Pre 1940 Major Pharmacy Changes - ANSWERSNo law requiring doctor for prescriotion
Pharmacy 1940-1970 - ANSWERSRole dimished. More dependence on doctors. No counter prescribing.
Compounding reduced from mass manufacturing. Rph couldn't discuss effects of medication with
patients
1938 FDA creates a - ANSWERSprescription only class of drugs
Pre 1940 Educational Requirements - ANSWERSApprentice model for Rph
1928 Educational Requirements - ANSWERS4 year BS pharmacy minimum
1940-1970 Ed requirements - ANSWERS5 year BS pharmacy minimum
1992 Ed requirements - ANSWERS6 year PharmD degree recommended
2004 Ed requirements - ANSWERSLast BS in pharmacy issued
, Pharmacy Care Model - ANSWERS1987: Rph deemed drug therapy advisors
1989 Manasse: increasing drug use needs someone to advise patients
Patient Centered Outcomes build focus, enhanced by MTM
Barriers to Pharmacy Care Model - ANSWERSMore dispensing for profit, Dr /Nurse role conflicts, low
reimbursement, no consult areas, personal pharmacy laziness
Major Pharmacy Associations - ANSWERSAPhA- formed to avoid physician interference
APhA-ASP- student version
ASHP- American Society of Health System Pharmacists- Publications & Residencies
NCPA- National Community Pharmacist Association- Independent pharmacies
Health Care System 1850-1900 - ANSWERSFee for service: Rich saw doctors. Poor used home remedies
Pharmacists counter prescribed. Medications were unlabeled
No regulation until Food Drug Act of 1906
Hospital place for poor people to die.
Advances in health care technology - ANSWERSAdvance rapidly during times of war. Many wounded or
dying patients to experiment on. Condenses time frames quickly and allows for creativity
Early 1900 Medical Reforms - ANSWERSFormal training for health care professionals
Eliminate negative stereotypes
Flexner AMA report to standardize schools, increase competition for medical schools, close bad schools
Increase requirements for pharmacy schools
Hill Burton Act of 1946 - ANSWERSRequired a hospital in every town, subsidized by the government
Germ Theory of Disease - ANSWERScreated Aseptic techniques decreasing disease in hospitals and
improving public health
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