It help for students Doctor of Pharmacy (Pharm D), M Pharm -Pharmacy Practice, Bachelor of Pharmacy ,Diploma pharmacy, working pharmacist i.e community, hospital and clinical pharmacist - Scope of pharmacy and skills required to be success in pharmacy practice. It is produced and presented as a part of a part of " SKILL DEVELOPMENT TRAINING PROGRAM-2015" on 17 06 2015 as a part of Technical Session -II sponsored by Tirumala Tirupati Devasthanams Tirupati to the students of Sri Padmavathi Polytechnic Tirupati to bring a Co-Ordination between education and employability potentials in corporate sector.

1. Pharmacy -It’s even morePharmacy -It’s even more
than you imagine, Today !than you imagine, Today !
JuJune 17, 2015ne 17, 2015
K V GOPINATHK V GOPINATH
Hospital Pharmacist T T Devasthanams Tirupati -517 501 APHospital Pharmacist T T Devasthanams Tirupati -517 501 AP

2. Pharma Vision andPharma Vision and
EducationEducation
 ““I realize Pharma is a noble professionI realize Pharma is a noble profession
 I will always apply science and technology in pharmaceuticalI will always apply science and technology in pharmaceutical
workwork
 I realize that pharmacy can provide cost effective pure drugs andI realize that pharmacy can provide cost effective pure drugs and
medicines to the people.medicines to the people.
 While I am working in Pharmacy from design to formulationWhile I am working in Pharmacy from design to formulation
development, testing, quality control and marketing, I realize anydevelopment, testing, quality control and marketing, I realize any
flaw knowingly or unknowingly will result into a loss of humanflaw knowingly or unknowingly will result into a loss of human
life.life.
 I love my pharmacy profession and I consider it as an honor toI love my pharmacy profession and I consider it as an honor to
work as a Pharmacist, may God help me to serve the humanity.”work as a Pharmacist, may God help me to serve the humanity.”
Dr A P J Abdul kalamDr A P J Abdul kalam
Former President of IndiaFormer President of India
Courtesy: Pharma TimesCourtesy: Pharma Times

3. Pharmacy –Who is aPharmacy –Who is a
Pharmacist ?Pharmacist ?
 A specialist in medicationsA specialist in medications
 A companion of the health careA companion of the health care
membersmembers
 A counselor to the patientA counselor to the patient
 A guardian of public healthA guardian of public health

4. Pharmacy – Drugs &Pharmacy – Drugs &
Cosmetics Act 1948 !Cosmetics Act 1948 !
 ““Pharmacy” means any place licensed for the retailPharmacy” means any place licensed for the retail
sale of drugs which have a ‘qualified person’ andsale of drugs which have a ‘qualified person’ and
indulge in the compounding of drugs.indulge in the compounding of drugs.
 ““Pharmacist” means an individual registered asPharmacist” means an individual registered as
pharmacists under the Pharmacy Act to engage in thepharmacists under the Pharmacy Act to engage in the
Practice of Pharmacy.Practice of Pharmacy.
 ““Drug” means articles intended for use in theDrug” means articles intended for use in the
diagnosis, cure, mitigation, treatment, or prevention ofdiagnosis, cure, mitigation, treatment, or prevention of
disease in humans or other animals.disease in humans or other animals.

5. History of PharmacyHistory of Pharmacy
 ““Compounding” means the preparation ofCompounding” means the preparation of
Components into a Drug product as per theComponents into a Drug product as per the
Practitioner’s Prescription Drug OrderPractitioner’s Prescription Drug Order
 The growth of pharmacy in India is like growingThe growth of pharmacy in India is like growing
under 'Exotic' Banyan tree although it is indigenousunder 'Exotic' Banyan tree although it is indigenous
Indian national tree !!! There is a need to come outIndian national tree !!! There is a need to come out
of the shadow to explore and serve better for theof the shadow to explore and serve better for the
community, INDEPENDENTLY ANDcommunity, INDEPENDENTLY AND
COLLECTIVELY WITH OTHER HEALTH CARECOLLECTIVELY WITH OTHER HEALTH CARE
MEMBERS FOR THE PATIENT.MEMBERS FOR THE PATIENT.

6. Compounding & DispensingCompounding & Dispensing

7. Scope of PharmacyScope of Pharmacy

8. Role of Pharmacists inRole of Pharmacists in
Pharma / Biotech IndustryPharma / Biotech Industry
 Research & DevelopmentResearch & Development –– Drug discovery, ReverseDrug discovery, Reverse
Engineering, Formulation & Process Development, Up scaling, StabilityEngineering, Formulation & Process Development, Up scaling, Stability
and Packaging Developmentand Packaging Development
 ProductionProduction –– Production of bulk drugs, intermediates, FinishedProduction of bulk drugs, intermediates, Finished
dosage forms (traditional and alternate medicines)dosage forms (traditional and alternate medicines)
 Quality ControlQuality Control –– Product testing through out the product lifeProduct testing through out the product life
cyclecycle
 Quality AssuranceQuality Assurance –– Preparing, receiving and submittingPreparing, receiving and submitting
written documentswritten documents
 MarketingMarketing –– Strategic planning, team management and ethicalStrategic planning, team management and ethical
product promotionproduct promotion

9. Key Strengths of IndianKey Strengths of Indian
Pharma / Biotech IndustryPharma / Biotech Industry
 Strong R & D, Production, QA & QC and Marketing baseStrong R & D, Production, QA & QC and Marketing base
like infrastructure, processing and man powerlike infrastructure, processing and man power
 Cost CompetitivenessCost Competitiveness
 World class Pharmaceutical or Biotech productsWorld class Pharmaceutical or Biotech products
 Strong Marketing and distribution networkStrong Marketing and distribution network
 An excellent centre for clinical trialsAn excellent centre for clinical trials
 Fast growing health care industryFast growing health care industry
 Rich BiodiversityRich Biodiversity
 Highest quality approvals from USFDA, EDQM, MHRA etcHighest quality approvals from USFDA, EDQM, MHRA etc
 Rank 3Rank 3rdrd
in the world class, accounts 8% by volume and 2%in the world class, accounts 8% by volume and 2%
by valueby value
 Strong Indian system of MedicinesStrong Indian system of Medicines

10. Pharmacists –Pharmacists – Teaching / ResearchTeaching / Research
based teaching /Clinical Researchbased teaching /Clinical Research
 Ability to balance research & teaching responsibilitiesAbility to balance research & teaching responsibilities
with patient carewith patient care
 Ability to serve as a role model for pharmacy studentsAbility to serve as a role model for pharmacy students
and residentsand residents
 Comfort with sophisticated instrumentation, statisticalComfort with sophisticated instrumentation, statistical
analyses, animal handling and other research methodsanalyses, animal handling and other research methods
 Practice sites: universities, schools of pharmacy, local,Practice sites: universities, schools of pharmacy, local,
state, national, and international organizationsstate, national, and international organizations

11. Pharmacists-Pharmacists- Regulatory AffairsRegulatory Affairs
 Preparing, reviewing, communicating, submittingPreparing, reviewing, communicating, submitting
registration documents on pharmaceuticals to regulatoryregistration documents on pharmaceuticals to regulatory
agencies to get R & D , production, QA & QC, andagencies to get R & D , production, QA & QC, and
marketing approvals, issues related to patientsmarketing approvals, issues related to patients
 Project management/organizational skillsProject management/organizational skills
-- Negotiation and communication skillsNegotiation and communication skills
- Understanding of the scientific and- Understanding of the scientific and technical backgroundtechnical background
of productsof products
- Willingness to keep up to date with- Willingness to keep up to date with regulatory policies andregulatory policies and
proceduresprocedures
 Practice sties:Practice sties: associations, government, consulting companies,associations, government, consulting companies,
pharmaceutical companies, universitiespharmaceutical companies, universities

12. Pharmacist – Community PharmacyPharmacist – Community Pharmacy
What do you picture when you think ofWhat do you picture when you think of
community pharmacy?community pharmacy?

13. Role of pharmacist inRole of pharmacist in
community pharmacy?community pharmacy?
 Dispensing prescription medicines to the publicDispensing prescription medicines to the public
 Ensuring that different treatments are compatibleEnsuring that different treatments are compatible
 Checking dosage and ensuring that medicines areChecking dosage and ensuring that medicines are
correctly and safely supplied and labeled (pharmacistscorrectly and safely supplied and labeled (pharmacists
are legally responsible for any dispensing errors)are legally responsible for any dispensing errors)
 Supervising the preparation of any medicines (not allSupervising the preparation of any medicines (not all
are supplied ready made-up by the manufacturer)are supplied ready made-up by the manufacturer)
 Keeping a register of controlled drugs for legal andKeeping a register of controlled drugs for legal and
stock control purposesstock control purposes
 Liaising with doctors about prescriptionsLiaising with doctors about prescriptions
 Selling over-the-counter medicinesSelling over-the-counter medicines

14. Role of pharmacist inRole of pharmacist in
community pharmacy?community pharmacy?
 Counseling and advising the public on the treatmentCounseling and advising the public on the treatment
of minor ailmentsof minor ailments
 Advising patients of any adverse side-effects ofAdvising patients of any adverse side-effects of
medicines or potential interactions with othermedicines or potential interactions with other
medicines/treatmentsmedicines/treatments
 Preparing dosette and cassette boxes, usually for thePreparing dosette and cassette boxes, usually for the
elderly but also for those with memory/learningelderly but also for those with memory/learning
difficulties, where tablets are placed in compartmentsdifficulties, where tablets are placed in compartments
for specified days of the weekfor specified days of the week
 Undertaking Medicine Use Reviews (MUR), anUndertaking Medicine Use Reviews (MUR), an
advanced service to help patients understand howadvanced service to help patients understand how
their medicines work and why they have to take themtheir medicines work and why they have to take them

15. Role of pharmacist inRole of pharmacist in
community pharmacy?community pharmacy?
 Managing a needle and syringe exchangeManaging a needle and syringe exchange
 Measuring and fitting compression hosieryMeasuring and fitting compression hosiery
 Monitoring blood pressure and cholesterol levelsMonitoring blood pressure and cholesterol levels
 Offering a diabetes screening serviceOffering a diabetes screening service
 Arranging the delivery of prescription medicines toArranging the delivery of prescription medicines to
patientspatients
 Managing, supervising and training pharmacy supportManaging, supervising and training pharmacy support
staffstaff
 Budgeting and financial managementBudgeting and financial management
 Keeping up to date with current pharmacy practice,Keeping up to date with current pharmacy practice,
new drugs and their usesnew drugs and their uses

16. How do community pharmacyHow do community pharmacy
help people?help people?
NutritionNutrition 91%91%
DeliveryDelivery 86%86%
Patient Charge AccountsPatient Charge Accounts 86%86%
CompoundingCompounding 79%79%
Herbal MedicineHerbal Medicine 75%75%
Community OutreachCommunity Outreach 67%67%
HospiceHospice 62%62%
DMEDME 61%61%
Health ScreeningHealth Screening 58%58%
OstomyOstomy 52%52%
Assisted LivingAssisted Living 48%48%
Source: 2007 NCPA Pfizer Digest

17. Disease ManagementDisease Management
ServicesServices
Community pharmacies are the nation’s leaders inCommunity pharmacies are the nation’s leaders in
providing disease management services to patientsproviding disease management services to patients
with chronic health conditions such as diabetes,with chronic health conditions such as diabetes,
asthma, hypertension, and high cholesterol.asthma, hypertension, and high cholesterol.

18. Disease Management ServicesDisease Management Services
OfferedOffered
 Blood Pressure MonitoringBlood Pressure Monitoring 69%69%
 Diabetes TrainingDiabetes Training 50%50%
 ImmunizationsImmunizations 43%43%
 Lipid MonitoringLipid Monitoring 19%19%
 Weight ManagementWeight Management 14%14%
 Smoking CessationSmoking Cessation 14%14%
 OsteoporosisOsteoporosis 11%11%
 AsthmaAsthma 10%10%
Source 2007 NCPA Pfizer Digest

19. What does it take to be anWhat does it take to be an
community pharmacist?community pharmacist?
Entrepreneurial Skills
Thinking
Communication Technical Skills
Human Relations
Drive

20. The benefits of aThe benefits of a
community pharmacycommunity pharmacy
 Flexible Management StructureFlexible Management Structure
– No “chain” of commandNo “chain” of command
 Job SatisfactionJob Satisfaction
– A good pharmacist is a happy pharmacistA good pharmacist is a happy pharmacist
 Patient’s like independents betterPatient’s like independents better
– ““Where everybody knows your name.”Where everybody knows your name.”
 Financial RewardsFinancial Rewards
– Control your own financial destinyControl your own financial destiny

21. The Hospital Pharmacist –The Hospital Pharmacist –
Medicine ExpertMedicine Expert

22. Hospital Pharmacist –Hospital Pharmacist –
Dispensing & Inventory managementDispensing & Inventory management
 Checking prescriptions to ensure that there are noChecking prescriptions to ensure that there are no
errorserrors
 Providing advice on the dosage of medicines and theProviding advice on the dosage of medicines and the
most appropriate form of medication, for example,most appropriate form of medication, for example,
tablet, injection, ointment or inhalertablet, injection, ointment or inhaler
 Participating in ward rounds, taking patient drugParticipating in ward rounds, taking patient drug
histories and involvement in decision-making onhistories and involvement in decision-making on
appropriate treatmentsappropriate treatments
 Liaising with other medical staff on problems patientsLiaising with other medical staff on problems patients
may experience when taking their medicinesmay experience when taking their medicines

23. Hospital Pharmacist –Hospital Pharmacist –
Dispensing & Inventory managementDispensing & Inventory management
 Discussing treatments with patients' relatives,Discussing treatments with patients' relatives,
community pharmacists and GPscommunity pharmacists and GPs
 Ensuring medicines are stored appropriately andEnsuring medicines are stored appropriately and
securelysecurely
 Supervising the work of less experienced and lessSupervising the work of less experienced and less
qualified staffqualified staff
 Answering questions about medicinesAnswering questions about medicines
 Keeping up to date with, and contributing to, researchKeeping up to date with, and contributing to, research
and developmentand development

24. Hospital Pharmacist –Hospital Pharmacist –
Dispensing , Inventory & ResearchDispensing , Inventory & Research
 Writing guidelines for drug use within the hospitalWriting guidelines for drug use within the hospital
and implementing hospital regulationsand implementing hospital regulations
 Providing information on expenditure on drugsProviding information on expenditure on drugs
 Preparing and quality-checking sterile medications,Preparing and quality-checking sterile medications,
for example, intravenous medicationsfor example, intravenous medications
 Setting up and supervising clinical trials.Setting up and supervising clinical trials.
 More experienced pharmacists may be involved inMore experienced pharmacists may be involved in
teaching, both within the pharmacy department andteaching, both within the pharmacy department and
in other areas of the hospital.in other areas of the hospital.

25. Clinical Pharmacist –Clinical Pharmacist –
Effective Therapy ManagerEffective Therapy Manager

26. Pharmacist – Need aPharmacist – Need a
(under) transition !(under) transition !
 ““Pharmacists should move from behind the counterPharmacists should move from behind the counter
and start serving the public by providing careand start serving the public by providing care
instead of pills only. There is no future in the mereinstead of pills only. There is no future in the mere
act of dispensing. That activity can and will be takenact of dispensing. That activity can and will be taken
over by the internet, machines, and/or hardlyover by the internet, machines, and/or hardly
trained technicians. The fact that pharmacists havetrained technicians. The fact that pharmacists have
an academic training and act as health carean academic training and act as health care
professionals puts a burden upon them to betterprofessionals puts a burden upon them to better
serve the community than they currently do.”serve the community than they currently do.”
 Compounding Pharmacist – Dispensing PharmacistCompounding Pharmacist – Dispensing Pharmacist
– Clinical Pharmacist– Clinical Pharmacist
(From: Pharmaceutical care, European developments in concepts, implementation, and research: a review.)(From: Pharmaceutical care, European developments in concepts, implementation, and research: a review.)

27. Clinical Pharmacist–PivotalClinical Pharmacist–Pivotal
role in therapy management!role in therapy management!
 The term “clinical pharmacy” was coined toThe term “clinical pharmacy” was coined to
describe the work of pharmacists whose primary jobdescribe the work of pharmacists whose primary job
is to interact with the health care team, interviewis to interact with the health care team, interview
and assess patients, make specific therapeuticand assess patients, make specific therapeutic
recommendations, monitor patient responses torecommendations, monitor patient responses to
drug therapy and provide medicines information.drug therapy and provide medicines information.
(From: Pharmaceutical care, European developments in concepts, implementation, and research: a(From: Pharmaceutical care, European developments in concepts, implementation, and research: a
review.)review.)

28. Clinical Pharmacy – EvidenceClinical Pharmacy – Evidence
& practice based medicine !& practice based medicine !
"Health care interventions can no longer be"Health care interventions can no longer be
based on opinion or individual experiencebased on opinion or individual experience
alone. Scientific evidence, built up fromalone. Scientific evidence, built up from
good quality research, is used as a guide,good quality research, is used as a guide,
and adapted to each individual patient’sand adapted to each individual patient’s
circumstances"…circumstances"…

29. Clinical Pharmacist – DailyClinical Pharmacist – Daily
activities !activities !
 Medication history review.Medication history review.
 Ward round participationWard round participation
 Drug therapy monitoring.Drug therapy monitoring.
 Treatment chart reviewTreatment chart review
 Medication administration reviewMedication administration review
 Patient counseling and educationPatient counseling and education
 Monitoring of treatment outcomeMonitoring of treatment outcome
 Therapeutic drug monitoringTherapeutic drug monitoring
 Adverse drug reaction managementAdverse drug reaction management
 Drug information and poison informationDrug information and poison information
 News letter developmentNews letter development

30. Clinical Pharmacy –Clinical Pharmacy – Patient centeredPatient centered
and product oriented education !and product oriented education !
 ““Pharmaceutical care is the responsiblePharmaceutical care is the responsible
provision of drug therapy for the purpose ofprovision of drug therapy for the purpose of
achieving definite outcomes that improve aachieving definite outcomes that improve a
patient’s quality of life”.patient’s quality of life”.
 Ensures safety, efficacy, appropriate andEnsures safety, efficacy, appropriate and
economic pharmaceutical careeconomic pharmaceutical care
(Hepler and Strand, 1990)2(Hepler and Strand, 1990)2

31. Special skills of a clinicalSpecial skills of a clinical
pharmacistpharmacist
 Knowledge of pharmacotherapeuticsKnowledge of pharmacotherapeutics
 Knowledge of disease processKnowledge of disease process
 Knowledge of pharmaceutical productsKnowledge of pharmaceutical products
 Strong communication skillsStrong communication skills
 Drug monitoring skillsDrug monitoring skills
 Knowledge of physical and laboratoryKnowledge of physical and laboratory
findingsfindings
 Drug information & Therapeutic planningDrug information & Therapeutic planning
skillsskills

32. Specialties of a pharmacistSpecialties of a pharmacist
in healthcarein healthcare
 Critical Care PharmacistCritical Care Pharmacist
 Drug Information SpecialistDrug Information Specialist
 Home Care PharmacistHome Care Pharmacist
 Hospice PharmacistHospice Pharmacist
 Infectious Disease PharmacistInfectious Disease Pharmacist
 Psychiatric PharmacistPsychiatric Pharmacist
 Poison Control PharmacistPoison Control Pharmacist
 Long-term Care PharmacistLong-term Care Pharmacist
 Managed Care PharmacistManaged Care Pharmacist
 Military PharmacistMilitary Pharmacist
 Nuclear PharmacistNuclear Pharmacist
 Nutrition Support PharmacistNutrition Support Pharmacist
 Oncology PharmacistOncology Pharmacist
 Operating Room PharmacistOperating Room Pharmacist
 Pediatric PharmacistPediatric Pharmacist
 Pharmacist in a Grocery ChainPharmacist in a Grocery Chain
 Pharmacy Benefit ManagerPharmacy Benefit Manager
 Primary Care PharmacistPrimary Care Pharmacist
 Veterinary PharmacistVeterinary Pharmacist
 Regulatory PharmacistRegulatory Pharmacist
 Public Health ServicePublic Health Service
PharmacistPharmacist

33. Pharmacists JobPharmacists Job
SatisfactionSatisfaction
 Community pharmacists 76%Community pharmacists 76%
 Supermarket pharmacists 69%Supermarket pharmacists 69%
 Hospital pharmacists 63%Hospital pharmacists 63%
 Chain pharmacists 59%Chain pharmacists 59%
 Mass-merchandiser pharmacists 51%Mass-merchandiser pharmacists 51%
National Pharmacist Workforce Study, March 2006

34. Facts/JokesFacts/Jokes

35. A good pharmacist is aA good pharmacist is a
happy pharmacist - 8 starhappy pharmacist - 8 star

36. Super StarsSuper Stars
 The Executive Officer,The Executive Officer,
The Joint Executive officers –T T DThe Joint Executive officers –T T D
 Dr A Vijay Kumar, T T D D E ODr A Vijay Kumar, T T D D E O
 Smt.Y Yashodamma Co -Smt.Y Yashodamma Co -
coordinatorcoordinator
 Dr V Sudha Devi, ConvenerDr V Sudha Devi, Convener
 Dr G Asuntha, Head of PharmacyDr G Asuntha, Head of Pharmacy
 The staff of S P W Polytechnic &The staff of S P W Polytechnic &
StudentsStudents

37. K V GOPINATHK V GOPINATH
Hospital Pharmacist T T D &Hospital Pharmacist T T D &
Joint SecretaryJoint Secretary
Indian Pharmaceutical AssociationIndian Pharmaceutical Association
Tirupati branchTirupati branch
Andhra Pradesh IndiaAndhra Pradesh India
gopinath.karnam@gmail.comgopinath.karnam@gmail.com
98493 7619998493 76199