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By Ali McBride, PharmD, MS, BCOP
October is American Pharmacists Month—a time designated to recognize pharmacists and the contributions they make to healthcare and their communities. First celebrated in 1925 as National Pharmaceutical Week after a North Carolina pharmacist suggested the idea as a way to promote and teach about the profession, the celebration was expanded to a full month in 2004.
The American Society of Health-System Pharmacists (ASHP)—which represents pharmacists who serve as patient care providers in acute and ambulatory settings—has designated this week (Oct. 20-16) as “Pharmacy Week.” On Oct. 15, ASHP celebrates “Pharmacy Technician Day,” and on Oct. 12, the organization celebrates “National Women Pharmacist Day.”
Each year the American Pharmacists Association (APhA) selects a specific theme to draw attention to pharmacists’ roles and contributions to the medical community. This year’s campaign, Pharmacists: Easy to Reach, Ready to Help, aims to raise awareness among the public, patients, policymakers, and other stakeholders about the wide array of services pharmacists provide.
As cancer treatments have grown more complex, nuanced, and costly, the range of services provided by oncology pharmacists has continued to expand. Oncology pharmacists play a key role on the multidisciplinary cancer care team—from ensuring the right medication is reaching the right patient, to managing formularies, to participating in P&T committees, to providing patient education, and more. In response to the increasing number of oncolytic agents and treatment regimens, the associated economic burden on patients and providers, and the requirements of alternative payment models, today we need a scalable model of chemotherapy stewardship for oncology pharmacists.
One such model—antimicrobial stewardship—has been adopted by infectious disease professionals. Antimicrobial stewardship is driven by defining appropriate antimicrobial agents for use in patients, decreasing patterns of emerging resistance, and reducing costs. I believe the foundational scope of chemotherapy stewardship should mirror that of antimicrobial stewardship, with the goal of improving patient outcomes and controlling costs by decreasing waste and improving resource utilization. Specifically, oncology pharmacists can prospectively review treatment plans to:
The scope of stewardship
Chemotherapy stewardship can be designed as a process through which a pre-selected list of anticancer agents is restricted to approval for use by the stewardship team. The scope of any stewardship program should include:
Widespread adoption of oncology pharmacist–driven chemotherapy stewardship programs would help ensure safe and effective treatment of oncology patients while judiciously managing limited healthcare resources.
More information about the evolving role of oncology pharmacists and continuing education opportunities are available through ACCC’s Oncology Pharmacy Education Network (OPEN). OPEN brings together education, resources, and peer-to-peer networking to help pharmacy professionals surmount challenges and succeed. OPEN will celebrate 15 years of advocacy and education at the ACCC 36th National Oncology Conference during a day-long pre-conference on Oct. 30. Focused on the management of the oncology pharmacy, this pre-conference will address some of the most critical challenges that oncology pharmacists and allied staff, pharmacy directors, physicians, nurses, and cancer program/practice administrators and managers face today. There’s still time to register.
Ali McBride, PharmD, MS, BCOP, is the clinical coordinator of hematology/oncology at The University of Arizona Cancer Center, Department of Pharmacy. He is the president of the Association of Community Cancer Centers.