January/February 2009 - Ontario College of Pharmacists
January/February 2009 - Ontario College of Pharmacists
January/February 2009 - Ontario College of Pharmacists
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ontario college <strong>of</strong> pharmacists<br />
483 Huron Street, Toronto, <strong>Ontario</strong> M5R 2R4 • Tel (416) 962-4861 • Fax (416) 847-8200 • www.ocpinfo.com<br />
The mission <strong>of</strong> the <strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong> is<br />
to regulate the practice <strong>of</strong> pharmacy, through<br />
the participation <strong>of</strong> the public and the<br />
pr<strong>of</strong>ession, in accordance with standards <strong>of</strong><br />
practice which ensure that pharmacists<br />
provide the public with quality<br />
pharmaceutical service and care.<br />
Council Members<br />
Council Members for Districts 1-17 are listed below according to District number. PM indicates a public member appointed by the<br />
Lieutenant-Governor-in-Council. DFP indicates the Dean <strong>of</strong> the Leslie Dan Faculty <strong>of</strong> Pharmacy, University <strong>of</strong> Toronto.<br />
DSP indicates the Director, School <strong>of</strong> Pharmacy, University <strong>of</strong> Waterloo.<br />
1 Joseph Hanna<br />
2 Elaine Akers<br />
3 Sherif Guorgui<br />
4 Tracey Phillips<br />
5 Donald Organ<br />
6 Fayez Kosa<br />
7 Tracy Wiersema<br />
8 Saheed Rashid<br />
9 Bonnie Hauser<br />
10 Gerald Cook<br />
11 Christopher Leung<br />
12 Peter Gdyczynski<br />
13 Sanjiv Maindiratta<br />
14 Stephen Clement<br />
15 Gregory Purchase<br />
16 Doris Nessim<br />
17 Shelley McKinney<br />
PM Joinal Abdin<br />
PM Thomas Baulke<br />
PM Corazon dela Cruz<br />
PM Babek Ebrahimzadeh<br />
PM David H<strong>of</strong>f<br />
PM Margaret Irwin<br />
PM Javaid Khan<br />
PM Lewis Lederman<br />
PM Aladdin Mohaghegh<br />
PM Gitu Parikh<br />
DFP Wayne Hindmarsh<br />
DSP Jake Thiessen<br />
Statutory Committees<br />
• Executive<br />
• Accreditation<br />
• Complaints<br />
• Discipline<br />
• Fitness to Practice<br />
• Patient Relations<br />
• Quality Assurance<br />
• Registration<br />
Standing Committees<br />
• Communications<br />
• Finance<br />
• Pr<strong>of</strong>essional Practice<br />
Special Committees<br />
• Standards <strong>of</strong> Practice Working Group<br />
• Pharmacy Technicians Working Group<br />
<strong>College</strong> Staff<br />
Office <strong>of</strong> the Registrar and Deputy Registrar/<br />
Director <strong>of</strong> Pr<strong>of</strong>essional Development<br />
Pharmacy Connection Editor x 241<br />
ltodd@ocpinfo.com<br />
Office <strong>of</strong> the Director <strong>of</strong> Finance<br />
and Administration x 263<br />
bhsu@ocpinfo.com<br />
Office <strong>of</strong> the Director <strong>of</strong><br />
Pr<strong>of</strong>essional Practice x 236<br />
sjackson@ocpinfo.com<br />
Registration Programs x 250<br />
jsantiago@ocpinfo.com<br />
Structured Practical Training Programs x 297<br />
vgardner@ocpinfo.com<br />
Investigations and Resolutions x 274<br />
cfernandes@ocpinfo.com<br />
Continuing Education Programs and<br />
Continuing Competency Programs x 273<br />
lsheppard@ocpinfo.com<br />
Pharmacy Openings/Closings,<br />
Pharmacy Sales/Relocation<br />
ocpclientservices@ocpinfo.com<br />
Registration and Membership Information:<br />
ocpclientservices@ocpinfo.com<br />
Pharmacy Technician Programs:<br />
ocpclientservices@ocpinfo.com<br />
Publications x 229<br />
spark@ocpinfo.com
contents<br />
<strong>Pharmacists</strong>’ Annual Renewal 10<br />
CE Coordinators Role Description 18<br />
Thank you Preceptors 22<br />
Annual Statistics 30<br />
page 7<br />
page 10<br />
page 18<br />
regular features<br />
Registrar’s Message 4<br />
Editor’s Message 6<br />
Council Report 7<br />
Pharmacy Technician Q&A 12<br />
Bulletin Board 13<br />
Registration Q&A 14<br />
Practice Q&A 15<br />
Focus on Error Prevention - Pediatric Dosages 16<br />
Health Canada Notices 17<br />
Staying Informed about Pharmacy Technician Regulation 19<br />
Deciding on Discipline 20<br />
CE Resources 29<br />
Laws & Regulations 31<br />
pharmacyconnection<br />
<strong>January</strong>/<strong>February</strong> <strong>2009</strong> July • August Volume 200816 • Number Volume 115 • Number 4<br />
The objectives <strong>of</strong> Pharmacy Connection are to communicate information on <strong>College</strong> activities and policies; encourage dialogue and to discuss issues <strong>of</strong><br />
interest with pharmacists; and to promote the pharmacist’s role among our members, allied health pr<strong>of</strong>essions and the public.<br />
We publish six times a year, in <strong>January</strong>, March, May, July, September and November. We welcome original manuscripts (that promote the objectives <strong>of</strong> the<br />
journal) for consideration. The <strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong> reserves the right to modify contributions as appropriate. Please contact the Associate Editor<br />
for publishing requirements.<br />
We also invite you to share your comments, suggestions, or criticisms by letter to the Editor. Letters considered for reprinting must include the author’s<br />
name, address and telephone number. The opinions expressed in this publication do not necessarily represent the views or <strong>of</strong>ficial position <strong>of</strong> the <strong>Ontario</strong><br />
<strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong>.<br />
Tracy Wiersema, R.Ph., B.Sc.Phm.<br />
President<br />
Deanna Williams, R.Ph., B.Sc.Phm., C.Dir., CAE<br />
Registrar<br />
Della Croteau, R.Ph., B.S.P., M.C.Ed.<br />
Editor, Deputy Registrar,<br />
Director <strong>of</strong> Pr<strong>of</strong>essional Development<br />
dcroteau@ocpinfo.com<br />
Sue Rawlinson<br />
Associate Editor<br />
srawlinson@ocpinfo.com<br />
Agostino Porcellini<br />
Production & Design / Webmaster<br />
aporcellini@ocpinfo.com<br />
Neil Hamilton<br />
Distribution<br />
nhamilton@ocpinfo.com<br />
ISSN 1198-354X<br />
© <strong>2009</strong> <strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong><br />
Canada Post Agreement #40069798<br />
Undelivered copies should be returned<br />
to the <strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong>.<br />
Not to be reproduced in whole or in part<br />
without the permission <strong>of</strong> the Editor.
egistrar’s message<br />
Deanna Williams, R.Ph., B.Sc. Phm., C.Dir., CAE<br />
Registrar<br />
“Report recommends pharmacists be<br />
granted the authority to prescribe!”<br />
Happy New Year! This news, which<br />
came in late November with the public<br />
release <strong>of</strong> the Health Pr<strong>of</strong>essions Regulatory<br />
Advisory Council (HPRAC)’s<br />
Report on Scope <strong>of</strong> Practice in the<br />
health pr<strong>of</strong>essions was thrilling to many<br />
and concerning to others.<br />
As you know, Pharmacy is one <strong>of</strong><br />
several health pr<strong>of</strong>essions engaged<br />
over the past year in consultations<br />
with the Health Pr<strong>of</strong>essions Regulatory<br />
Advisory Council (HPRAC) respecting<br />
its “Scope <strong>of</strong> Practice” review<br />
and most recently its review on<br />
“Non-Physician Prescribing and Use<br />
<strong>of</strong> drugs”. Over the summer many <strong>of</strong><br />
you participated in the <strong>College</strong>’s series<br />
<strong>of</strong> webcasts to better understand<br />
the details <strong>of</strong> the <strong>College</strong>’s submission<br />
on scope <strong>of</strong> practice and the tremendous<br />
feedback and support that pharmacists<br />
provided back to HPRAC was<br />
great. The HPRAC report and recommendations<br />
respecting the Scope<br />
<strong>of</strong> Practice for Pharmacy are now public,<br />
and can be found through the following<br />
link: http://www.health.gov.<br />
on.ca/english/public/pub/ministry_<br />
reports/hprac_08/3_hprac_interpro_<br />
p2_20080900.pdf<br />
We would encourage you to look at<br />
the report. Comments are invited back<br />
to the Ministry by <strong>January</strong> 30, <strong>2009</strong>.<br />
...we believe all pharmacists have the knowledge, skills<br />
and ability to appropriately exercise their pr<strong>of</strong>essional<br />
judgement respecting any prescriptions they receive.<br />
The <strong>College</strong> is extremely pleased<br />
that HPRAC supported the proposed<br />
wording amendments to Pharmacy’s<br />
scope <strong>of</strong> practice statement to recognize<br />
and include the important role<br />
pharmacists play in medication therapy<br />
management. HPRAC has also<br />
recommended pharmacists be able<br />
to administer substances by both injection<br />
and inhalation to facilitate the<br />
provision <strong>of</strong> education and information<br />
to patients and their agents, and that<br />
pharmacists be permitted to pierce the<br />
tissue below the dermis ( finger pricking)<br />
when using glucose monitoring devices<br />
to demonstrate proper use and/or<br />
to monitor blood glucose levels in collaborative<br />
practices.<br />
Most significant is HPRAC’s recommendation<br />
that pharmacists be granted<br />
prescribing authority. The <strong>College</strong><br />
is very pleased with the recommendations<br />
which clearly demonstrate a<br />
recognition <strong>of</strong> the high level <strong>of</strong> training<br />
and unique expertise that pharmacists<br />
possess. There are two key parts to<br />
HPRAC’s recommendation respecting<br />
prescribing for pharmacists and it’s<br />
important that we understand the distinction.<br />
The first part <strong>of</strong> “prescribing”<br />
would involve modifying, adapting and/<br />
or extending an already written prescription<br />
that is based on an alreadymade<br />
and communicated diagnosis by<br />
another practitioner. These are the activities<br />
that the <strong>College</strong> initially proposed<br />
be included within the current<br />
controlled act <strong>of</strong> “dispensing “(without<br />
further authorization) because they do<br />
not involve initiation <strong>of</strong> a new prescription<br />
by a pharmacist. The second part<br />
<strong>of</strong> “prescribing” HPRAC recommends<br />
would involve pharmacists initiating<br />
4 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
new prescriptions for certain Schedule<br />
l drugs for minor ailments.<br />
There is a significant difference<br />
between a pharmacist “modifying,<br />
adapting or extending an already written/existing<br />
prescription” and a pharmacist<br />
“initiating a prescription for a<br />
Schedule l drug “, whether for a minor<br />
ailment or not. We resist making the<br />
distinction at our peril. Differentiating<br />
between the two will be especially important<br />
going forward, and identifying<br />
who can do what, and within what<br />
terms and conditions.<br />
To maintain some consistency<br />
amongst the various health pr<strong>of</strong>essions<br />
who prescribe now and in the future,<br />
HPRAC is proposing the creation <strong>of</strong><br />
specific drug lists, or lists <strong>of</strong> drug classes/categories<br />
that respective pr<strong>of</strong>essions<br />
would be able to prescribe. The<br />
<strong>College</strong> does not support the need for<br />
a defined list <strong>of</strong> drugs or drug classes or<br />
categories for those prescribing activities<br />
associated with medication therapy<br />
management-modifying, adapting,<br />
or extending already-written prescriptions.<br />
With the exception <strong>of</strong> narcotic<br />
and controlled substances where we<br />
could support an exception, we believe<br />
all pharmacists have the knowledge,<br />
skills and ability to appropriately exercise<br />
their pr<strong>of</strong>essional judgement respecting<br />
any prescriptions they receive.<br />
Confining pharmacists to a specific or<br />
limited list <strong>of</strong> drugs when exercising<br />
pr<strong>of</strong>essional judgement respecting prescriptions<br />
already written by another<br />
practitioner would be counterproductive<br />
, and in our view, would seriously<br />
limit the pharmacists ability and effectiveness<br />
in managing medication therapy<br />
for their patients<br />
The <strong>College</strong> could consider a defined<br />
list more appropriate for pharmacists<br />
or any emerging prescribing<br />
pr<strong>of</strong>essionals who initiate drug therapy.<br />
The <strong>College</strong> is concerned that<br />
all pharmacists do not currently have<br />
the necessary training, competency<br />
or confidence to conduct the level <strong>of</strong><br />
assessment needed before initiating<br />
a prescription drug for any ailment.<br />
Our public protection mandate leads<br />
us to proceed more cautiously in supporting<br />
pharmacist initiation <strong>of</strong> Schedule<br />
l drugs- first ensuring that additional<br />
education and training was available<br />
and mandatory for all pharmacists<br />
and then working with educators,<br />
pharmacists and other pr<strong>of</strong>essions to<br />
determine which ailments and drugs<br />
could appropriately and safely be routinely<br />
initiated by pharmacists.<br />
These are very exciting times! While<br />
ongoing and <strong>of</strong>ten competing economic<br />
challenges facing the retail businesses<br />
where Pharmacy is commonly practiced<br />
may continue, there are before<br />
pharmacists now unprecedented and<br />
tremendous opportunities that we<br />
must, as a health care pr<strong>of</strong>ession embrace<br />
with enthusiasm but also with<br />
the respectful caution that is needed<br />
to optimize the care <strong>of</strong> your patients in<br />
a safe, responsible way- the future <strong>of</strong><br />
our pr<strong>of</strong>ession depends on this. Be assured<br />
that the <strong>College</strong> will continue to<br />
do its part to ensure all pharmacists are<br />
able to work to their fullest ability and<br />
scope- the rest is up to you.<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
5
editor’s message<br />
Della Croteau, R.Ph., B.S.P., M.C.Ed.<br />
Deputy Registrar/Director <strong>of</strong> Pr<strong>of</strong>essional Development<br />
A<br />
pharmacist is a pharmacist<br />
is a pharmacist. That is<br />
what our provincial governments<br />
are telling us through the upcoming<br />
Agreement on Internal Trade<br />
revisions. Next year, a licensed pharmacist,<br />
or any licensed pr<strong>of</strong>essional for<br />
that matter, will be able to move from<br />
province to province according to the<br />
AIT. This means there will be no retraining<br />
or re-examination <strong>of</strong> pr<strong>of</strong>essionals<br />
when moving from province to<br />
province, except where necessary for<br />
public protection.<br />
On one hand the <strong>College</strong> will be expected<br />
to readily license pharmacists<br />
who are already licensed in another<br />
province. On the other hand, the <strong>College</strong><br />
is also responsible for making sure<br />
that every pharmacist who practices in<br />
<strong>Ontario</strong> is currently competent to practice<br />
and meet the standards <strong>of</strong> practice.<br />
No matter where a pharmacist practices<br />
it is the responsibility <strong>of</strong> each <strong>of</strong> us<br />
Next year, a licensed pharmacist, or any licensed<br />
pr<strong>of</strong>essional for that matter, will be able to move<br />
from province to province according to the AIT...<br />
as pr<strong>of</strong>essionals to have plan in place for<br />
continuing education to keep us current<br />
in our areas <strong>of</strong> practice.<br />
That is not as simple as it used to<br />
be. In the past, many pharmacists have<br />
been comforted by the fact that they<br />
did 15 or 20 continuing education units<br />
(CEUs) per year. But think <strong>of</strong> it – medical<br />
and drug information is renewing itself<br />
every 5 to 10 years! And the pr<strong>of</strong>ession<br />
is expanding its scope so that pharmacists<br />
will now be using their medication<br />
knowledge is more accountable<br />
way – through adapting, modifying and<br />
extending prescriptions. How can we<br />
keep up with 20 CEUs per year?<br />
The <strong>College</strong> has a requirement for<br />
every pharmacist to keep a record <strong>of</strong><br />
their continuous learning. The On-line<br />
CPD portal gives each pharmacist an<br />
opportunity to self-assess their knowledge<br />
and skills, and to build a learning<br />
portfolio which will keep them current<br />
with issues in their daily practice. As<br />
well, the OCP website contains several<br />
options for continuing education<br />
which pharmacists can access on a<br />
regular basis. The CPD portal, recently<br />
launched, is now available to all pharmacists<br />
to use as a tool for continuous<br />
pr<strong>of</strong>essional development. We also encourage<br />
you to plan your learning for<br />
the year in anticipation <strong>of</strong> an expanded<br />
scope. Check the OCP website for opportunities<br />
for continuing pr<strong>of</strong>essional<br />
development in your area and on-line.<br />
With the AIT agreement, and the<br />
review <strong>of</strong> scope <strong>of</strong> practice in <strong>Ontario</strong>,<br />
every pharmacists in <strong>Ontario</strong> will be<br />
accountable for demonstrating their<br />
knowledge and skills at a new level.<br />
Make <strong>2009</strong> the year for increased<br />
pr<strong>of</strong>essional development and pr<strong>of</strong>essional<br />
renewal.<br />
6 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
council report<br />
DECEMBER 2008<br />
Council Approves Proposed<br />
Amendments To The<br />
General Operating By-Law<br />
The amendments to the Regulated<br />
Health Pr<strong>of</strong>essions Act, which will<br />
come into force on June <strong>2009</strong> as part<br />
<strong>of</strong> the Health System Improvements Act<br />
(HSIA), include changes to the section<br />
<strong>of</strong> the Procedural Code that pertain<br />
to the Register. Accordingly, Council<br />
discussed and approved amendments<br />
to Article I (Definitions), Article XII<br />
(Register) and Article XIII (Filing <strong>of</strong> Information<br />
by <strong>Pharmacists</strong>, Pharmacies<br />
and Health Pr<strong>of</strong>ession Corporations)<br />
<strong>of</strong> the by-law. These amendments expand<br />
the list <strong>of</strong> information that the<br />
public must have access to and direct<br />
that all the information on the Register<br />
(as stipulated in the Code as well<br />
as other information to be maintained<br />
in the Register in accordance with our<br />
by-laws) shall be posted on the <strong>College</strong>’s<br />
website.<br />
Furthermore, there was agreement<br />
that the <strong>College</strong> will interpret<br />
the Health System Improvements Act<br />
(HSIA) Register amendments to require<br />
the <strong>College</strong> to continue to have<br />
available to the public the results <strong>of</strong> the<br />
discipline and incapacity proceedings<br />
that are on the public Register as <strong>of</strong><br />
June 3, <strong>2009</strong> but not to include in the<br />
Register as <strong>of</strong> June 4, <strong>2009</strong>, results <strong>of</strong><br />
discipline and incapacity proceedings<br />
which have been removed as <strong>of</strong> June<br />
3, <strong>2009</strong>. This interpretation <strong>of</strong> the<br />
HSIA amendments is consistent with<br />
the position <strong>of</strong> other Health <strong>College</strong>s.<br />
For more detailed information<br />
respecting these amendments, please<br />
refer to the website at www.ocpinfo.<br />
com<br />
As required by the regulations,<br />
feedback is being sought and<br />
members <strong>of</strong> the <strong>College</strong> are requested<br />
to direct comments by <strong>February</strong> 23,<br />
<strong>2009</strong> to: Connie Campbell, Director<br />
<strong>of</strong> Finance and Administration, -<br />
ccampbell@ocpinfo.com<br />
Capital Budget Approved<br />
As reported in the previous issue <strong>of</strong><br />
Pharmacy Connection, at its meeting<br />
in September, Council agreed to defer<br />
approval <strong>of</strong> a capital budget for building<br />
and leaseholds pending consultation<br />
to determine how the current<br />
facilities owned and operated by the<br />
<strong>College</strong> could be reconfigured to increase<br />
the utility and efficiency.<br />
This spring, on the recommendation<br />
<strong>of</strong> the Building Committee, the<br />
<strong>College</strong> contracted the services <strong>of</strong><br />
Mayhew Workspaceworks, a real-estate<br />
and design firm to undertake an<br />
objective analysis <strong>of</strong> the space needs<br />
and expectations. Upon confirming<br />
the importance <strong>of</strong> the existing facilities<br />
to the organization, they explored<br />
the concept <strong>of</strong> utilizing the<br />
current space in a different way and<br />
have recommended an approach that<br />
would incorporate alternate work arrangements,<br />
including telecommuting<br />
into the <strong>College</strong>’s operations.<br />
Following a comprehensive interactive<br />
process, involving all levels <strong>of</strong><br />
management and staff, Mahew made<br />
recommendations respecting conversion<br />
<strong>of</strong> the space and the business<br />
processes. Levels <strong>of</strong> telecommuting<br />
were established for all existing job<br />
functions at the <strong>College</strong> with criteria<br />
attached to each. A two year transition<br />
period is proposed to evolve both<br />
the physical facility at 483 Huron<br />
Street as well as the technological<br />
supports for operations to enable<br />
the majority <strong>of</strong> the operations to be<br />
undertaken at home <strong>of</strong>fice locations.<br />
Based on these recommendations,<br />
Council approved an expenditure <strong>of</strong><br />
$1,800,000 for transitioning internal<br />
<strong>College</strong> operations to a telecommuting<br />
platform ($1.3 million – facility related;<br />
$0.5 million for work process<br />
conversion).<br />
The transition is aimed at maintaining<br />
or improving services provided<br />
by the <strong>College</strong> as the need to accelerate<br />
on-line services for staff translates<br />
to increased on-line services for the<br />
public, members and other stakeholders.<br />
Although many other business<br />
sectors have moved to telecommuting<br />
as a means <strong>of</strong> providing flexibility<br />
for staffing while reducing overhead<br />
costs for facility related expenses,<br />
our <strong>College</strong> was commended for its<br />
leadership among regulatory agencies<br />
in pursuing this option.<br />
For the next two years, it is anticipated<br />
that the space at 186 St.<br />
George would be utilized to temporarily<br />
hold staff dislocated from their<br />
workspace at 483 during construction.<br />
As we progress through the<br />
transformation <strong>of</strong> the 483 space, the<br />
Finance Committee will consider the<br />
appropriate action with respect to<br />
property on St. George Street.<br />
Submissions Update<br />
In early October, this <strong>College</strong>,<br />
together with other regulated health<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
7
council report<br />
colleges and pr<strong>of</strong>essional associations<br />
whose members may prescribe<br />
or administer drugs as part <strong>of</strong> their<br />
practice, were invited by HPRAC to<br />
a briefing respecting their review <strong>of</strong><br />
Non-Physician Prescribing and Administration<br />
<strong>of</strong> Drugs under the Regulated<br />
Health Pr<strong>of</strong>essions Act and<br />
were invited to submit comments respecting<br />
this matter by November 12,<br />
2008.<br />
While much <strong>of</strong> the information<br />
previously submitted in the “Scope<br />
<strong>of</strong> Practice for Pharmacy” documents<br />
applies to this review as well in this<br />
new review, the <strong>College</strong> focuses on<br />
the actual activities required for pharmacists<br />
to fully realize their roles in<br />
Medication Therapy Management,<br />
namely adapting, modifying and extending<br />
prescriptions, and administering<br />
drugs by inhalation and injection.<br />
In mid November, the Hon. David<br />
Caplan, Minister <strong>of</strong> Health and<br />
Long-Term Care <strong>of</strong> <strong>Ontario</strong> released<br />
Health Pr<strong>of</strong>essions Regulatory Advisory<br />
Council’s (HPRAC) Interim<br />
Report to the Minister <strong>of</strong> Health and<br />
Long-Term Care on Mechanisms to<br />
Facilitate and Support Interpr<strong>of</strong>essional<br />
Collaboration among Health<br />
<strong>College</strong>s and Regulated Health Pr<strong>of</strong>essionals:<br />
Phase ll, Part l. In this report,<br />
HPRAC has included its report<br />
and recommendations respecting<br />
the scope <strong>of</strong> practice review <strong>of</strong> four<br />
regulated health pr<strong>of</strong>essions, namely,<br />
Pharmacy, Physiotherapy, Midwifery,<br />
and Dietetics.<br />
The key recommendations included<br />
in the report are as follows:<br />
Support <strong>of</strong> a Scope <strong>of</strong> Practice Statement<br />
(HPRAC has supported the<br />
<strong>College</strong>’s proposals respecting adding<br />
the pharmacist’s role in Medication<br />
Therapy Management. HPRAC<br />
has also changed “provision <strong>of</strong> information<br />
relating to…..” to “providing<br />
education relating to their use”).<br />
Support <strong>of</strong> the addition <strong>of</strong> four new<br />
Controlled Acts (HPRAC has supported<br />
the addition <strong>of</strong> four new controlled<br />
or authorized acts, subject to<br />
terms and conditions proposed by<br />
the <strong>College</strong>. These include: prescribing,<br />
skin pricking, administration <strong>of</strong> a<br />
substance by injection and administration<br />
<strong>of</strong> a substance by inhalation).<br />
HPRAC further recommends that<br />
pharmacists have the authority to initiate<br />
prescriptions for minor ailments<br />
and for smoking cessation. Furthermore,<br />
pharmacists will now be authorized<br />
to order laboratory tests for<br />
Medication Therapy Management<br />
and monitoring purposes.<br />
HPRAC did not support pharmacists<br />
being authorized to perform<br />
routine injections or immunizations;<br />
or being authorized to initiate therapy<br />
for travel prophylaxis to prescribe<br />
Schedule ll and lll drugs solely for purposes<br />
<strong>of</strong> reimbursement under an insurance<br />
plan.<br />
Council was extremely pleased<br />
with the recommendations put<br />
forth by HPRAC and appreciates<br />
HPRAC’s recognition respecting the<br />
high level <strong>of</strong> training and education<br />
pharmacists in <strong>Ontario</strong> possess.<br />
The Ministry <strong>of</strong> Health and Long-<br />
Term Care has invited comments by<br />
the end <strong>of</strong> <strong>January</strong>, <strong>2009</strong> and, to this<br />
end, Council has directed that with<br />
respect to the recommendation respecting<br />
the establishment <strong>of</strong> lists <strong>of</strong><br />
specific drugs-categories or classes,<br />
the <strong>College</strong> indicate our support <strong>of</strong> a<br />
list <strong>of</strong> defined drug classes or categories<br />
ONLY where pharmacists initiate<br />
prescriptions for Schedule l drugs.<br />
Council also expressed strong support<br />
<strong>of</strong> the inclusion <strong>of</strong> objects <strong>of</strong> the<br />
<strong>College</strong> to ensure collaboration between<br />
pr<strong>of</strong>essions but does not support<br />
the mandatory inclusion <strong>of</strong> other<br />
pr<strong>of</strong>essions on our Pharmacy Standards<br />
Committee. The <strong>College</strong> will<br />
however, indicate our commitment to<br />
obtaining and utilizing the input and<br />
expertise <strong>of</strong> those pr<strong>of</strong>essions who<br />
currently prescribe and perform lab<br />
tests as we go forward in developing<br />
and establishing practice standards to<br />
support pharmacists in the new authorized<br />
acts and scope <strong>of</strong> practice.<br />
CPSO Dispensing Policy<br />
Endorsed<br />
The <strong>College</strong> <strong>of</strong> Physicians and Surgeons<br />
<strong>of</strong> <strong>Ontario</strong> (CPSO), in collaboration<br />
with this <strong>College</strong>, has developed<br />
a policy on dispensing for<br />
those physicians who dispense drugs,<br />
or who are considering adding dispensing<br />
to their practice. Council endorsed<br />
the proposed policy, noting<br />
that both the Pr<strong>of</strong>essional Practice<br />
and the Executive Committees were<br />
<strong>of</strong> the opinion that physicians be held<br />
to the same standard as pharmacists<br />
with respect to the controlled act <strong>of</strong><br />
dispensing in order to ensure public<br />
safety.<br />
Advertising Regulations<br />
Upheld<br />
Following the release <strong>of</strong> a report by<br />
the Competition Bureau as it related<br />
to the Pharmacy pr<strong>of</strong>ession, the<br />
<strong>College</strong> undertook a review <strong>of</strong> the<br />
current advertising regulation to determine<br />
whether any revisions or<br />
amendments are appropriate.<br />
The <strong>College</strong>’s current advertising<br />
8 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
egulation, made under both the<br />
Pharmacy Act and the Drug and Pharmacies<br />
Regulation Act (DPRA), were<br />
reviewed at length by the <strong>College</strong>’s<br />
Pr<strong>of</strong>essional Practice Committee and<br />
also debated extensively at Council,<br />
with the conclusion that the current<br />
provisions <strong>of</strong> the advertising regulation<br />
are appropriate and should be<br />
retained.<br />
In particular, the public members<br />
<strong>of</strong> Council expressed serious concerns<br />
respecting the advertising <strong>of</strong> individual<br />
prescription products as currently<br />
occurs in the USA and strongly<br />
believe it is not in the public interest<br />
to permit pharmacists to advertise<br />
sole prescription products to the public<br />
as loss leaders. While the current<br />
requirement to include at least 15 different<br />
drugs, 10 <strong>of</strong> which each belong<br />
to a different classification may appear<br />
onerous, there was strong consensus<br />
that this requirement actually<br />
protects the public from a pharmacy<br />
pushing or promoting one Rx product<br />
over another. Further, it was suggested<br />
that this may actually encourage<br />
competition while supporting<br />
the public in making their choices respecting<br />
the provision <strong>of</strong> pharmacy<br />
services in accordance with the level<br />
<strong>of</strong> pharmaceutical service and care<br />
provided rather than on price <strong>of</strong> product<br />
alone.<br />
Library Requirements For<br />
Pharmacies<br />
Council endorsed a recommendation<br />
made by the Accreditation Committee<br />
to add a new reference from MediResource,<br />
Patient Connect DDI<br />
to the patient counselling category<br />
and is in agreement with the Accreditation<br />
Committee that it would<br />
be beneficial to members in their care<br />
<strong>of</strong> patients. Current library requirements<br />
can be found on the <strong>College</strong>’s<br />
website at www.ocpinfo.com<br />
Ait/Labour Mobility<br />
Council received for information a<br />
comprehensive presentation by <strong>of</strong>ficials<br />
from the Ministry <strong>of</strong> Training<br />
<strong>College</strong>s and University respecting<br />
AIT and <strong>Ontario</strong>-Quebec labour<br />
mobility agreements. Included in the<br />
presentation was a review <strong>of</strong> the process<br />
for implementing the two agreements,<br />
including key milestones and<br />
timing. An overview <strong>of</strong> the key elements<br />
<strong>of</strong> the AIT and implications for<br />
regulatory bodies was also provided.<br />
Following the presentation and after<br />
extensive discussion, Council recommended<br />
that staff prepare and provide<br />
to the Ministry, a business case<br />
that demonstrates why this <strong>College</strong>’s<br />
requirements for a jurisprudence<br />
exam and an International Pharmacy<br />
Graduate program should be considered<br />
necessary and valid requirements<br />
for labour mobility.<br />
To this end, it was noted that NA-<br />
PRA, the National Association <strong>of</strong><br />
Pharmacy Regulatory Authorities,<br />
is working concomitantly with the<br />
regulatory authorities on the Mutual<br />
Recognition Agreement (MRA)<br />
which will also serve to ensure labour<br />
mobility <strong>of</strong> pharmacists in Canada.<br />
The Agreement, which establishes<br />
the conditions under which a pharmacist<br />
who is licensed/registered in<br />
one Canadian jurisdiction will have his<br />
/her qualifications recognized in another<br />
Canadian jurisdiction, will support<br />
and enhance the federal agreements<br />
for the pr<strong>of</strong>ession.<br />
Remote Dispensing/<br />
E-Prescribing<br />
Council considered a legal opinion<br />
as to whether the current provisions<br />
<strong>of</strong> the DPRA (Drug and Pharmacies<br />
Regulation Act) permit remote<br />
dispensing and e-prescribing and<br />
agreed with the Executive Committee’s<br />
recommendation that this matter<br />
be referred, including the issue <strong>of</strong><br />
any amendments that would need<br />
to be made to the DPRA, to the Accreditation<br />
Committee for further<br />
consideration, and further that recommendations<br />
respecting any legislative/regulatory<br />
amendments to be<br />
brought back to Council for further<br />
discussion.<br />
Strategic Plan Update<br />
Progress continues towards meeting<br />
the goals and objectives set out in the<br />
Strategic Plan and Council received<br />
the progress report <strong>of</strong> action taken by<br />
all <strong>College</strong> areas since the September<br />
Council Meeting. It was noted that<br />
activities set in March 2006 are expected<br />
to reach completion in <strong>2009</strong><br />
when Council will embark upon a<br />
new Strategic Plan. The <strong>College</strong> has<br />
engaged the services <strong>of</strong> Ms. Elinor<br />
Caplan to facilitate this process and<br />
a report from this Strategic Planning<br />
Retreat will be presented to Council<br />
in June <strong>2009</strong> for ratification.<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
9
online renewal<br />
<strong>Pharmacists</strong>’ Annual Renewal due<br />
<strong>Pharmacists</strong>’ fees for <strong>2009</strong> are:<br />
Part A pharmacists’ fee $564.81 ($537.91 + $26.90 GST)<br />
Part B pharmacists’ fee $282.40 ($268.95 + 13.45 GST)<br />
The pharmacist annual renewal has moved online!<br />
No form will be mailed to you, however email reminders<br />
will be sent. Please ensure the <strong>College</strong> has your current<br />
email address. Please refer to the attached brochure for<br />
more information on how to complete your online renewal.<br />
their behalf. The new online process will guide all pharmacists,<br />
regardless <strong>of</strong> payment method, through the information<br />
requiring verification and/or updating. We have been<br />
in contact with the pharmacy chains and worked out a<br />
process whereby the Confirmation <strong>of</strong> Information Renewal<br />
submitted to them by a pharmacist will suffice as notification<br />
that a pharmacist has completed the information renewal<br />
portion <strong>of</strong> their annual renewal. Employers will, in<br />
turn, provide a list to the <strong>College</strong> <strong>of</strong> all <strong>of</strong> these pharmacists<br />
when submitting payment.<br />
Information Renewal – Step 1<br />
• To begin your online renewal, go to www.ocpinfo.com,<br />
click on the Member Login button(as seen above).<br />
• Enter your User ID (your OCP number) and your<br />
password.<br />
The first time you login and until you change it, your<br />
password is the last six digits <strong>of</strong> your social insurance number.<br />
After your initial log in, we encourage you to change<br />
your password. Once you have successfully logged in,<br />
click on Pharmacist Renewal on the left hand side <strong>of</strong> the<br />
screen. Once you complete and submit this first step <strong>of</strong><br />
your renewal, print/save a copy <strong>of</strong> your Confirmation <strong>of</strong><br />
Information Renewal.<br />
After a review <strong>of</strong> our renewal processes, we realized<br />
that many people were not taking advantage <strong>of</strong> completing<br />
their renewal online because they preferred to pay by<br />
cheque or their pharmacy was paying their renewal on<br />
Payment – Step 2<br />
• On-Line<br />
Payment by Credit Card or INTERAC can be made<br />
online in a secure environment digitally protected by<br />
Moneris .<br />
• by Cheque<br />
Your Confirmation <strong>of</strong> Information Renewal must be printed<br />
and returned along with a cheque made payable to<br />
the “<strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong>” or “OCP”. Write<br />
your OCP number on the front <strong>of</strong> your cheque and make<br />
sure your cheque is signed. All unsigned cheques will be<br />
returned for signature. NSF cheques are treated as late<br />
and incur both a late penalty fee and a $20 NSF service<br />
charge.<br />
• by Employer<br />
Your Confirmation <strong>of</strong> Information Renewal must be printed<br />
and submitted to your employer as confirmation that<br />
you have completed the first step <strong>of</strong> your renewal.<br />
10 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
March 10, <strong>2009</strong><br />
Late Payments<br />
Late payments are subject to a late fee <strong>of</strong> $105 ($100 + $5<br />
GST) (if paid within 30 days after the due date) or $157.50<br />
(if paid more than 30 days after the due date). This includes<br />
cheques that are received early but postdated after<br />
March 10, 2008. Late payments are not processed until<br />
the late payment fee has been received.<br />
Move from Part A to Part B <strong>of</strong><br />
the <strong>College</strong>’s Register<br />
To elect to Part B <strong>of</strong> the <strong>College</strong> register please send an<br />
email to ocpclientservices@ocpinfo.com indicating your<br />
desire to move to Part B <strong>of</strong> the register. <strong>Pharmacists</strong> in<br />
Part B <strong>of</strong> the register are not required to obtain personal<br />
pr<strong>of</strong>essional liability insurance or participate in practice review.<br />
The renewal fee for a Part B pharmacist is $282.40.<br />
Member Emeritus<br />
Any pharmacist who has practiced continually in good<br />
standing in <strong>Ontario</strong> and/or other jurisdictions for at least<br />
25 years can voluntarily resign from the Register and<br />
make an application for the Member Emeritus designation.<br />
Members Emeritus are not permitted to practice<br />
pharmacy in <strong>Ontario</strong> but will be added to the roll <strong>of</strong> persons<br />
so designated, receive a certificate and continue to<br />
receive Pharmacy Connection at no charge.<br />
Once you have completed your information filing<br />
online and your payment has been processed,<br />
your wallet card and income tax receipt will be<br />
mailed to your residence.<br />
Personal Pr<strong>of</strong>essional<br />
Liability Insurance<br />
Mandatory for Part A pharmacists<br />
It is a mandatory requirement <strong>of</strong> your annual renewal to<br />
update the details <strong>of</strong> your personal pr<strong>of</strong>essional liability<br />
insurance. You will be able to update your insurance<br />
information while completing your online renewal. The<br />
list <strong>of</strong> insurance products and broker organizations that<br />
satisfy the criteria prescribed in <strong>College</strong> by-law is listed<br />
below. Members should be cautious if considering any<br />
other insurance products. If your insurance product is not<br />
on the pre-approved list you will be required to provide<br />
the <strong>College</strong> with additional details <strong>of</strong> your policy. It is the<br />
member’s responsibility to ensure that they have<br />
compliant insurance and that their insurance is fully<br />
portable regardless <strong>of</strong> their employment status.<br />
At this time, we can confirm that the following insurance<br />
products and organizations satisfy the criteria prescribed<br />
in <strong>College</strong> by-law:<br />
• <strong>Ontario</strong> Pharmacist’s Association<br />
- AON Reed Stenhouse<br />
• Canadian Society <strong>of</strong> Hospital <strong>Pharmacists</strong><br />
- The Insurers Financial Group<br />
• Aviva Canada - This product is available through multiple<br />
insurance brokers across <strong>Ontario</strong> and through specific<br />
agreements with various pharmacy groups/networks.<br />
The list <strong>of</strong> brokers includes but is not limited to:<br />
• Cockburn & Sons<br />
• Palermo<br />
• Pilot<br />
• Pottruff & Smith<br />
• Sound Insurance<br />
• Unison<br />
• Willis<br />
• Gellatly Insurance Limited<br />
- The Economical Insurance Group<br />
• HKMB Hub International<br />
– Chubb Insurance<br />
• McCaslin Horne Insurance Brokers Inc.<br />
– Grain Insurance (Pharmaguard Individual<br />
MalPractice Liability)<br />
• Pottruff and Smith<br />
– Aviva, ING, Lombard<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
11
pharmacy technician Q&A<br />
Susan James<br />
Project Director, Pharmacy Technician Regulation<br />
QI understand that when I register with the <strong>College</strong><br />
there is an annual fee that I will have to pay. Can<br />
you tell me what the fee is, what it is for, and what<br />
benefit I will receive in return for this fee?<br />
Yes, there is an annual registration fee that all members <strong>of</strong><br />
the <strong>College</strong> must pay. The current proposal is that Pharmacy<br />
Technicians should pay a fee that is two thirds <strong>of</strong> what<br />
pharmacists pay. Based on the current fee structure, the<br />
amount would be $358.57.<br />
This fee is not set in relation to the pr<strong>of</strong>ession’s earning<br />
potential, but is based on the costs associated with self-regulation.<br />
These costs include activities such as registering new<br />
members, maintaining a continuing competency program,<br />
ensuring there are standards <strong>of</strong> practice, and investigating<br />
and resolving any practice concerns that are brought forward.<br />
In fact, there is an argument to be made that the fee<br />
should be consistent for all members <strong>of</strong> the <strong>College</strong>. In setting<br />
the fee, however, the Council considered that the scope<br />
<strong>of</strong> practice for pharmacy technicians is not as broad as that<br />
<strong>of</strong> a pharmacist in Part A <strong>of</strong> the register.<br />
It is difficult to describe the benefit <strong>of</strong> paying these fees.<br />
To be a regulated pr<strong>of</strong>essional means one has an exclusive<br />
right and privilege to use the title <strong>of</strong> the pr<strong>of</strong>ession and to<br />
perform a function for society that others are not permitted<br />
to do. A registered pharmacy technician will have the authority<br />
and independent accountability to perform the technical<br />
functions related to dispensing and compounding <strong>of</strong><br />
drugs. As a member <strong>of</strong> a self-regulated pr<strong>of</strong>ession, you have<br />
the added privilege <strong>of</strong> being held to account by a body <strong>of</strong><br />
your peers, as opposed to others who may not be familiar<br />
with the realities <strong>of</strong> pr<strong>of</strong>essional practice.<br />
QWhen I become registered with the <strong>College</strong>, will<br />
I also have to purchase pr<strong>of</strong>essional liability<br />
insurance, as pharmacists do?<br />
It has not been proposed that pharmacy technicians be required<br />
to maintain personal pr<strong>of</strong>essional liability insurance<br />
(as is now required for pharmacists and interns). Up until<br />
last year, pharmacists were not required to have personal<br />
coverage, because they were covered under the policies at<br />
their place <strong>of</strong> employment. The new requirement for pharmacists<br />
and interns to have their own policy relates to the<br />
expanding roles and new environments that pharmacists are<br />
working in, and their need for coverage to be more mobile.<br />
At this time, it is expected that pharmacy technicians will be<br />
covered within their place <strong>of</strong> employment, just as pharmacists<br />
were in the past. The <strong>College</strong> will continue to monitor<br />
this expectation and make adjustments if needed.<br />
Although it is not required, the <strong>College</strong> strongly recommends<br />
personal pr<strong>of</strong>essional liability insurance for all members.<br />
At a minimum, pharmacy technicians should confirm<br />
that they are covered by their employer.<br />
QI passed the certification exam several years ago.<br />
What benefit has that actually given me since I<br />
am still required to complete the bridging education<br />
program and entry-to-practice and jurisprudence<br />
exams to become registered with the <strong>College</strong>?<br />
The certification exam was put into place to address a concern<br />
that pharmacists expressed regarding the diversity <strong>of</strong><br />
training programs for pharmacy technicians. With applicants<br />
for pharmacy technician positions having trained on<br />
the job, at a private career college, or at a community college,<br />
employers were unsure how to compare among them.<br />
Pharmacy technicians who achieved certification demonstrated<br />
they had at least the consistent level <strong>of</strong> knowledge<br />
required to pass the exam. Over time, many employers<br />
came to rely on the certification as a requirement to demonstrate<br />
an applicant was qualified for the job. Individuals<br />
who maintained their certification also demonstrated a<br />
12 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
commitment to continuing education.<br />
Those pharmacy technicians who have completed the<br />
certification exam have the advantage <strong>of</strong> satisfying the first<br />
requirement for registration, having already demonstrated<br />
that they also have the knowledge necessary to enter the<br />
bridging education program.<br />
The <strong>College</strong> also considers those who have achieved and<br />
maintained their certification over the years as leaders in<br />
the pr<strong>of</strong>ession. Through their commitment, these individuals<br />
helped demonstrate the pr<strong>of</strong>ession’s readiness for selfregulation.<br />
We believe this is another important benefit <strong>of</strong><br />
your certification.<br />
bulletin board<br />
The <strong>College</strong> bid a fond farewell to Carol Culhane, Administrative<br />
Assistant in the Continuing Competence program.<br />
Carol had been with the <strong>College</strong> since 2005 and has decided<br />
to focus her efforts on her Shiatsu practice and teaching.<br />
Kathy Vesterfelt joined the <strong>College</strong> at the beginning <strong>of</strong> December<br />
as the Senior Policy Advisor for the <strong>College</strong>. Kathy<br />
is an <strong>Ontario</strong> pharmacy graduate with experience in hospital<br />
and community pharmacy, and for the past nine years<br />
has worked at Health Canada in a variety <strong>of</strong> roles including<br />
that <strong>of</strong> Policy Analyst and Project Manager.<br />
Most recently she was the Acting Manager <strong>of</strong> the Evaluation<br />
and Authorization Division <strong>of</strong> the Office <strong>of</strong> Controlled<br />
Substances where she worked on, among other things, the<br />
exemption for pharmacists providing methadone. Kathy has<br />
also been a Teaching Associate at U <strong>of</strong> T (Faculty <strong>of</strong> Pharmacy)<br />
and a consultant for Health Canada in the First Nations<br />
and Inuit Health Branch.<br />
Margaret Poon has recently joined the <strong>College</strong> as the Records<br />
and Information Analyst. Margaret has 20 years <strong>of</strong><br />
records management experience having worked with the<br />
City <strong>of</strong> Toronto for over thirteen years and then moved to<br />
another regulatory <strong>College</strong> where she spent over five years<br />
as their Manager, Information Management, responsible for<br />
records management, library, intranet and statistics. Margaret<br />
has her BA in Economics and Mathematics and her<br />
Masters <strong>of</strong> Library Sciences.<br />
Dean Saeidvafa joined the <strong>College</strong> at the beginning <strong>of</strong> December<br />
as the Help Desk Specialist. Dean has more than 12<br />
years <strong>of</strong> extensive experience in desktop support, operating<br />
systems and applications support. Dean has a B. Sc. in<br />
Applied Computational and Mathematical Science, his certification<br />
as a Micros<strong>of</strong>t Certified System Engineer and his<br />
diploma as Information Technology Pr<strong>of</strong>essional.<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
13
egistration Q&A<br />
Chris Schillemore, R.Ph., B.Sc.Phm. M.Ed.<br />
Manager, Registration Programs<br />
I successfully completed my Pharmacy degree at<br />
Q the University <strong>of</strong> Toronto Unfortunately, I failed<br />
one part <strong>of</strong> the PEBC Qualifying Exam. I thought I<br />
needed the exam before starting internship. Can you<br />
clarify when I can start my internship training?<br />
One requirement for starting internship is the completion<br />
<strong>of</strong> an undergraduate pharmacy program accredited by the<br />
Canadian Council for the Accreditation <strong>of</strong> Pharmacy Programs.<br />
OCP must confirm that you have the following:<br />
1. successful completion <strong>of</strong> your U <strong>of</strong> T Pharmacy<br />
program<br />
2. a preceptor who meets the structured practical training<br />
(spt) preceptor criteria<br />
3. a training site that meets the spt site criteria<br />
4. appropriate documentation, and<br />
5. personal pr<strong>of</strong>essional liability insurance.<br />
Once we notify you that you have met these requirements,<br />
you are entitled to start your internship training.<br />
The PEBC Qualifying Exam, Parts I & II is not necessary<br />
for internship, but must be completed before you can be<br />
registered as a pharmacist. For more information on preceptor<br />
and site criteria, go to www.ocp.info.com and click<br />
on licensing> training and assessments>spt.<br />
QI am an internationally trained pharmacist who<br />
went to a panel <strong>of</strong> the Registration Committee<br />
to request an exemption from studentship. It seems<br />
unfair to me that the <strong>College</strong> allows U <strong>of</strong> T students<br />
to start internship without the PEBC Qualifying Exam,<br />
Parts I & II but that international pharmacy graduates<br />
are required to pass the exam before going to a panel<br />
Could you explain why I am being treated differently?<br />
The key point here is not that you are an international pharmacy<br />
graduate, but that you are requesting an exemption<br />
from one <strong>of</strong> the entry-to-practice requirements, namely,<br />
studentship. For international pharmacy graduates, studentship<br />
is comprised <strong>of</strong> two elements: completion <strong>of</strong> 16<br />
weeks <strong>of</strong> the IPG (International Pharmacy Graduate) Program,<br />
plus 16 weeks <strong>of</strong> structured practical training at the<br />
student level.<br />
International pharmacy graduates, who have successfully<br />
completed the IPG program and have completed structured<br />
practical training are treated the same as graduates<br />
<strong>of</strong> the B.Sc. Phm program at the University <strong>of</strong> Toronto,<br />
and may start their internship without the PEBC Qualifying<br />
Exam. However, everyone is required to successfully<br />
complete both parts <strong>of</strong> the PEBC Qualifying Exam in order<br />
to be licensed.<br />
A panel <strong>of</strong> the Registration committee would require<br />
some supporting evidence to grant an exemption from the<br />
IPG program or a reduction in studentship. The successful<br />
completion <strong>of</strong> the PEBC Qualifying Exam, Parts I & II is a<br />
key piece <strong>of</strong> evidence panels have considered in the past.<br />
Additional information may include any Canadian experience<br />
you have had working as a pharmacy technician. For<br />
more information on exemptions, go to www.ocp.info.com<br />
and click on licensing> member registration> registration<br />
panel requests.<br />
14 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
practice Q&A<br />
Greg Ujiye, R.Ph., B.Sc.Phm.<br />
Pr<strong>of</strong>essional Practice Advisor<br />
QThere are several drugs listed in the National<br />
Drug Schedules, Schedule I that do not have a<br />
“Pr” symbol written on the upper left corner <strong>of</strong> the<br />
label <strong>of</strong> the prescription bottle. Are these considered<br />
prescription drugs?<br />
Yes. <strong>Ontario</strong> adopted the National Drug Scheduling System<br />
in 1999, replacing provincial schedules with the National<br />
Drug Schedules, and all drugs listed in Schedule I require a<br />
prescription in order to sell.<br />
The “Pr” symbol found on many Schedule F drugs is<br />
unique to the Food and Drugs Act (FDA) and is required by<br />
section C.01.004 (b)(i) for drugs listed Part C and D <strong>of</strong> the<br />
Regulations to the FDA. Schedule F is included in Part C.<br />
All the drugs listed in Schedule F <strong>of</strong> the FDA are listed as<br />
Schedule I drugs in the National Drug Schedules. Any drug<br />
not listed in Schedule F <strong>of</strong> the FDA is reviewed by the National<br />
Drug Scheduling Advisory Committee to determine<br />
the level <strong>of</strong> intervention and advice necessary for the safe,<br />
effective use <strong>of</strong> that drug, and then placed in the appropriate<br />
schedule. The most common examples are muciprocin<br />
(Bactroban®) and quinine capsules.<br />
The above question has been updated and originally appeared<br />
in the Pharmacy Connection, July-Aug 2001<br />
QWhen the National Drug Scheduling Advisory<br />
Committee approves a change in schedule,<br />
i.e., a Schedule I drug moves to Schedule II or III,<br />
or becomes unscheduled, is there a period <strong>of</strong> time<br />
before this change is effective in <strong>Ontario</strong>?<br />
No. <strong>Ontario</strong> uses the National Drug Schedules as its<br />
provincial drug schedule and they are embedded in the<br />
Drug and Pharmacies Regulation Act. This means that <strong>Ontario</strong>,<br />
in effect, schedules by reference. When the NDSAC<br />
approves a drug schedule or a drug schedule change, the<br />
change takes effect immediately in <strong>Ontario</strong>.<br />
QCan a pharmacist deliver a Schedule II narcotic<br />
preparation such as acetaminophen with<br />
codeine 1/8 gr?<br />
A pharmacist can deliver any Schedule II product, provided<br />
that he or she has met the requirements for sale <strong>of</strong> a Schedule<br />
II product. The pharmacist must be satisfied that the<br />
sale is appropriate prior to approving it for delivery.<br />
The Executive Officer issued a notice on Oct 2,<br />
2008 (BBS #8085) notifying pharmacists <strong>of</strong> the<br />
termination <strong>of</strong> the existing HNS agreement, effective<br />
Jan. 15, <strong>2009</strong>, and issuance <strong>of</strong> a new agreement.<br />
Failure to execute the new agreement will result<br />
in the suspension <strong>of</strong> that pharmacy operator’s<br />
account on Jan. 15, <strong>2009</strong>. Questions about the new<br />
agreement can be directed to the ODB by e-mail to<br />
PublicDrugPrgrms.moh@ontario.ca<br />
Please monitor your BBS notices and notices from<br />
the <strong>Ontario</strong> <strong>Pharmacists</strong>’ Association (OPA) to<br />
ensure your ODB account is not suspended.<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
15
focus on error prevention<br />
Pediatric dosages<br />
Ian Stewart, R.Ph., B.Sc.Phm<br />
Toronto Community Pharmacist<br />
When checking prescriptions, pharmacists must consider<br />
the appropriateness <strong>of</strong> the dosage being prescribed.<br />
This can only be done if the pharmacist<br />
is aware <strong>of</strong>, or considers the indication for use or purpose <strong>of</strong> the<br />
medication being prescribed. For example, when codeine is<br />
prescribed for the treatment <strong>of</strong> acute pain, the reccommended<br />
adult dosage is 15 to 60 mg orally every four to six hours. 1 However,<br />
when used as a cough suppressant, the recommended<br />
dosage is 5 to 20 mg orally every four to eight hours.2 Yet, the<br />
indication for use or purpose <strong>of</strong> the medication is not usually<br />
included on prescriptions. This missing piece <strong>of</strong> information is<br />
<strong>of</strong>ten a contributing factor to medication errors.<br />
Case:<br />
prescription, the pharmacist on this occasion observed that the<br />
dosage was not consistent with the usual dosage used in the<br />
treatment <strong>of</strong> herpes labialis or other common viral infections.<br />
The original prescription was therefore checked to confirm the<br />
prescriber’s intent. On checking the original prescription, the<br />
dosing error was identified. The correction was made, and<br />
the patient given eight Valtrex® 500 mg tablets with instructions<br />
to take four tablets (2000 mg) twice daily. The patient<br />
was very upset upon hearing <strong>of</strong> the error. She stated that she<br />
“thought something was wrong, and questioned the pharmacist.”<br />
Unfortunately, the pharmacist at that time read the prescription<br />
and reassured the patient that the physician did indeed<br />
prescribe two tablets twice daily.<br />
Possible Contributing Factors:<br />
• The pharmacy stocked the 500 mg strength <strong>of</strong> Valtrex® and<br />
not the 1000 mg.<br />
• The technician failed to adjust the directions for use to compensate<br />
for the change in strength.<br />
• The indication for use or purpose <strong>of</strong> the medication was not<br />
included on the prescription.<br />
• The initial pharmacist did not consider the possible indication<br />
for use to ensure appropiateness <strong>of</strong> the dose.<br />
• Despite concerns raised by the patient, the pharmacist<br />
failed to double check all components <strong>of</strong> the prescription for<br />
accuracy.<br />
The above prescription was written for a patient for the<br />
treatment <strong>of</strong> cold sores (herpes labialis). The prescription<br />
was taken to a local pharmacy for processing.<br />
On entering the prescription into the computer, the pharmacy<br />
technician entered Valtrex® 500 mg tablets. However,<br />
the directions for use was not adjusted and therefore entered<br />
as two tablets twice daily. When checking the prescription,<br />
the pharmacist did not detect the error. A total <strong>of</strong> four Valtrex®<br />
500 mg tablets were therefore dispensed instead <strong>of</strong> four<br />
1000 mg tablets or eight 500 mg tablets with the appropiate<br />
instructions for use.<br />
A few months later, the patient requested a refill <strong>of</strong> the Valtrex®<br />
tablets. A pharmacy technician processed the refill and<br />
gave it to the pharmacist for checking. On checking the refill<br />
Recommendations:<br />
• Whenever possible, dispense the same strength or concentration<br />
<strong>of</strong> the medication as prescribed. The directions for use<br />
would therefore be the same given to the patient by the prescriber.<br />
Clearly explain any changes to the patient.<br />
• Always consider the possible indication for use when checking<br />
prescriptions for appropiateness and accuracy.<br />
• Investigate thoroughly all concerns raised by the patient.<br />
• Appropiate steps should be taken by all stakeholders to ensure<br />
that the indication for use or purpose <strong>of</strong> the medication<br />
is included on all prescriptions. This is certainly a patient<br />
safety issue.<br />
References:<br />
1. Gray J, Therapeutic Choices, Canadian <strong>Pharmacists</strong><br />
Association Ottawa ON 2007;207<br />
2. Gray J, Therapeutic Choices, Canadian <strong>Pharmacists</strong><br />
Association Ottawa ON 2007;1535<br />
16 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
health canada advisories & notices<br />
Nov 11, 2008<br />
Nov 13, 2008<br />
Nov 17, 2008<br />
Nov 21, 2008<br />
Dec 12, 2008<br />
Dec 12, 2008<br />
Dec 17, 2008<br />
Dec 18, 2008<br />
Dec 19, 2008<br />
Dec 19, 2008<br />
The Hong Kong Department <strong>of</strong> Health warned consumers not to buy or use Lu Quan because it contains<br />
undeclared glibenclamide and sildenafil. The Hong Kong Department <strong>of</strong> Health warned consumers not to<br />
buy or use Fat Killer, Carbohydrate Cut and Sugar-Carbohydrate Cut because they contain sibutramine and<br />
an unauthorised substance similar in structure to sibutramine, and Zhuang Yao Gu Shen Capsule because it<br />
contains sildenafil.<br />
Glaxo Operations UK Limited and Shopper’s Drug Mart Specialty Health Network are voluntarily recalling 2 lots<br />
<strong>of</strong> Argatroban vials (lot numbers C347625 and C363385) from the Canadian marketplace.<br />
The U.S. FDA warned consumers not to buy or use Viapro because it contains an unauthorised substance<br />
similar in structure to sildenafil. Sildenafil is a prescription drug used in the treatment <strong>of</strong> erectile dysfunction and<br />
should only be used under the supervision <strong>of</strong> a health care practitioner. The U.S. Food and Drug Administration<br />
informed consumers <strong>of</strong> a voluntary manufacturer recall <strong>of</strong> these 12 products because they contain human<br />
placenta, aristolochic acid and/or ephedra, and may pose serious health risks. All 12 products are manufactured<br />
by Jen-On Herbal Science International Inc. (also known as Herbal Science International Inc.). Consumers who<br />
had purchased these products were advised to discontinue their use immediately and return them to the place<br />
<strong>of</strong> purchase for a full refund.<br />
Infection-related deaths were reported with the use <strong>of</strong> MabCampath (alemtuzumab) following initial<br />
combination therapy with anti-leukemia drugs which also suppress the body’s immune response. Serious<br />
infections, including infection-related deaths have been reported in association with the unauthorized use <strong>of</strong><br />
MabCampath as consolidation therapy following combination treatment with other immunosuppressive agents<br />
for B-cell chronic lymphocytic leukemia.<br />
Some glucose monitor systems may report falsely elevated readings associated with the use <strong>of</strong> medical products<br />
which contain or are metabolised to maltose, galactose and xylose. Health Canada provides recommendations<br />
to minimize the risks <strong>of</strong> these device-drug interactions.<br />
Hill-Rom issued an Urgent Medical Device Correction letter to notify customers <strong>of</strong> safety information regarding<br />
Liko Uno Patient Lift. The actuator <strong>of</strong> the lift may separate from the lift leading to the patient fall. Users need to<br />
take the affected units out <strong>of</strong> service immediately and contact the company for corrective options.<br />
Fatal adverse events have occurred in patients with moderate hepatic impairment and advanced solid tumours<br />
treated with Tarceva (erlotinib).<br />
Health Canada is advising consumers <strong>of</strong> the outcome <strong>of</strong> its review <strong>of</strong> cough and cold medicines for children<br />
under the age <strong>of</strong> 12. Manufacturers are required to re-label over the counter cough and cold medicines that<br />
have dosing information for children to indicate that these medicines should not be used in children under 6.<br />
Cases <strong>of</strong> eye inflammation have been reported following <strong>of</strong>f-label intravitreal injection <strong>of</strong> Avastin lot<br />
B3002B028. There has been no unusual reporting pattern for this lot with authorized use in 2008. It meets all<br />
specifications for lot release.<br />
Health Canada is informing diabetic patients taking Actos (pioglitazone hydrochloride) <strong>of</strong> recent changes to the<br />
prescribing information for this product. Health Canada has worked with the manufacturer to strengthen the<br />
labeling around heart failure and emphasize proper use. The current Product Monograph for Actos contains the<br />
new or updated information.<br />
For complete information & electronic mailing <strong>of</strong> the Health Canada Advisories/Warnings/Notices subscribe online at:<br />
http://www.hc-sc.gc.ca/dhp-mps/medeff/index_e.html<br />
MedEffect e-Notice is the new name which replaces Health Canada’s Health_Prod_Info mailing list.<br />
The content <strong>of</strong> the e-notices you receive will remain the same and are now part <strong>of</strong> MedEffect, a new Health Canada Web site dedicated to<br />
adverse reaction information. MedEffect can be visited at www.hc-sc.gc.ca/dhp-mps/medeff/index_e.html<br />
Health Canada Notices are also linked under “Notices” on the OCP website: www.ocpinfo.com<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
17
CE co-ordinators<br />
Regional Continuing Education (CE)<br />
Co-ordinator Role Description<br />
Purpose<br />
The Regional CE Co-ordinators assist in the identification<br />
<strong>of</strong> CE needs <strong>of</strong> pharmacists in their region and help organize<br />
CE events.<br />
The CE Co-ordinator works with the <strong>Ontario</strong> <strong>College</strong><br />
<strong>of</strong> <strong>Pharmacists</strong> (OCP), the <strong>Ontario</strong> <strong>Pharmacists</strong>’ Association<br />
(OPA) and, where feasible, with the local pharmacists’<br />
association. Depending on the needs <strong>of</strong> the region,<br />
coordinators may work in teams <strong>of</strong> two or more.<br />
Goal: To provide live, evidence-based CE events for pharmacists<br />
throughout <strong>Ontario</strong><br />
Outcome: Each CE Co-ordinator will organize at least<br />
two events per year in their region<br />
Responsibilities<br />
With the support <strong>of</strong> OCP and OPA you will:<br />
1. Identify CE Needs <strong>of</strong> <strong>Pharmacists</strong> in Your Region<br />
Through your direct contact with pharmacists in your region,<br />
you will identify and prioritize their learning needs.<br />
CE programs which meet the needs <strong>of</strong> the maximum<br />
number <strong>of</strong> pharmacists will be selected. If you are new to<br />
your region, OCP will supply you with a list <strong>of</strong> pharmacists<br />
and contact information so you can contact pharmacists<br />
in your region.<br />
2. Identify Topics and Speakers for Presentation in<br />
Your Region<br />
Having identified CE topics <strong>of</strong> interest, you may seek<br />
out local specialists in your area to provide education for<br />
your members. Alternatively, you may liaise with Coordinators<br />
from other regions to provide leads for topics<br />
and speakers. OCP will also advise you <strong>of</strong> any potential<br />
CE programs to be delivered in your region.<br />
3. Organizing CE Presentations<br />
CE Co-ordinators develop the program’s budget, obtain<br />
financial sponsorship if needed, organize meetings<br />
(facilities, refreshments, AV needs, marketing the<br />
event), request program accreditation / CEU assignment,<br />
collect registration fees where applicable, serve<br />
as moderator, recruit members, etc, as required.<br />
OCP will help to publicise the program both on our<br />
website and in Pharmacy Connection.<br />
Time Commitment<br />
The amount <strong>of</strong> time involved in becoming a CE Co-ordinator<br />
varies. It will depend on the number <strong>of</strong> presentations<br />
you are able / willing to organize in your region. As a rough<br />
approximation, assume about 10 hours <strong>of</strong> involvement per<br />
program presented and one full-day meeting per year to<br />
network with other CE Co-ordinators.<br />
OCP is currently looking for regional CE coordinators in district areas 9, 17, 23, 25, and for an<br />
Associate coordinator in district 14<br />
(http://www.ocpinfo.com/client/ocp/OCPHome.nsf/web/CE+Region+Assignments)<br />
As a Regional CE Coordinator, you will identify the CE needs <strong>of</strong> local pharmacists in your region and plan, organize<br />
and implement CE events with fellow team members. Further details on the attached flyer. Interested pharmacists<br />
should submit their resume to Shirin Jetha at sjetha@ocpinfo.com<br />
18 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
technician regulation<br />
Staying Informed about<br />
Pharmacy Technician<br />
Regulation<br />
If you want to stay<br />
up to date with<br />
the pharmacy<br />
technician regulation<br />
initiative be sure<br />
to sign-up for email<br />
notifications. It’s easy<br />
to do – just go to the<br />
<strong>College</strong> website (ocpinfo.com)<br />
and click on<br />
pharmacy technicians<br />
under the Fast Track<br />
menu. Click on “Stay Informed” and follow the directions<br />
to sign-up. When there are new developments or updates,<br />
you will receive an email notification to advise you <strong>of</strong> them.<br />
<strong>College</strong> Webcasts Provide Current<br />
Information<br />
The college hosted three webcast sessions in December<br />
to review the most up to date information about the registration<br />
requirements for pharmacy technicians. To view<br />
one <strong>of</strong> these sessions go to www.ocpinfo.com>Pharmacy<br />
Technicians>Update on the Regulation <strong>of</strong> Pharmacy Technicians<br />
Webcast and click on the link to view the presentation<br />
and the question and answer period.<br />
Further webcast sessions will be <strong>of</strong>fered to provide information<br />
about the most recent updates related to the Regulation<br />
initiative. Details will be posted on the <strong>College</strong> website<br />
and sent to email notification subscribers.<br />
Pharmacy Examining<br />
Board <strong>of</strong> Canada<br />
Evaluation Exam<br />
Replaces OCP<br />
Certification Exam<br />
Congratulations to those pharmacy<br />
technicians who successfully<br />
completed the <strong>College</strong>’s<br />
certification exam in October<br />
2008. Over 1500 pharmacy technicians<br />
took part in the <strong>College</strong>’s<br />
final <strong>of</strong>fering <strong>of</strong> the exam.<br />
Anyone who has not completed the OCP certification<br />
exam but would still like to pursue registration with the <strong>College</strong><br />
in the future will need to complete the Pharmacy Examining<br />
Board <strong>of</strong> Canada’s Evaluating Exam. Details about the<br />
PEBC exam can be found at www.pebc.ca .<br />
Take note however that the PEBC exams are available<br />
to applicants from across Canada and some <strong>of</strong> the requirements<br />
for registration with the <strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong><br />
differ from other provinces. For example, the proposed<br />
deadline for completion <strong>of</strong> the evaluation exam for<br />
those pursuing registration in <strong>Ontario</strong> is <strong>January</strong> 1, 2012. In<br />
other provinces, where the regulation initiative is in much<br />
earlier stages <strong>of</strong> development, the deadline will be extended<br />
to 2015. To understand the requirements for registration in<br />
<strong>Ontario</strong>, be sure to review the process and timelines posted<br />
on the <strong>College</strong> website in addition to the information posted<br />
on the PEBC website.<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
19
deciding on discipline<br />
Case 1<br />
Member found guilty <strong>of</strong> an <strong>of</strong>fence<br />
relevant to his suitability to practise<br />
Member: Roger Demers<br />
Hearing Date: October 8, 2008<br />
Facts<br />
The <strong>College</strong> commenced an investigation<br />
into the Member’s conduct after<br />
learning that the Member may have<br />
been charged with a criminal <strong>of</strong>fence.<br />
Through subsequent inquiries, the <strong>College</strong><br />
learned that in or about July 2004,<br />
the Member had been charged with<br />
possessing child pornography. Through<br />
his counsel, the Member cooperated<br />
with the <strong>College</strong> concerning the criminal<br />
proceedings.<br />
In an Agreed Statement <strong>of</strong> Facts<br />
with the Crown, the Member admitted<br />
to having used his home computer<br />
to purchase access to three different<br />
websites on three separate occasions in<br />
April 2002, April 2003, and June 2003,<br />
which websites contained child pornography<br />
as defined by the Criminal<br />
Code <strong>of</strong> Canada. He further admitted<br />
to having accessed additional child pornography<br />
websites during the period<br />
March 8, 2000 to July 28, 2004, and<br />
to having in his possession at his home<br />
10 printed images and 34 electronic images<br />
<strong>of</strong> child pornography. The Member<br />
pleaded guilty to the charge <strong>of</strong> possession<br />
<strong>of</strong> child pornography and was<br />
sentenced in criminal court.<br />
The discipline hearing proceeded<br />
by way <strong>of</strong> Agreed Statement <strong>of</strong> Facts<br />
and Joint Submission on Penalty. The<br />
Member admitted that he had committed<br />
acts <strong>of</strong> pr<strong>of</strong>essional misconduct,<br />
namely that he had been found guilty<br />
<strong>of</strong> an <strong>of</strong>fence relevant to his suitability<br />
to practise, and that he had engaged in<br />
conduct or performed an act relevant<br />
to the practice <strong>of</strong> pharmacy that, having<br />
regard to all the circumstances,<br />
would reasonably be regarded by members<br />
<strong>of</strong> the pr<strong>of</strong>ession as disgraceful,<br />
dishonourable or unpr<strong>of</strong>essional.<br />
The Joint Submission on Penalty included<br />
a reprimand, a suspension <strong>of</strong> the<br />
Member’s Certificate <strong>of</strong> Registration<br />
for two months to be served in two<br />
one-month blocks, and costs <strong>of</strong> $4,500<br />
to the <strong>College</strong>. The Joint Submission<br />
also included certain terms, conditions<br />
and limitations on the Member’s Certificate<br />
<strong>of</strong> Registration with respect to<br />
providing current and future employers<br />
with the Discipline Panel’s decision.<br />
Decision and Reasons<br />
The Discipline Panel found this case<br />
to be very challenging when it came<br />
to crafting a penalty. This is a case<br />
that underscores that a pharmacist’s<br />
behaviour outside <strong>of</strong> the place <strong>of</strong> employment<br />
is integrally connected to his<br />
or her pr<strong>of</strong>essional standing in the community<br />
and in the pr<strong>of</strong>ession. The circumstances<br />
<strong>of</strong> the Member’s conduct<br />
are troubling, but the Panel believed<br />
the Member is paying his dues in regards<br />
to the criminal process. In the<br />
pr<strong>of</strong>essional disciplinary context, his<br />
misconduct does not go to his fitness<br />
to practise pharmacy on a technical or<br />
skills based level, but rather his moral<br />
fitness to hold himself out as a pr<strong>of</strong>essional<br />
pharmacist. The Panel could not<br />
simply order course work, order a suspension<br />
and impose a fine as a means<br />
to protect the public, and trust that the<br />
Member will not re<strong>of</strong>fend. Rather, the<br />
Panel’s focus in protection <strong>of</strong> the public<br />
was perhaps even more heightened<br />
than in more typical discipline cases.<br />
The Panel had two problems with<br />
the Joint Submission on Penalty. The<br />
Panel was acutely aware <strong>of</strong> the overwhelming<br />
body <strong>of</strong> case law directing it<br />
to accept Joint Submissions, but did not<br />
feel it could do so in this case without<br />
implementing greater protections for<br />
the public. To the credit <strong>of</strong> the Member,<br />
the <strong>College</strong> and their respective<br />
counsel, the Panel was able to raise its<br />
concerns at the hearing, and the parties<br />
were able to come up with a suitable<br />
additional term to further protect<br />
the public.<br />
The Panel was concerned about<br />
members <strong>of</strong> the public learning, after the<br />
fact, that the Member, as their pharmacist,<br />
may have been counselling their children<br />
on prescriptions given the nature<br />
<strong>of</strong> the Member’s criminal conduct. Accordingly,<br />
the Panel proposed that the<br />
Joint Submission be amended to include<br />
a term that the Member would not counsel<br />
patients under the age <strong>of</strong> 18 without<br />
an adult being present during that counselling,<br />
with the Panel’s preference being<br />
that the other adult be a member <strong>of</strong><br />
the pr<strong>of</strong>essional staff <strong>of</strong> the pharmacy.<br />
When attendance by another pr<strong>of</strong>essional<br />
staff member was not possible, the<br />
Panel expected the Member to pursue<br />
alternative methods, such as counselling<br />
by telephone, or the patient reattending<br />
another day for counselling.<br />
The Panel was also concerned that<br />
the proposed suspension was to be<br />
broken up into two blocks <strong>of</strong> time, to<br />
accommodate some scheduling difficulties<br />
<strong>of</strong> the owner/Designated Manager<br />
<strong>of</strong> the pharmacy in which the Member<br />
was employed. Without being disrespectful<br />
to the pharmacy owner, the<br />
20 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
Panel felt that the Discipline Committee<br />
must address the misconduct <strong>of</strong><br />
the Member without getting tied into<br />
pharmacy scheduling demands. The<br />
parties addressed the Panel’s concern,<br />
and came up with alternative dates for<br />
the Member to serve his suspension in<br />
a consistent block <strong>of</strong> time.<br />
Having addressed these areas <strong>of</strong> concern,<br />
the Panel was satisfied with the<br />
remainder <strong>of</strong> the Joint Submission.<br />
Order:<br />
1. A reprimand.<br />
2. Specified terms, conditions and limitations<br />
on the Member’s Certificate<br />
<strong>of</strong> Registration, and, in particular,<br />
that the Member:<br />
a) confirm in writing to the Manager,<br />
Investigations and Resolutions, the<br />
name and address <strong>of</strong> each pharmacy<br />
in which he practises as a<br />
dispensing pharmacist;<br />
b) provide a copy <strong>of</strong> the decision <strong>of</strong><br />
the Discipline Committee from<br />
the Discipline hearing <strong>of</strong> October<br />
8, 2008 (“Decision”) to the<br />
Designated Manager <strong>of</strong> any place<br />
in which he practises, within one<br />
week from the date <strong>of</strong> receipt <strong>of</strong><br />
the Decision;<br />
c) request that any Designated Manager<br />
to whom a copy <strong>of</strong> the Decision<br />
has been provided write to<br />
the Manager, Investigations and<br />
Resolutions, to confirm receipt <strong>of</strong><br />
the Decision; and<br />
d) until June 14, <strong>2009</strong>, refrain from<br />
providing counselling to anyone<br />
under the age <strong>of</strong> 18 years <strong>of</strong> age<br />
unless in the presence <strong>of</strong> another<br />
person 18 years <strong>of</strong> age or older.<br />
3. A suspension <strong>of</strong> the Member’s Certificate<br />
<strong>of</strong> Registration for a period<br />
<strong>of</strong> two months.<br />
4. Costs to the <strong>College</strong> in the amount<br />
<strong>of</strong> $4,500.00.<br />
Reprimand<br />
The Panel had a difficult time reviewing<br />
this case, due to the nature <strong>of</strong> the<br />
misconduct.<br />
The Member is now aware that the<br />
actions he takes in his personal life can<br />
and do have a significant impact, not<br />
only on him but also on the pr<strong>of</strong>ession,<br />
since such actions shake the trust the<br />
public has in their pharmacist. The<br />
Panel appreciated how embarrassing<br />
the experience <strong>of</strong> going through the<br />
criminal process must have been for the<br />
Member, but it wanted the Member to<br />
consider how uncomfortable it must<br />
have been for the Member’s patients to<br />
have learned that someone they trusted<br />
and relied upon, when their children<br />
or they themselves were sick, had engaged<br />
in viewing child pornography.<br />
The Panel hoped that the Member<br />
learned a valuable lesson throughout<br />
this process, and did not expect to see<br />
him before the Discipline Committee<br />
again.<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
21
THANK YOU PRECEPTORS<br />
On behalf <strong>of</strong> the <strong>College</strong>, we would<br />
like to thank the pharmacists<br />
who served as preceptors in the<br />
Structured Practical Training (SPT)<br />
program in 2008. By welcoming a<br />
pharmacy student or intern to their<br />
pharmacy team, these preceptors<br />
have continued the tradition<br />
<strong>of</strong> pharmacists sharing time,<br />
experience, and enthusiasm for our<br />
pr<strong>of</strong>ession with a future colleague.<br />
Students and interns continue<br />
to express appreciation to their<br />
preceptors for the encouragement<br />
and learning opportunities that the<br />
preceptors have provided. Many<br />
preceptors described the experience<br />
<strong>of</strong> having a student or intern in their<br />
practice as refreshing, rewarding,<br />
and educational. <strong>Pharmacists</strong><br />
enjoyed discovering what new<br />
graduates are learning, and seeing<br />
where the pr<strong>of</strong>ession is heading.<br />
Conducting medication reviews as<br />
part <strong>of</strong> the Meds Check Program<br />
and running clinic days continue to<br />
be popular activities that interns<br />
incorporate into their rotation to<br />
demonstrate their pharmaceutical<br />
care and communication skills.<br />
2008 HIGHLIGHTS<br />
This year, more than 400 pharmacists<br />
attended one <strong>of</strong> 22 preceptor<br />
workshops across the province.<br />
The one-day workshops were <strong>of</strong>fered<br />
in Burlington, London, Ottawa, Sudbury,<br />
and Toronto. Fifteen Orientation<br />
workshops were held for first-time<br />
preceptors or pharmacists who had last<br />
acted as a preceptor several years ago.<br />
An OCP Registration Advisor and an<br />
experienced preceptor facilitate the<br />
Orientation workshops, in which they<br />
explain the goals <strong>of</strong> the SPT program,<br />
the role and responsibilities <strong>of</strong> a preceptor,<br />
and the expectations for students<br />
and interns, and make pharmacists<br />
aware <strong>of</strong> what skills that they will need<br />
as preceptors. Using videos, role-playing<br />
and guided discussions, the pharmacists<br />
learn how to set expectations,<br />
motivate students and interns, facilitate<br />
practice opportunities, and provide<br />
feedback and assessment. In response<br />
to feedback from preceptors, the Registration<br />
Advisors have made a number<br />
<strong>of</strong> changes to the Orientation workshop.<br />
In <strong>January</strong>, the workshop was<br />
revamped so that the entire afternoon<br />
is now spent working in small groups<br />
to discuss how to guide the student or<br />
intern to complete the activities, and<br />
how the preceptor should review the<br />
student or intern’s activities before they<br />
are submitted to OCP.<br />
The Advanced workshop is <strong>of</strong>fered<br />
to preceptors who last attended<br />
a workshop more than three years<br />
ago and who wish to continue acting<br />
as preceptors. The Advanced workshop<br />
is intended to provide an opportunity<br />
for preceptors to enhance their<br />
teaching and assessment skills and to<br />
share their experiences with other preceptors.<br />
We were pleased to have<br />
Dr. Zubin Austin continue to conduct<br />
the “Conflict Analysis & Resolution”<br />
workshop, in which preceptors are<br />
introduced to the way in which conflict<br />
may arise in the workplace, assess<br />
how to identify their own conflict<br />
management style, and explore how<br />
to develop new methods for addressing<br />
disagreements and negotiating mutually<br />
acceptable solutions. Response<br />
to this workshop has been positive and<br />
we will continue to <strong>of</strong>fer it in <strong>2009</strong>. Dr.<br />
Lionel Laroche continued to receive<br />
a very positive response to his workshop,<br />
“Managing Cultural Differences.”<br />
This workshop provided preceptors<br />
with insight on cultural differences<br />
that may exist between Canadian<br />
and International Pharmacy Graduates<br />
(IPGs) and helped them prepare to<br />
face the challenges and reap the opportunities<br />
<strong>of</strong> being preceptors to a diverse<br />
population <strong>of</strong> students. We look forward<br />
to introducing new workshop<br />
topics in <strong>2009</strong>.<br />
Given the increasing number <strong>of</strong> students<br />
and interns in the SPT program,<br />
we have expanded our network <strong>of</strong> external<br />
pharmacists who review the<br />
SPT activities submitted to OCP. We<br />
thank them for their commitment to<br />
providing coaching and individualized<br />
feedback to students and interns on<br />
their activities in a timely manner.<br />
The SPT assessment forms and activity<br />
documentation forms are available<br />
online. The SPT Studentship<br />
and Internship Manuals continue to be<br />
available online for members. Several<br />
returning preceptors have commented<br />
that they find the current SPT experience<br />
to be much improved and relevant<br />
to current practice.<br />
Once again, a sincere thank you to<br />
our preceptors, facilitators, presenters,<br />
and reviewers for their valuable contribution<br />
to the SPT program and to the<br />
future <strong>of</strong> pharmacy!<br />
The dates and topics for Preceptor<br />
Workshops in <strong>2009</strong> are posted on the<br />
OCP website. If you would like to<br />
become a SPT preceptor, please<br />
contact Vicky Gardner by phone at<br />
(416) 962-4861 x 297 or 1-800-220-<br />
1921 x 297, or by e-mail at<br />
vgardner@ocpinfo.com<br />
22 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
AJAX<br />
Kevin Hsu<br />
Pharma Plus<br />
Basem Indrawes<br />
Costco Pharmacy<br />
Nilam Patel<br />
Drugstore Pharmacy<br />
Giovanni Spina<br />
Shoppers Drug Mart<br />
Dileep Tripuraneni<br />
Drugstore Pharmacy<br />
ALLISTON<br />
Kathryn Canson<br />
Zellers Pharmacy<br />
ANCASTER<br />
Daeyup Kim<br />
Drugstore Pharmacy<br />
Mahmood Najak<br />
Wal-Mart Pharmacy<br />
Mary Nelson<br />
Dell Pharmacy<br />
AURORA<br />
Edmund Bielawski<br />
Summit Pharmacy Inc.<br />
Jack Holtzman<br />
Shoppers Drug Mart<br />
David Onizuka<br />
Shoppers Drug Mart<br />
Cindy Piquette<br />
Shoppers Drug Mart<br />
Doane Hall<br />
Alexandria Slavik<br />
Summit Pharmacy Inc.<br />
AYLMER<br />
Viveka Appadoo<br />
Shoppers Drug Mart<br />
BARRIE<br />
Stanley D’Souza<br />
Drugstore Pharmacy<br />
Shirley Hogarth<br />
Pharma Plus<br />
Sheri-Anne Kidson<br />
Drugstore Pharmacy<br />
BELLEVILLE<br />
Steven Casselman<br />
Drug Basics<br />
Vaughn Galloway<br />
Rexall Pharma Plus<br />
Jason Roth<br />
Shoppers Drug Mart<br />
BOLTON<br />
Virenkumar Desai<br />
Drugstore Pharmacy<br />
Nabil Gobran<br />
Total Health Pharmacy<br />
Yin Siow<br />
Shoppers Drug Mart<br />
BOWMANVILLE<br />
Neha Dengre<br />
Drugstore Pharmacy<br />
Muhammad Ishfaq<br />
Shoppers Drug Mart<br />
Evelyn Travis<br />
Shoppers Drug Mart<br />
Lorraine Watson<br />
Shoppers Drug Mart<br />
BRACEBRIDGE<br />
Angela Crichton<br />
Rexall Pharma Plus<br />
BRAMPTON<br />
Reginald Ackerman<br />
Pharmacy 1 Drug & Food<br />
Yousef Botros<br />
Pharmasave<br />
Chuen Chung<br />
Wal-Mart Pharmacy<br />
Sandra D’Souza<br />
Shoppers Drug Mart<br />
Albert George<br />
Lakeridge Pharmacy<br />
Hany Girgis<br />
Bramiss Pharmacy<br />
Rakhi Goel<br />
Brampton Civic Hospital<br />
James Hernane<br />
Shoppers Drug Mart<br />
Shaminder Kahlon<br />
Shoppers Drug Mart<br />
Munawar Khan<br />
Costco Pharmacy<br />
Sunitha Kondoor<br />
Shoppers Drug Mart<br />
Samuel Messiha<br />
Shoppers Drug Mart<br />
Anita Reilly<br />
Brampton Civic Hospital<br />
Ethel Rizarri<br />
Shoppers Drug Mart<br />
Sarah Rowe<br />
Brampton Civic Hospital<br />
Fatema Salem<br />
Wal-Mart Pharmacy<br />
Rafid Saman<br />
Drugstore Pharmacy<br />
Nadeem Sayani<br />
Connaught Place<br />
Pharmacy<br />
Sheetal Sharma<br />
Drugstore Pharmacy<br />
Ashish Sheth<br />
Westbram Pharmacy<br />
Devinder Singh<br />
Shoppers Drug Mart<br />
Parvinder Singh<br />
Shoppers Drug Mart<br />
Shuchita Srivastava<br />
Drugstore Pharmacy<br />
Jency Varickattu<br />
Rexall<br />
Mohamed Walji<br />
Westbram Pharmacy<br />
Joseph Yousef<br />
Sandalwood Pharmacy<br />
BRANTFORD<br />
Christine Battiston<br />
Shoppers Drug Mart<br />
Bruno Bove<br />
Shoppers Drug Mart<br />
Susan Lee<br />
Wal-Mart Pharmacy<br />
Santosh Kumar<br />
Manjunath<br />
Drugstore Pharmacy<br />
Denise O’Hanian<br />
Dell Pharmacy<br />
Rashda Rana<br />
Zellers Pharmacy<br />
William Thompson<br />
The Brantford General<br />
Hospital<br />
BRIGHTON<br />
William Hickson<br />
Rexall Pharma Plus<br />
BURLINGTON<br />
Jaime Chan<br />
Costco Pharmacy<br />
Jason Handa<br />
Smartmeds Pharmacy<br />
Group<br />
Tauseef Hassan<br />
Smartmeds Pharmacy<br />
Group<br />
Lawrence Leung<br />
Brant Plaza Pharmacy<br />
Sami Naguib<br />
Plainsview Drug Store<br />
Ashraf Shweitar<br />
Wal-Mart Pharmacy<br />
CAMBRIDGE<br />
Joseph Asindi<br />
Shoppers Drug Mart<br />
Kantilal Patel<br />
Medic Pharmacy<br />
Sanjay Patel<br />
Drugstore Pharmacy<br />
Michael Tsandelis<br />
Wal-Mart Pharmacy<br />
CARLETON PLACE<br />
Kathryn Coleman<br />
Shoppers Drug Mart<br />
Ghada Gabr<br />
Shoppers Drug Mart<br />
CHATHAM<br />
Monica Dovancescu<br />
Shoppers Drug Mart<br />
Al-Karim Ladak<br />
Zellers Pharmacy<br />
Tina Lively<br />
Chatham Kent Health<br />
Alliance<br />
CHELMSFORD<br />
Christa Drolet<br />
Chelmsford Pharmacy<br />
Leo Penttila<br />
Drugstore Pharmacy<br />
COBOURG<br />
Stephen White<br />
Wal-Mart Pharmacy<br />
COLLINGWOOD<br />
Xerez Garcia<br />
Zellers Pharmacy<br />
CORNWALL<br />
Abolhasan Ahangaran<br />
Drugstore Pharmacy<br />
Joanne Labelle<br />
Shoppers Drug Mart<br />
DON MILLS<br />
Esther Fishman<br />
Shoppers Drug Mart<br />
DOWNSVIEW<br />
Ping-Ching Chan<br />
Zellers Pharmacy<br />
Jaymesh Khetia<br />
Shoppers Drug Mart<br />
Nelson Leung<br />
Shoppers Drug Mart<br />
Amro Noureldin<br />
Main Drug Mart<br />
Hassan Salama<br />
Humber River Regional<br />
Hospital<br />
Refat Samuel<br />
Jane Centre Pharmacy<br />
Si-ho Wong<br />
Shoppers Drug Mart<br />
DUNDAS<br />
Mariana Vernescu<br />
Shoppers Drug Mart<br />
ELLIOT LAKE<br />
Griselda Co<br />
Zellers Pharmacy<br />
Anna Radecki<br />
Rexall<br />
ELMIRA<br />
Stefan Gudmundson<br />
Shoppers Drug Mart<br />
ETOBICOKE<br />
Rami Abdelmalek<br />
Sherway Medical<br />
Pharmacy<br />
Nicu Badulescu<br />
Pharmacy 2<br />
Sylvia Der-Sahakian<br />
Shoppers Drug Mart<br />
Emad Mankaruos<br />
Sav-On Drug Mart<br />
Elena Mikhaelian<br />
Costco Pharmacy<br />
Arif Raheem<br />
Wal-Mart Pharmacy<br />
Saeed Tahir<br />
Axis Al-Shafa Pharmacy<br />
Lawrence Ura<br />
Shoppers Drug Mart<br />
FERGUS<br />
Heidi May<br />
Shoppers Drug Mart<br />
FONTHILL<br />
Franco Sicoli<br />
Shoppers Drug Mart<br />
GLOUCESTER<br />
Bashir Amir<br />
Pharma Plus<br />
Sousan Ayad<br />
Shoppers Drug Mart<br />
Nhat-Tam Nguyen-<br />
Dinh<br />
Zellers Pharmacy<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
23
thank you preceptors<br />
Intern Evaluation <strong>of</strong> Preceptor and Practice Site<br />
“My preceptor stimulated my knowledge<br />
<strong>of</strong> pharmacy practice and motivated<br />
me as a health care pr<strong>of</strong>essional.”<br />
– Umbreen M<br />
George Salidis<br />
Zellers Pharmacy<br />
Essame Thabet<br />
Shoppers Drug Mart<br />
Narcisa Tripsa<br />
Drugstore Pharmacy<br />
GUELPH<br />
Issac Gergs<br />
Campus Drugmart<br />
Tan Huynh<br />
Pharma Plus<br />
Mohammad Kabir<br />
Drug Basics Pharmacy<br />
Ram Kaushik<br />
Drugstore Pharmacy<br />
Elson Kora<br />
Zellers Pharmacy<br />
Julie Lomas<br />
Guelph General Hospital<br />
Kenneth Manson<br />
Rexall Pharma Plus<br />
Kuveshan Naidoo<br />
Shoppers Drug Mart<br />
Suzy Rouman<br />
Wal-Mart Pharmacy<br />
Nabil Samaan<br />
Drug Basics Pharmacy<br />
Neil Veridiano<br />
Zellers Pharmacy<br />
HAMILTON<br />
Usama Agaybey<br />
Upper Gage Pharmacy<br />
Jamil Ahmad<br />
Shoppers Drug Mart<br />
Denis Angelatos<br />
Hess Tower IDA Pharmacy<br />
Anna Brooks<br />
Hamilton Health Sciences<br />
Corp<br />
Mark Duffett<br />
Hamilton Health Sciences<br />
Corp<br />
Samuel Dyer<br />
Drugstore Pharmacy<br />
Ayman El-Attar<br />
Daniel Drug Mart<br />
Heather Emerson<br />
Wal-Mart Pharmacy<br />
Joanna Grabowski<br />
Dell Pharmacy<br />
Helen Habinski<br />
Drug Basics<br />
Jafar Hanbali<br />
Shoppers Drug Mart<br />
Philip Hosiassohn<br />
Rexall<br />
Luay Khaled<br />
Shoppers Drug Mart<br />
Daeyup Kim<br />
Drugstore Pharmacy<br />
Betty Kurian<br />
Zellers Pharmacy<br />
Annie Kurian<br />
Hamilton Health Sciences<br />
Corp<br />
Saji Mathew<br />
Zellers Pharmacy<br />
John Mikhail<br />
Drugstore Pharmacy<br />
Youssef Morcos<br />
Gordon’s Pharmacy<br />
Ahmed N<strong>of</strong>al<br />
Shoppers Drug Mart<br />
Eustace Orleans-<br />
Lindsay<br />
Drugstore Pharmacy<br />
Sony Poulose<br />
Shoppers Drug Mart<br />
Kusum Shukla<br />
Shoppers Drug Mart<br />
Koshy Thomas<br />
Shoppers Drug Mart<br />
Mary Thornewell<br />
Hamilton Health Sciences<br />
Corp<br />
Chau Tran<br />
Hamilton Health Sciences<br />
Corp<br />
Christine Wallace<br />
St. Joseph’s Hospital<br />
HANOVER<br />
Rajinder Rajput<br />
Zellers Pharmacy<br />
HAWKESBURY<br />
Sylvie Robillard<br />
Pharmacie Jean Coutu<br />
Pharmacy<br />
INGERSOLL<br />
Nestor Andrade<br />
Shoppers Drug Mart<br />
KANATA<br />
Raghunadha<br />
Kuruganti<br />
Costco Pharmacy<br />
Marie Martineau<br />
Rexall Pharma Plus<br />
Daniela Nitescu<br />
Zellers Pharmacy<br />
Munaza Wasay<br />
Drugstore Pharmacy<br />
KENORA<br />
Peter Adams<br />
Zellers Pharmacy<br />
Cameron Buchanan<br />
Drugstore Pharmacy<br />
Lorna Smith<br />
Wal-Mart Pharmacy<br />
KINGSTON<br />
Syed Ahmad<br />
Drugstore Pharmacy<br />
Christina Cella<br />
Kingston General<br />
Hospital<br />
Jennifer Mather<br />
Kingston General<br />
Hospital<br />
Linda Methot<br />
Kingston General<br />
Hospital<br />
Peggy Ng<br />
Shoppers Drug Mart<br />
Bonnie Ralph<br />
Kingston General<br />
Hospital<br />
Jennifer Sheldrick<br />
Rexall Pharma Plus<br />
Ian Trimble<br />
Kingston General<br />
Hospital<br />
KIRKLAND LAKE<br />
Vivianne Brasch<br />
BDR Drug Mart<br />
KITCHENER<br />
Robert Bien<br />
Drugstore Pharmacy<br />
Ana Elefteriu<br />
Drugstore Pharmacy<br />
Mervat Saad<br />
Main Drug Mart<br />
LASALLE<br />
Roberto Modestino<br />
Rexall<br />
Josephine Piruzza<br />
Shoppers Drug Mart<br />
LEAMINGTON<br />
Dejan Apostolovski<br />
Rexall<br />
Mark Vickers<br />
Thomson Guardian<br />
Pharmacy<br />
LINDSAY<br />
Michael Cavanagh<br />
Drugstore Pharmacy<br />
Edgar Cheng<br />
Zellers Pharmacy<br />
Winlove Morales<br />
Zellers Pharmacy<br />
Catherine Puffer<br />
Pharma Plus<br />
David Walker<br />
Shoppers Drug Mart<br />
LISTOWEL<br />
Nelia Ngo<br />
Zellers Pharmacy<br />
LONDON<br />
Graham Barham<br />
Shoppers Drug Mart<br />
Charles Bayliff<br />
London Health Sciences<br />
Centre<br />
Joseph Leonard<br />
Beaver<br />
Shoppers Drug Mart<br />
Milad Bosta<br />
Zellers Pharmacy<br />
Robert Campbell<br />
Prescription Centre<br />
Carolee Coulter<br />
Shoppers Drug Mart<br />
John Farrell<br />
Shoppers Drug Mart<br />
Nina Hanif<br />
Zellers Pharmacy<br />
Claire Knauer<br />
Shoppers Drug Mart<br />
Syed Mahmood<br />
Wal-Mart Pharmacy<br />
Ola Moubayed El-<br />
Chabib<br />
Wal-Mart Pharmacy<br />
Paulomi Patel<br />
Drugstore Pharmacy<br />
Sahleslassie Redae<br />
Drugstore Pharmacy<br />
Peter Semchism<br />
Zellers Pharmacy<br />
Munir Suleiman<br />
Shoppers Drug Mart<br />
Derek Trainor<br />
Wal-Mart Pharmacy<br />
MANOTICK<br />
Charles Rak<br />
Rexall<br />
MAPLE<br />
Jack Dalimonte<br />
Shoppers Drug Mart<br />
MARKHAM<br />
Patricia Brown<br />
Markham Stouffville<br />
Hospital<br />
Kinh Huynh<br />
Shoppers Drug Mart<br />
Hui Jin<br />
Costco Pharmacy<br />
Rebecca Leong Ho<br />
Supercare Pharmacy<br />
Markham<br />
Georgina Mikhail<br />
Markham Stouffville<br />
Hospital<br />
Faisal Motiwala<br />
Fenton Discount<br />
Pharmacy<br />
Kandavel Palanivel<br />
Denison Discount<br />
Pharmacy<br />
Faranak Pashang<br />
Costco Pharmacy<br />
Mabel Pau<br />
Drug Basics<br />
24 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
Vicky Wong<br />
Shoppers Drug Mart<br />
MIDLAND<br />
Michael Tolmie<br />
Shoppers Drug Mart<br />
MILTON<br />
Hitesh Kakadia<br />
Loblaw Pharmacy<br />
Faisal Khawaja<br />
Hawthorne Pharmacy<br />
Gehan Nazmy<br />
Total Health Pharmacy<br />
Dawn Ross<br />
Shoppers Drug Mart<br />
MISSISSAUGA<br />
Akilhussein Adamjee<br />
Wal-Mart Pharmacy<br />
Jauher Ahmad<br />
Shoppers Drug Mart<br />
Nadeem Ahmed<br />
Total Health Guardian<br />
Pharmacy<br />
Passant Al-Shaikh<br />
Shoppers Drug Mart<br />
Eiman Amin<br />
Noor Drug Mart<br />
Mina Awad<br />
City Care Pharmacy<br />
Andrew Awadalla<br />
Total Health Guardian<br />
Pharmacy<br />
Ramy Banoub<br />
Shoppers Drug Mart<br />
Manuela Berbecel<br />
Costco Pharmacy<br />
Dennis Cazzin<br />
Guru Nanak Dev<br />
Pharmacentre<br />
Huong Duong<br />
Costco Pharmacy<br />
Sherif Ghattas<br />
Total Health Pharmacy<br />
Tawhida Gobara<br />
Zellers Pharmacy<br />
Janis Greenhill<br />
Medical Building<br />
Pharmacy<br />
Chaza Hadaia<br />
Pharma Plus<br />
Maged Henein<br />
Glen Erin Pharmacy<br />
Charlene Houshmand<br />
The Pharmacy<br />
Khurram Hussain<br />
Shoppers Drug Mart<br />
Fawzy Ibrahim<br />
Tomken Centre Pharmacy<br />
Neema Kapadia<br />
The Trillium Health<br />
Centre<br />
Alaric Kimson<br />
Wal-Mart Pharmacy<br />
Vincenzo Lamonica<br />
Derry Road Pharmacy<br />
Ying Lau<br />
Rexall Pharma Plus<br />
Ameesh Lekhi<br />
Shoppers Drug Mart<br />
Aysha Lodhi<br />
The Pharmacy<br />
Jagjit Maghera<br />
Shoppers Drug Mart<br />
Rick Mak<br />
Zellers Pharmacy<br />
Shady Mawad<br />
Britannia Medical<br />
Pharmacy<br />
Sharmil Mithia<br />
Grand Park Pharmacy<br />
Emad Nossier<br />
Erindale Medical<br />
Pharmacy<br />
Ricardo Obusan Jr.<br />
Zellers Pharmacy<br />
Hitesh Pandya<br />
Shoppers Drug Mart<br />
Smita Patil<br />
Rexall Pharma Plus<br />
Ramniklal Sachania<br />
Heritage Hills Pharmacy<br />
Suhad Sa’Doun<br />
The Pharmacy<br />
Arlene Salonga-Abule<br />
The Credit Valley Hospital<br />
Sujan Shrestha<br />
Loblaw Pharmacy<br />
Sameh Sidrak<br />
King Medical Arts<br />
Pharmacy<br />
Olivera Skakavac<br />
Hoopers Pharmacy<br />
Linda Snyder<br />
Rexall Pharma Plus<br />
Yousuf Syed<br />
Costco Pharmacy<br />
Alpana Vora<br />
Drugstore Pharmacy<br />
Ahmad Waseem<br />
Shoppers Drug Mart<br />
Alexander Wong<br />
Meadowvale Pharmacy<br />
Violet Yousefi<br />
Wal-Mart Pharmacy<br />
NAPANEE<br />
Jeffrey Boutilier<br />
Drugstore Pharmacy<br />
NEPEAN<br />
Steven Bloom<br />
Shoppers Drug Mart<br />
Georgeta Botehkan<br />
Drugstore Pharmacy<br />
Ghada Farah<br />
Rexall Pharma Plus<br />
Kathleen Jordan<br />
Shoppers Drug Mart<br />
Jennifer Shaw<br />
Drugstore Pharmacy<br />
NEWMARKET<br />
Eliza Chu<br />
Costco Pharmacy<br />
S<strong>of</strong>ia Massad<br />
Zellers Pharmacy<br />
Yana Shamiss<br />
Southlake Regional<br />
Health Cntr<br />
Janne Yang<br />
Shoppers Drug Mart<br />
NIAGARA FALLS<br />
Ugochukwu<br />
Nwankwo<br />
Wal-Mart Pharmacy<br />
Jennie Pichelli<br />
The Greater Niagara Gen<br />
Hosptl<br />
Veronica Rudan<br />
Pharmashield Dispensary<br />
Barbara Trojanowska<br />
Drugstore Pharmacy<br />
Marnie Varley<br />
Pharma Plus<br />
NORTH BAY<br />
Patricia Euler<br />
North Bay General<br />
Hospital<br />
Ryan Post<br />
Shoppers Drug Mart<br />
Hywel White<br />
Pharma Plus<br />
NORTH YORK<br />
Dakshesh Amin<br />
York Gate IDA Drug Mart<br />
Hala Demian<br />
Main Drug Mart<br />
Eric Lui<br />
North York General<br />
Hospital<br />
Bahaa Mehany<br />
Main Drug Mart<br />
Ge<strong>of</strong>frey Newton<br />
York Lanes Pharmacy<br />
Hung Ng<br />
Zellers Pharmacy<br />
Steven Schachter<br />
Shoppers Drug Mart<br />
OAKVILLE<br />
Irene Asad<br />
St. Mark’s Pharmacy<br />
Georgios<br />
Benakopoulos<br />
Oakville Town Centre<br />
Pharmacy<br />
Fabio De Rango<br />
Shoppers Drug Mart<br />
Abdel-Messeih Fahmy<br />
Oak Park Community<br />
Pharmacy<br />
Sherif Gerges<br />
Total Health Pharmacy<br />
Amgad Hakim<br />
River Oaks Medical<br />
Pharmacy<br />
Christine Kamel<br />
Total Health Pharmacy<br />
Bassant Mansour<br />
Total Health Pharmacy<br />
Balaji Pamalpadi<br />
Loblaw Pharmacy<br />
Situl Sachania<br />
Shoppers Drug Mart<br />
Kanwardip Sandhu<br />
Shoppers Drug Mart<br />
Grace White<br />
Halton Healthcare<br />
Services<br />
ORILLIA<br />
Stephen MacDonald<br />
Shoppers Drug Mart<br />
ORLEANS<br />
Yousra El-Jaby<br />
Drugstore Pharmacy<br />
Irene Mohareb<br />
Zellers Pharmacy<br />
Bassem Nashed<br />
Crown Pointe Pharmacy<br />
OSHAWA<br />
Nelson Albacete<br />
Shoppers Drug Mart<br />
Rita Ankus<br />
Lakeridge Health<br />
Devin Bhimani<br />
Drugstore Pharmacy<br />
Baris Huner<br />
Shoppers Drug Mart<br />
Amir Hussain<br />
Wal-Mart Pharmacy<br />
Allan Ingles<br />
Pharmacy 1 Drug & Food<br />
Rajni Kassett<br />
PharmaChoice<br />
Paresh Mehta<br />
Drugstore Pharmacy<br />
Karen Monaghan<br />
Pharma Plus<br />
Sheri Power<br />
Shoppers Drug Mart<br />
Suresh Shukla<br />
Drugstore Pharmacy<br />
Wynand Van Rooyen<br />
Medical Pharmacy<br />
OTTAWA<br />
Majed Abed<br />
Drugstore Pharmacy<br />
Samira Ali-Abdullah<br />
The Drugstore Pharmacy<br />
Kennevie Aquino<br />
Zellers Pharmacy<br />
Daiana Barbalata<br />
Pharma Plus<br />
Pedro Barreiro<br />
Shoppers Drug Mart<br />
Shelagh Campbell<br />
Rexall Pharma Plus<br />
Richard Cho<br />
Costco Pharmacy<br />
Celine Corman<br />
The Ottawa Hospital<br />
Yasmin Damji<br />
Medisystem Pharmacy<br />
Eden D’Entremont<br />
Montfort Hospital<br />
Shauna Devison<br />
Shoppers Drug Mart<br />
Mohamed El Sayed<br />
Drugstore Pharmacy<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
25
thank you preceptors<br />
Intern Evaluation <strong>of</strong> Preceptor and Practice Site<br />
“He made learning fun and enjoyable.”<br />
– Renukanthan P<br />
Donald Hare<br />
Zellers Pharmacy<br />
Mary Jane Margaret<br />
Ngo<br />
Zellers Pharmacy<br />
SCARBOROUGH<br />
Man Liu<br />
Shoppers Drug Mart<br />
Erlinda Lo<br />
Wal-Mart Pharmacy<br />
Joanna Man<br />
Bay Pharmacy<br />
Nahed El-Hawary<br />
Ottawa Medical<br />
Pharmacy<br />
Yousra El-Jaby<br />
Drugstore Pharmacy<br />
Tamer Farag<br />
First Care Pharmacy<br />
Benjamin Gunter<br />
Drugstore Pharmacy<br />
Narmin Jalaldin<br />
Shoppers Drug Mart<br />
Jason MacEwen<br />
Shoppers Drug Mart<br />
Jason Shaw<br />
Shoppers Drug Mart<br />
Al-Amin Shrimali<br />
Drugstore Pharmacy<br />
Jimrod Suello<br />
Zellers Pharmacy<br />
Joseph Thibault<br />
Shoppers Drug Mart<br />
Alison Trellert<br />
Shoppers Drug Mart<br />
Gillian Wong Sen<br />
Chan<br />
Pharma Plus<br />
OWEN SOUND<br />
Kathleen Cu<br />
Zellers Pharmacy<br />
John Paul Gloria<br />
Zellers Pharmacy<br />
Atena Heydari<br />
Drugstore Pharmacy<br />
Peter Rissi<br />
Parker Pharmacy<br />
PARIS<br />
Iyabode Kuye<br />
Sobeys Pharmacy<br />
PEMBROKE<br />
Michelle Baltazar<br />
Zellers Pharmacy<br />
Joan Weise<br />
Mulvihill Drug Mart<br />
PETAWAWA<br />
Livia Vodenicar<br />
Shoppers Drug Mart<br />
PETERBOROUGH<br />
Rita Bain<br />
Wal-Mart Pharmacy<br />
Patricia Myall<br />
Peterborough Regional<br />
Health Centre<br />
Rohit Vats<br />
Drugstore Pharmacy<br />
Michael Youssef<br />
Burnham Medical<br />
Pharmacy<br />
PICKERING<br />
Patricia Allen Crook<br />
Pharma Plus<br />
Balvantrai Daya<br />
Fairport Guardian Drugs<br />
Irvin Ng<br />
Zellers Pharmacy<br />
Rahim Suleman<br />
Shoppers Drug Mart<br />
PICTON<br />
David Paul<br />
Picton Clinic Pharmacy<br />
PORT PERRY<br />
Nancy Meyer<br />
Shoppers Drug Mart<br />
REXDALE<br />
Jaspreet Bajaj<br />
Shoppers Drug Mart<br />
Mina Gobrail<br />
John Garland Pharmacy<br />
Adel Tadros<br />
Best Care Austin<br />
Pharmacy<br />
RICHMOND HILL<br />
Maher Abdel Malak<br />
Bayview 16th Medical<br />
Pharmacy<br />
Nineta Anghelache<br />
Sobeys Pharmacy<br />
Vera Avetissov<br />
Shoppers Drug Mart<br />
Atossa Babaie-Nami<br />
Richmond Medical<br />
Pharmacy<br />
Giuseppe Colella<br />
Shoppers Drug Mart<br />
Tasneem Haji<br />
Rexall<br />
Simon Lau<br />
Drugstore Pharmacy<br />
Zahira Moledina<br />
York Central Hospital<br />
Karen Monaghan<br />
Rexall<br />
Maged Naguib<br />
Procare Pharmacy<br />
Daniela Pacitto<br />
York Central Hospital<br />
Mirette Riad<br />
Leslie & Major Mac. I.D.A.<br />
Pharmacy<br />
Samy Saad<br />
Richpoint Pharmacy<br />
Kai Wong<br />
Meditrust Pharmacy<br />
Johnny Wong<br />
A & W Pharmacy<br />
Kit Yim<br />
York Central Hospital<br />
ROCKLAND<br />
Guillaume Grenier<br />
Shoppers Drug Mart<br />
SARNIA<br />
Rushabh Damani<br />
Drugstore Pharmacy<br />
Marcel Laporte<br />
Shoppers Drug Mart<br />
SAULT STE MARIE<br />
Carla Deluco<br />
Group Health Centre<br />
Pharmacy<br />
Sebastian Desumma<br />
Market Mall Pharmacy<br />
Steven Filek<br />
Shoppers Drug Mart<br />
Olga Fischer<br />
Rexall<br />
Jamie Greco<br />
Medical Center Pharmacy<br />
Amgad Abdel Sayed<br />
Extra Care Pharmacy<br />
Ahmad Abdullah<br />
Shoppers Drug Mart<br />
Moe Amro<br />
Shoppers Drug Mart<br />
Amir Attalla<br />
Zellers Pharmacy<br />
Mojgan Bijanzadeh<br />
Shoppers Drug Mart<br />
Carrie Boudreau<br />
Scarborough Grace<br />
Hospital<br />
Shimon Cabrera<br />
National Pharmacy<br />
Thomas Chau<br />
Providence Healthcare<br />
Elizabeth Chau<br />
Drugstore Pharmacy<br />
Michael Chowdhury<br />
Wal-Mart Pharmacy<br />
Anoja Devaranjan<br />
Valueplus Pharmacy<br />
Akil Dhirani<br />
Village Square Pharmacy<br />
Truong Duong<br />
Wal-Mart Pharmacy<br />
Mamdouh Farag<br />
Danforth Pharmacy<br />
Sherif Ghattas<br />
Best Care Pharmacy<br />
Sali Ghobrial<br />
Guildwood Drug Mart<br />
Winnie Ho<br />
The Scarborough General<br />
Hospital<br />
Jerry Ip<br />
Shoppers Drug Mart<br />
Bassem Iskander<br />
DiscountPlus Pharmacy<br />
Hari Kambo<br />
Pharmacenter<br />
Minaaz Kara<br />
Pharmasave<br />
Moslem Kashiri<br />
Fairlane Drug Mart<br />
Kyungsuk Lee<br />
Costco Pharmacy<br />
Abdoulnaser<br />
Mansoubi<br />
Shoppers Drug Mart<br />
Shelina Mawani<br />
Pharma Plus<br />
Chimanlal Mistry<br />
Mornelle Drug Mart<br />
Seema Nayani<br />
Costco Pharmacy<br />
Oluremi Ojo<br />
Guardian Corporate<br />
Pharmacy<br />
Nayan Patel<br />
Pharmasave<br />
Dang Pham<br />
Shoppers Drug Mart<br />
Ramachandran<br />
Ramapathy<br />
Pharma Grace Drug Mart<br />
Zahra Rhemtulla<br />
Shoppers Drug Mart<br />
Suresh Shukla<br />
Drugstore Pharmacy<br />
Hany Silwanes<br />
Best Care Pharmacy<br />
Uday Pratap Singh<br />
Shoppers Drug Mart<br />
Shirin Somani<br />
Shoppers Drug Mart<br />
Elena Sze<br />
The Scarborough General<br />
Hospital<br />
Ekaterina Takopoulos<br />
The Pharmacy<br />
Terence Wong<br />
Shoppers Drug Mart<br />
Man Yiu<br />
Shoppers Drug Mart<br />
SIMCOE<br />
Helen Jonker<br />
Pharmasave<br />
Jannette Pinson<br />
Zellers Pharmacy<br />
Emily Sta Rita<br />
Zellers Pharmacy<br />
SIOUX LOOKOUT<br />
Fiona Arbiter<br />
Rexall<br />
26 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
ST. CATHARINES<br />
Norris Brown<br />
Shoppers Drug Mart<br />
David Costiniuk<br />
Shoppers Drug Mart<br />
Betty George<br />
Drugstore Pharmacy<br />
Monisha Jhirad<br />
Drugstore Pharmacy<br />
Amany Mourid<br />
St. Mary Pharmacy<br />
Samir Patel<br />
Shoppers Drug Mart<br />
Hema Rajawat<br />
Pharmacy 1 Drug & Food<br />
Nagaty Samaan<br />
St. Mary Pharmacy<br />
THOROLD<br />
Amir Botros<br />
Albion Medical Pharmacy<br />
Lisa Burry<br />
Mount Sinai Hospital<br />
Gregory Callaghan<br />
Centre for Addiction and<br />
Mental Health<br />
Karen Cameron<br />
The Toronto Western<br />
Hospital<br />
Manjit Hansra<br />
Shoppers Drug Mart<br />
Brian Hardy<br />
Sunnybrook Health<br />
Sciences Centre<br />
Jun Higuchi<br />
The Pharmacy<br />
Cynthia Ignacio<br />
Pharma Plus<br />
Kaye Mekawi<br />
Zellers Pharmacy<br />
Sami Mikhaeil<br />
Sam’s I.D.A. Pharmacy<br />
Sanaz Mozayyan<br />
The Toronto Western<br />
Hospital<br />
Jasmina Mureta<br />
Drugstore Pharmacy<br />
Moez Saju<br />
Zellers Pharmacy<br />
Anne Sinclair<br />
Costco Pharmacy<br />
ST. CLAIR BEACH<br />
Mojisola Gbadamosi<br />
Drugstore Pharmacy<br />
STONEY CREEK<br />
Lisa Carvalho<br />
Drugstore Pharmacy<br />
Alan Genik<br />
Supercare Pharmacy<br />
Stoney Creek Pharmasave<br />
Matthew Neskar<br />
Shoppers Drug Mart<br />
STOUFFVILLE<br />
Paul Kuras<br />
Shoppers Drug Mart<br />
STRATFORD<br />
Merike Metcalfe<br />
Drugstore Pharmacy<br />
STRATHROY<br />
Jennifer Evered<br />
Drugstore Pharmacy<br />
SUDBURY<br />
Shaun Barry<br />
Rexall<br />
Micheal Kilby<br />
Costco Pharmacy<br />
Luisa Ranger<br />
Shoppers Drug Mart<br />
THORNHILL<br />
Maria Afrooz<br />
Pharma Plus<br />
Gina Chiang<br />
Pharma Plus<br />
Sameh Ibrahim<br />
Steeles Pharmacy<br />
Irving Knopman<br />
Pharmacy 1 Drug & Food<br />
Fred Kohan<br />
Pharmacy 1 Drug & Food<br />
Mohsen Shivafard<br />
Pharma Plus<br />
THUNDER BAY<br />
Brenda Adams<br />
Janzen’s Pharmacy<br />
Sean Albanese<br />
Thunder Bay Regional<br />
Health Sciences Centre<br />
Deborah Emery<br />
St. Joseph’s Hospital<br />
Chi Luu<br />
Shoppers Drug Mart<br />
Maria Catherine<br />
Manalili<br />
Zellers Pharmacy<br />
Paul Manary<br />
Thunder Bay Regional<br />
Health Sciences Centre<br />
Catherine Omeljaniuk<br />
Thunder Bay Regional<br />
Health Sciences Centre<br />
Angelica Rubio<br />
Zellers Pharmacy<br />
Grace Tan<br />
Zellers Pharmacy<br />
Marcia Wilson<br />
Safeway Pharmacy<br />
TIMMINS<br />
Nicole Lacroix<br />
Zellers Pharmacy<br />
TORONTO<br />
Hanan Allahham<br />
Pharmasave<br />
Shalini Anand<br />
Shoppers Drug Mart<br />
Edwin Barrera-Liza<br />
Drugstore Pharmacy<br />
Parvin Bineshian<br />
Pharmasave<br />
Aleksandra Bjelajac<br />
Mejia<br />
The Hospital For Sick<br />
Children<br />
Lauren Blatt<br />
Toronto Rehab. Institute<br />
Betty Chan<br />
The Toronto Western<br />
Hospital<br />
Sarah Chaudhry<br />
Drugstore Pharmacy<br />
Yan Chen<br />
Shoppers Drug Mart<br />
Doret Cheng<br />
Mount Sinai Hospital<br />
Fabrizio Damiani<br />
Shoppers Drug Mart<br />
Nader Danyal<br />
Clairhurst Medical<br />
Pharmacy<br />
Thanh Dao<br />
St. Michael’s Hospital<br />
Norman Dewhurst<br />
St. Michael’s Hospital<br />
Jatinderjit Dhaliwall<br />
Shoppers Drug Mart<br />
Richard Diesch<br />
Shoppers Drug Mart<br />
Stanley Din<strong>of</strong>f<br />
Shoppers Drug Mart<br />
Jackline Elsobky<br />
Bathurst-Bloor IDA Drug<br />
Mart<br />
Onimisi Etudaiye<br />
Wal-Mart Pharmacy<br />
Ashraf Faltaous<br />
Shoppers Drug Mart<br />
Ramez Fares<br />
St. Joseph’s Health Centre<br />
Veeral Gandhi<br />
Rexall Pharma<br />
Basem Ghatas<br />
Dufferin-Finch Pharmacy<br />
Amir Girgis Boktor<br />
Methadrug Pharmacy<br />
Dianne Grise<br />
Drugstore Pharmacy<br />
Liliana Guidoccio<br />
The Toronto General<br />
Hospital<br />
Henry Halapy<br />
St. Michael’s Hospital<br />
Akeel Jaffer<br />
Shoppers Drug Mart<br />
Ksenija Jankovic<br />
Shoppers Drug Mart<br />
Alexandra Karmiris<br />
Shoppers Drug Mart<br />
William Kassel<br />
Kassel’s Pharmacy Limited<br />
Michelle Kim<br />
Shoppers Drug Mart<br />
Robyn Knight<br />
Rexall Pharma Plus<br />
Josephine Kong<br />
Costco Pharmacy<br />
Jennifer Korman<br />
Mount Sinai Hospital<br />
Demitrios Koutroubis<br />
Rexall Pharma Plus<br />
Allen Kula<br />
The Medicine Shoppe<br />
Ri-feng Lam<br />
Drugstore Pharmacy<br />
Mei Lam<br />
Drugstore Pharmacy<br />
Melissa Lan<br />
The Toronto General<br />
Hospital<br />
Joanne Lapointe<br />
Toronto East Gen & Ortho<br />
Hosp<br />
Tracey Lawson<br />
St. Joseph’s Health Centre<br />
Ki-Seok Lee<br />
Bloor Park Pharmacy<br />
Anne Longo<br />
The Hospital For Sick<br />
Children<br />
Cyrille Lugassy<br />
Shoppers Drug Mart<br />
Miranda Mak<br />
The Riverdale Hospital<br />
Michael Makary<br />
Main Drug Mart<br />
Maen Mashnuk<br />
Pharmasave Harbourfront<br />
Pharmacy<br />
Gehan Nazmy<br />
Total Health Pharmacy<br />
Maria Nenadovich<br />
Shoppers Drug Mart<br />
Lesley Neves-Azevedo<br />
<strong>College</strong> Medical<br />
Pharmacy<br />
Fanika Nikiforovski<br />
Drugstore Pharmacy<br />
Cyndy Oliver<br />
Sunnybrook & Womens<br />
Col H.S.C<br />
Mohamed Osman<br />
Zellers Pharmacy<br />
Elaine Ostfield<br />
Mount Sinai Drugstore<br />
Marissa Panganiban<br />
Zellers Pharmacy<br />
John Papastergiou<br />
Shoppers Drug Mart<br />
Behzad Peyrovan<br />
Drugstore Pharmacy<br />
George Phillips<br />
Shoppers Drug Mart<br />
Sarah Pooler<br />
Pharma Plus<br />
Johanna Proceviat<br />
St. Michael’s Hospital<br />
Chi-wah Quan<br />
Janedal Pharmacy<br />
Phoebe Quek<br />
Ambulatory Patient<br />
Pharmacy<br />
Brigitte Reiner<br />
Kassel’s Pharmacy Limited<br />
Abraam R<strong>of</strong>ael<br />
Zellers Pharmacy<br />
Maria R<strong>of</strong>aiel<br />
White’s Pharmacy<br />
Irina Sagaidak<br />
Shoppers Drug Mart<br />
Samia Sahyone<br />
Pharmasave<br />
Yahya Salem<br />
Zellers Pharmacy<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
27
thank you preceptors<br />
Student Evaluation <strong>of</strong> Preceptor and Practice Site<br />
“Having a great preceptor to encourage<br />
you daily gives you confidence<br />
to pursue many activities.”<br />
– Jasmin J<br />
Jack Seki<br />
The Princess Margaret<br />
Hospital<br />
Vaishali Sengar<br />
St. Michael’s Hospital<br />
Shirish Shah<br />
Bloor-Dundas Pharmacy<br />
Parmanand Singh<br />
Shoppers Drug Mart<br />
Safwat Sourial<br />
Shoppers Drug Mart<br />
Nadia Sourour<br />
Keele & Rogers Pharmacy<br />
Beth Sproule<br />
Addiction Research<br />
Foundation<br />
Kenny Tan<br />
Shoppers Drug Mart<br />
Luciano Tauro<br />
Dufferin Drug Mart<br />
Pablo Tiscornia<br />
Pharma Plus<br />
Eliza To<br />
The Toronto General<br />
Hospital<br />
Shveta Unarket<br />
Toronto Rehab. Institute<br />
Jefter Vandenburg<br />
Shoppers Drug Mart<br />
Vesna Vukcevic<br />
Best Drug Mart<br />
Janet Weber<br />
Rexall Pharma Plus<br />
John Weymouth<br />
Don Russell Drug Mart<br />
Amy Wong<br />
The Pharmacy<br />
Michael Wong<br />
Medical Pharmacy<br />
Kam Wong<br />
The Toronto Western<br />
Hospital<br />
Peter Youhanna<br />
Islington Medical<br />
Pharmacy<br />
Suet-Mui Yuen<br />
The Pharmacy<br />
Roudolph Zaky<br />
Sone’s Pharmacy<br />
TRENTON<br />
Monette Alviola<br />
Zellers Pharmacy<br />
VAL CARON<br />
Julie Olivier<br />
Rexall<br />
VANIER<br />
Anishkumar Sanghavi<br />
Drugstore Pharmacy<br />
VAUGHAN<br />
Pirasteh Adab<br />
Drugstore Pharmacy<br />
Naveed Ahmad<br />
Medi-Pharm Pharmacy<br />
Jamil Ebrahimzadeh<br />
Ahari<br />
Drugstore Pharmacy<br />
Sunitha Kondoor<br />
Shoppers Drug Mart<br />
Ogieriakhi Omozusi<br />
Shoppers Drug Mart<br />
Soheila Rajablarijani<br />
Shoppers Drug Mart<br />
WALLACEBURG<br />
Matthew Dockrill<br />
Wal-Mart Pharmacy<br />
WATERDOWN<br />
Kristin Duby<br />
Langford Pharmacy<br />
Kathryn Milligan<br />
Drugstore Pharmacy<br />
Saly Thomas<br />
Zellers Pharmacy<br />
WATERLOO<br />
Veneta Anand<br />
Shoppers Drug Mart<br />
Lisa Bak<br />
Westmount Place<br />
Pharmasave<br />
Meika Brogden<br />
Sobeys Pharmacy<br />
Louis Celli<br />
Rexall Pharma Plus<br />
Mahboob Fatima<br />
Drugstore Pharmacy<br />
Maria Horner<br />
Shoppers Drug Mart<br />
Bilal Mouneimne<br />
Rexall Pharma Plus<br />
Dragana Nedeljkovic<br />
Shoppers Drug Mart<br />
WELLAND<br />
Christopher Bida<br />
Rose City Pharmacie<br />
Elizabeth Jackson<br />
Rexall<br />
Katherine Loth<br />
Dell Pharmacy<br />
Shawn Severin<br />
Zellers Pharmacy<br />
WESTON<br />
Tasneem Akhtar<br />
Shoppers Drug Mart<br />
Shereen El-Azrak<br />
Humber River Regional<br />
Hospital<br />
John Palumbo<br />
Shoppers Drug Mart<br />
Kevin Phang<br />
Shoppers Drug Mart<br />
Adel Soliman<br />
Westown Pharmacy<br />
WHITBY<br />
Susan Bowser<br />
Shoppers Drug Mart<br />
Tammy Cheung<br />
The Pharmacy<br />
Vanessa C<strong>of</strong>fey<br />
Pharmasave<br />
Muhammad Farooq<br />
The Pharmacy<br />
Issac Gergs<br />
Pharmasave<br />
Meenaz Jaffer<br />
Medical Pharmacy<br />
Rosemary R<strong>of</strong>ail<br />
Drugstore Pharmacy<br />
WILLOWDALE<br />
Albert Cheng<br />
Pharma Plus<br />
Essam El-Arif<br />
Fairview Pharmacy<br />
Riad Elsobky<br />
Cliffwood IDA Pharmacy<br />
Ara Kolandjian<br />
Shoppers Drug Mart<br />
Yong Lin<br />
Shoppers Drug Mart<br />
Bethany McMullen<br />
Shoppers Drug Mart<br />
Malgorzata Samuel<br />
Drug Basics Pharmacy<br />
Robert Scherz<br />
Zellers Pharmacy<br />
WINDSOR<br />
Salam Abdul<br />
Rexall<br />
Emmanuel Airewele<br />
Drugstore Pharmacy<br />
Cheryl Bielicz<br />
Windsor Regional Cancer<br />
Centre<br />
Timothy Brady<br />
Shoppers Drug Mart<br />
Carmela Catizzone<br />
Rexall<br />
Robin Chang<br />
Shoppers Drug Mart<br />
John Devlin<br />
Hotel-Dieu Grace<br />
Hospital<br />
Theodore Kummer<br />
Shoppers Drug Mart<br />
Min Long<br />
Windsor Regional<br />
Hospital<br />
David Marentette<br />
Wal-Mart Pharmacy<br />
Eulalia Ocampo<br />
Windsor River Pharmacy<br />
Lynnette Ridley<br />
Windsor Regional<br />
Hospital<br />
Joseph Sobol<br />
Windsor Regional<br />
Hospital<br />
Cristina Thomas<br />
Wal-Mart Pharmacy<br />
Lidia Yrigoyen<br />
Windsor Regional<br />
Hospital<br />
WOODBRIDGE<br />
Saman Daneshkhah<br />
Costco Pharmacy<br />
Caterina Mazza<br />
Pharma Plus<br />
Mona Raphael<br />
Hendersons Woodbridge<br />
Medical Pharmacy<br />
WOODSTOCK<br />
Ahmad Jaradat<br />
Wal-Mart Pharmacy<br />
Jayantkumar Patel<br />
Zellers Pharmacy<br />
28 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
CE resources<br />
Visit the <strong>College</strong>’s website: www.ocpinfo.com for a complete listing <strong>of</strong> upcoming events and/or available<br />
resources. A number <strong>of</strong> the programs listed below are also suitable for pharmacy technicians.<br />
GTA<br />
<strong>January</strong> 17, <strong>2009</strong><br />
Fundamentals <strong>of</strong> Buprenorphine<br />
Maintenance Treatment<br />
Centre for Addiction and Mental<br />
Health (CAMH)<br />
Toronto, ON<br />
Contact: Robyn Steidman<br />
416 535-8501, ext. 6640<br />
Alternate Tel: 1 800 661-1111<br />
<strong>January</strong> 26-30, <strong>2009</strong><br />
Tobacco Cessation workshop<br />
Toronto<br />
Training Enhancement in Applied<br />
Cessation Counselling and Health<br />
(TEACH)<br />
Toronto, ON<br />
Contact: teach@camh.net<br />
Tel: 416 535-8501 ext.1600<br />
<strong>January</strong> 22, <strong>2009</strong><br />
Obesity, The Canadian Epidemic:<br />
An Update for <strong>Pharmacists</strong><br />
Metropolitan Toronto <strong>Pharmacists</strong><br />
Association (MTPA)<br />
Toronto, ON<br />
Register online: http://www.mtpa.<br />
org/2007/jan22200.html<br />
<strong>February</strong> 27 <strong>2009</strong><br />
Enhancing MedsCheck: Conducting<br />
a Best Possible Medication<br />
History and Resolving Medication<br />
Discrepancies (Members only)<br />
Metropolitan Toronto <strong>Pharmacists</strong><br />
Association (MTPA)<br />
Toronto, ON<br />
Register online: http://www.mtpa.<br />
org/education.asp<br />
<strong>February</strong> 8 and <strong>February</strong> 22, <strong>2009</strong><br />
Opioid Dependence Treatment<br />
Core Program<br />
CAMH Online tutorials and live<br />
workshop<br />
Toronto, ON<br />
Contact: Robyn Steidman<br />
416 535-8501, ext. 6640<br />
Alternate Tel: 1 800 661-1111<br />
ONTARIO<br />
<strong>January</strong> 21, <strong>2009</strong><br />
<strong>Pharmacists</strong> Role in Methadone<br />
Maintenance Treatment<br />
Ottawa, ON<br />
Contact: Peter Williams, Centre for<br />
Addiction and Mental Health<br />
613 569-6024<br />
Email: Peter_Williams@camh.net<br />
<strong>February</strong> 21, <strong>2009</strong><br />
Update/Mise a jour <strong>2009</strong><br />
The Ottawa Valley Regional Drug<br />
Information Service<br />
Ottawa, ON<br />
Contact: Linda Ahmad<br />
613 737-8347 x 1<br />
lahmad@ottawahospital.on.ca<br />
CANADA<br />
<strong>January</strong> 27-28, <strong>2009</strong><br />
Advancing Safe Medication Practices:<br />
ISMP Canada<br />
Regina, Saskatchewan<br />
Tel: 416 733-3131 ext. 226<br />
Email: conferences@ismp-canada.org<br />
INTERNATIONAL<br />
May 10 – 15, <strong>2009</strong><br />
Clinical Pharmacy in Primary Care<br />
Prato, Italy<br />
Contact: Maria Bystrin<br />
416 978-8458<br />
Email: cpd.pharmacy@utoronto.ca<br />
ON-LINE<br />
Centre for Addiction and Mental<br />
Health (CAMH): <strong>January</strong> 26, <strong>2009</strong><br />
http://www.camh.net/education/<br />
Online_courses_webinars/index.html<br />
-Introduction to Concurrent Disorders<br />
-Admission, Discharge and Assessment<br />
Tools (ADAT) Training<br />
-Fundamentals <strong>of</strong> Mental Health<br />
-Fundamentals <strong>of</strong> Addiction<br />
-Interactions between Psychiatric<br />
Medications and<br />
substances <strong>of</strong> Abuse<br />
http://www.rxcertified.ca<br />
Online fee-based certificate courses<br />
developed by the Drug Information<br />
and Research Centre (DIRC) and rx-<br />
BriefCase.com. Currently <strong>of</strong>fering:<br />
- Diabetes Patient Care Level 1<br />
- Obesity Program<br />
http://www.opacti.org/<br />
Online Clinical Tobacco Interventions<br />
for Health Care Pr<strong>of</strong>essionals<br />
http://www.pharmacygateway.com<br />
On-line CE lessons<br />
http://www.rxbriefcase.com/<br />
On-line CE lessons<br />
CE for Pharmacy<br />
Technicians<br />
<strong>February</strong> <strong>2009</strong><br />
27th Pharmacy technicians<br />
Conference<br />
Humber <strong>College</strong> North Campus,<br />
Toronto<br />
Register online at<br />
pharmacy.humber.ca<br />
Contact: Irene Van Vliet<br />
416 675-6622 ext. 4691<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
29
2007 annual statistics<br />
30 pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong>
laws & regulations<br />
Drug and Pharmacies Regulation Act (DPRA) * s<br />
Amended June 4, 2008<br />
Regulations to the DPRA:<br />
DPRA R.R.O. 1990, Regulation 545 – Child Resistant Packages<br />
DPRA <strong>Ontario</strong> Regulation 297/96 Amended to O.Reg. 173/08 – General<br />
DPRA R.R.O. 1990, Regulation 551 Amended to O.Reg. 172/08 – General<br />
Drug Schedules **<br />
Summary <strong>of</strong> Laws Governing Prescription Requirements,<br />
Transfers, Refills, Prescription Drug Ordering and Records<br />
June 2007 OCP<br />
Canada’s National Drug Scheduling System –<br />
December 10, 2008 NAPRA (or later)<br />
Regulated Health Pr<strong>of</strong>essions Act (RHPA) * s<br />
Amended November 27, 2008<br />
Regulations to the RHPA:<br />
<strong>Ontario</strong> Regulation 39/02 -Certificates <strong>of</strong> Authorization Amended to<br />
O.Reg. 666/05<br />
<strong>Ontario</strong> Regulation 107/96 – Controlled Acts<br />
<strong>Ontario</strong> Regulation 59/94 – Funding for Therapy or<br />
Counseling for Patients Sexually Abused by Members<br />
Pharmacy Act (PA) & Regulations * s<br />
Amended 2007<br />
Regulations to the PA:<br />
<strong>Ontario</strong> Regulation 202/94 Amended to O.Reg. 270/04 – General<br />
<strong>Ontario</strong> Regulation 681/93 Amended to O.Reg.<br />
122/97 – Pr<strong>of</strong>essional Misconduct<br />
Standards <strong>of</strong> Practice s<br />
Standards <strong>of</strong> Practice, <strong>January</strong> 1, 2003 OCP<br />
Standards <strong>of</strong> Practice for Pharmacy Managers, July 1, 2005<br />
Drug Interchangeability and Dispensing<br />
Fee Act (DIDFA) & Regulations * s<br />
Amended June 18, 2008<br />
Regulations to the DIDFA:<br />
R.R.O. 1990 Regulation 935 Amended to O.Reg. 354/08 – General<br />
R.R.O. 1990 Regulation 936 Amended to O.Reg. 205/96 – Notice to Patients<br />
Food and Drugs Act (FDA) & Regulations ** '<br />
Updated as <strong>of</strong> December 31, 2006<br />
Amendment 1478 & 1491 – Addition <strong>of</strong> two medicinal ingredients<br />
to Part I <strong>of</strong> Schedule F. Reg. SOR/2007-224, Oct 25/07<br />
Amendment 1476, 1502, 1511 and 1512 –<br />
Addition <strong>of</strong> nine medicinal ingredients to Part I <strong>of</strong><br />
Schedule F. Reg SOR/2007-234, Oct 25/07<br />
Regulations Amending the Food and Drug Regulations (Project 1551<br />
- Lanthanum salts) (<strong>February</strong> 7, 2008)<br />
Controlled Drugs and Substances Act (CDSA) **<br />
Current as <strong>of</strong> November 18, 2008<br />
Regulations to the Controlled Drugs<br />
and Substances Act (CDSA) **<br />
All regulations updated August 13, 2008<br />
Benzodiazepines & Other Targeted Substances Regulations<br />
Marihuana Medical Access Regulations<br />
Precursor Control Regulations<br />
Regulations Exempting Certain Precursors and<br />
Controlled Substances from the Application <strong>of</strong><br />
the Controlled Drugs and Substances Act<br />
Narcotic Control Regulations **<br />
OCP By-Laws By-Law No. 1 – December 2007 s<br />
Schedule A - Code <strong>of</strong> Ethics for Members <strong>of</strong> the<br />
<strong>Ontario</strong> <strong>College</strong> <strong>of</strong> <strong>Pharmacists</strong> - December 2006<br />
Schedule B - “Code <strong>of</strong> Conduct” and Procedures for<br />
Council and Committee Members - December 2006<br />
Schedule C - Member Fees - Effective <strong>January</strong> 1, 2007<br />
Schedule D - Pharmacy Fees - Effective <strong>January</strong> 1, 2007<br />
Schedule E – Certificate <strong>of</strong> Authorization – Jan. 2005<br />
Schedule F - Privacy Code - Dec. 2003<br />
Reference s<br />
OCP Required Reference Guide for Pharmacies<br />
in <strong>Ontario</strong>, November, 2008<br />
<strong>Ontario</strong> Drug Benefit Act (ODBA) & Regulations * s<br />
Amended 2007<br />
Regulations to the ODBA:<br />
<strong>Ontario</strong> Regulation 201/96 Amended to O.Reg. 356/08 – General<br />
* Information available at Publications <strong>Ontario</strong> (416) 326-5300 or 1-800-668-9938 www.e-laws.gov.on.ca<br />
** Information available at www.napra.org<br />
' Information available at Federal Publications Inc. Ottawa: 1-888-4FEDPUB (1-888-433-3782)<br />
Toronto: Tel: (416) 860-1611 • Fax: (416) 860-1608 • e-mail: info@fedpubs.com<br />
s Information available at www.ocpinfo.com<br />
pharmacyconnection • <strong>January</strong>/<strong>February</strong> <strong>2009</strong><br />
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<strong>January</strong>/<strong>February</strong> <strong>2009</strong> • Volume 16, Number 1