my classmate wrote in to the Straits Times forum.. just tot to post this here, with Grace's email reply.
As a fresh graduate from the NUS pharmacy cohort 2007, I followed with great interest the recent exchanges in The Straits Times regarding the public's opinion about pharmacists and their roles as played out in hospitals and community pharmacies.
What struck me was that the role of pharmacists is neither well defined nor understood by most.
Unlike other professionals in the health-care field who play more visible roles in our society, such as dentists, nurses and doctors, pharmacists are not seen as playing an evident part in the health-care scene. We are somehow in the picture, but no one's quite sure about what we really do.
Typically the pharmacist's main point of contact with the public is in the course of supplying medicines to them. Little else is known about what goes on behind the counters, from the reception of the prescription to the end point when the patients receive their medication.
As mentioned in the letter, 'Educated public best check on prescriptions' (ST, Oct 1) - 'I doubt if any pharmacists would or should challenge a doctor's prescription' - the common misconception is that pharmacists simply supply medications as directed by the doctors. End of story.
However, in the outpatient pharmacy in hospitals, there is a systematic process which involves pharmacists using their professional judgment, and contacting the doctors about changing a dose or adjusting a treatment to ensure that the public gets the most efficient and cost-effective drugs. Other clinical roles of pharmacists include medication monitoring, patient education, improving patient medication compliance and side-effect profiling. Pharmacists also play active roles in answering doctors prescription queries, and regularly publish updates to keep fellow health-care professionals updated on recent drug developments.
I believe that we, as a profession, have the knowledge and training to make informed decisions about prescribed medications, and it is our responsibility as part of the health-care team to ensure a patient's best interests are always met.
~ michelle tan ~
I've been following the events closely ever since there was news about the Pharmacists' Bill and the separation of prescribing, but I think things have gotten to a point where the comments can sound so ridiculous sometimes.
We can do as many interventions as we want. But precisely because of our Code of Ethics, we cannot put our fellow health professional colleagues in a negative light. Therefore, patients will never know of the interventions we make. One of the comments in the online forum said that out of all the visits he's made to the polyclinic, he did not observe that a single intervention has been made. The public never thinks of what the consequences for everyone would be if we told them of the interventions.
The thing is that we do our interventions so quietly, discretely and unobstrusively that nobody else other than the attending doctor (and the pharm tech or other Drs who see the IMR/Rx), will know. Also sometimes, the "errors" made can be pretty embarrassing for the doctor, esp if it's a spelling mistake with serious consequences (e.g. hydralazine vs hydroxyzine) or for example, a particularly illegible sample of handwriting that no one can read. It's a delicate situation that involves egos, professionalism and rice-bowls.
I don't profess to offer a solution to this problem, but would just like to share how proud I am that someone from our cohort has voiced out concerns regarding this matter. However bad the comments are, I sincerely hope all of us grit our teeth and continue making those interventions every day because as long as we are true to our profession, I believe that one day, people will appreciate us for it.
~ grace chang ~
funny how we all just yearn for a teeny bit of appreciation and recognition for wt we do. how we get some crap script, (sometime so crap tt u think it unnecessary to call them for things like SPELLING ERRORS or changing 'ointment' to 'cream' just cos u dont keep 'ointment'. faints la.) scramble for ph numbers, call & run after the crap dr, get nonchalant replies from them cos firstly u are forced to ask crap qns, get back to the patient by which time they are already fuming and boiling and seething and exploding. thank you have a nice day.
well, all we have to do is just cross our fingers and believe its not a vain hope that one day we will get appreciated. we do get appreciated probably 1 out of 10 times. just sit tight in ur seat for the 9 times ppl think u are crap and not make headlines in the newspapers for 'pharmacist bites off patient's head'. well put, grace- to grit our teeth, and hang on. not the rosy pretty healthcare picture that was portrayed in sch, but welcome to real life, i guess all of us would feel disillusioned at first. and all we hv to do now is strive to make a difference, recognition or not. wheah. and make proud our profession.
*sulks