It’s the time of year again📆when the ASHP Midyear Conference is just around the bend↩️
In reflecting🤔on our experience we thought we’d share 📃
Our top 10 tips to help you excel in the ASHP Clinical Skills Competition!🏆 @ASHPOfficial inspired by @thatpharmgirl (congrats👏🏻)
First things☝️, for those who didnt win ur local competition, embrace ur experience as an opp to learn&grow. It took us 3 yrs to make it to nationals!
The🔑 to success is perseverance!
Tip☝️“Success consists of going from failure to failure without loss of enthusiasm.” #success
To those who made it through round1️⃣, CONGRATULATIONS the competition has just begun! 🎊
It goes without saying, the true foundation to success, is developing a team that works together at its very best! 👯
Tip ✌️: “TEAM” Together👏🏻Everyone👏🏻 Achieves👏🏻 More👏🏻 #teamwork
On the topic of teamwork, when it comes to the written patient case, it’s IMPERATIVE that you & your teammate divey up your strengths! 💪
Tip 3️⃣: Work together as a team to identify the primary problems⏩➗ the work 📚 & put trust in each others strengths to best solve them!
Trust in your knowledge & skills as they will be put to test, no matter what the top problem is don’t forget about primary prevention! 💉
Pharmacotherapy Tip 4️⃣Don’t forget to mention vaccines & chronic medication management!
Don’t procrastinate or forget to vaccinate! 🦠
Now, when under pressure & a 2-hr timeline, we have all been in those situations when we run into a brain freeze 😖🤕🍦
Tip 🖐: USE YOUR RESOURCES!!
ASHP provides excellent DI resources (DiPiro,AHFS Drug Information®,Lexi-comp®) & guideline access to make your EBM tx plan!
With only ✌️ hours to solve a complex patient case, its important to manage your time efficiently & keep a steady pace. 🏃💨⏰
Tip6️⃣: The 🔑 to efficiency is to prioritize & you will succeed! 🙌🏼
Pro tip:🏋🏻♂️Don’t forget to spend the last 15 min to double✅✅your work!
Formulating answers 📝 was a collaborative effort 🤝& we recognized the fundamental component to excel in this portion was placing trust in each other.🙌🏼 ❤️
Tip7️⃣ Trust is the glue of life. It’s the most essential ingredient that holds all relationship together!
Times up!⌛️you’ve completed the case..now what to do🤷🏻♀️until results are announced the next day⁉️
The interim is nerve-wrecking & easy to get stressed🤯
Tip8️⃣Remain optimistic & promise yourself that all that matters is that you gave it ur very best!
Go out&treat yo self!🍦💃🏻
After your night of food & fun, it comes down to the ⏰to find out the teams that won.
Although everyone sitting in the room considered a competitor 🤼♂️
Tip9️⃣we encourage you to introduce yourselves, meet new friends, support each other as you are all in it to win it together!
Now to the🔚, no matter how far you advance, each round you can walk away with a valuable lesson to contribute to ur development. ⛰
We have to admit we would not have succeeded this difficult challenge on our own without our peers, 👩🏫, 👨👩👦👦, & 👭 encouraging us from home!
Tip🔟is from the❤️; face each challenge with courage & compassion, be confident in urself, & NEVER GIVE UP!
The moments of happiness we enjoy the most are best when taken by surprise.
"Creating a 🎥 worth a 1000 words u can keep, can help u reflect on all u r able to achieve."
To all of those students out there competing, we want to wish you the BEST OF LUCK & YOU WILL ALL DO AMAZING! We are rooting for you! 🥳 #ashp#clinicalskillscompetition
Feel free to share ☝️ tweetorial with your fellow classmates & students!
Last week I had one of my final presentations of the year! With a catchy title😉
Urine for an Update! Updates in the management of metastatic urothelial cancer
Hold your bladders, this is an extensive update! 😂 #oncopharm
Bladder cancer can be divided into two ✌️subtypes: 1) Non-muscle invasive: encompasses in-situ and localized disease➡️5-yr OS >70%
2) Muscle invasive: encompasses regional or metastatic disease➡️5-yr OS dismal especially for metastatic disease 😔
Cisplatin=SOC
50% of pts w are ineligible due to older age👵🏻, poor PS, ⬇️ renal function, ⬇️hearing, neuropathy, heart failure 🫀& other comorbities that ⬆️ risk of ⚠️
Carboplatin yields inferior responses➡️NOT 🙅🏻♀️ an equal alternative due to ⬇️ OS😢➡️pt left w/minimal tx options
What medications 💊 are should be avoided 🛑 or used with caution ⚠️ in patients with Myasthenia Gravis? 🤔
See 👀 the thread 🧵below⤵️ that summarizes an amazing grand rounds presentation by @UKPharmRes PGY1 @AliW_PharmD on key 🔑 medication considerations in MG
1️⃣Antibiotics to avoid or use w/caution🦠 💊
🛑FQs = FDA BBW for ⤴️ risk of MG crisis ➡️ avoid use if possible
⚠️ Macrolides ⤴️ rate of MG crisis (case reports)
⚠️ AG linked to ⤴️ ICU acquired weakness & exacerbate ‼️ MG crisis
📝Risk⬆️ w/neomycin vs. tobramycin & amikacin
Antibiotics considered to be SAFE alternatives to the above include
✅Beta-lactams
✅Tetracyclines
✅Linezolid
✅Bactrim
Ex. In an MG patient who presents 🏥 w/CAP 🫁 ➡️ choose ceftriaxone + doxycycline✅ OVER ceftriaxone + azithromycin🛑