C3.5 R3(d): Prepare and FACILITATE a journal club to pharmacists

My second journal club is on the following article: Ivabradine and outcomes in chronic heart failure (SHIFT): a randomised placebo-controlled study

Areas of improvement:

  • Prioritize the most important points I want to get across during the journal club
  • Being concise – highlight the important points and provide the rest of details on paper for the audience to refer to
  • Consider the audience and how to present technical aspects of the trial
    • E.g. Power: The certainty that the study will of detecting a real effect as statistically significant if it truly exists
  • Have a firm understanding of how the drug therapy should fall into guidelines and provide a summary of practical applications
    • Consider dosing in renal impairment, hepatic impairment, in combination with other drugs, interactions with other medical conditions, etc.
      • E.g. ivabradine selectively inhibits the Ifchannel – which is predominantly in the SA node. SA node is dormant in atrial fibrillation; therefore, the theory is that for rate control, ivabradine shouldn’t impact afib
    • Describe the “ideal” patient I would use this medication in, monitoring plan

My journal club handout: SHIFT Audience Handout

Objectives: Ambulatory AF/HF Clinic

My first clinical rotation will be at an ambulatory atrial fibrillation and heart function clinic in VGH. This will be my first time working in ambulatory care, but I am excited to develop my cardiology knowledge and clinical skills in an out-patient setting.

My rotation-specific objectives are:

  1. Use a systematic approach to assess and work up patients (i.e. gather information, interview patients, identify DTPs, therapeutic alternatives, recommendations, plan and monitoring) in a time frame that is reasonable for an ambulatory setting.
  2. List the study populations, medication regimens and outcomes achieved in the landmark trials for heart failure and atrial fibrillation, as well as, use them in my practice.
  3. Effectively teach about atrial fibrillation and heart failure, and tailor the information presented according to the needs of the audience.
  4. Perform basic physical assessment assessments that will help with pharmacotherapeutic decision making and monitoring
  5. Be able to describe how pharmacists can ensure seamless continuity of care and prevent gaps in care after patients are discharged from the hospital

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