Pharmaceutical Practice and Management 3

Data

Official data in SubjectManager for the following academic year: 2022-2023

Topic

The lectures of the semester will further outline the pharmaceutical supply system, specific pharmacy practice knowledge in community and clinical professional pharmaceutical practice and care. Students will acquire skills in finding, evaluating and interpreting reliable pharmaceutical information by getting familiar with the concepts of evidence based medicine and pharmacy informatics. In this semester also interactive discussions will cover essential topics regarding self-medication, patient counselling and over the counter products used in minor diseases. Detailed discussion of pharmacy practice will cover personal and objective criteria of pharmacies, prescribing and dispensing regulations, controlled drugs, ordering and stockpiling drugs. Ensuring medication safety in community and hospital pharmacy setting is a key element of modern pharmaceutical practice, thus the lectures focus on relevant issues. Students will discuss elements of ethical behavior and pharmacy ethics in practice.
Students can access the slides of the lectures and further reading material on a designated web based interface (e.g. MS Teams and/or Neptun Meet Street).

Lectures

• 1. Hospital pharmacy services - Dr. Fittler András Tamás
• 2. Clinical pharmacy services 1 - Dr. Vida Róbert György
• 3. Clinical pharmacy services 2 - Dr. Vida Róbert György
• 4. Drugs in pregnancy and lactation - Dr. Somogyi-Végh Anna
• 5. Pharmaceutical Care: Geriatrics - Dr. Fittler András Tamás
• 6. Pharmaceutical Care: Neonates and paediatrics - Dr. Somogyi-Végh Anna
• 7. Antidotes for toxicological emergencies - Dr. Vida Róbert György
• 8. Oncology pharmacy - Dr. Vida Róbert György
• 9. Patient safety in clinical practice - Dr. Fittler András Tamás
• 10. Volume therapy - Dr. Fittler András Tamás
• 11. Pharmaceutical care in infectology - Dr. Fittler András Tamás
• 12. Assuring medication safety in community pharmacy practice - Dr. Fittler András Tamás
• 13. Controlled drugs - prescribing and dispensing regulations, international treaties - Dr. Vida Róbert György
• 14. Monitoring medication safety - Dr. Fittler András Tamás
• 15. Ordering, procurement, stockpiling and storing - Dr. Vida Róbert György
• 16. Personal and objective criteria for pharmacies - Dr. Fittler András Tamás
• 17. Detailed introduction to the dispensing practice - Dr. Fittler András Tamás
• 18. Evaluating Clinical Trials from the aspect of EBM - Dr. Vida Róbert György
• 19. Fundamentals of EBM and Clinical Epidemiology - Dr. Vida Róbert György
• 20. Evidence-based Practice. Most important internet databases - Dr. Fittler András Tamás
• 21. How to formulate a question, searching strategy, evaluate methods, evaluate results, conclusions - Dr. Fittler András Tamás
• 22. Principles of critical appraisal - Dr. Fittler András Tamás
• 23. Interpreting results - Dr. Fittler András Tamás
• 24. Test - Dr. Botz Lajos

Practices

• 1. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 1
• 2. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 2
• 3. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 3
• 4. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 4
• 5. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 5
• 6. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 6
• 7. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 7
• 8. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 8
• 9. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 9
• 10. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 10
• 11. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 11
• 12. Hospital and Clinical Pharmacy and Pharmaceutical Care of major diseases 12
• 13. Drug interactions 1
• 14. Drug interactions 2
• 15. Drug interactions 3
• 16. Drug interactions 4
• 17. Practical use of Evidence-based Practice 1
• 18. Practical use of Evidence-based Practice: Answering therapeutic questions 1
• 19. Pharmaceutical Ethics 1
• 20. Pharmaceutical Ethics 2
• 21. Personal computer and network systems fundamentals
• 22. Pharmacy information management systems
• 23. Drug marketing on the web. Finding pharmaceutical information
• 24. Development and stages of pharmacy informatics. Principles of pharmacy software. Different software types used in pharmacies, drug dispensing rules

Seminars

• 1. Seborrheic dermatitis, psoriasis
• 2. Allergy and contact dermatitis
• 3. Vaginal and vulvovaginal disorders
• 4. Fungal skin infections, Athlete's foot
• 5. Headache and migraine
• 6. Disorders related to colds
• 7. Cough and expectorants
• 8. Fever
• 9. Dyspepsia, heartburn and intestinal gas
• 10. Diarrhoea and constipation
• 11. Practical use of Evidence-based Practice: Answering therapeutic questions 2
• 12. Practical use of Evidence-based Practice 2

Reading material

Obligatory literature

Literature developed by the Department

List of study aids to acquire curriculum (books, notes, other) and all presentations can be downloaded from MS Teams and/or Neptun Meet Street.

Notes

További ajánlott irodalmak:

ASHP: Handbook on Injectable Drugs, 19th Edition
Karen J. Tietze: Clinical Skills for Pharmacists: A Patient-Focused Approach. Mosby; 3rd edition
Min Liu, Lakesha M. Butler: Patient Communication For Pharmacy: A Case-Study Approach on Theory and Practice. Jones & Bartlett Learning; 1 Pap/Psc edition
Sally-Anne Francis, Felicity Smith, John Malkinson, Andrew Constanti, Kevin Taylor: Integrated Pharmacy Case Studies. Pharmaceutical Press; 1st edition

Recommended literature

C.Bond (ed): Evidence-based Pharmacy, PP, London, 2002.
A.J.Winfield, R.M.E. Richards (eds.): Pharmaceutical Practice, Churchill Livingstone
C.H.Knowlton, R.P. Penna (eds.): Pharmaceutical Care, ASHSP
M.Stephens (ed.): Hospital Pharmacy, PP, London, 2006.
Rosemary R. Berardi, Stefanie P. Ferreri et al.: Handbook of Nonpresciption Drugs, 17th ed., APA, 2012.
Walker, Roger: Clinical Pharmacy and Therapeutics, 2011.
Edzard Ernst, Simon Singh: Trick or Treatment, W. W. Norton & Company, 2008. Section IV: Nutrition and Nutritional Supplementation, Section XI: Complementary and Alternative Medicine.
Edzard Ernst, Simon Singh: Trick or Treatment? Alternative Medicine on Trial
Brent I.Fox, Margaret R.Thrower, Bill G.Felkey: Building Core Competencies in Pharmacy Informatics, APA, 2010
John P.Griffin, John Posner, Geoffrey R.Barker:The Textbook of Pharmaceutical Medicine, 7th Ed.

Conditions for acceptance of the semester

Acceptance of term/semester:
- Regular attendance of classes (maximum 25 % of absence is accepted),
- Assignments given in class should be carried out during term-time and,
- Written mid-term and end-of-the term test. Passing the tests is not obligatory; however advisable as you will likely have better results during the exam and a good practical grade for PPM3. There is a retake opportunity only for the end-of-the term test.

Mid-term exams

End-of-the-term test is at the regular time of lectures. The test will be on the whole semester’s curriculum. Additional questions can be included in the end-of-the-term test, if the student has not carried out an assignment during the semester or in case of unsuccessful midterm test.
In case of unsuccessful or missed end-of-the term test, a retake opportunity is granted to make up during the last week of the semester.
Assessment of the student performance is carried out according to a five-grade scale: 100-86,1% -excellent (5); 86-77,1% -good (4); 77-68,1% -satisfactory (3); 68-60,1% -pass (2); and below 60,0% -fail (1) respectively.

PPM3 practical course grade is based upon the completion of the given assignments, self-care and nonprescription pharmacotherapy module and the mid-term test. Theory grade for PPM3 is based the oral exam during the exam period (see list of Final exam topics 1-50).

Making up for missed classes

Retake opportunity is possible following personal discussion.

Exam topics/questions

Final exam topics for PHARMACEUTICAL PRACTICE AND MANAGEMENT
(Basic principles of pharmacy and Pharmaceutical practice and management 1, 2 & 3)

Three exam topics shall be elaborated and presented during the final exam. Supplementary definitions and questions (which will not be highlighted during the exam) below the listed exam titles aim to specify the required knowledge for each topic. Certain contents of the discussed topics may be overlapping, while other exam topics require the association of professional pharmaceutical knowledge introduced during different lectures/semesters.

1. History of Pharmacy and Medicine. Pharmacy as a profession.
2. Development and role of Pharmacopoeias and formularies in pharmacy.
3. Product categories in community pharmacies.
4. Regulation and organization of Hungarian health system.
5. The drug supply chain, stakeholders of the drug supply system.
6. Personal and objective criteria for community, branch and single-handed pharmacies in Hungary.
7. Regulation of the prescribing and dispensing of medicines in Hungary.
8. Regulation regarding controlled drugs in Hungary. International drug control treaties.
9. International and Hungarian health and pharmaceutical organizations.
10. Fundamentals of economics for pharmacists. Characteristics of market of healthcare and pharmaceuticals.
11. Health Economics and Pharmacoeconomics 1: Aims, methodology and the main methods.
12. Health Economics and Pharmacoeconomics 2: The concept, importance and measurement of the quality of life.
13. Drug utilization. Drug classification systems.
14. Rational and transparent drug selection. SOJA method. Decision Analysis.
15. Pricing and life cycle of drugs.
16. Health expenditures, drug/healthcare costs, cost-control techniques.
17. Development and types of social and health insurance systems. Characteristics of the Hungarian social and health insurance system.
18. Basics and practice of Marketing.
19. Drug Research and Development 1: Pre-clinical phase.
20. Drug Research and Development 2: Clinical trials.
21. Drug Research and Development 3: Phases in clinical trials.
22. Drug authorization process 1: Patent protection.
23. Drug authorization processes 2: Abridged authorization. Off-label use of drugs. Orphan drugs.
24. Drug authorization processes 3: Equivalencies of drugs. Substitution.
25. Placebo effect: the role of placebo in clinical trials and therapy.
26. Patient Rights.
27. Medication errors.
28. Adverse drug reactions.
29. Drug interactions.
30. Philosophy and development of evidence based medicine and pharmacy.
31. Hierarchy of medical information and clinical evidence, clinical study designs.
32. The practical steps of evidence based practice.
33. Interpreting the results of evidence based practice: Outcome measures.
34. Hospital and clinical pharmacy 1: Life stages (pediatrics, geriatrics, gravidity and breast feeding).
35. Hospital and clinical pharmacy 2: Infectology and antibiotic stewardship.
36. Hospital and clinical pharmacy 3: Nutrition therapy. Fluid therapy.
37. Hospital and clinical pharmacy 4: The development and services of hospital and clinical pharmacy.
38. Hospital and clinical pharmacy 5: Oncology pharmacy.
39. The development, basics and techniques of pharmaceutical care.
40. Pharmaceutical care of respiratory diseases: allergic rhinitis, asthma bronchiale, COPD.
41. Pharmaceutical care of cardiometabolic syndrome
42. Self-Care and Nonprescription Pharmacotherapy 1: Patient assessment and consultation.
43. Self-Care and Nonprescription Pharmacotherapy 2: Dry skin, atopic dermatitis, acne, contact dermatitis and allergy.
44. Self-Care and Nonprescription Pharmacotherapy 3: Dyspepsia, heartburn and intestinal gas, diarrhea and constipation.
45. Self-Care and Nonprescription Pharmacotherapy 4: Fungal skin infections, vaginal and vulvovaginal disorders.
46. Self-Care and Nonprescription Pharmacotherapy 5: Headache, fever, cough and disorders related to colds.
47. Self-Care and Nonprescription Pharmacotherapy 6: Oral disorders, nutritional supplementation.
48. Good Communication in Pharmacy Practice. Written, electronic communication in Health care and holding oral presentations.
49. Medication adherence - Helping patients manage therapeutic regimens.
50. Pharmaceutical informatics.

Examiners

• Dr. Bella Richárd
• Dr. Botz Lajos
• Dr. Fittler András Tamás
• Dr. Vajda Péter
• Dr. Vida Róbert György

Instructor / tutor of practices and seminars

• Dr. Bella Richárd
• Dr. Fittler András Tamás
• Dr. Somogyi-Végh Anna
• Dr. Vida Róbert György
• Dr. Vincze Patricia Anna