Neil asks
if there are there sufficient numbers to ensure that the new cognitive
services being proposed can actually be delivered.
This question I cannot answer with any degree of certainty but
I have concerns that the truth might be - No there are not enough
to fully meet possible demand.
Why do I fear this?
Simply because when talking to an accredited pharmacist with one
of the divisions of general practice I was asked if I knew of
any consultant pharmacists that doctors associated with that division
could call on to carry out medication reviews.
It seems that most of the accredited pharmacists in WA have very
little excess time available to take on more work.
This, if true, is a major worry and has the potential to undermine
much of the effort expended over the years to promote pharmacists
as the people to be called on for quality use of medicines advice.
If we offer ourselves as consultants we must be, within a reasonable
timeframe, available when the service is needed.
I am aware that you may have to wait for many weeks before seeing
some medical specialists but pharmacy consultancy is still in
its infancy and has to be ready to perform on call to built up
"street cred" within the medical profession.
This requires sufficient numbers of accredited consultant pharmacists
available to carry out the services.
Currently there are two bodies accrediting consultant pharmacists,
AACP and the Society of Hospital Pharmacists, although I personally
know no-one who has gone down the SHPA route.
AACP has made tremendous strides in its accreditation process
since I initially went through it about five years ago.
However it is very time consuming, a fact that makes many interested
pharmacists have second thoughts about seeking accreditation and
many be a cause of the shortage of suitably qualified practitioners.
The Pharmaceutical Council of WA has acknowledged the need to
address the problem of inadequate numbers of accredited pharmacists
and in its latest newsletter (arriving in yesterday's mail) is
calling for expressions of interest from pharmacists wishing to
seek accreditation.
If there is sufficient interest PCWA will then run training courses
to assist pharmacists wanting to complete Stages 1 and 2 of the
accreditation process.
I must commend the Council for this initiative and sincerely hope
that it is overwhelmed in the rush of interested pharmacists!
There are a number of highly motivated, usually younger, pharmacists
out there who want to improve their skills and become consultants
and it is very pleasing to see that those in authority in WA pharmacy
are indicating a willingness to help them.
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