Showing posts with label pharmacy. Show all posts
Showing posts with label pharmacy. Show all posts

Friday, July 4, 2014

Hamburg

This morning we woke up early (5:55!)!  Had to catch a train to Hamburg. 

Our train ride was a little loud because of the drunk men....probably traveling somewhere in anticipation of the Germany-USA World Cup game tonight. 


Once we made it to Hamburg, we headed to Techniker Krankenkasse (TK), Germany's largest statutory health insurance company.  Tim Steinle introduced us to the work of TK, insurance regulations in Germany (pharmacy is very highly regulated, with low room for individuality regarding health plans) and TK's structure which includes rebate contracts.  TK recently started a program in which medication coaches meet with patients to provide pharmaceutical care. 

At Techniker Krankenkasse (TK), Germany's largest health insurance company 

Dusseldorf Part Drei

This morning we walked to Dusseldorf- just kidding, one could never get tired of buses and trains. 

We met up with a pharmacist, Holger Neye, working for the physician organization Kassenarztliche Vereinigung Nordrhein (KVN) which is the regional organization of KBV (we were there during our Berlin week). The KVN serves as the local representatives of the KBV. 

Mr. Neye gave us a presentation about funding doctors receive for their patients' medications and how this budget is determined.  We shared how in the USA, we utilize insurance companies and pharmacy benefit managers to try to limit healthcare costs, and that our doctors do not have budgets for their patients' prescriptions. 

In the afternoon, we headed to the University of Dusseldorf to learn more about the PhD program within the Institution of Pharmaceutics and Biopharmaceutics.  We listened to a presentation about different research topics at the Institute, and then took a tour of the Institute's facilities.  Many of the machines and technology are donated or contracted from pharmaceutical industry companies for a period of time.

University of Dusseldorf's Institute of Pharmaceutics

Machine for making dissolving films

Mini pill press

Sarah and Selam with mini-pill supplies

Pharmacy student project


After the tour, we had a discussion about the program and how our pharmacy education in the USA compares.  

Sebastian led us back to the Burgerstube in the afternoon, and we had a couple hours to relax before our final farewell dinner at the Burgerstube. 

Crepes with icecream

Sebastian & Joe




Thank you, Josh!

Thank you, Nic!

Frau Biester ist die beste!

Thank you, Ms. Biester!

Wednesday, July 2, 2014

Adler Apotheke

This morning, we headed to Adler Apotheke after breakfast for some time in the pharmacy!  We were split into two groups. 

My group started off with herbal teas.  Sebastian and one of the pharmacy technicians taught us about some different plants, which parts are used to make teas, and what the teas are used for.  We experienced many tea tastes and smells. 

Selam measuring out some tea ingredients


Herbal tea makers

Each of us got to prepare an herbal tea called Erkaltungstee (used for colds/cough).

With the finished product

A few of us headed back to the Burgerstube during lunch break, and then met back to Adler in the afternoon. 

Next up, we compounded a hand cream using the pharmacy's undulator machine.

Corey measuring up his cream ingredients

Product being mixed

Hand cream!

Traci and pharmacy tech testing out our product

Nic then led a discussion about herbal tea use in pharmacy. 

After our day in the pharmacy, it was time to listen to a presentation from Sebastian and then prepare for a surprise!  

Sebastian's presentation about technology at the University of Dusseldorf 


Distracting Sebastian with wine and cards


He has no idea he's about to be surprised!

Our last day is coming up, and Sebastian's birthday is in about 3 weeks, so we decided to throw him an early celebrate celebration.  After learning that early birthdays are bad luck in Germany, we decided this would be a really late birthday party instead. 

Something along the lines of "happy birthday greetings..."


Cutting the birthday cakes!

Happy Birthday, Sebastian!




Saturday, June 21, 2014

Pharmacy Chamber in Dusseldorf

After a heated discussion during breakfast, we headed to Dusseldorf to visit their pharmacy chamber.  

Back in Dussesldorf

Made it to Dusseldorf Pharmacy Chamber

The Dusseldorf chamber President and Vice President introduced themselves and the chamber, as well as current projects they are working on.  The Chamber recently published results from a longitudinal study assessing medication risks for elderly patients in nursing homes.  A standardized risk management process was created to improve medication safety for elderly patients. 

The Chamber is also involved in a current project, Athina, which is a brown bag program focused on pharmacotherapy. 

The topic of continuing education for pharmacists in Germany was brought up.  Currently, continuing education is not required, but encouraged.  In the USA, pharmacists are required to complete 30 hours  of CE every two years.  Certificates are available for German pharmacists who complete CE every three years but this is not incentive enough. 

The Dusseldorf pharmacy chamber is supportive of further pharmacy research, in order to push the profession forward, but it has not been initiated. 

With the Dusseldorf Pharmacy Chamber President (2nd from right) and Vice President (left)

After discussion we headed to lunch at the oldest restaurant in Dusseldorf!



Off to Dresden Part 2

After breakfast, we had a discussion about what we learned during Berlin week (since Josh was not present in Berlin because he got sick from the botanical garden in Munster).  

Josh asked us to create a presentation comparing the G-BA (Germany's Federal Joint Commission) to systems in the United States, mainly PBMs (pharmacy benefit managers).  There are more differences than similarities, and we had an enjoyable discussion about how and if something similar to the G-BA could be implemented in the USA. 

Discussing the G-BA

After lunch from Ms Biester, we headed via 1-hour bus and 7-hour train to Dresden.  It was a lot of travel, ending with a near-sprint to the A&O hostel to check in and pass out for the night. 

Tuesday morning, we boarded a tram and bus for the University of Dresden Hospital Pharmacy to meet with clinical pharmacists.  After an introduction, we received a tour of the pharmacy.

Entrance to the pharmacy's clean room

Inpatient pharmacy

The next two hours we split into groups of two students with one pharmacist, to get a better feel for what the pharmacists do in a German hospital.  The pharmacist Julia, who Dipali and I spent time with in the urology unit, pointed out how much paper is used for documentation in the hospital (compared to more electronic records, profiles and prescribing she expects there is in the USA).  Julia spoke about the lack of infrastructure or reinforcement within hospital pharmacy regarding the way things are (like policies and protocols in the USA), as well as issues such as discharge medications from hospital setting, and not enough work being done to combat antibiotic resistance. 

Heading to the urology unit with pharmacist Julia

After two hours with the hospital pharmacists, we discussed more about hospital pharmacy, and then headed for lunch at a university hospital cafe. 

With the hospital pharmacists at Dresden University Hospital

Next came more trams, busses, and trains to get back to Velbert by around 10 PM. 

Sunday, June 15, 2014

Universitat Bonn

Our train to Bonn was actually a successful one.  When we saw the rest of the group, we were thrilled! The "Dortmund Four" crammed our stuff in a locker, and our group then hopped in a bus for the University of Bonn. 

Corey and Michelle got stuck on the bus for an extra stop and Sebastian almost had a heart attack,   but all was well when I could see the yellow bag and blue shirt in the distance, meaning they were off the bus. 

I spy a blue shirt & yellow bag


At Bonn University, we joined a clinical pharmacy class.  We listened to 3 clinical case presentations and participated in a discussion about the cases and comparisons between USA and Germany afterwards.  

One of the patient cases

With Bonn University students

When class was done for the day, we walked to Harmonie Biergarten with Bonn pharmacy students, where we chatted and enjoyed essen und getranken!

Prost!

Currently on a train back home (to Velbert), I really hope this one reaches our destination...

Tuesday, June 3, 2014

"Ich bin ein Berliner"

This morning our preceptor, Nick, gave us a tour of Berlin!  We checked out the Parliament buildings, Brandenberg Gate, Holocaust Monument, and Berlin Wall.  There was certainly a lot to see:


Nick explaining our surroundings

Reichstag Building


Sinti & Roma Memorial

Long line in the road is where the Berlin Wall used to be

 Brandenburg Gate

 
Pariser Platz
 



Memorial to the Murdered Jews of Europe

 
Walking through the Memorial

 Ampelmann (unique street signals from former East Berlin)

 
Remnants of the Berlin Wall (original graffiti was only on West side, East side was blocked by fences & guns so people wouldn't escape)

 
Remnants of the Berlin Wall in its original place


In the afternoon, we visited the University of Berlin (Freie Universität Berlin), where we heard a presentation about clinical pharmacy in Germany.  The University of Berlin is particularly involved in microdialysis development and pharmacometrics (PharMetrX). 

Nick introducing our group before the presentation

We heard a bit about the pharmaceutical care network Europe (PCNE), and a presentation about pharmaceutical care in Germany.  A clinical pharmacy PhD student is currently researching implementation of a medication plan into pharmacies and health record systems.  The medication plan uses a scannable barcode to allow for continuous updates, and better patient care between the patient's providers & health care settings.  At the University of Berlin, a medication management center will be put together very soon for continuous research and development of pharmacuetical care services, and awareness of this area of pharmacy. 

With some Berlin pharmacy PhD students & professors

After hearing more about pharmacy at University of Berlin, we took a tour & learned more about some of their research.

6th semester pharmacy students working on cholesterol & lipid level testing

Diagram explaining microdialysis

The University of Berlin is doing research using microdialysis, which is a sampling technique used for continually measuring a concentration (of a drug, for example) in the extracellular fluid of tissue.

Microdialysis machine

Corey w/ the HPLC machine (high-performance liquid chromatography)

Electrode machine that measures bacterial CFUs (colony-forming units) in ~10 seconds, versus the standard which takes ~20 hours

Pharmacokinetic modeling

 Research done by one of the PhD students-  linezolid & meropenem antagonism is seen when treating MSSA


Later that night we went to dinner, for some Spanish tapas & sangria :)
Pig feet

Heidi's huge dinner- a single "mushroom head"