a full ten weeks They had made amusing and
interning at the clinic’s pharmacy, the choice to chuckled over
dispensing ARTs to HIV-positive accept their the audacity
patients. With her one statement, status and live of it. Without
Agnes has perfectly captured the happily in spite a moment of
spirit of Namibians. of the devastating hesitation, they
On my first day of work at the diagnosis. then proceeded
clinic, I was overwhelmed. I Like typical to discuss
arrived shortly after 8 am and Namibians, they the next
already the benches were full of wore genuine stop for the
patients, all HIV positive. In the smiles and embraced life. night. Rather than stress over the
weeks to follow, I would dispense This attitude of persevering damaged window and violation
for hours every day, counselling in positivity was observed outside of property, they chose to make
broken Oshiwambo of the clinic light of the incident and maintain
and Afrikaans. In as well. One a joyful attitude.
the beginning, I felt night, some From what I observed over
deep sadness for local friends eleven weeks, Namibians have
these people living offered to an incredible ability to maintain
with an incurable take us interns a happy outlook in the face of
and devastating out “shebeen adversity. More accurately, I
disease, but soon hopping” should specify that my interactions
realized my attitude basically, almost always took place in
was not reflected visiting several Katutura, the township where
by the patients. watering holes I worked. In Katutura (literally
I’m not sure what I was expecting, in Katutura on a Friday night. meaning “the place where we do
but I had never been in the After growing tired of the third not want to live”), many residents
presence of so many sick people shebeen, we all walked back to the live in corrugated iron shacks, the
at one time, and their seemingly parking lot and noticed that one of incidence of HIV and tuberculosis
nonchalant attitude towards the our host’s cars had been broken infection are high, gunshots can
disease was unsettling. I assumed into and left with a shattered be heard at night, and children
they were underestimating the window. Nobody seemed alarmed. play soccer barefoot using pop
severity of their situation. This The boys used their hands to brush bottles. Strangely, I never felt that
disturbed me – if these patients the glass shards off the back seat I was among the poor. The smiles
were uninformed or in denial, and calmly exchanged information and enthusiasm for life distracted
it would lead to irresponsible about cheap auto shops that would from the poverty. Among locals,
behaviour. Every day I replayed repair the window for a good price. Namibia is known as “Land of the
the same questions in my After getting into the car, we Brave.” From what I can tell, it’s
mind: Were they taking their noticed the offender had enjoyed the land of the rich. n

Fall 2010 - Automne 2010 24


CAPSIL - JACEIP

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Fall 2010 - Automne 2010


110 3765 iPharm CAPSI Agenda iPad Ad-v2.indd 1
25
10/4/10 4:12:40 PM
CAPSIL - JACEIP
Student Travels
Pharmaceutical Care in Bulanga, Uganada...
or Lack Thereof
By: Lucy Lu Chu, University of British Columbia

W here is Bulanga? For


anyone who has tried
Google Mapping this place, you’ll
clinic. He would reach into pill
bottles to grab a tablet. He would
also apply cream on one child
Kampala to buy the medications
from the wholesaler). Many of the
villagers who come to this clinic
notice that it won’t show up. with a rash or infection and not cannot afford to pay for the visit
Instead, you can try the keywords wash his hands before applying or tablet costs. HCCP’s clinics try
“Kibaale, Rakai, Uganda” and you a different topical agent on their best not to deny access to
will notice that it is in southern another child. It is understandable care, but sometimes, they simply
Uganda, bordering Tanzania. because water is scarce and latex cannot afford everything and
Bulanga is only a 90 minute walk gloves are just not available. We must prioritize: dinner for some
from Kibaale, the next closest brainstormed together and decided orphans, or nitrofurantoin tablets
village, and walking would be that he could pour a tablet out onto for a villager?
the only way to get from Bulanga the lid of the bottle and then drop HCCP, a non-profit organization
to Kibaale for most villagers. it into the child’s hands, so that he that has barely any resources,
Bulanga would not be reaching is doing their part to help the
was also the into the bottle with community. What can privileged
first location contaminated hands. students like you and I do for rural
where HIV And for applying Africa? We can donate: money,
was detected creams, Austin could time, effort, anything.
in Uganda. remove an appropriate A common condition that
In the 1980’s, amount of cream, then I noticed in the community
almost eighty put in the child’s hand (excluding the orphans) was
percent of and watch the child malnourishment. If malnutrition
the villagers apply it. Even though is a condition, I see that the
were infected it was not a perfect simplest drug would be food.
with HIV. solution because the When fundraisers state that every
What One of the many mud houses child’s hand might be little bit counts, it is true. One
was I doing in Bulanga. This one provided dirty, it is improvement Canadian dollar is equivalent to
here? I was shelter for a family of four. over Austin touching 2,200 Ugandan shillings, and this
volunteering the lesions directly. could buy 22 avocadoes or 3L of
at an orphanage with the Hope Drugs are scarce because the water or 1 kg of pasta or 1 loaf of
Child Care Program (HCCP). I orphanage is not funded by the bread. In other words, $1 could
spent most of my time providing government. Their only sources feed a Ugandan child for 3 days.
assistance in the clinic. There of funding are through the day However, money is not the
was one clinician, Austin, who school program and child sponsors only solution. Life is so difficult.
did not have any formal training (they are not affiliated with World Especially in the rural areas,
after completing high school. He Vision). This makes it very retrieving water may already take
learned about drugs by working difficult to provide pharmaceutical up an hour of your time, while
as a technician, then learned how care. Sometimes, Austin will mix cooking takes even longer because
to diagnose by following his uncle 3 deworming medications because you have to gather firewood and
(a doctor) around the hospital for albendazole is not available (either start the fire. Forget about being
a year. I noticed they did not have because they cannot afford it or
strict standards for hygiene at the they could not afford to travel to Continued on Page 27

Fall 2010 - Automne 2010 26


CAPSIL - JACEIP
Continued from Page 26 Or if you want to volunteer at an to volunteer, I hope that you
orphanage and just play with the will at least have the time to
rich, the basics of surviving children, you will have a bigger check out websites such http://
already occupy the majority of impact on them than you can solidsaltspring.ca/, http://www.
your day. Now imagine you have imagine. Starting a girl group and girleffect.org/ and http://www.
children to look after, you always talking to these children about hccpuganda.org/ and spread the
feel fatigued because you have issues such as abstinence could word. Please realize that by luck
AIDS (which 30% of the people in save a child from contracting of the draw, you were born to a
Bulanga do) and your husband left HIV/AIDS. There is so much family who could provide for you
you; or imagine that you and I and that you grew up in Canada
if your parents could do. The and had the opportunity to become
could not government also educated. And that some other
afford to send provides free anti- child, by luck of the draw, was not
you to school, retrovirals, but as lucky.
you would not many people in It is heartbreaking to see that
be able to get Bulanga are non- some of them do not have parents
an education. adherent because to hug and spoil them, and even
In these cases, it is a 180-minute more devastating to hear that
volunteering roundtrip under some of them are affected by HIV/
your time and the scorching AIDS. Yet, these children work so
effort to teach sun in order to hard toward their future because
them simple access the supply. they know that they have been
skills, such as making crafts to Perhaps you will have the solution given an opportunity to receive an
sell at the market, can make all to this problem? education and be adequately fed
the difference in one person’s life. If you do not have the time and clothed. n

IPSF Exchange
Pura Vida in Costa Rica
By: Leila Clayton, University of Saskatchewan

very friendly and lent me their the band was on breaks. Next we
cell phone so I could call the SEO went to my home stay families’
of Costa Rica. She told me she home. It was a small house but it
was caught in traffic behind an was clean and welcoming. I was
accident and her friends ended up immediately welcomed into their

T his summer I went on a


pharmacy exchange to Costa
Rica for the month of July. Upon
having to come and get me. When
her friendly arrived she was very
kind and kissed me on the cheek,
family although they would never
let me help with cooking or house
work for the entire month. In order
arrival in Costa Rica at the San a common greeting in Costa Rica to try and help I would have to do
Jose airport I had to wait for 3 among family and friends. I was it in the early mornings before the
hours for someone to pick me then driven to meet the pharmacy family woke up.
up. It was weird because there is student I would stay with and her The pharmacy part of my
no place to wait inside the airport two sisters. They took me to a exchange did not begin until 5
so I had to wait outside sitting local concert and restaurant it was days after my arrival, but finally
on the concrete. Surprisingly the fun and the food was good. I was I went to my first day. It was
people there who were offering surprised by the oldies English really interesting to be able to
rides to hotels and taxis where music playing (ex Bee gees) when Continued on Page 28

Fall 2010 - Automne 2010 27


CAPSIL - JACEIP
able to purchase one or two tablets information sheets are given with
Continued from Page 27 of most drugs except narcotics and the prescription. Only medications
compare a pharmacy in another antibiotics without a prescription. are sold at a pharmacy all herbal
country to the one I had been Patients do not have to pay a and natural products are sold at a
working at in Canada. There were dispensing fee. Most patients separate store. The pharmacists
many technicians but only one choose to only buy a few pills wage is approximately 1500
pharmacist and he was the only as they do not have American dollars per month
much money and few working 9 hours per day for 5
have drugs plans, days a week.
thus they pay of Well outside of the pharmacy I
pocket. The patients traveled around the country with
are able to negotiate a pharmacy student from Slovakia
the price of the drugs and one from Spain. Both of these
by buying larger students had their exchange at the
quantities or paying same pharmacy as me but lived
in Colones (the local in different home stays. After
dollar) as apposed the first 2 weeks each of us had
to American dollar a guest from our home country
of with a bankcard. come and travel with us. In my
Learning to take blood pressure manually on Pharmacy technicians case my boyfriend surprised me
the pharmacy student from Spain have no training and if by showing up at the pharmacy
there is no pharmacist when I was working when I had
one who could speak English. I do working the technician can phone thought he was in Europe. During
not know very much Spanish so I the pharmacist to get permission my travels I saw volcanoes,
could not speak to the patients and to fill a prescription. The drugs in oceans, rainforests, monkeys,
I found it difficult to contribute the pharmacy are usually in blister humming birds, butterflies and
to the pharmacy. However during packs thus
my visit I learnt about giving very few are
injections for pain, allergies and in pill bottles.
for immunizations, how to take The number of
manual blood pressure, and I learnt tablets required
how to wring in prescriptions is cut out of the
on the till. When a prescription blister pack,
was brought to the pharmacy placed in an
the pharmacist would describe envelope, and
what the medication did and the then give the
conditions it was used for. Giving patient. A
injections was common in the label is only
pharmacy and they had a special stuck onto the
room for doing this at the back of envelope if a My homestay family, fiancé, and the traditional Costa
the pharmacy. Only the pharmacist prescription Rican wagon
and pharmacy students are allowed was given.
to give injections. This was The prescription label says only much more. I also tried some
interesting as Canada is currently the name of the patient, the name new foods and learnt a little bit of
transitioning into pharmacists of the drug, the directions, and Spanish. Costa Rica was amazing
giving immunizations. it may or may not include the with both educational aspects and
Some other interesting name of the doctor. Prescription many exciting adventures. On
differences I noticed between the labels are either typed onto a my last day there my boyfriend
pharmacies in Costa Rica and sticky label using a typewriter proposed, a perfect ending to an
Canada include that patients are or are hand written. The drug extraordinary trip. n

Fall 2010 - Automne 2010 28


CAPSIL - JACEIP
IPSF Exchange
A Moose Jaw Experience
By: Clementine Perriere (France)

I spent one month in Moose


Jaw, a small town in southern
Saskatchewan. When I first knew I
because the pharmacist would
check on your work at least twice.
So I was never worried I would
friendly people. I met a lot of
people during this month and
everybody was so nice and happy
would be going there I had to look do something wrong. The job was to meet me. Canadian people
on a map to know exactly where it very fun and there was no time really know how to make you
was! But I had no doubt I would to be bored. When the work was feel you’re part of the crew even
go because it a unique experience going slowly, we would talk about though they don’t know you.
to travel and the Canadian I was also very lucky because
discover health insurance there was another pharmacy
pharmacy. I system or student doing an exchange in a
had already they would town not too far. We really got
done a SEP teach me some along and had a lot of fun. One of
in the USA English words the CAPSI student who just got
two years ago in science. I back from a SEP in Costa Rica
and I knew learned a lot organized for us a road trip to
that it would about different Calgary and Banff so we spent our
be a good treatments and last week in Canada on the roads
experience. At Banff National Park prescriptions. with three of her friends. It was
I was It was an amazing experience to travel
working 4 days/week in a Wal- particularly interesting for me as across Canada for a very cheap
mart pharmacy, from 10am to 5pm I have not chosen the community price and with wonderful people.
with a very French 1H30 lunch pharmacy pathway in France, so I was not expecting this trip and
break! So I could go and explore I had to focus one last time on I never thought I would be able
around. The pharmacists and the pharmacy world before I move on to see those breathtaking places
pharmacy technicians were very to my new direction. in my life so I was absolutely
nice and very helpful. I was very My pharmacy experience was enchanted.
lucky because there were two complete so was my social life. I This SEP was a wonderful
Canadian pharmacy students doing first spent some of my spare time experience so my only wish is to
a rotation/working during August. with a apply again!
The whole team was very friendly pharmacy I am so
and really made me feel welcome. student thankful to
I really felt people had trust in me in Moose CAPSI, and to
and I could get involved in the job Jaw. He every person
as much as every one else in the spoke who has
pharmacy, which is really nice. French made of my
I was very surprised at first so it was august 2010
because in France we don’t count lots of one of my
the pills and we don’t prepare the fun to talk best summer
syrups. Even if the patient only with him At Lake Louise ever! And
needs 5 pills we give the whole and have I definitely
box (which is usually for 28 or 30 bilingual exchanges. I got to meet recommend every pharmacy
days). I was also very impressed his family, some of his pharmacy student to apply for a Student
by the safety of the process friends who turn out to be very Exchange Program. n

Fall 2010 - Automne 2010 29


CAPSIL - JACEIP

Do you know a Pharmacist Interested in International Pharmacy?


Please Pass this Along!

The SEP provides an opportunity for international students to experience the exciting practice of pharmacy in Canada.
The program not only provides students with the opportunity to learn about pharmacy outside their own country, it also
enriches both their professional and personal lives with unique cultural experiences. Canadian students who find a host
site strengthen their own SEP application.

Your role as a preceptor/host site will be a rewarding one. Students bring a great deal of knowledge and
enthusiasm to the workplace and can add an international diversity to your establishment. Also, if you choose to accept an
international student, you enable a much deserving Canadian pharmacy student to go abroad the following year.

 Most exchanges are one month and usually take place from May to September. However, exchanges can be
anywhere from two weeks to three months and can occur within any month during the year. It all depends on
what is convenient for you, the host site.
 During the exchange, the amount of time the student spends on site will be catered to your preferences. IPSF
recommends that the student works for 4-8 hours/day for 4 days/week.
 We require host sites in all areas of pharmacy practice (i.e. Research, Industry, Hospital, Community, etc.)
 The exchange students are volunteers and therefore are unpaid. Students are also responsible for the cost of their
transportation and accommodations and therefore there is no cost to you!
 You will be able to determine criteria of a preferred student (ie. Spoken language, year of pharmacy program),
and then will be able to choose your student from a pre-screened list. You will receive complete CVs and
motivational letters from several candidates.
 Once you select a student, CAPSI will ensure the student has accommodations, social events, and all necessary
travel documents. Leave all the work to us!

Deadline for 2011 (May-September): February 15, 2011

I hope that you will strongly consider sharing your experiences, knowledge, and ideas with an international students. For
more information on how you can host a student please contact:

Kendell Langejans
IPSF-CAPSI National Student Exchange Officer
seo@capsi.ca 403-988-9767

Fall 2010 - Automne 2010 30


CAPSIL - JACEIP
Student Perspective
A Lesson Learned:
Don’t Stereotype Your Patients
By: Taj Dhinsa, University of Toronto

“O h Megan….why won’t
you eat? Ugh. Fine. I’ll
feed you,” frustrated, I wiped the
were strategically placed in three
locations: near the kitchen table,
end of the staircase, and Megan’s
Nothing prepared me more for
a future career in health care than
firsthand experience working in
remnants of pureed salmon and play corner. Megan’s younger a home with a disabled young
squash from my brow and dipped sister couldn’t leave things on the teen. My position as a deafblind
the spoon into the applesauce, floor in case Megan tripped. intervenor was one of the most
hoping that something sweet Communicating with Megan challenging, yet one of the most
would be more enticing. was accomplished by speaking rewarding experiences of my life.
“Megan, open wide. Muh loudly coupled with hand-over- When you are in a patient’s
muh muh muh Megannnnnnn,” hand sign language. Tapping her home, you see everything. You are
I wailed. No response. Her lips elbow would mean Megan had to forced to deal with every issue that
were sealed. I sighed. Looking at lift her hand to her mouth in order comes at you. You have no choice
the clock, it was 8:38 pm. I started to feed herself. Walking—again, but to think on your feet; you
supper a full two and a half hours seemed effortless; she would walk don’t have time to prepare—just to
ago. I couldn’t figure out what was with only little difficultly with react. Now, as a pharmacy student,
wrong. Megan’s other intervenor the help of her intervenors. She I realize that medications are only
had trained me the night before just needed her hand to be held in one part of the entire process;
and she made everything seem so order to go to the right direction. the patient and their family often
effortless. She had her supper fed, Bathing and brushing her teeth— don’t have an escape; they have
bathed, teeth brushed and out for those were a bit more challenging to deal with their condition day in
a walk all before 8:30 pm. Megan for Megan and required for the and day out. This, at times, can be
and I couldn’t even manage to get intervenor to do the tasks for her. very overwhelming for them.
through the main course. Back to supper. Anxiously, I Intervening was a process
Megan had Infantile Refsum’s looked at my watch and as soon as of trial and error for me. Even
Disease—a condition which causes I looked up I saw Megan drop the though trying to create strategies
blindness and deafness as well as spoon filled with applesauce. to motivate and engage Megan
severe cognitive impairment. To “Splat,” Megan let out a giggle was challenging, I knew it was
help her poor vision, Megan had as it hit the floor, which I have to important to her development.
glasses and a surgically implanted admit, kind of made me laugh. To Megan particularly did not
hearing aid to help her with her my horror she then picked up the enjoy exercising and I decided
hearing. These two devices only bowl of applesauce. to come up with original ways to
helped to restore her senses a “Oh no!” It was too late. She let encourage her to participate. One
bit; she was still legally deaf and it go. The bowl fell. Applesauce day, I decided to incorporate music
blind. Megan was also much was everywhere on the floor, the therapy (Megan loved music)
shorter than the average 13 year table, her face, my face. Megan into her daily exercise routine in
old. She resembled a grade three was hysterical. order to win her over. It worked
student more than the pre-teen that “I don’t think I’m going to be like magic. Improving Megan’s
she really was. able to handle you,” frustrated, I gross motor skills was one of
Everything around the house gave the spoon to Kathy, her mom, my successes as her intervenor.
was modified so that Megan could and she finished feeding Megan. During the months that we worked
maneuver herself around without Again, seemingly effortlessly. I
Continued on Page 32
getting lost or injured. Toys just couldn’t figure it out.

Fall 2010 - Automne 2010 31


CAPSIL - JACEIP
weaknesses in others, I started to Now, when I interact with
Continued from Page 31 develop intervention strategies patients I remember my time
on the routine, it was essential that best suited her. My approach with Megan. Every patient wants
for me to remain patient with centered on giving Megan more an element of control over their
her progress. I learned that the control over her environment. condition and drug therapy
process, not necessarily the end Feeding was structured, but, it can often be a very confusing
result, nurtured Megan’s instincts did allow for some flexibility. experience. I am reminded to
and allowed her to expand her I wouldn’t try feed her myself treat the patient as a partner
physical capabilities. anymore. I started to encourage when developing care plans. My
In the beginning, I did not her to do it on her own by tapping interactions are, as a result, more
believe in Megan’s capabilities; I her elbow at specific times; just meaningful and the patient is more
did not trust her to complete daily like her other intervenors had informed and walks away with a
activities autonomously. As a done. She held the spoon. She greater understanding.
result, Megan became continually had the control. I was just in My most important lesson—
frustrated and uncooperative when the shadows helping her along understanding and trusting in the
I worked with her and seemingly the way. It soon became much abilities of others is instrumental.
straightforward activities such as easier once I began to trust in her It is important to not let any
feeding took hours to complete. abilities, and Megan thrived when preconceived notions dictate your
She wasn’t trying to make my life given independence. interaction with other individuals.
difficult; she was giving me signs I often reflect on my year with Megan was my teacher more than
that she, if given the chance, could Megan. The whole experience I was hers; she taught me patience
SB_mad_capsi_0910
do them on her own.
size: 7.5 x 5 was a learning curve; I had to and most importantly, never to
When I finally camecols: to cmyk
the come to terms that Megan learned underestimate a person’s abilities.
realization that Megan had at a different pace and through To her, I express my sincerest
strengths in certain areas and different avenues. gratitude. Thanks Meg! n

We’re as committed to
your education as you are
CAPSI and Scotiabank have forged a partnership in support of
Pharmacy students across Canada. We’re as committed to your
education as you are. Scotia Professional ® Student Plan offers
financial benefits+ for Pharmacy students including:

• Excellent program limits and rates


• No fee plan account
• No principal payment until 12 months after graduation
• Choice of No-fee ScotiaGold ® VISA* card or
No-fee Scotia Moneyback ™ VISA* card
• On-line financial training modules for students.

Contact your Scotiabank faculty representative for further


information or visit scotiabank.com/studentprofessional

+ Subject to credit approval, satisfactory credit history, and our guidelines and program conditions.
® Registered trademarks of The Bank of Nova Scotia. ™ Trademark of The Bank of Nova Scotia. * VISA Int/Lic. User The Bank of Nova Scotia.

Fall 2010 - Automne 2010


6%BPDGBFDSVLBLQGG
32
30
CAPSIL - JACEIP
Sponsor Message
Teen Smoking Prevention Program
Everyday Canadians are bombarded with information on the negative effects of smoking on their health.
They see ads, gruesome photos, commercials, and even anti-smoking legislation changes…so do they get
it? When you consider that the majority of smokers start in their teens, clearly teenagers are not getting the
message.
 
In the last few years, Teva has developed various pharmacy related programs and now in combination with
Ratiopharm’s resources, we are pleased to continue bringing innovative community programs to pharmacy.
Previous programs, Operation WASHUP and Operation Allergies, have been designed to help pharmacists
interact with patients in their communities through educating young children on proper hand washing techniques
and allergies. In-line with these successful programs, further research into teens and smoking has led to the
development of Teva’s third community seminar program, Operation Butt Out. This program is geared towards
an older demographic of children between the ages of 10 and 12 when peer pressure to start smoking first arises.
The goal is to help them gain knowledge and an understanding about the harmful effects of smoking in the hope
that they will say no to their first cigarette.

After all, who would be better suited to educate teens about a harmful drug than a pharmacist?
 
Operation Butt Out includes an interactive video, a presentation script, and a demonstration of APRIL®
age software, which dramatically changes an image of a patient’s face as he/she ages as a smoker compared to
that of a non-smoker. The incorporation of visual effects and various other tools in the presentation helps the
presenter convey important information in an effective and engaging manner.
 
Over the years, CAPSI has contributed to the success of these programs by providing pharmacy students
an opportunity to reach out and educate young students in their communities and promote the profession of
pharmacy. Teva is looking forward to continuing its strong relationship with CAPSI as it launches the new
smoking prevention program in the coming months.
  
If you are interested in getting involved please contact your local CAPSI representative.

Raya Palatnic, B.Sc. Phm, R.Ph


Professional Services Associate
Teva Canada

Fall 2010 - Automne 2010 33


CAPSIL - JACEIP
Student Perspective
A Path With No Obstacles Leads Nowhere
An account of the application process into pharmacy
By: Jeffery Liu, University of Toronto

I was filled with feelings of pride


and achievement when I saw
the word “Congratulations” on
During the summer of 2008,
I planned to write the PCAT to
meet the changing admission
Literature course during the
summer of 2009, which required
me to write essays. I was fortunate
the decision result. Moreover, I requirements, but a lack of resolve to have another friend who offered
had won a long and arduous battle to improve resulted in wasted to edit my essays and taught me
that started during the second year time and resources. Much to how to write coherently. With
of my undergraduate career. The my dismay, the PCAT presented the lessons and experience my
application process into pharmacy not one, but two writing tasks. friends gave me, I felt confident
spanned two years, and if I were After the UTPAT, one might enough to confront my problem
to describe my experience in one expect I would begin to practice and start practicing writing tasks
word, it would be “trial”. brainstorming and writing, but in preparation for the PCAT of
My quest into pharmacy began I remained complacent thinking August 2009.
with a humiliating defeat when I the problem would correct itself Writing the PCAT a second
wrote the University of Toronto spontaneously. Also, any attempt time was a different experience, as
Pharmacy Admissions Test at writing was enough to remind compared to the first. I knew my
(UTPAT) for the 2008 cycle, which me of the traumatic experience strengths, but now I was also aware
was its last year of use before that was the UTPAT. I still wrote of my flaws, which prevented
being replaced by the Pharmacy the PCAT that summer, but voided arrogance from consuming me. I
College Admissions Test (PCAT). my test score because yet again, wrote with certainty in my words,
As I recall, the UTPAT featured a I had left one of the written tasks but expected an average score.
personality/aptitude test, IQ test blank. After the test, my father Additionally, I brainstormed ideas
and a writing task. In contrast suggested that I keep up with the with relative ease and the fear of
to my poor performance in first news to increase my awareness of a blank written section was non-
year and apathetic attitude during social issues, which would help existent. I walked out of the test
high school, I had been doing me in brainstorming and prevent with a sense of relief and did not
exceptionally well in my second blank written sections. Thus, for expect to encounter the PCAT
year courses. As a result, I had the coming third year of university again.
become overly confident of my I resolved to read newspapers to I was rewarded for my hard
abilities and was not compelled to keep track of political and social work when I was invited to
prepare in anyway. Unfortunately issues. the final round of screening:
when I wrote the UTPAT of In my third year of university, interviews, but I recognized
March 2008, I realized that I had I learned that sometimes I would it would also be a test of my
been unable to recognize my need help from others. I adhered suitability for the pharmacy
weaknesses in brainstorming to my resolution of reading the profession. After looking at some
and writing, both of which were news and I also met a friend with sample interview questions, I
required for the UTPAT. Writing a similar interest that I could realized my approach to making
the UTPAT disillusioned my share and discuss articles with. decisions would have to change.
perceived abilities; I left the This allowed me to apply the Originally, I would choose one
written section blank because I knowledge that I gained through viewpoint and ignore all others
could not think of anything to readings into conversations. I
write for the given prompt. also registered for a Children’s Continued on Page 35

Fall 2010 - Automne 2010 34


CAPSIL - JACEIP
The Multiple Mini Interview pressure and thinking on my feet.
Continued from Page 34 was an assessment of everything The struggle that lasted through
which resulted in unreasonable I had prepared for. It demanded two of my undergraduate years
and extreme arguments. Further the ability to think creatively awakened qualities within me
research into the pharmacy on the spot, consider multiple that I never knew about - a drive
profession made me realize I perspectives, and tested my to succeed, the ability to adapt
would have to consider multiple suitability for pharmacy. At the as needed, the resolution to
perspectives. Since the idea same time, however, the barrage improve myself, enjoyment in
seemed like a reasonable way to of questions I had to endure challenges and a sense of humility.
conduct oneself, I proceeded to was physically and emotionally I encountered obstacles as I
adopt this new mentality. draining. In fact, I started prepared for tests and interviews,
I practiced by brainstorming as rambling for one of the questions, each one requiring more
many perspectives as I could with apologized for not saying anything commitment to overcome than the
ethical dilemmas and controversial meaningful and took a break last. Thus, the application process
issues found on the Internet. for a few minutes to gather my also made me seriously consider
Even though I was determined to thoughts. Other times, my mind whether pharmacy was something
change, it was a frustrating process drifted while reading the prompt I truly wanted. My persistence
because I was essentially changing and read the same word over and throughout my undergraduate
a part of my personality. I also did over. Even when I felt some of my years reflects my dedication and
not feel this new philosophy could answers were still a little extreme, drive. I hope that my career in
be fully assimilated in time for my I could not dwell and had to pharmacy will continue to teach
interview in March. That being press on. Despite the difficulties me valuable life lessons as I
said, I did not falter and persisted I encountered, I enjoyed the learn what it means to be in this
regardless of my fears. challenge of performing under profession. n

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Fall 2010 - Automne 2010 35


Capsi 4-Col Ad_S4-150-R4.indd 1 10/22/10 3:12:32 PM
CAPSIL - JACEIP
Student Perspective

An Unexpected, Unplanned
Internship with CSHP
By: Charles Au, University of British Columbia

C arl Sandburg, a dynamic


American poet and writer,
once said, “Nearly all the best
our Official Publications (http://
www.cshp.ca/productsServices/
officialPublications/subject_e.
and experiential training changes,
and the tight hospital budgets
that make it challenging for
things that came to me in life asp) with the Basel Statements on pharmacists to attend continuing
have been unexpected, unplanned the future of hospital pharmacy of education events or volunteer
by me.” This perfectly describes the International Pharmaceutical for the Society. This year was
my internship with CSHP as a Federation (http://www.fip.org/ also when we started developing
third-year pharmacy student at the globalconf) and contributed to the new CSHP strategic plan for
University of British Columbia ongoing revision of some Official the years 2011 to 2014, and it
(UBC). Having planned to work Publications. Drawing on my was exciting to contribute to the
the summer in retail pharmacy, involvement with student affairs Society’s upcoming new vision
I received the internship offer in at UBC, I also offered suggestions and strategic directions!
mid-June and by early July, I was for the “Student Corner” Web After spending two all-too-
in Ottawa under the blanket of a page under development, in order short months with CSHP, I have
sweltering heat wave. to encourage more students to had what could be described
Having had little experience become CSHP members. as a “panoramic snapshot” of
with either office work or In addition to being immersed the current scope of hospital
hospital pharmacy, I was thrown in current issues that face hospital pharmacy practice across the
right into the fire, with the pharmacy and the Society, I nation, the directions in which
“honour” of being the only male had other learning opportunities we seek to progress, and the role
in the CSHP National office. I outside the office. I was fortunate of the Society in empowering our
learned by jumping directly into to visit the Children’s Hospital profession. I am inspired by the
meetings and teleconferences of Eastern Ontario, the Ottawa dedication of all the pharmacists
with staff, the ADAPT initiative Hospital – General Campus, the I met, who volunteer their time
(www.pharmacists.ca/ADAPT), Canadian Agency for Drugs and (some even using their vacation
the Blueprint for Pharmacy Technologies in Health, and the days!) in order to contribute to
Steering Committee (www. Canadian Pharmacists Association. and realize our shared vision.
blueprintforpharmacy.ca), the At SES 2010 in Halifax, the None of this would have been
Editorial Board of the Canadian highlight of my internship, I possible without the enthusiastic
Journal of Hospital Pharmacy, and participated in the preceding support I received from Myrella
the Canadian Hospital Pharmacy Executive and Council meetings, Roy (Executive Director), Cathy
Residency Board. I helped with attended the educational sessions, Lyder, CSHP office staff, the
background research for the and met delegates and residents CSHP Council, and my friends
Council meetings and organization from across the country! The and family. It has been an honour
for the Summer Educational conference was a great way for me to work with the fabulous people
Sessions (SES 2010). With to learn “from the horse’s mouth” at CSHP, and I hope to follow the
Cathy Lyder, our Coordinator of about the direction and scope of footsteps of my new role models
Membership and Professional many issues, including pharmacy and to give back to the profession
Affairs, I worked to cross-map technician regulation, curricular in the near future! n

Fall 2010 - Automne 2010 36


CAPSIL - JACEIP
Canadian Society of Hospital Pharmacists

CSHP Corner
T he Canadian Society of Hospital Pharmacists
(CSHP) is the national voice of pharmacists
committed to the advancement of safe, effective
to all undergraduate pharmacy students who are
members of both CSHP and CAPSI. It is a great
opportunity to meet and work with hospital pharmacy
medication use and patient care in hospitals and leaders from across the country. The application
related health care settings. The role of the National deadline is December 6, 2010. For more information
Student Delegate is to represent all CSHP student see the CSHP website (www.cshp.ca)
members from across the country on CSHP council.
Upcoming CSHP events include the Professional
The Pharmacist-in-Training Pharmacy Specialty Practice Conference happening January 29 – February
Network (PSN) has been busy with discussions 2, 2011 at the Sheraton Centre in Toronto. PPC is the
regarding hospital pharmacy residency – why is it largest pharmacy conference in Canada! Some of the
important, why are you applying and application sessions include a Joint Global Health/Pharmacist-
tips. New discussion postings will be updated soon. in-Training PSN, Pharmacy Issues and Controversies
In addition, CSHP 2015 held a Video competition Forum and motivational speaker Stephen Lewis.
(deadline November 6) to increase awareness and Also, there will be a Career Opportunities Evening
interest in the 2015 initiative. which is open to students looking for summer
employment. Early bird deadline is December 17, so
It is never too early to be thinking about summer register today!
employment. CSHP is seeking an an enthusiastic
pharmacy student to provide support to CSHP If you have any questions about CSHP, about
members and to advocate for hospital pharmacy joining the Pharmacist-in-Training PSN please feel
during the summer of 2011. This position is open free to contact me at anna.huisman@utoronto.ca

Anna Huisman

Anna Huisman, BSc Phm.


National Student Delegate, 2009-2011
Canadian Society of Hopsital Pharmacists

Fall 2010 - Automne 2010 37


CAPSIL - JACEIP


Vision 2011: y A dynamic Society y The influential voice for hospital pharmacy
y Inspiring practice excellence y Fostering leadership and professional growth
The Canadian Society of Hospital Pharmacists (CSHP) is the national voice of pharmacists committed to
the advancement of safe, effective medication use and patient care in hospitals and related health care
settings.

CSHP supports its members through advocacy, education, information sharing, development of
standards, facilitation of research and recognition of excellence.

CSHP is seeking an enthusiastic pharmacy student to provide support to CSHP members and to advocate
for hospital pharmacy during 12 to 16 weeks in the 2011 summer. The full job description for this position
is posted on CSHP’s website.
Stagiaire en pharmacie

As an ideal candidate for this position, you are currently enrolled in an accredited Canadian
undergraduate pharmacy program, are considering a career in hospital pharmacy practice, and are a
member of CSHP and the Canadian Association of Pharmacy Students and Interns. Your excellent
Pharmacy Intern

communication and interpersonal skills are key as you network with CSHP members and volunteers.
Fluency in both official languages would be considered an asset. A relocation allowance will be
considered upon request.

Interested individuals should apply in writing before December 6, 2010. Please direct enquiries and send
cover letter and curriculum vitae to the Operations Manager.

Vision2011:yUneSociétédynamiquey Lavoixinfluentedelapharmaciehospitalière
yUneinspirationpourl’excellencedelapratiqueyUnesourcedeleadershipetdeperfectionnement

La Société canadienne des pharmaciens d’hôpitaux (SCPH) est la voix nationale des pharmaciens
engagés à l’avancement de l’utilisation sécuritaire et efficace des médicaments, et des soins aux patients
dans les établissements de santé.

La SCPH apporte un soutien à ses membres au moyen de la représentation, de la formation, du partage


de l’information, de l’élaboration de normes, de l’appui à la recherche et de la reconnaissance de
l’excellence.

La SCPH recherche un étudiant en pharmacie enthousiaste pour fournir du soutien aux membres de la
SCPH et pour faire valoir la pharmacie hospitalière durant 12 à 16 semaines à l’été 2011. La description
de tâches complète pour ce poste est affichée sur le site Web de la SCPH.

Le candidat idéal pour ce poste est actuellement inscrit à un programme en pharmacie canadien agréé,
considère l’exercice de la pharmacie hospitalière comme carrière et est membre de la SCPH et de
l’Association canadienne des étudiants et internes en pharmacie. D’excellentes aptitudes
interpersonnelles et de communication sont essentielles pour réseauter avec les membres et les
volontaires de la SCPH. L’aisance dans les deux langues officielles sera considérée comme un atout. Une
prime de relogement sera considérée sur demande.

Les personnes intéressées doivent poser leur candidature par écrit avant le 6 décembre 2010. Veuillez
soumettre toutes questions et faire parvenir votre lettre d’accompagnement et votre curriculum vitae à la
Gérante des opérations.
Laurie Frid
Operations Manager/Gérante des opérations
Canadian Society of Hospital Pharmacists/Société canadienne des pharmaciens d’hôpitaux
30 impasse Concourse Gate, Unit/unité 3
Ottawa, ON K1V 0Y3
Tel: (613) 736-9733, ext./poste 226; Fax: (613) 736-5660; E-mail: lfrid@cshp.ca

Fall 2010 - Automne 2010 38


CAPSIL - JACEIP
Sponsor Message
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What am I talking about, using appreciate that at this stage in your future income earning ability.
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Well, I’m referring to Disability the most important financial products you have the benefit of acquiring the
Insurance. you should purchase. best available coverage at the best
“Disability Insurance?? But I’m Not Considering that a young available price in your last year of
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True, but very shortly you will power, a long term disability could you purchase this form of protection,
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Fall 2010 - Automne 2010 39


CAPSIL - JACEIP
Letter to the Editor
Re: “Vaccine-Nation” by Zenah Alisha Surani (Spring 2010)
By: Charles Au, University of British Columbia

I read with interest Ms. Surani’s


article “Vaccine-Nation,”
published in the Spring 2010
Slade et al.,4 the authors of the
ADR study Ms. Surani indirectly
referred to, are quick to point out
(GSK) H1N1 vaccine, the
Canadian government was
“driven by fear” and excessively
issue.1 Ms. Surani acknowledges its limitations. There is possible stockpiled the vaccine. Recent
the importance of vaccinations under-reporting of adverse events, press has also highlighted the
in public health, but highlighted but the reported rates of ADRs wastage of many H1N1 vaccine
some safety concerns of Gardasil associated with Gardasil were doses as a result of tightened
(quadrivalent HPV vaccine, types lower than the background rates expiry dating.8 However, the
6, 11, 16, and 18, Merck), recent associated with other vaccines (or low vaccination rate and GSK’s
vaccine stockpiling practices by in the general population) for most profit margin notwithstanding, a
national governments, and how ADR categories.4 Syncope and recent Ontario cost-effectiveness
pharmaceutical companies are VTE (venous thromboembolism) model demonstrated that the 2009
capitalizing on our “culture of… rates were higher than expected influenza mass immunization
fear” of vaccine-preventable background rates, but Slade et program in that province prevented
diseases in order to ensure al. note that young girls are more 52 deaths and 427 hospitalizations,
their own profitability. I am prone to vasovagal syncope and was highly cost-effective by
disappointed that Ms. Surani reactions to vaccinations, and that WHO standards.9
seeks to share her negative 90% of the VTE reports occurred In summary, while Ms. Surani’s
attitude towards “Big Pharma” in females with at least one major attempt to draw attention to
by suggesting that Canadians are risk factor for VTE, such as the role of the pharmaceutical
over-vaccinated and by using hormonal contraceptive use.4 industry in mainstream
(only) third-party references of While questions (necessarily) vaccination implementation in
questionable quality. remain regarding the long- Canada is laudable, we should
It is estimated that annually term effectiveness of Gardasil, avoid potentially inflammatory
in Canada, HPV causes 450 the vaccine is demonstratively remarks for the sake of a
deaths, 1,100 cases of cervical efficacious at decreasing HPV good read. There is certainly
cancer, 36,000 cases of genital infection and CIN incidence in compelling evidence that small
warts, and 230,000 cases of females 9-26 years of age.5 There favours and representative visits
cervical intraepithelial neoplasm is also new, exciting evidence by pharmaceutical industry can
(CIN), of which 23% are Grade that Gardasil may provide influence prescribing habits
2 or 3.2 However, as the risk of cross-protection for other HPV and attitudes.10,11 As future
developing cervical cancer is serotypes6 and decrease the risk pharmacists, we should seek
small given regular screening,3 of cervical lesion recurrence after to provide the best care for our
and as a recent study summarizing excisional therapy.7 It is clear patients, and avoid undue positive
voluntary-report ADR (adverse that while the risks and benefits of or negative prejudices towards
drug reaction) data for Gardasil HPV vaccination must be openly drugs merely because they are
revealed some serious events and discussed, we should offer this manufactured and promoted by a
an ADR rate of 53.9 per 100,000 potentially lifesaving intervention pharmaceutical company. n
distributed doses,4 Ms. Surani to all eligible patients and not
The author declares no conflicts of
writes that the increasing use dismiss Gardasil as a marketing
interest.
of Gardasil is merely “clever scheme.
marketing” and should be Ms. Surani also suggests that For references, please see appendix
concerning. regarding the GlaxoSmithKline available at http://capsil.capsi.ca

Fall 2010 - Automne 2010 40

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