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BRISTOL-MYERS SQUIBB NATIONAL AWARD FOR EXCELLENCE IN EDUCATION ZUBIN AUSTIN, UNIVERSITY OF TORONTO Curricular interventions to support teaching of patient care skills. Zubin Austin B .Phm., M.B.A., M.I.S., M.Ed. Faculty of Pharmacy, University of Toronto Objective: To describe teaching and assessment methods used to facilitate learning of pharmacy practice skills. Method: Four specific methods have been used and assessed: a ; Simulated Patient Teachers specially trained actors used to portray the physical and psycho-social complexities of wellness and illness b ; Compressed Patient Care Cases multi-part cases designed to portray the natural progression of an illness over a period of time c ; Extended Family Tree Structure - provides a real-life context for embedding compressed patient care cases, to explore the impact of illness within a family and a community d ; Global Assessment using a visual analogue scale a tool for improving reliability and validity of assessment Results: Enhanced learning has been demonstrated as student successfully move from a pre-structural level of pharmaceutical care to a relational level. Learning is enhanced through the integration of these teaching and and diovan. Each of these are considered below as to what has been achieved. Review of the mandate of the Pharmacovigilance Working Party Robust decision making is central to the proposed "model" for achieving excellence in pharmacovigilance 2 ; . The Pharmacovigilance Working Party PhVWP ; was established to provide a forum for discussion and to make recommendations on all matters relating directly or indirectly to pharmacovigilance. The PhVWP has a dual reporting line, i.e. to the CHMP and to National Competent Authorities NCAs ; . For medicinal products authorised through the centralised procedure and for medicines which have been referred to the CHMP in accordance with Community procedures, these recommendations are given to the CHMP. Upon request of NCAs, the PhVWP provides recommendations for non-centrally authorised products to the Heads of Medicines Agencies and to the Mutual Recognition Facilitation Group MRFG ; . The mission of the PhVWP is to provide advice on the safety of medicinal products authorised in the European Union and the investigation of adverse drug reactions, to enable effective identification, assessment and management of risk, at any phase in the product life cycle. Since its start in 1995, the PhVWP has become the appropriate forum for the exchange of information between its members, for reaching consensus on safety issues facing the Community and the development of procedures and guidelines. In the face of new and evolving challenges, the Ad Hoc Working Group, in collaboration with the CHMP, developed a revised mandate for the PhVWP, setting out the following key responsibilities: Evaluation of potential drug safety signals arising from spontaneous reporting, including those identified from the EudraVigilance database, and other sources; Provision of advice on confirmation and quantification of risk and on regulatory options; Advising on Risk Management Plans and programmes; Setting standards for procedures and methodologies to promote good vigilance practice; Promotion of communication and exchange of information between EMEA and NCAs; International co-operation, for instance, cyclobenzaprine wiki.
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INTERNET RHEUMATOLOGY INFORMATION SEARCH: A STUDY OF WEBSITES LISTED ON COMMON SEARCH ENGINES Gregory Choy University of Toronto ; Background: The internet has become an increasing important portal of medical information. Many rheumatology patients have turned to internet sites for more information about both the diagnoses and therapies. The authors of these websites range from respected academic institutions to sellers of unregulated health supplements. Objectives: To explore the internet through popular search engines used by lay person and to examine the source of information on websites discussing rheumatologic conditions and therapies Methods: A single investigator searched the internet with 4 popular search engines Yahoo, Google, AOL, and MSN ; with search terms pertaining to 6 common rheumatologic conditions arthritis, osteoarthritis, rheumatoid arthritis, lupus, fibromyalgia, gout ; and 2 commonly used medications steroid, methotrexate ; . Total number of sites found and number of sponsored links were recorded with each search. The top 10 links were visited to determine whether the sites are provided by academic institutions, non-profit patient groups, or commercial entities. Results: On average, top 10 links contained 41% academic sites, 18% non-profit patient sites and 41% commercial sites. The average number of total links found is greatest with the term "arthritis" 882215 ; and Yahoo as the engine 729778 ; . Among the 4 search engines, MSN found the highest percentage of commercial sites 58% ; and the largest average number of sponsored links 6.6 while Google and AOL found the highest percentage of academic sites 48% ; . Among various search terms, "fibromyalgia" yielded the highest percentage of commercial sites 45% "arthritis" yielded the highest percentage of non-profit patient sites; whereas "osteoarthritis", "systemic lupus erythematosus" and "gout" tied in yielding the highest percentage of academic sites 53% ; . The National Institute of Health is the most common provider of information, as its websites were on the top 10 of all 4 search engines for all search terms except "steroid". Conclusion: Copious account of medical information is readily available to a lay person on the internet. Commercial sites rivals academic institutions in overall exposure, with patient non-profit groups far behind. However, there is a wide variation depending on the search terms and engine used and elocon!
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