[R5x]

Just out of curiosity, in those cases where a patient may be on 5 meds in the last 6 months that you do not feel warrant a med review, what makes you think they AREN'T using their meds improperly or something? Maybe there was an issue that the pharmacist saw after actually SPEAKING to the patient that they wanted to resolve? Did you call you the pharmacy to ask them for a copy of the professional form to see what was written? Did you take that extra step to give the benefit of the doubt to the pharmacist?

I'm not saying doing a med review in those cases is always correct. In fact I'd like to see what justification was given on the professional form for this med review to be done. But perhaps there is more to some of these cases that you did not consider before accusing the pharmacist of being "shady".

Btw, reporting to the college will obviously do nothing because you even illustrated in your own post above that people FROM the college encouraged these types of med reviews to be done.

It is always easy to point out things that are wrong, but can YOU think of a new clinical service in the community that would be sustainable and viable both financially and also that would satisfy your integrity that the government should be funding?

The bottom line is that the government is taking away a lot of money in the community market suddenly and swiftly with very little means to sustain pharmacy which has been so reliant on "rebates" to make up for the lack of funding for the past 15-20 years. Again, I ask, do you even KNOW what is going on and why med reviews, adaptations, injections, and other clinical services are suddenly being pushed and where this funding is coming from?

Maybe we should flip this issue around and change the way hospital pharmacists are reimbursed as well. Let's take away 30% of your yearly wage next year and say that that 30% is being "reinvested into better health outcomes for all British Columbians in hospitals". Then, how about we say you can "earn" your 30% back individually if you complete discharge summaries and transfer summaries for patients in hospital for $60/patient provided they are on 5+ meds and you use government approved forms that are made in such a way that encourage easy auditing and mistakes that will be retroactively audited for clawbacks. I'd like to see what type of anarchy occurs among hospital pharmacists in a hypothetical case like this. As ridiculous an example as this sounds this is exactly what happened in community. So before you hate on community pharmacists, try to understand why this even happened.

Edit: Just out of curiosity, do you even know what is funding your $38-40/hr wage that I assume you expect? Would it shock you to realize that the money to pay for your wage is directly proportional to the number of med reviews done? Maybe you should be asking your employer to pay you less so that nobody needs to commit these acts that lack integrity anymore.
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