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Pop Health and Am Care Pharmacy Practice: Achieving Higher Quality, Lower Cost Aug 03, 2023

Show notes

This episode is a collaboration between the ACCP Ambulatory Care Practice and Research Network (PRN) ... and iForumRx.org.

Population health pharmacists play a critical role in delivering high-quality, cost-effective care to populations at the most risk for adverse outcomes.

Panelists: Ryan Wargo, PharmD, BCACP; Rochelle Rubin, PharmD, BCPS, CDCES; and Shauntá Chamberlin, PharmD, BCPS

Produced by Jonathan Hughes, PharmD, BCPS, BCACP and Anna Love, PharmD, BCACP

Music by lemonmusicstudio from Pixabay

Top Ten Things Every Clinician Should Know About the KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease Jul 28, 2023

Show notes

The Kidney Disease: Improving Global Outcomes (KDIGO) guidelines were recently updated with a focus on kidney health in patients with diabetes. The updated guidelines include recommendations on screening, prevention, and treatment of chronic kidney disease (CKD), including the use of SGLT2 inhibitors, finerenone, and ACE inhibitors or ARBs. The written commentary posted on the iForumRx website provides a succinct summary of the Top Ten Things Every Clinician Should Know.

Guest Authors: Kara Olstad, PharmD; Gurminder Sanghera, BSc, PharmD; and Darren Grabe, PharmD

Music by Good Talk

Is In-Personal Care Better than Care Delivered at a Distance? Jul 14, 2023

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If we’ve learned anything from the COVID-19 pandemic, it’s that delivering healthcare to patients at a distance is possible. Telehealth can help increase access to care for patients in medically underserved communities and for those who have transportation, cost, and time barriers. But one question has not been adequately answered—is telehealth an effective method to deliver primary care?

Guest Authors: Keaton Thomas, PharmD and Haley M. Klassing, PharmD,

Music by Good Talk

How Many Patients Can a Pharmacist Reasonably Manage? Estimating An Appropriate Panel Size Jun 23, 2023

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Several studies have shown the benefits of involving pharmacists in the primary care setting. And there are some recommendations regarding an appropriate physician-patient panel size per pharmacist. But what's the ideal ambulatory care pharmacist-patient panel size?

Guest Authors: Benjamin King, PharmD, BCACP, Jubilee Winar, PharmD, and Jasmin Ortiz, PharmD

Music by Good Talk

Is There a CLEAR Role for Bempedoic Acid in Cardiovascular Risk Reduction? Jun 09, 2023

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There are a variety of non-statin lipid-lowering medications with proven cardiovascular benefits; however, most of the evidence supporting their use has been as an adjunct with a statin. Bempedoic acid offers a novel mechanism of action to treat hypercholesterolemia. But is there a CLEAR role for bempedoic acid in the treatment and prevention of ASCVD in statin-intolerant patients?

Guest Authors: Sarah B. Edwards, PharmD and Briana Williams, PharmD, BCPS, BCACP

Special Guest: Joseph Saseen, PharmD, BCPS, BCACP

Music by Good Talk

Is MBSR* as Good as Meds for Anxiety Disorders? May 26, 2023

Show notes

One in five people in the U.S. report suffering from anxiety in the past year, and one in three will experience an anxiety disorder in their lifetime, but 40% of patients go untreated. Perhaps patients are disinterested (or distrust) in traditional pharmacotherapy ... or perhaps it is due to a lack of availability of services (like cognitive behavioral therapy – CBT). Many patients (and clinicians) are interested in exploring and using alternative treatment approaches, but are they effective?

Guest Authors: Cindy King, PharmD, BCACP and Chris Paxos, PharmD, BCPP, BCPS, BCGP

Music by Good Talk

*MBSR = Mindfulness-base Stress Reduction

GLP-1 Receptor Agonists and SGLT2 Inhibitors: Don’t Sugarcoat the Costs! May 12, 2023

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The cost of diabetes in the United States has nearly doubled over the past decade in part due to rising prices and the cost of newer medications used to manage the disease. With new, improved, but costly alternatives available, it’s going to be challenging for ambulatory care practitioners to evaluate if the potential benefits of using these newer medication classes as first-line therapy (instead of metformin) outweigh their big price tag.

Guest Authors: Amanda Smith, PharmD and Nicole Slater, PharmD, BCACP

Music by Good Talk

Is Combination Therapy Superior to Monotherapy for Painful Diabetic Peripheral Neuropathy? Apr 28, 2023

Show notes

Several medication classes can be used to treat diabetic peripheral neuropathic pain (DPNP); however, many patients have a suboptimal response or experience dose-limiting side effects. Treatment guidelines suggest several first-line options but, in the absence of compelling evidence, offer no direction as to which agent to try first or if we should consider combination therapy.

Guest Authors: Shilpa Klocke, PharmD, BCPS and Nicole Hahn, PharmD, BCACP

Music by Good Talk

How VITAL is Vitamin D in Preventing Statin Associated Muscle Symptoms (SAMS)? Apr 14, 2023

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You’ve probably encountered many patients who have experienced muscle symptoms after starting a statin. Statin-associated muscle symptoms (SAMS) contribute to treatment discontinuation and significantly increase cardiovascular (CV) adverse events and mortality. What strategies do you recommend to increase statin tolerance?

Guest Author: Rick Hess, PharmD, CDCES, BCACP

Music by Good Talk

Under Pressure: Measuring and Managing Hypertension Apr 07, 2023

Show notes

This episode is a collaboration between the ACCP Ambulatory Care Practice and Research Network (PRN) ... and iForumRx.org.

Measuring blood pressure (BP) and managing hypertension are among the essential roles that pharmacists play in ambulatory care and community-based practice environments. This program is a question-and-answer session as a follow-up to the Ambulatory Care PRN program at the 2022 ACCP Global Conference on Clinical Pharmacy. The panelists answer YOUR questions about the role of manual vs. automated BP readings, using self-monitored BP readings to make clinical decisions, 24-hour ambulatory care BP monitoring, and bedtime administration of antihypertensive agents.

Guests: Andrew Hwang, PharmD, BCPS; Dr. Anthony Ishak, PharmD, BCPS, and Dr. Lalita Prasad-Reddy, PharmD, BCPS, BCACP

Produced by Jonathan Hughes, PharmD, BCPS, BCACP and Anna Love, PharmD, BCACP

Music by lemonmusicstudio from Pixabay