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From an "Onlooker" Liken the introduction of a pharmacist to a rural health setting as being the same as a skilled footballer suddenly arriving in town and wanting to takeover the goal kicking for the local side.
For starters the previous goal kicker may have been performing with a 75% success rate and as far as the team is concerned that is highly acceptable.
The introduction of a new player may not be what the team wants.
So too a primary health care team that has been obtaining its pharmaceuticals for years from a Central State-controlled Hospital may not have been exposed to the "value" of a pharmacist.
To think it is possible to suddenly arrive on the scene and takeover the function of supply has its dangers.
Firstly, the control of the supply function has been in the hands of clinicians and as far as they are concerned has been operating smoothly.
They do not want to lose any control just because a pharmacist has arrived on the scene.
Secondly the players may never have been exposed to the skills which a pharmacist can bring to the team environment, and as far as they are concerned this pharmacist can takeover the ordering and receiving of stock, and deciding if the present inventory control system is satisfactory.
The team believes it is.
Thirdly, the new players have to prove themselves before being accepted in to the new environment.
Just because you have some letters after your name does not mean you can do "anything" better than the rest.
Pharmacists beware and follow these guidelines before making the grand entry. They may not have been taught this at University.
Firstly, make it clear that whatever happens, what you will be doing will be in the best interests of the patients of the health service.
Second, analyse carefully the current systems and make a point of retaining some aspects that are working smoothly. "If it ain't broke don't fix it".
Thirdly, consult thoroughly and make sure any changes are fully understood by the participating players. If necessary have a "trial" period to monitor reaction to proposed changes.
Fourthly, throw out any view you might have held as to your importance in the total system. You have to be judged on your performance and the first weeks on the job will be vital to your acceptance by others who have been there longer than you.
In other words if you want to take over the goal kicking, make sure you prove you can kick, before demanding the duties.
Team loyalty is essential and the previous players have been loyal to the system. Don't fragment the team and create an "us" against "them" feeling.
You must fit in, be accepted and then start kicking the goals.

And may the Spirit of Christmas be with you throughout 2002 Roundup

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