I Samrat Paul , welcome all readers, viewers, researchers and aspirants to this site for upgrading knowledge and aptitude in pharmacy oriented clinical research.
The setup is changing in the world. Changes are occuring everywhere, in every field, in every aspect. This is a transition period for everybody, even for Pharmacy Councils of each and every country...Uptill very recently in the past Pharmacy was industry oriented in india , only with the advent of Pharm d and Pharm d(PB) it has become clinically oriented.
One must understand why and how this course of syllabus got structured up? The PharmD syllabus is nothing but a combination of syllabus of courses like B.Pharm (industry oriented pharmacy)) and MD Pharmacology (clinically oriented pharmacy).
1. Actually, if we look into the broader picture, in western allopathy system of healthcare, the ward rounds are done in team by the clinicians ie. healthcare professionals and particularly doctors like physicians, pharmacists and nurses.
Now, physicians like MBBS and specialists like MDs and DMs of departments chest, ortho, gyneac, surgery,paediatric, pharmacologist were actively participating in the ward rounds and their perspectives were gained. However perspectives from MD pharmacologist point of view were missed considerably by the healthcare team, because MD Pharmacologist were more involved in clinical research rather than in ward rounds. And though they do practice but not in such proportions as done by MDs of other departments. This created a demand and requirement for Pharm D professionals to fill up the gap created due to non- availability of MD Pharmacologist for ward round participations.
2.Moreover, other education system like M.Pharm in Pharmacy Practice which was started with intention to bring a new setup of clinical pharmacovigilant biopharmaceutical analytical system (Pharm D), due to increase in incidents of deaths due to medical errors and medication errors and due to faulty drug-dose titrations, ADRs and drug -drug interactions and further due to non-vigilance which should be considered as clinical error. But they being new in the clinical setup, confused about their role to play in this new setup and lacked the required proficiency and authority to write independent prescriptions to patients, lacked confidence. Not having the power of writing independent prescriptions (M.Pharm PP and PharmD)is correct also in my opinion due to reasons like for a given patient there can be a pharmacotherapeutic approach and also a non-pharmacotherapeutic approach, therefore a physician should always remain the captain of the ship. Howsoever, to instill confidence in such professionals,a provision had been made so as doctorate degree was conferred to clinical pharmacists of pharmacy practice stream in form of PharmD and PharmD(PB){ 6 years course} as much like MBBS{ 5 year course}, which gave them identity and recognition and respect and competitiveness enough to do atleast ward rounds in presence of other healthcare professionals and be vigilant in the clinical setups of corporate hospitals. Still there are loopholes present in this education system in India such as PCI has termed it as integerated PG course and its not clear or public are not made aware of whether its a professional doctorate( obvious) or academic doctorate or honorary doctorate, also when we come to interns of PharmD there is still no terminologies exist asCRHPs(compulsory rotatory house pharmacists) as compared to CRHSs(compulsory rotatory house surgeons) which is used for MBBS interns.
3. With the improvement in economic status of countries, Government is investing more finance in the budget of Healthcare system for its people.
4. Another point of view is that each and every country has a quo status quo. They are different for each and every country in terms of various factors like culture,traditions and customs followed, liberality provided, economic status, budget affordability, applicable rules and regulations,even HDI(human developement index) and GDPs sanctioned by Government. In western developed countries, along with other healthcare sectors/ paramedical course/paraclinical courses, Pharmacy is becoming more IT oriented as well as statistically oriented in its functions and approach towards the society ie. for incorporating more transparency about drug use in society. To homogenise this kind of work system and setup in allover world, a more advanced and upgraded course was brought out for students to pursue.
5. Individualisation of pharmacotherapeutic treatment to individuals.
6. Bringing up a new setup of clinical pharmacovigilant biopharmaceutical analytical system.
7.Bringing up Homogenization and transparency in quality and standards of pharmacare, pharma products, drug information etc.
The setup is changing in the world. Changes are occuring everywhere, in every field, in every aspect. This is a transition period for everybody, even for Pharmacy Councils of each and every country...Uptill very recently in the past Pharmacy was industry oriented in india , only with the advent of Pharm d and Pharm d(PB) it has become clinically oriented.
One must understand why and how this course of syllabus got structured up? The PharmD syllabus is nothing but a combination of syllabus of courses like B.Pharm (industry oriented pharmacy)) and MD Pharmacology (clinically oriented pharmacy).
1. Actually, if we look into the broader picture, in western allopathy system of healthcare, the ward rounds are done in team by the clinicians ie. healthcare professionals and particularly doctors like physicians, pharmacists and nurses.
Now, physicians like MBBS and specialists like MDs and DMs of departments chest, ortho, gyneac, surgery,paediatric, pharmacologist were actively participating in the ward rounds and their perspectives were gained. However perspectives from MD pharmacologist point of view were missed considerably by the healthcare team, because MD Pharmacologist were more involved in clinical research rather than in ward rounds. And though they do practice but not in such proportions as done by MDs of other departments. This created a demand and requirement for Pharm D professionals to fill up the gap created due to non- availability of MD Pharmacologist for ward round participations.
2.Moreover, other education system like M.Pharm in Pharmacy Practice which was started with intention to bring a new setup of clinical pharmacovigilant biopharmaceutical analytical system (Pharm D), due to increase in incidents of deaths due to medical errors and medication errors and due to faulty drug-dose titrations, ADRs and drug -drug interactions and further due to non-vigilance which should be considered as clinical error. But they being new in the clinical setup, confused about their role to play in this new setup and lacked the required proficiency and authority to write independent prescriptions to patients, lacked confidence. Not having the power of writing independent prescriptions (M.Pharm PP and PharmD)is correct also in my opinion due to reasons like for a given patient there can be a pharmacotherapeutic approach and also a non-pharmacotherapeutic approach, therefore a physician should always remain the captain of the ship. Howsoever, to instill confidence in such professionals,a provision had been made so as doctorate degree was conferred to clinical pharmacists of pharmacy practice stream in form of PharmD and PharmD(PB){ 6 years course} as much like MBBS{ 5 year course}, which gave them identity and recognition and respect and competitiveness enough to do atleast ward rounds in presence of other healthcare professionals and be vigilant in the clinical setups of corporate hospitals. Still there are loopholes present in this education system in India such as PCI has termed it as integerated PG course and its not clear or public are not made aware of whether its a professional doctorate( obvious) or academic doctorate or honorary doctorate, also when we come to interns of PharmD there is still no terminologies exist asCRHPs(compulsory rotatory house pharmacists) as compared to CRHSs(compulsory rotatory house surgeons) which is used for MBBS interns.
3. With the improvement in economic status of countries, Government is investing more finance in the budget of Healthcare system for its people.
4. Another point of view is that each and every country has a quo status quo. They are different for each and every country in terms of various factors like culture,traditions and customs followed, liberality provided, economic status, budget affordability, applicable rules and regulations,even HDI(human developement index) and GDPs sanctioned by Government. In western developed countries, along with other healthcare sectors/ paramedical course/paraclinical courses, Pharmacy is becoming more IT oriented as well as statistically oriented in its functions and approach towards the society ie. for incorporating more transparency about drug use in society. To homogenise this kind of work system and setup in allover world, a more advanced and upgraded course was brought out for students to pursue.
5. Individualisation of pharmacotherapeutic treatment to individuals.
6. Bringing up a new setup of clinical pharmacovigilant biopharmaceutical analytical system.
7.Bringing up Homogenization and transparency in quality and standards of pharmacare, pharma products, drug information etc.
