If you have difficulty viewing this email, please click here to view it in your web browser. To ensure that you receive the eDIRC Bulletin, please add dirc@dirc.ca to your address book.



  1. OPA/DIRC News
  2. In the News
  3. Continuing Education Opportunities
  4. Advisories and Adverse Reactions
  5. Clinical Practice Guidelines
  6. Online Publications
  7. Evidence-Based Reviews
  8. Careers
  9. DIRC Subscriptions

Oct 18, 2011, volume 9, number 21

1. OPA/DIRC News
Please note that there will be no eDIRC on Nov 1, 2011. The next issue will be sent out Nov 15, 2011. The editors apologize for any inconvenience.

Back to top




2. In the News
Click on the title for access to the article or abstract.

Statement on Seasonal Influenza Vaccine for 2011–2012
Note: Egg allergy is no longer considered a contraindication for trivalent influenza vaccine (injectable)

Women exposed to Diethylstilbestrol (DES) in the womb face increased cancer risk: National Cancer Institute Press Release

Vitamin E and the Risk of Prostate Cancer: The Selenium and Vitamin E Cancer Prevention Trial (SELECT)

Back to top



3. Continuing Education Opportunities

Webinars

Methadone treatment in special populations: Patients with comorbid health problems (complimentary): October 19, October 25 or October 26
This live webinar will review the use of methadone and alternate therapies in patients with co-morbid health problems such as sleep apnea, cardiac arrhythmias, renal disease, and hepatitis C. Presented by Dr. Joel Bordman, a methadone practitioner, this presentation will also cover potential issues facing these patients, for example, the lack of evidence-based guidelines and dosing adjustments.
This complimentary program is made available through funding from the Ministry of Health and Long-Term Care.

Please note that the Methadone treatment in special populations: Patients with co-morbid health problems program does not replace the Centre for Addiction and Mental Health workshop or other mandatory and approved courses required by the Ontario College of Pharmacists.

All webinars take place 7 - 8:30 p.m. To register, visit https://dircevents.webex.com

Live programs 2011, Toronto
Registration for all programs will be available soon. Visit http://www.opatoday.com for more information.

Infectious Disease Program: October 14-16
Infections are a leading cause of death worldwide, and the can pose a challenging clinical problem because "best" treatment decisions are not static. The primary objectives of this three-day program are to enhance the skills and knowledge of participants in understanding infectious diseases and provide them with an update on current guidelines in managing infections commonly encountered in clinical practice.

Psoriasis Care Certificate Program for Pharmacists (complimentary): October 22 (Hamilton) and October 29 (Toronto), November 12 (Edmonton), December 3 (Vancouver)
Psoriasis is a chronic condition that affects one to three percent of Canadians. Patients have described it as a health burden that is comparable in magnitude to that of cancer, depression, diabetes and heart disease. Pharmacists in primary care practices have many opportunities to optimize the care of those with this condition. Thanks to an unrestricted educational grant from Leo Pharma Inc., OPA is providing pharmacists with an opportunity to gain valuable insight about the challenges and concerns facing people living with psoriasis that will lead to impactful interventions in the care of patients with this condition.
This is a blended program consisting of both web-based and live components. Pharmacists will become familiar with disease recognition, pharmacologic and non-pharmacologic management, trigger education and the assessment of quality of life measures.

Confronting Medication Incidents: October 26
The Ontario Pharmacists’ Association, with the generous support of Abbott Laboratories Ltd., has developed a program to make pharmacists and pharmacy technicians aware of the incidence, causes, and handling of medication incidents in practice. Topics include: terms involved in medication incidents, the scope and frequency of medication incidents, common incidents in pharmacy practice, procedures for dealing with and preventing, a medication incident, current initiatives in medication incident prevention and more.

Methadone Program (complimentary): October 30 (Sudbury) and November 19 (Toronto)
The Ontario College of Pharmacists (OCP) has recognized OPA’s live, one-day methadone education as an approved training course for methadone dispensing pharmacists as part of their training update. Updates are required at minimum every five years, as indicated in the College’s methadone dispensing policy. 

The complimentary program is presented by methadone practitioners and includes topics such as destigmatizing methadone maintenance therapy, communicating discreet and sensitive topics and the pharmacist’s role in providing care to patients on methadone or other addiction management agents. Tools and reference materials for pharmacists are included.

The program, funded by the Ministry of Health and Long-Term Care, does not replace the Centre for Addiction and Mental Health’s Opioid Dependence Treatment Course for pharmacists and designated managers who are beginning a methadone practice.

Certified Geriatric Pharmacist Preparation Course: November 4-6 and November 25-27
This six-day course prepares pharmacists to write the US Certified Geriatric Pharmacist exam and become credentialed as a Certified Geriatric Pharmacist (CGP). Updates on over 20 disease states common to geriatric care are presented by pharmacy experts, many of whom have their CGP credentials. Whether they work in a community pharmacy, hospital, family health team or long-term care setting, pharmacists often face the complexities of medication management in elderly patients. This course will benefit anyone wishing to advance their skills and knowledge of geriatric care.

Men’s Health Certificate Program: November 12
The Ontario Pharmacists’ Association is pleased to offer a one-day Men’s Health Certificate program.  This program will discuss common health risks facing the aging male and expand on the participants’ knowledge about the management of these conditions.  Faculty presenters will include Canadian experts in their respective fields who will provide an update and overview of current management as well as tips to optimize wellness.  All interested pharmacists and other healthcare professionals are welcome to attend.

Injection and Immunization Certificate Program: November 20
This program is part of a comprehensive two-part series designed to support pharmacists in the provision of injections for the purposes of education, demonstration, and eventually immunization once the regulations are in place. This blended program consists of live and web based components that will prepare pharmacists to eventually provide routine vaccinations and other injections. Prior to being able to deliver these services, pharmacists should also complete CPR/first aid training.

The live program will deliver all of the technical, operational and procedural elements associated with injection, and will include information ranging from the supplies needed, and an overview on how to deal with emergency situations. Participants will benefit from didactic lectures and practical training facilitated by trained healthcare professionals. To receive the certificate of completion for this program, participants will also be required to complete an online component.

Psychiatry Certificate Program: December 2-4
This three-day program will provide pharmacists with a selection of key topics in mental wellness to enhance their skills, knowledge, and understanding of the issues that pharmacists face in the management of mental illness. Topics will include overviews of schizophrenia, bipolar disorder, depression, adherence, and therapeutic challenges, as well as a special topic on mental illness in children. 

Nutrition for Pharmacists: December 10
This one-day CCCEP-accredited program will provide an overview of common issues as it relates to nutrition choices in disease and medication management. Some of the areas of discussion will include:  carbohydrate counting for diabetes management, label reading, good and bad fats, drug-nutrient interactions, healthy eating for weight management, management of food intolerances/allergies and key information on vitamins and nutrients from food.  

Online Certificate Programs
Available at www.pharmacisteducation.ca

Pain and Palliative Care Program
This CCCEP-approved program focuses on the management of chronic pain and palliative care. Originally delivered live, the program’s recorded content has been reviewed and updated by an expert faculty to enable pharmacists to access the information through a convenient web-based format. The program consists of 15 modules on various topics related to pain management and palliative care.

Diabetes Level 1 Certificate Program
This CCCEP-approved program provides pharmacists with a comprehensive overview of current diabetes management in Canada. The program is taught by a multidisciplinary team of clinical experts and consists of 11 modules, based on the Canadian Diabetes Association’s latest clinical practice guidelines. 

Complimentary Online Programs
Available at www.pharmacisteducation.ca

Methadone Education Program
These online modules are designed to provide pharmacists with tools to effectively manage their patients on methadone maintenance therapy. The program was created following recommendations from the Methadone Task Force (2006) for a methadone mentorship program for pharmacists.  These nine complimentary sessions are being provided to pharmacists with funding from the Ministry of Health and Long-Term Care. Please note that this program does not replace the Centre for Addiction and Mental Health (CAMH) workshop or approved courses required by the Ontario College of Pharmacists.

Vitamin D in Osteoporosis
A review of the sources of vitamin D, vitamin D insufficiency in Canada, benefits and current recommendations for vitamin D supplementation are provided.

Smoking Cessation
This program discusses a current approach to smoking cessation that takes into account patients’ readiness for intervention, pharmacists’ availability, and currently available resources and tools to optimize the pharmacist-patient encounter.  This complimentary module was made possible through an unrestricted educational grant from Pfizer Canada Inc.  

Ulcerative Colitis
This 90-minute session provides pharmacists with a comprehensive overview of the current management of ulcerative colitis. Pharmacists will learn how to recognize common symptoms that may lead to early physician evaluation and diagnosis.  This complimentary program was made possible through an unrestricted educational grant from Warner Chilcott Inc.

Practical Management of Cough and Cold
Both non-pharmacological and pharmacological treatment options for cough and cold are reviewed in this one-hour session, with a focus on special populations.  The program will also introduce participants to tools and resources to assist in patient assessment, product recommendation, monitoring and follow-up.  This complimentary module was made possible through an unrestricted educational grant from Procter & Gamble Inc.

HealthForceOntario's Allied Health Professional Development Fund will be offered again in 2011-12.  The application form is available from their website at www.ahpdf.ca

Back to top




4. Advisories and Adverse Reactions
Click on the title for access to the advisory.

Health Canada Warnings and Advisories

Advisories, Warnings and Recalls for Health Professionals

Advisories, Warnings and Recalls for the Public

Food and Drug Administration

2011 Safety Alerts for Human Medical Products

Sprycel (dasatinib): Drug Safety Communication - Risk of Pulmonary Arterial Hypertension

Back to top



5. Clinical Practice Guidelines
Click on the title for access to the guideline.

From the Canadian Urological Association
Prostate cancer screening: Canadian Guidelines 2011

From the Canadian Paediatric Society
Position statement: Use of influenza vaccines in children with an egg allergy

Back to top




6. Online Publications
Click on the title for access to the article or abstract.

From the Canadian Medical Association Journal
Efficacy of statins for primary prevention in people at low cardiovascular risk: a meta-analysis

From the Cleveland Clinic Journal of Medicine
Dabigatran: Will it change clinical practice?

From the Journal of the American Medical Association
Folic acid supplements in pregnancy and severe language delay in children

From The Lancet
Cigarette smoking as a risk factor for coronary heart disease in women compared with men: a systematic review and meta-analysis of prospective cohort studies

Back to top




7. Evidence-Based Reviews
Click on the title for access to summaries.

Cochrane New and Updated Reviews

Bandolier Summaries

Back to top




8. Careers
 
Drug Information Pharmacist (part-time)

This is an exciting time for pharmacists in Ontario. The need for drug information is more than ever now as pharmacists utilize their skills and expertise to support expanded scope of practice and new patient care initiatives.  

Reporting to the Senior Manager, Drug Information, you will use your professional designation and experience in a variety of activities to support pharmacists and promote wellness for patients.  As a DI pharmacist you will provide timely and effective responses to drug information requests from a variety of subscribers.  You may be called upon to prepare publications and participate in research and education projects. 

You are an effective verbal and written communicator.  Knowledge of the healthcare system in Ontario is an asset, along with an understanding of the role of pharmacists in healthcare delivery. The working hours for pharmacists include some evenings and weekends. Ideally you have community- and/or hospital-based experience. Bilingualism, drug information experience and hospital residency are assets.

We offer a friendly working environment, along with competitive compensation package including education support, professional development days and a broad benefit package.

Part-time staff are required to make a commitment to work a pre-determined schedule which includes weekends and evenings

Interested candidates are invited to send a resume to hr@opatoday.com or fax 416-441-0791 (Attn: Human Resources). No phone calls please. Only those candidates selected for an interview will be contacted.

Education pharmacist

In this exciting role, you will report to the Manager of Education and contribute to the design, delivery and evaluation of our education programs, activities and tools. You will also help identify and develop opportunities to extend the programs, scope and reach of DIRC’s education programs.

You understand the role of pharmacy in healthcare and appreciate the changing environment. You are an analytical person with excellent communication skills and are motivated to make a difference. 

Some evening and weekend work is involved. We offer a competitive compensation package including education support, professional development days and a broad benefit package.

Interested candidates are invited to send a résumé to hr@opatoday.com or fax 416-441-0791 (Attn: Human Resources). No phone calls please. Only those candidates selected for an interview will be contacted.

Join OPA's Faculty Registry as a speaker, facilitator or expert reviewer

The education department at OPA has an increased need for speakers, facilitators, and expert reviewers from across Canada for our growing number of educational programs.  If you are interested in any of these roles, please click here to add your name to OPA's Faculty Registry. Please direct any inquiries to Carolyn Singleton at csingleton@dirc.ca.

Back to top




9. DIRC Subscriptions

Why DIRC?
Through our timely, unbiased, and evidence-based drug information, we aim to help you:
• Increase efficiency in your day-to-day work
• Improve your patient relationships
• Build your reputation with physicians and other healthcare professionals

Value for your subscription
As a DIRC subscriber, you have access to:
• Hundreds of DIRC publications on the DIRC website
• Current information from top medical journals and databases
• A peer with whom you can dialogue to resolve your drug-related queries

To subscribe, contact Tina Starzenski at tstarzenski@dirc.ca or 1-800-268-8058 ext. 2252 for more information.

Back to top

Karina Malak, BScPhm, RPh
Nita Lakhani, BScPhm, RPh
Editors, eDIRC Bulletin

Feedback:
OPA/DIRC welcomes your feedback on the eDIRC Bulletin and other DIRC services at dirc@dirc.ca.

Education Inquiries:
Please direct any inquiries on OPA/DIRC Educational Programs to education@dirc.ca.

Unsubscribe:
To unsubscribe from future mailings, email dirc@dirc.ca with "Remove" in the subject line.

Contact Us:
Drug Information and Research Centre
Ontario Pharmacists' Association
375 University Avenue, Suite 800
Toronto, Ontario M5G 2J5
Tel: (800) 268-8058 Fax: (416) 385-2442
www.opatoday.com
www.dirc.ca

Privacy Policy
DIRC is ISO 9001:2008 registered.
© 2010 Ontario Pharmacists' Association - All rights reserved