Purple Pen Podcast

ane talks to Benita Suckling, a clinical pharmacist with the Opioid Stewardship Service at Redcliffe Hospital in Queensland. We spoke about: A model for an opioid stewardship service, and why it is beneficial Risk factors for inappropriate opioid use post discharge Strategies to optimise pain management on discharge SHPA members can join the Pain Management Specialty Practice stream to connect with other pharmacists working in this area

Jane and Dan spoke to Garth Birdsey, Senior clinician pharmacist at Barwon Health. We asked Garth about: Real world experience with DOACs in special patient groups Concerns about under-dosing patients with DOACs Optimal use of beta-blockers and why metoprolol 12.5 mg bd is often inappropriate in IHD

In our final MM2017 episode, we speak to Rahul Singal Associate Chief Pharmacist - Operational Productivity at Kings College Hospital in London. Rahul was a keynote speaker at SHPA MM2017. We talk to Rahul about: The future for pharmacists in the UK and Australia How pharmacists can improve patient safety at transitions of care Models for pharmacist prescribing Professional responsibilities and expanded roles

Jane and Dan spoke to Dr James Edwards at MM2017. James is a Senior Staff Specialist in Emergency Medicine at Royal Prince Alfred Hospital in Sydney, he is also the founder of www.onthewards.org which is designed to assist medical practitioners in their earliest days of postgraduate practice. We spoke to James about: FOAM (Free Open Access Medical Education) Different models of education for health professionals Dissemination of research and digital scholarship Quality control issues for open access information

Jane and Dan caught up with Professor Zubin Austin at the recent MM2017 SHPA Conference where he was a keynote speaker. Professor Austin is the Murray Koffler Chair in Management at the University of Toronto. His research focuses on the professional and personal development of the health human resources workforce. ' We spoke to Zubin about: Culture shock Defining a professional culture How understanding the culture of different health craft groups can improve the relationships between them

Jane and Dan caught up with Natalie Tasker and Kristin Xenos, two members of the MM2017 Conference Scientific Program committee for a recap of the conference.

Live from Day 2 of the SHPA MM2017 conference, Jane and Dan caught up with some notable attendees: Amanda Horiniak, Resident Pharmacist at Alfred Health and newly awarded Resident of the Year Andrew Matthews, General Manager, Workforce Transformation at SHPA Stephen Bazire, author of the Psychotropic Drug Directory.

In the first of our special series of episodes live from MM2017, we are talking to A/Prof Thomas Gottlieb, Senior Staff Specialist in Microbiology and Infectious Diseases at Concord Hospital in NSW. A/Prof Gottlieb's presentation at MM2017 is titled "Do More AMS, Pearls from Years in the Life of AMS". We spoke to A/Prof Gottlieb about challenges and wins in antimicrobial stewardship, engaging clinicians and patients and driving behavioural change.

In a preview of the upcoming SHPA Conference, we have two guests this week: Emeritus Professor Kim Oates, Director of Undergraduate Quality and Safety Education at the Clinical Excellence Commission in Sydney. Prof Oates is presenting a Plenary about patient safety. Fiona Doukas is an Antimicrobial Stewardship Pharmacist at Concord Repatriation General Hospital in Sydney. Fiona is on the conference organising committee. Medicines Management 2017, the 43rd SHPA National Conference is in Sydney for 16-19th November full MM2017 program is here: https://mm2017shpa.com/

Jane spoke to Paul Tait, lead Palliative Care Pharmacist for the Southern Adelaide Local Health Network We spoke about: The differing presentations of palliative care patients. Interventions to improve access to end of life medicines for community palliative care patients. Useful resources for health professionals.

Jane and Dan spoke to Kate O'Hara, Lead Pharmacist for Women, Youth and Children at The Canberra Hospital. We talk about: The many ways that paediatric patients are different to adults Pharmacokinetic differences between adults and children Off-label use of medicines in paediatrics and the associated practicalities

At the recent 2017 SHPA Residency Symposium, Dan joined Beth Ward, Foundation Program Manager at the Royal Pharmaceutical Society and Ian Coombes, SHPA Vice President and Director of Pharmacy at the Royal Brisbane and Women's Hospital to discuss plans and programs to support and develop our workforce.

Jane sat down with Dr Chris Leung from Austin Health. Chris is a gastroenterologist, medical lead for clinical education and local clinical lead for Choosing Wisely. Jane and Chris talk about: the reasons why proton pump inhibitors (PPIs) are in the top 10 most commonly prescribed medicines in Australia the problems associated with long-term PPIs The general principles of the Choosing Wisely campaign in Australia

Dan sat down with Nashwa Masnoon, a PhD student at the University of South Australia and pharmacist at the Royal Adelaide Hospital, and Professor Sepehr Shakib Director of Clinical Pharmacology at the Royal Adelaide Hospital. Nashwa and Sepehr spoke to Dan about a new web-based tool that they have developed: WIPE (What is Polypharmacy Exactly?). The WIPE tool is being used to gauge opinions of Australian clinicians about what polypharmacy means in practice. Users are presented with cases and asked to rate the risk of medicine-related harm. The results will be used to inform a working definition for polypharmacy in Australia. You can access the WIPE tool here: wipe.logicsquad.net/signup

Jane and Dan spoke to Dr Rohan Elliott, senior pharmacist in aged care at Austin Health, adjunct senior lecturer at Monash University, and a research consultant with the Royal District Nursing Service Institute. We talk to Rohan about: · The definition of geriatric medicine, and what it means to be frail · How the geriatric medicine approach differs from other specialties · Decision making in geriatric medicine

Jane and Dan talk to Hao Vo-Tran, a pharmacist at the Royal Women's Hospital in Melbourne and editor of the Royal Women's Hospital Pregnancy and Breastfeeding Medicines Guide. We talk to Hao about: General principles in evaluating the safety of medicines in pregnancy and breastfeeding. Limitations of the TGA categorisation system for prescribing medicines in pregnancy Strategies for discussing risks with patients

Jane and Dan chat to Dr Jacinta Johnson, Specialist Pharmacist, Clinical Educator and Lecturer in Pharmacy at the University of South Australia. We talk to Jacinta about The risks from codeine and the reasons behind the decision to reschedule it to a prescription-only medicine. Whether or not there is a role for codeine as an analgesic. Alternative non-prescription analgesic options

Jane sat down with Gillian Swinnerton and Jerry Yik from the Pharmacists' Support Service. We talk about the Pharmacists' Support Service (PSS) and the help that they provide. To contact the Pharmacists' Support Service call 1300 244 910

Jane and Dan chat to Dr Jo Grace, a gastroenterologist and hepatologist from Austin Health. We talk to Jo about: What we have learned from 12 months of subsidised Hep C treatment in Australia Clinical considerations when treating patients with direct acting antiviral agents Future directions in hepatitis C: long term outcomes and new pangenotypical treatments

Jim Siderov is the senior Oncology Pharmacist at Austin Health. He is also an Australian Advanced Practice Pharmacist and is US Board Certified in Oncology Pharmacy. We speak to Jim about: Checkpoint inhibitors: their mechanism and role in oncology Autoimmune toxicities and how they are managed clinically Emerging evidence and future potential uses for these agents

Dan and Jane are joined by Kristin Michaels, SHPA CEO and Professor Michael Dooley, SHPA President to discuss the proposed changes to the constitution and respond to members frequently asked questions.

Jane visited TAPNA 2017, the scientific meeting of the Toxicology and Poisons Network of Australasia. She spoke to Dr Kent Olson, keynote speaker and Medical Director of the San Francisco Division of the California Poison Control System. Also joining the discussion are two TAPNA attendees: Andrew Harding, Senior Emergency Department Pharmacist at Austin Health and Brett Anderson, Pharmacy Resident at Austin Health. We talk about: controversies in toxicology and their relevance to pharmacists: charcoal, digoxin-specific antibody and antivenoms emerging trends in illicit and prescription medicine abuse new models for accessing information about poisons and medicines

In the 20th episode of the podcast Jane and Dan continue their chat with Dr Rochelle Gellatly. Rochelle is a clinical pharmacy specialist in critical care, an Australian Advanced Practice Pharmacist in Cardiology and a Board Certified Pharmacotherapy Specialist with added qualifications in Cardiology. We talk to Rochelle about: the viscious cycle of heart failure (you might need to take notes) the different types of heart failure: HFrEF and HFpEF the newer agents for heart failure: sacubitril and ivabradine

Heather Cleland, Director of the Victorian Adult Burns Unit at The Alfred join Jane and Dan to discuss the work of the Unit, the management of major burns and medication usage in this special population

Jane and Dan are joined by Lisa Pont, SHPA Federal Councillor and chair of the National Translational Research Collaborative to discuss how to get your research started, done and published. Lisa also talks about how she is eagerly awaiting her copy of SHPA's new journal "Pharmacy Growth, Research, Innovation and Training - GRIT"

Jane and Dan speak to Emma Dean, smoking cessation co-ordinator at Alfred Health. We talk to Emma about: The optimal time to start a conversation about smoking cessation The ideal regimen and dosing for nicotine replacement therapy Whether e-cigarettes are a helpful alternative to conventional cigarettes The current thinking about varenicline and neuropsychiatric adverse effects

Jane and Dan talk to Professor Tina Brock, Human of Pharmacy and Professor of Pharmacy Education and Practice at Monash University. We talk to Tina about: Her journey from Mississippi to Melbourne What inter-professional learning means in practice What goes wrong in inter-professional collaboration and how we can be better at it Opportunities in automation and disruption What your online avatar says about you

Jane and Dan chat to Dr Rochelle Gellatly, a clinical pharmacy specialist in critical care, an Australian Advanced Practice Pharmacist in Cardiology and a Board Certified Pharmacotherapy Specialist with added qualifications in Cardiology. She is currently working in Vancouver. We talk to Rochelle about: Recent changes in thinking about hyperlipidaemia, target LDLs and risk assessment How scores for cardiovascular risk are used in practice What we know (or don't) about the optimal dose of a statin and the frequency of adverse events

Jane and Dan speak to Professor Geoff Isbister is a clinical toxicologist and Director of Clinical Toxicology at the University of Newcastle. We talk to Geoff about: The spectrum of clinical presentations of serotonin toxicity Significant drug interactions with SSRIs: tramadol or linezolid? Current trends in pharmaceutical overdose Whether antivenoms are useful (and a shout out to our overseas listeners)

In this special midweek episode, Dan is joined by NAPSA president Shefali Parekh from Congress in Perth. Dan and Shefali chat about NAPSA and the Congress, as well as several topical issues, including codeine up-scheduling, pharmacy student numbers, advanced practice and student placements in hospitals.

Dan and Jane talk to David Liew, a Rheumatologist and Clinical Pharmacology fellow. We talk to David about: The difference between biosimilars and generic medicines What is currently known about the safety and efficacy of biosimilar products Implications for pharmacists dispensing biosimilar medicines

Jane is joined by Dawson MacLeod, a specialist in poisons information from the Victorian Poisons Information Centre. Jane talks to Dawson about: · The cardiac QT interval and its clinical significance · Risk factors for QT prolongation, particularly in the context of drug interactions · The best way to monitor and calculate a corrected QT interval from an ECG · Medicines of greatest concern for QT prolongation The Purple Pen Podcast provides news and education for pharmacists with a focus on Australian clinical pharmacy practice. Brought to you by Austin Health, Alfred Health and the Society of Hospital Pharmacists of Australia.

Jane is joined by Dawson MacLeod, a specialist in poisons information from the Victorian Poisons Information Centre. Jane talks to Dawson about: · The cardiac QT interval and its clinical significance · Risk factors for QT prolongation, particularly in the context of drug interactions · The best way to monitor and calculate a corrected QT interval from an ECG · Medicines of greatest concern for QT prolongation The Purple Pen Podcast provides news and education for pharmacists with a focus on Australian clinical pharmacy practice. Brought to you by Austin Health, Alfred Health and the Society of Hospital Pharmacists of Australia.

Jane and Dan chat online to Dr Michael Ward, a lecturer and researcher at the University of South Australia School of Pharmacy and Medical Sciences. We talk to Michael about: The emerging importance of drug transporters (eg OAT-P, BCRP) in predicting drug interactions and adverse events Current clinical applications for pharmacogenomic testing Limitations and future directions for pharmacogenomics tests

Jane chats to Amy Page, Consultant Pharmacist and PhD candidate at the University of Western Australia about: What "deprescribing" means in practical terms The optimal time to consider ceasing a medicine and how deprescribing is like smoking cessation. Patient acceptability, pharmacist and doctor willingness and other potential barriers to deprescribing

Jane and Dan sat down with Dr Bob Feroli, one of the keynote speakers at SHPA MM2016 and the Medication Safety Officer at Johns Hopkins Hospital (Baltimore, USA). We talk to Bob about: Medication safety as a core role of all pharmacists' practice What technology and electronic systems mean for pharmacists and medication safety How to identify a "safe" hospital Why residency programs and teaching are good for the whole profession

Dan and Jane catch up with Kristin Michaels, SHPA CEO with a wrap from the conference, and news on new initiatives from the SHPA.

Dan and Jane ran around the exhibition hall talking to poster presenters - a random selection (of who was available) talk today about their work.

This episode is part of the Humans of Pharmacy series, where we talk to people with a connection to clinical pharmacy who have interesting stories to share. In this episode Jane talks to Jeanie Misko, Medicines Information Pharmacist at Fiona Stanley Hospital in Perth. We talk to Jeanie about being one of Australia's top non-professional book reviewers, how to administer medicine to birds, and nerding out over spreadsheets amongst other things. The Purple Pen Podcast provides education and news for pharmacists, with a focus on Australian clinical pharmacy practice.

Dan chats to Cia Connell, a senior clinical pharmacist in cardiology and cardiothoracic surgery at the Alfred Hospital. We talk to Cia about: The preferred acronym for new anticoagulants: NOAC or DOAC? Combination therapy with anticoagulants and antiplatelet agents The future for new anticoagulants including dose modifications and monitoring.

Dan and Jane chat with Andrew Matthews, General Manager of Workforce Transformation at the SHPA about the upcoming Residency Program. We talk to Andrew about: Progress establishing an Australian pharmacy residency program The role of a residency program in workforce development Why structured experiential learning is useful How the US model is similar (and different) to the Australian plan

In the first episode of the Purple Pen Podcast, Jane and Dan talk to Dr Jason Trubiano, ID Physician and co-ordinator of antibiotic allergy services at Austin Health and Peter Mac. The Purple Pen Podcast provides education and news for pharmacists with a focus on Australian clinical practice.