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State Doctoral Exam - Clinical and Social Pharmacy - GDKSFSDZ1
Title: SDZ - Klinická a sociální farmacie
Guaranteed by: Department of Social and Clinical Pharmacy (16-16220)
Faculty: Faculty of Pharmacy in Hradec Králové
Actual: from 2018
Semester: both
Points: 0
E-Credits: 0
Examination process:
Hours per week, examination: 0/0, STEX [HT]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech
Teaching methods: full-time
Teaching methods: full-time
Level:  
Note: course is intended for doctoral students only
enabled for web enrollment
you can enroll for the course in winter and in summer semester
Guarantor: prof. RNDr. Jiří Vlček, CSc.
Annotation -
Last update: VLCEK/FAF.CUNI.CZ (09.03.2018)
Doktorská státní zkouška z klinické farmacie je rozdělena do 3 oblastí- Sekce A, B, C: Sekce A: U nosologických jednotek je student doktorského studia schopen definovat cíle léčby, základní možnosti diagnostiky nutné pro racionální volbu léčiv, strategie léčby u akutní a chronické fáze nemoci (doložit důkazy – jsou-li- že je dosaženo cílů léčby, rychlost, délka intervence, rozdíly) a uvést různé možnosti pochybení při dosahování cílů léčby (volba dávkování, časování, způsob podání léčiva, lékové non-adherence nemocného, režimová opatření, komedikace včetně OTC, monitorování léčby, atd.). Strategie související s farmakoterapií definovat základní dávkové schémata a základní rizika - NÚ, lékové interakce, kontraindikace a obvyklá léková pochybení a hledat způsob jejich minimalizace pomocí nástrojů farmaceutické péče: způsob podání, míra lékové adherence, monitorování, režimová opatření, revize farmakoterapie a doplňková léčba bez předpisu). Sekce B: Analýza nežádoucích účinků ev. signálů NÚ a jejich řešení pomocí tří pilířů: 1/ teoretické rizikové faktory; 2/ možnosti monitorování NÚ a relevantních rizikových faktorů a 3/ relevantní způsoby minimalizace rizika na úrovni způsobu podání, lékové adherence, monitorování, revize farmakoterapie, režimových opatření, podpůrné léčba OTC léčivy a potravními doplňky. sekce C: student nasbírá do termínu SZZK 20 kazuistik a zpracuje je – analyzuje dosažení cílů a minimalizuje rizika formou algoritmu SAZE Komise vybere jednu kazuistiku a ta bude v rámci zkoušky diskutována Social pharmacy state exam Exam topics will be discussed from the point of view of general principles of management, regulation and use of tools to achieve the objectives of different policies (health, medicines, antibiotics, social), regulatory instruments to ensure availability, quality, efficacy and safety of pharmaceuticals and an analysis of the effectiveness of regulatory measures from an international perspective critical analysis of experience in the Czech Republic and inclusion in the international and historical context. There will be selected three topics to student.
Literature -
Last update: VLCEK/FAF.CUNI.CZ (09.03.2018)

Obligatory:

  • Strom, Brian L. Kimmel, Stephen E. Hennessy, Sean (eds.). Pharmacoepidemiology. Chichester, West Sussex, UK: Wiley-Blackwell, 2012, 953 s. ISBN 978-0-4706-5475-0.
  • Walker, Roger Whittlesea, Cate (eds.). Clinical pharmacy and therapeutics. Edinburgh: Churchill Livingstone/Elsevier, 2012, 983 s. ISBN 978-0-7020-4294-2.
  • Aronson, J. K. Dukes, Maurice Nelson Graham. Meyler's side effects of drugs : an encyclopedia of adverse reactions and interactions. Amsterdam: Elsevier, 2000, 1876 s. ISBN 0-444-50093-6.
  • Jindrák, Vlastimil, Hedlová, Dana, Urbášková, Pavla. Antibiotická politika a prevence infekcí v nemocnici. Praha: Mladá fronta, 2014, 709 s. ISBN 978-80-204-2815-8.

Syllabus -
Last update: VLCEK/FAF.CUNI.CZ (13.03.2018)

 

State exam in clinical pharmacy is divided into 3 areas – section A, B,C

Section A – nosologic units

Student is able to define: a/ aim of treatment; b/ main possibility of diagnostic procedures what is necessary for rational choise of medicines; c/ strategy of acute and chronic phase of disease (to add evidence, if they exist and duration of intervention; d/ to disciss different possibilities of errors by reaching of aim (selection of dosing interval, way of administration of medicine, medication non-adherence, lifestyle, co-medication incl. OTC, monitoring of effects of medicines.

 

Arterial hypertension

Congestive heart failure

Tachyarrhythmias

Painful form of ischemic heart

Peripheral artery disease

Deep venous thrombosis

Stroke

Chronic pain

Acute pain

Primary and secondary prevention of atherosclerosis

Peptic ulcer

Gastroesophageal reflux disease

Diarrhea

Constipation

Chronic bowel inflammation

Pancreatitis

Renal failure

Asthma bronchial

Chronic obstructive pulmonary disease

Depression and phobia

Dementia

Schizophrenia

Bipolar disease

Epilepsy

Parkinson disease

Headache

Benign prostate hypertrophy and low urinary tract syndrome

General principles of rational use of antibiotics

Infection of respiratory tract

Infection of urogenital tract

Systemic viral disease

Anemia

Hypo/hyper-thyreosis

Gout

Rheumatoid arthritis

Sleep disturbances

Diabetes mellitus

Osteoporosis

Osteoarthritis

Leukemia

Section B:

Analysis of adverse effect and signals of ADR and their management by algorithm of three pillars: 1/ theoretical risk factors; 2/ possibilities of monitoring of ADR and relevant risk factors and 3/ relevant management of risk minimization on the level of a/ administration of medicines; b/ medication adherence; c/ monitoring; d/medication review; e/ lifestyle; f/ complementary treatment with OTC medication and food supplements. 

 

Hypo/hyperkalemia

Hypomagnesemia

Hypercalcemia, hypocalcemia

Hypoglycemia, hyperglycemia

Acidosis, alkalosis

Bradycardia, tachycardia

Visas failure

Constipation

Diarrhea

Cough

Concentration of creatinine

Hyperuricemia

Creatinkinasis high activity

ALT, AST high activity

Hyperlaktemia and lactic acidosis

QT interval prolongation

Elderly – basic risks of pharmacotherapy and how to minimize them

Pregnant and bearing women - basic risks of pharmacotherapy and how to minimize them

Children - basic risks of pharmacotherapy and how to minimize them

Patients by kidney failure - basic risks of pharmacotherapy and how to minimize them

Patients with liver failure- basic risks of pharmacotherapy and how to minimize them

Genomic signals of risk and use genomic principles in individualization of pharmacotherapy

Signals of non appropriate use of antibiotics

Pharmacokinetic signals of risk of pharmacotherapy and use pharmacokinetic principles  in individualization of pharmacotherapy

Pharmakoepidemiologic signals of risk of pharmacotherapy and their use by creating of signals and minimize a risk of pharmacotherapy by algorithm SAFE

 

Section  C: student prepares in the word during study 20 cases and will analyze them regarding  analysis of goals and risk of pharmacotherapy using algorithm SAFE

He will present one of this study selected during exam

 

 

 The Doctoral State Exam from the Social Pharmacy

 

Exam topics will be discussed from the point of view of general principles of management, regulation and use of tools to achieve the objectives of different policies (health, medicines, antibiotics, social), regulatory instruments to ensure availability, quality, efficacy and safety of pharmaceuticals and an analysis of the effectiveness of regulatory measures from an international perspective critical analysis of experience in the Czech Republic and inclusion in the international and historical context. There will be selected three topics to student.

 

  1. Characteristics  developmental stage of pharmacy and their reflection in the Czech national history, position and role of pharmacy in the development of health services

  2. Pharmaceutical historiography and museology – characteristics, function, meaning, museums

  3. Social pharmacy – characteristics, scope, position in the system of pharmaceutical sciences, relationship to Social medicine

  4. A theory of health and disease – definition of health and disease, phases/stages of disease, causes of diseases, meaning

  5. Health status of population/inhabitants – indicators, their determination, problems

  6. Review of health systems – characteristics, advantages and disadvantages

  7. Social policy and social care in the Czech Republic – characteristics, systems, position, principles problems

  8. Health policy in the Czech Republic  – characteristics, individual subjects, concepts, problems

  9. Medicine policy in the Czech Republic – characteristics, goals, individual subjects, aspects, tools and their possibilities to regulate medicine policy, international comparisons

  10. Management of health services in the Czech Republic organizational structure, position of Ministry of Health,  regions and  municipalities, problems

  11. Curative and preventive care characteristics, out-patient establishments and in-patient establishments, quality of care – accreditation of health establishments

  12. Public health protection – hygienic service, preventive medicine – legal regulations, organization, code for working

  13. Health promotion – position, meaning, themes, methods, health education

  14. Health insurance – principles, position, models of health insurance, advantages and disadvantages, institutions, access to health care

  15. Financing of health services – overall overview, payers concerned (patient, health insurance company, other payer), capitation, pay for performance

  16. Reimbursement of medicinal products – general principles, their practical application, differences in the reimbursement of medicinal products to pharmacies or others health establishments

  17. Ethics in health services – ethical aspects of healthcare, rights and obligations of health care workers and patients, professional regulations of The Czech Chamber of Pharmacists, code of ethics in health services and industry, ethics in clinical trials – ethics committee, ethical problems

  18. Health workers in health services categories, legal regulations, education and continuing education, legal responsibility, problems

  19. Workers providing pharmaceutical care – legal regulations, scope, activities, education, legal responsibility, ethics for pursuing the profession

  20. International cooperation in health services and pharmacy – meaning, organizations, position, tasks (WHO, Red Cross, FIP, PGEU, ESCP, EAHP, etc.)

  21. Professional organizations of pharmacists and others healthcare workers – meaning, position, legal regulations

  22. Pharmaceutical research – characteristics, tasks, methods, institutions, future trends

  23. Pharmaceutical manufacture – characteristics, medicines production specifics, Good Manufacturing Practice, marketing, future trends

  24. Pharmaceutical wholesale  – characteristics, Good Distribution Practice, problems, future trends

  25. Pharmaceutical control – characteristics, position, tasks, institutions, future trends

  26. Medicines control – division, grades, medicine safety, pharmacovigilance

  27. Pharmaceutical education – division, scope, tasks, temporary situation, future trends

  28. Good practices in pharmacy – general principles, characteristics of individual types, meaning

  29. Pharmacoepidemiology – characteristics, subject to interest, methods, basic types of studies, meaning

  30. Pharmacoeconomics – characteristics, methods,  meaning, medicine consumption

  31. Pharmacoinformatics – characteristics, role, medicine information sources, evidence based medicine

  32. Pharmacopoeial literature – characteristics, meaning, development, temporary situation, problems

  33. Basic legal regulations in health services in the Czech Republic

  34. Basic legal regulations in pharmacy in the Czech Republic

  35. Medicines – legal regulations, nomenclature, ethical medicines and generics, orphan medicines, OTC medicines, licence, medicine approval, relationship of medicines and parapharmaceutics

  36. Addictive substance and precursors – legal regulations, division, handling, drug addition, abuse

  37. Counterfeit medicines – characteristics, meaning, possibilities to minimise the risk

  38. Advertising of medicines – meaning, legal regulations, regulation; advertisement in pharmacy – generally

  39. Pharmaceutical care  – definition, characteristics, temporary situation, future trends, patient’s medications records

  40. Pharmaceutical care  – Good Pharmacy Practice, legal regulations, activities, inspection, economics, objective monitoring of the activity and quality of the provided services

  41. Psychology and sociology in work of pharmacist – communication with patients, cooperation with other healthcare workers, management activities, public activities of pharmacist in society

  42. Medication errors  – reasons, risks, solution

  43. Patient and medicines – problems, compliance, adherence and concordance, addiction, medicine abuse

  44. Self-medication – definition, general algorithm of selection appropriate therapy, alternative pharmacy a medicine

  45. Dispensing activities in pharmacy – characteristics, scope, dispensing of medicinal products, affecting patient compliance, modern methods of collaboration of pharmacist – patient – physician

  46. Preparation of medicinal products in pharmacies – characteristics, meaning, scope, legal regulations, Good Pharmacy Practice in area of preparation of medicines, specifics of medicines preparation in community and hospital pharmacies

  47. Economics of pharmaceutical care – pricing in pharmacy, revenues and expenses of pharmacy, cooperation with health insurance companies, economic administration, marketing

  48. Hospital pharmacy – meaning, tasks, specifics, problems

  49. Clinical pharmacy – characteristics, meaning, practice, problems, future trends

  50. Other professional aclivities and specialized services in pharmacy – control, supply, information and consultation, educational; specialized services for patients and health establishments; unused medicines – legal regulations, definition, reasons, risks, possibilities how to solve this problem

Requirements to the exam -
Last update: VLCEK/FAF.CUNI.CZ (09.03.2018)

The student has to finish all duties putted into the study plan regarding exams and after that in from of comission he(she) will discuss thee areas in social pharmacy ot three section in clinical pharmacy

 

 
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