pharmacy prac in ethiop
TRANSCRIPT
Pharmacy Education and practice in
Ethiopia :
From where to where?
Mohammed A Mohammed
B.pharm, Msc.clinpharm, PhD candidate
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Who I am
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Close to 90m popln
11 regional states
Economy : agriculture
Pharmacy schools in Ethiopia(8/33)
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B.Pharm since 1961M. Pharm prac since 2010
University of Gonder
Addis Ababa university
Mekele university
Jimma universityB.Pharm since 2001M clin pharm since 2009
Haramaya university
Ambo universityWellega universityWollo university
Drawbacks of the Old educ /practicein Ethiopia
Pharmacists in practice know more about the productbut have little info about their patients.
Provide meds they know for patients they do not know
Not well trained in clinical sciences/ Pathophysiologycurriculum
Not well trained/lack skills
To collect and interpret patient specific data,
To take medication related histories
To identify drug- therapy related problems./DTPs
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What has been done towards implementing new Pharmacy educ & Service in Ethiopia
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Initiatives in Ethiopia
• Curricular revision 2008: nationwide
• Pharmacy UG curriculum: more patient oriented (4 years + 1internship)
• Majority of the courses under new patient oriented curriculum areclinical pharmacy courses
• PG advanced clinical oriented pharmacy curriculum
MSC in Clinical Pharmacy JU Since 2009
MSC in Pharmacy practice AAU Since 2010
• Intensive 1mo in-service training for Clinical Pharmacy services.
hospital pharmacists (200). Started at JU, 2012 and then other unis
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Rationale for Shifting pharmacy curriculum
to patient-centered/Clinical in Ethiopia
• Pharmacy profession around the world has made a shift
in terms of education and scope of practice.
Follow Global trend (fit –for-practice curriculum)
• Was also an issue of survival both for the profession &
pharmacists(academics and in other practice area)?
• Pharmacy profession was about to collapse (2007/8, 9)
-FMoH legislation (pharmacy educ, employment, licensing etc )
-some pharmacy schools closed their program, transferred students to other
discipline15
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Shifting the curriculum …
• Prevalence of medicine-treatable diseases. Infectious
• Increase in non-communicable diseases ( western disease???)
DM, HTN, CVD, RF,Malignancyies, chronic illnesses.
Complexity of the mgt, DDI, ADE, monitoring,, New meds
demand to clinically trained meds expert that ensure quality &rational use
of meds.
opportunities for Ph but
• Upgrading existing ph skills and linking it with practice to cope up
with demand was necessary5/12/2015 Mohammed A 16
The Focus of the
New Pharmacy Curriculum
What do students mainly focus on ????
• Clinical Application of Drug Therapy than pharmaceutical sciences
• Disease state management. Minor to complicated cases
• Diagnostic procedures & Monitoring parameters (lab, PE, other
diagnostic tools) to follow safety of drug therapy.
• Critical thinking in Treatment guidelines and literature
evaluations and comparisons for clinical use
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Goal of the new curriculum
1. To make our future Pharmacists, expertise in:
– identifying and solving DTPs
– becoming patient educators within their scope DT management
– selecting the most effective therapy
– monitoring the outcome of drug therapy
2. Provider of patient-centered not product oriented services in all our HC
settings And
3. highly involved in clinical practice and research
make better contribution to patients Rx outcome & HC in
Ethiopia
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Hospitals’ feedback
• Some hospitals(JU) pharmacist medication chart into patients
charts . 2013
• Hospitals directors’ positive feedback of the program and the
benefit of clinical pharmacy in-service training. Data??
• Consultants, medical residents, medical students etc were happyhaving Clinically trained pharmacists in their team.
I have witnessed this.
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Challenges of the new practice pregame
• Implementation of the faced several challenges at the beginning
– Lack of human resource for clinical courses and rotations
fly-in professors & clinicians
this still remained a challenge
– Resistance from some faculty/pharmacist
change the curriculum
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Future Direction
• Gradual training all Pharmacists(graduates of old curriculum) to enable them provide
clinical pharmacy services/ advanced patient services:
In hospitals, clinics and community pharmacies
time and financial resource ??? Not sure of the plan
• Launching pharm D program.
Was planed to start 3 years ago
Feasibility? Resource?
• Focus on Bpharm + 2 years PG clin pharmacy
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