"Ever
had a day when work is a grind and yours is the last car in the car
park to leave?
Where everywhere you look there are unfinished jobs, HIC claims awaiting
attention and tomorrow is just hours away?
At these times you don't have enthusiasm to spare.
That is why, in order to spare you my bad humour, I have asked my Pharmacist
daughter, currently managing in the UK, to write this months article
for me.
Her bright personality and abundant good humour are evident.
Enjoy."
Earlier
this year I followed the well trodden path of young Australian pharmacists
to England to gain experience of the world and to take advantage of
the wonderful combination of a current pharmacist shortage and a weak
Australian dollar.
So far, the adventure has been everything it was supposed to be.
I have been meeting new friends, sightseeing and gradually growing to
feel like an 'insider' rather than a tourist.
From a professional point of view however, I am still amazed both at
the differences and the similarities in the practice of pharmacy in
England and Australia.
As I had undergone my preregistration month working as a data entry
operator in the cavernous basement pharmacy of a large city hospital,
my first experience of community pharmacy in England was a three day
crash course given by an entirely disinterested locum.
After that, I was left to fend on my own.
I soon discovered that doctors can write prescriptions for virtually
any item and in any quantity that they want.
The only banned items are those listed on a 'black list', but they can
often get around this restriction by prescribing the item generically
as the 'black list' is mostly in brand names
The biggest problem with a system where one prescription can be for
six months treatment or more at once, is knowing how much stock to keep.
The solution to this has been to keep the most common medications in
bulk pots.
An Australian pharmacist with a few more years experience than I, may
recall a time when tablet counters were an essential item in the dispensary,
but in my short years of practice in Australia blister strips and patient
packs are the only packaging I have known.
Of course, now I'm the fastest tablet counter this side of the hemisphere!
I also save some time by not doing any extemporaneous dispensing.
These are contracted out to 'specials' manufacturers, as the threat
of litigation is too great for any pharmacist to bear (all those years
of pharmaceutics labs wasted!).
However, for all the small differences in procedures, the common issue
is how pharmacy can evolve to remain essential for healthcare in the
21st century. Both England and Australia have come up with the same
ideas for salvation such as forward pharmacy, specialisation and better
cooperation between all health providers.
They are also coming up with the same excuses as to why they won't work.
A quick perusal of the letters page of the British Journal of Pharmacy
reveals exactly the same complaints as those in any Australian Journal.
"I don't have the time...I already have too many responsibilities...I'm
going to retire soon so I just don't care...I don't have enough experience...who
is going to pay for it?". Personally, I feel that Australia is starting
from a stronger position as, in my experience, pharmacists are more
commonly seen by Australians as a first port of call for minor health
related questions or medication queries.
Whereas the British, who are able to see a doctor for free regardless
of their financial status, are more likely to go to the doctor first
and to regard the pharmacist as just the person who gives them their
pills.
I know which type of pharmacist I would rather be, even if I'm not sure
what pharmacy of the future will be.
That is why, once the travel bug is out of my system, I'll be heading
home to greener pastures.
|
A
Merry Christmas and a Happy New Year.
Stephen
Rogers (and Daughter)
|
Ends
Back
to Article Index
Newsletter
Reader's Forum
The
comments and views expressed in the above article are those of
the author and no other. The author welcomes any comment and interaction,
directly or via the Newsletter Reader's Forum.
|
The
newsletter archives are now fully searchable via the search engine
on the left hand side of this page. If you would like to find
similar articles to the above material, please enter the appropriate
keyword(s). To retain context with multiple keywords or phrases,
please enclose in inverted commas.
|
*
Please contact us if you would like further information or would
like us to research additional material to publish as future articles.
|
*
Don't forget to advise of any change in your e-mail address so that
your subscription may be continued without interruption.
|
*
Letters to the editor are encouraged, or if you have material you
would like published, please forward to the editor.
|
*
Any interested persons who would like to receive this free newsletter
on their desktop each fortnight, please send a single word e-mail
"Subscribe"
|
*
If you have found value in this newsletter, please share it with
a friend, or alternatively, encourage a colleague to subscribe
|
|
*
You are invited to visit the Computachem web site and check out
an organised reference site for medical or other references.
Why not try (and bookmark) the
Computachem Interweb Directory
for an easily accessed range of medical and
pharmacy links, plus a host of pharmacy relevant links.
The directory also contains a very fast search engine for Internet
enquiries. You may also access the Home Page at:
http://www.computachem.com.au
|