Pre-Pharmacy Society umdprepharm@gmail studentorg.umd/prepharm

1. Pre-Pharmacy Societyumdprepharm@gmail.comstudentorg.umd.edu/prepharm 3RD GENERAL BODY MEETING MARCH 14, 2011 Get on the ListServ...Join Our Facebook Group…Visit Our Website…CMNS Updates

2. Agenda • Welcome! Don’t forget to sign-in • Active Membership Requirements • 3 Meetings & 3 Hours of Community Service • Executive Board Elections! • Community Service Events • Sign Up! • Drug of the Week: Hallucinogens • Pharmaceutical Issue: E-Prescribing: Improving Pharmacy Efficiency • “Survival in Pharmacy School” presented by PPS E-Board Alum Katie Heavner & UMB Student Panel

3. Active Membership Requirements • 3 Meetings per semester • 3 Hours of Community Service per semester • Please do not wait until till the end of the semester to fulfill your community service hours • Exceptions will not be made

4. Pre-Pharmacy Society Executive Board Elections Hear how our Personal Experience has lead us here, and why you should be interested: Join Us! Join Us!

5. Pre-Pharmacy Society Executive Board Elections • I’m not really sure what position I might be interested in. For starters, what exactly does each executive board officer even do? How can I gain more insight into the responsibilities of a PPS Executive Board Officer? • Look on our webpage: www.studentorg.umd.edu/prepharm→Click Heading ‘Executive Board’ →Description of Officer Responsibilities • Ask a current executive board officer!

6. Pre-Pharmacy Society Executive Board Elections • Ask yourself: • Have I been an active member? • Do I see things in the Society I wish to improve? • Do I see myself as innovative? • Can and do I want to make the Society a priority? • Can I work well in a cooperative environment? • Am I ready to take the next step to be a leader? – If you answered YES, to these questions, you qualify!

7. Pre-Pharmacy Society Executive Board Elections “PPS Executive Board Selection Week” • Mon, March 14th 2011: 5:30pm to 7:30pm – Margaret Brent B • Reveal Available Positions, Officer Responsibilities, & Application --------------------------------------------------------------------------------------------- • Wed, March 16th 2011: 11am to 12pm, 2pm to 3pm, & 5pm to 7pm – 0209F Student Involvement Suite (Pre-Pharmacy Society’s Office) • Application Drop-Off & Scheduling of Interviews (Final Deadline. No Exceptions. Unless Early Scheduling is Specially Approved by Brandon) --------------------------------------------------------------------------------------------- • Tues, March 29th 2011 & Thurs, March 31th 2011: 3:30pm to 6pm – Location TBA | Wed, March 30th 2011: 5pm to 7pm – Location TBA • Interviews (Individual Appointment Times) with Current E-Board ***Dress: Business Professional Attire (preferred) or Business Casual Attire*** --------------------------------------------------------------------------------------------- • Fri, April 1st 2011: [~ 5pm] – Your Email Inbox • 2011-2012 PPS E-Board Announced Via Email • Special instructions go out to our new officers • New officers are expected to participate in Orientation Activities on Mondays as well as immediately transition into your newly appointed position

8. Pre-Pharmacy Society Executive Board Elections • Available Positions: • Treasurer (1) • Secretary (1) • Public Relations Co-Chair (2) • Community Service Co-Chair (2) • These areas and the number of positions are NOT FINAL. We will look at all applicants and then determine the best configuration for the executive board of officers. It is also possible for a new position to be created depending on special skills and interests. • What does each position do? • Look on our webpage: www.studentorg.umd.edu/prepharm→Click Heading ‘Executive Board’ →Description of Officer Responsibilities • Ask a current executive board officer

9. Community Service Events • *Active Membership Requires 3 Hours of Community Service • On-Campus Community Service Events • 1 Hour of Community Service is granted • Off-Campus Community Service Events • 2 Hours of Community Service are granted • Don’t wait until the end of the semester for extra opportunities! • Questions? • Contact Community Service Co-Chairs • Chelsey Song [csong123@umd.edu] – Off Campus Events • Krishna Dalsania [krdalsania@gmail.com] – On Campus Events

10. Ronald McDonald’s House(Off Campus) Ronald McDonald’s House’s Mission Statement: The mission of Ronald McDonald House Charities (RMHC) is to create, find and support programs that directly improve the health and well being of children. Guiding us in our mission are our core values: - Focusing on the critical needs of children - Celebrating the diversity of the programs we offer and the staff, volunteers and donors who make them possible - Staying true to our heritage of 36 years of responsible stewardship - Operating with accountability and transparency What we’re going to do: • Household Chores WHEN? Thursday, MARCH 17th- 5:30—7:30 pm Limited Spots!!! (10) Sign up TODAY! Contact: Chelsey Song csong123@umd.edu

11. Food and Friends(Off Campus) Food and Friend’s Mission Statement: Food & Friends is the only organization in the Washington, DC, area providing specialized, nutritious meals, groceries, nutrition counseling and friendship to people living with HIV/AIDS, cancer and other life-challenging illnesses. Food & Friends' staff of professional chefs and Community Dietitians design meals that meet the special dietary needs of persons living with a broad range of illnesses.  Our confidential services are free of charge to individuals and families living throughout Washington, DC, 7 counties of Maryland and 7 counties and 6 independent cities of Virginia. What are we doing? We’re going to be preparing and packaging food ( please let me know if you have any religious or allergy) When? Tuesday, March 29th- 6-8pm Limited Spots (5) Sign up TODAY! Contact: Chelsey Song csong123@umd.edu

12. Relay for Life( On Campus) Relay for Life Mission Statement: The American Cancer Society is the nationwide community- based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and service. What we’re going to do? We’re going to be walking or running around the soccer field When? April 2-3 ( 7pm-11pm) No Limitation for spaces Sign Up at www.Relayumd.com Team: Pre-Pharmacy Society Cost: $10 Contact: Chelsey Song csong123@umd.edu

13. Jason’s Deli Fundraiser(On Campus) Date: Tuesday April 5th, 2011 Time: 5-9 PM Location: Route 1 College Park Shopping Center Hours: 1 hour Profit: 10% of proceeds benefit Pre-Pharmacy Society Contact: Krishna Dalsania krdalsania@gmail.com PLEASE PRESENT YOUR FLYER AT REGISTER!

14. Martha’s Table(Off Campus) Martha’s Table Mission Statement: Martha's Table's mission is to help at-risk children, youth, families and individuals in our community improve their lives by providing educational programs, food, clothing and enrichment opportunities. Providing tutorial, learning and recreational programs during the school year and the summer for approximately 250 children and youth, aged 3 months to 18 years; What we’re going to do? We’re going to be playing and tutoring kids When? Wednesday April 6th 6pm-8pm LIMITED SPOTS (8) Sign Up TBA Contact: Chelsey Song csong123@umd.edu

15. Drug of the Week

16. Hallucinogens What Are Hallucinogens: Hallucinogens are a diverse group of drugs that cause an alteration in perception, thought, or mood. A rather heterogeneous group, these compounds have different chemical structures, different mechanisms of action, and different adverse effects. Despite their name, most hallucinogens do not consistently cause hallucinations, which are defined as false sensations that have no basis in reality. Often, they are more likely to cause changes in mood or in thought than actual hallucinations. Distributed throughout the brain and spinal cord, the serotonin system is what is mainly affected in the use of hallucinogens, which is involved in the control of behavioral, perceptual, and regulatory systems, including mood, hunger, body temperature, sexual behavior, muscle control, and sensory perception. History of Hallucinogens: Hallucinogens have been found in almost al cultures for hundreds of years. For example Khat, the leave and stems of the Catha edulis shrub, is an amphetamine like compound used by millions of people in Middle east and Africa, which is said to produce a euphoria effect and as mood-altering agent.The Hindu holy book, Rig Veda, mentions soma, a sacred substance used to induce higher levels of consciousness which is derived from the juice of hallucinogenic mushrooms Amanita muscaria. The first synthetic Hallucinogen have was made in Germany by Sandoz laboratories while searching for a new ergot derived analeptic agent called lysergic acid diethylamide (LSD)

17. Types of Hallucinogens There are several different types of Hallucinogens, but here are the main 3 • Lysergamides-Whichincludes LSD and lysergic acid hydroxyethylamide, which is naturally occurring compound found in morning glory seeds. It is usually tasteless, colorless, odorless liquid which is likely made in to tiny tablets or gelatin squares. LSD acts on the serotonin and dopamine receptors in the brain as a postsynaptic inhibitor serotonin release and increase retention of serotonin at seotonion-2 receptors • Phenylethylamines- are derivatives of the mescaline and several other amphetamines. It is usually found within the popular Native American drug peyote cactus. Although the precise mechanism is unknown, after ingestion the effects in 30-12 hours. • Piperidines- derivatives of PCP and ketamine. PCP acts as a antagonist of the glutamate and the N-methyl-D-asparate receptor, which blocks the influx of calcium and inhibits neurotransmitter release. Which is the reason which PCP has the highest mortality than any other classes of hallucinogens.

18. How is this related for Pharmacy? • Thousands of drugs are made every year with only a handful passing the strict FDA regulations, however during the early 19th century drug regulations were not as tight. For example in LSD was first discovered in 1938 by Sandoz laboratories while searching for a new ergot-derived analeptic agent. Sandoz began marketing the new drug in 1947. Delysid, as the drug was called, was used by psychiatrists who believed its use in psychotherapy could help the patient access repressed emotions. The US Central Intelligence Agency also conducted human experiments with LSD and in 1966, because of mounting public health concerns, the federal government banned LSD. • PCP, another example was developed in the late 1950s as a dissociate anesthetic/analgesic agent initially marketed under the brand name Sernylan. It was soon withdrawn from use because of severe adverse psychological reactions following its use;, agitation, and psychotic behavior were all noted routinely.

19. Pharmaceutical Issue E-prescribing: Improving Pharmacy Efficiency

20. What is E-prescribing and tools used among prescriber and pharmacist? E-prescribing, which is defined by the eHealth Initiative as "the use of computing devices to enter, modify, review, and output or communicate drug prescriptions," involves the use of software by a prescriber to transmit a patient's prescription directly to the pharmacy. Table 1. Electronic Tools for Use in E-prescribing Medication history transactions provide prescribers with information about medications that a patient is already taking, including medications prescribed by other practitioners.  Formulary and Benefit Transactions - Formulary and benefit transactions provide prescribers with information regarding formulary coverage for patients under their prescription drug benefit plan.   Fill Status Notifications - Fill status notifications provide prescribers with an electronic notice from the pharmacy informing them if a patient's prescription has been picked up, not picked up, or partially filled for medication adherence tracking.

21. Why the need for moving to next technological level? • E-prescribing technology currently incorporates tools that allow prescribers to access formulary information and medication use histories at the point of care to improve medication safety. • There is a need for such tools, as estimates from the Institute of Medicine (IOM) state that paper-based prescribing is responsible for at least 1.5 million preventable injuries annually in the United States, attributed to prescription illegibility, look-alike drug names, incorrect dosing, drug–drug interactions, drug–disease interactions, and failed allergy checking. According to the IOM, these errors additionally account for an estimated 7000 deaths annually.

22. Potential Advantages - Eliminates the need to clarify prescription information due to illegible handwritten prescriptions - Helps minimize dosing errors - Increases screening for drug interactions at the point of care - Validates payment coverage of a drug based on the patient's formulary coverage - Makes the patient's complete drug history available to the prescriber and pharmacist - Allows prescribers and pharmacists access to a comprehensive patient profile (including laboratory data and other medical information) to assist in monitoring adherence

23. Potential Disadvantages 1. Technical and workflow issues 2. Apprehension about change / change management 3. Financial costs associated with hardware and software 4. Investment of timerequired to implement the new system 5. Inability to tramsmit e-presciptions for controlled substances 6. Limitations on E-prescribing System Remote Access - Rural areas 7. Medication History and Medication Reconciliation 8. Mix up with choosing correct drug, or drug dosage from drop down 9. Prescribing from Multiple Office Sites 10. Prescription duplication 11. Potential to ignore alerts; allergy. 

24. More Relevant Information...     • Not all Pharmacies are connected to SureScripts-RxHub (Software for prescription exchange) • 3% chain Pharmacies yet to be connected • 73% independent Pharmacies yet to be connected • “In the trade press, not a day goes by where you don’t see that some provider has lost a laptop or other device with someone’s health information on it,” he says. “If you’re working off a handheld and it has everyone’s prescription information and it’s not password protected, then it’s just like losing a cell phone or a BlackBerry. But instead of phone numbers or e-mails, you have 100, 1000 or 2000 prescription records.” (Source: http://mamedicallaw.com/blog/2008/06/11/the-legal-pros-and-cons-of-e-prescribing/)

26. Issues to consider • Would it concern you as a patient that your medical history is available to your Pharmacist? • As a Pharmacist, would you consider this change as a tool for bringing effieciency in thePharmacy? • Who is at higher potential for risk of malpractice; the Pharmacist or Prescriber?

27. Sources 1. http://mamedicallaw.com/blog/2008/06/11/the-legal-pros-and-cons-of-e-prescribing/ 2. http://mhcc.maryland.gov/electronichealth/presentations/e prescribing_erxnow.pdf 3. https://secure.pharmacytimes.com/lessons/201102-03.asp 4. http://healthit.ahrq.gov/images/aug09medmgmtwebconf erence/images/image3.png 

28. Pre-Pharmacy Society Proudly Presents…. “SURVIVAL IN PHARMACY SCHOOL” PRESENTED BY PPS E-BOARD ALUM KATIE HEAVNER & UMB STUDENT PANEL

29. Pre-Pharmacy Societyumdprepharm@gmail.comstudentorg.umd.edu/prepharm THE END! THE END! 3RD GENERAL BODY MEETING MARCH 14, 2011 THE END! THE END! Get on the ListServ...Join Our Facebook Group…Visit Our Website…CMNS Updates