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Table 9. Number of cases in which drug recognition examiner DRE ; concluded a subject was either not impaired, or was impaired -- Subjects were administered cocaine intranasally alone or in combination with other drugs, or were administered a drug s ; other than cocaine [99].
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Keywords: Drug-therapy problems, pharmacist, descriptive study 120 Examining physicians' perspectives during the integration of a pharmacist into family practice Farrell B1, 2, 3, Pottie K1, 2, Haydt S1, 2, Dolovich L4, Kennie N5, Sellors C4, and Hogg W1, 2 on behalf of IMPACT investigators. 1 lisabeth Bruyre Research Institute, CT Lamont Centre, Ottawa, Canada, 2University of Ottawa, Ottawa, Canada, 3SCO Health Service, Ottawa, Canada, 4Centre for Evaluation of Medicines and McMaster University, Hamilton, Canada, 5St. Michael's Hospital, University of Toronto, Toronto, Canada Corresponding Author: bfarrell scohs.on Funding Source: Ontario Primary Health Care Transition Fund Background Objectives: Physicians may have concerns about medical-legal issues, scope of practice, continuity of care, workload and satisfaction as other health disciplines integrate into primary care. The objective of this analysis was to conduct a qualitative evaluation of physicians' perspectives after seven pharmacists had integrated into seven physician-led family practices in the Ontario IMPACT Integrating family Medicine and Pharmacy to Advance primary Care Therapeutics ; project. Methods: Qualitative design using key informant interviews N 14 ; twelve months after integration. Family physicians were purposively selected based on age, sex, and degree of support, and those felt by integrating pharmacists to be unsupportive. Interviews were audiotaped and transcribed. Four researchers used immersion and crystallization to identify codes, and iterative grounded theory to determine themes. Results: Challenges included finding time to make contact and learn about the pharmacist's role and skills. Insufficient space was the main structural challenge. Facilitating factors in developing inter-professional relationships were mutual respect of time, practical skills and boundaries. Appreciations included having a colleague to provide current, reliable drug information, fresh perspectives, time saving measures, and feeling increased confidence in prescribing. Practicelevel benefits included group education, medication-related protocols and liaison with community pharmacy and pharmaceutical representatives. Physicians' initial concerns e.g. medical legal implications, loss of continuity of care, and scope of practice ; decreased markedly as they understood and appreciated the pharmacist role. Conclusions: Physicians' concerns about working with pharmacists in primary care abated with time, creating an environment in which the skills of both professionals can synergistically improve primary care therapeutics. Keywords: Qualitative, physician-pharmacist collaboration, primary care Therapeutics Innovations 121 Translating pharmacy knowledge into enhanced glycemic and hypertension control in diabetic primary care: an institutional ethnography of practice changes in Alberta Green CJ1, Simpson S2, Nitschke D2, Johnson J1, 2, 3, for example, apresoline.
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