Ontario College of Pharmacists

Council Members

Council Members for Districts 1-17 are listed below according to District number. PM indicates a public member appointed by the Lieutenant-Governor-in-Council. DFP indicates the Dean of the Leslie Dan Faculty of Pharmacy, University of Toronto. DSP indicates the Director, School of Pharmacy, University of Waterloo.

1 Joseph Hanna2 Elaine Akers3 Sherif Guorgui4 Tracey Phillips5 Donald Organ6 Fayez Kosa7 Tracy Wiersema8 Saheed Rashid9 Bonnie Hauser10 Gerald Cook11 Christopher Leung12 Peter Gdyczynski13 Sanjiv Maindiratta14 Stephen Clement15 Gregory Purchase16 Doris Nessim17 Shelley McKinney

PM Joinal AbdinPM Thomas Baulke PM Corazon dela CruzPM Babek Ebrahimzadeh PM David HoffPM Margaret Irwin PM Javaid KhanPM Lewis LedermanPM Aladdin MohagheghPM Gitu ParikhDFP Wayne HindmarshDSP Jake Thiessen

Statutory Committees• Executive • Accreditation• Complaints • Discipline • Fitness to Practice • Patient Relations• Quality Assurance • Registration

Standing Committees• Communications• Finance • Professional Practice

Special Committees• Standards of Practice Working Group • Pharmacy Technicians Working Group

College Staff

Office of the Registrar and Deputy Registrar/Director of Professional DevelopmentPharmacy Connection Editor x [email protected]

Office of the Director of Finance and Administration x [email protected]

Office of the Director of Professional Practice x [email protected]

Registration Programs x [email protected]

Structured Practical Training Programs x [email protected]

Investigations and Resolutions x [email protected]

Continuing Education Programs andContinuing Competency Programs x [email protected]

Pharmacy Openings/Closings,Pharmacy Sales/[email protected]

Registration and Membership Information:[email protected]

Pharmacy Technician Programs:[email protected]

Publications x [email protected]

ontario college of pharmacists483 Huron Street, Toronto, Ontario M5R 2R4 • Tel (416) 962-4861 • Fax (416) 847-8200 • www.ocpinfo.com

The mission of the Ontario College of Pharmacists is

to regulate the practice of pharmacy, through

the participation of the public and the

profession, in accordance with standards of

practice which ensure that pharmacists

provide the public with quality

pharmaceutical service and care.

July • August 2008 Volume 15 • Number 4

The objectives of Pharmacy Connection are to communicate information on College activities and policies; encourage dialogue and to discuss issues of interest with pharmacists; and to promote the pharmacist’s role among our members, allied health professions and the public.We publish six times a year, in January, March, May, July, September and November. We welcome original manuscripts (that promote the objectives of the journal) for consideration. The Ontario College of Pharmacists reserves the right to modify contributions as appropriate. Please contact the Associate Editor for publishing requirements.We also invite you to share your comments, suggestions, or criticisms by letter to the Editor. Letters considered for reprinting must include the author’s name, address and telephone number. The opinions expressed in this publication do not necessarily represent the views or official position of the Ontario College of Pharmacists.

Tracy Wiersema, R.Ph., B.Sc.Phm.President

Deanna Williams, R.Ph., B.Sc.Phm., C.Dir., CAE Registrar

Della Croteau, R.Ph., B.S.P., M.C.Ed.Editor, Deputy Registrar,Director of Professional [email protected]

Pharmacists’ Annual Renewal 10

CE Coordinators Role Description 18

Thank you Preceptors 22

Annual Statistics 30

regular featuresRegistrar’s Message 4

Editor’s Message 6

Council Report 7

Pharmacy Technician Q&A 12

Bulletin Board 13

Registration Q&A 14

Practice Q&A 15

Focus on Error Prevention - Pediatric Dosages 16

Health Canada Notices 17

Staying Informed about Pharmacy Technician Regulation 19

Deciding on Discipline 20

CE Resources 29

Laws & Regulations 31

pharmacyconnectionJanuary/February 2009 Volume 16 • Number 1

page 7

page 10

page 18

contents

Sue RawlinsonAssociate [email protected]

Agostino PorcelliniProduction & Design / [email protected]

Neil Hamilton [email protected]

ISSN 1198-354X© 2009 Ontario College of Pharmacists

Canada Post Agreement #40069798Undelivered copies should be returned to the Ontario College of Pharmacists.Not to be reproduced in whole or in part without the permission of the Editor.

4 pharmacyconnection • January/February 2009

Deanna Williams, R.Ph., B.Sc. Phm., C.Dir., CAE

Registrar

“Report recommends pharmacists be granted the authority to prescribe!” Happy New Year! This news, which came in late November with the public release of the Health Professions Regu-latory Advisory Council (HPRAC)’s Report on Scope of Practice in the health professions was thrilling to many and concerning to others.

As you know, Pharmacy is one of several health professions engaged

over the past year in consultations with the Health Professions Regula-tory Advisory Council (HPRAC) re-specting its “Scope of Practice” re-view and most recently its review on “Non-Physician Prescribing and Use of drugs”. Over the summer many of you participated in the College’s ser-ies of webcasts to better understand the details of the College’s submission on scope of practice and the tremen-dous feedback and support that phar-macists provided back to HPRAC was

great. The HPRAC report and rec-ommendations respecting the Scope of Practice for Pharmacy are now pub-lic, and can be found through the fol-lowing link: http://www.health.gov.on.ca/english/public/pub/ministry_reports/hprac_08/3_hprac_interpro_p2_20080900.pdf

We would encourage you to look at the report. Comments are invited back to the Ministry by January 30, 2009.

The College is extremely pleased that HPRAC supported the proposed wording amendments to Pharmacy’s scope of practice statement to recog-nize and include the important role pharmacists play in medication ther-apy management. HPRAC has also recommended pharmacists be able to administer substances by both in-jection and inhalation to facilitate the provision of education and information to patients and their agents, and that pharmacists be permitted to pierce the

tissue below the dermis ( finger prick-ing) when using glucose monitoring de-vices to demonstrate proper use and/or to monitor blood glucose levels in col-laborative practices.

Most significant is HPRAC’s recom-mendation that pharmacists be grant-ed prescribing authority. The College is very pleased with the recommen-dations which clearly demonstrate a recognition of the high level of training and unique expertise that pharmacists possess. There are two key parts to HPRAC’s recommendation respect-ing prescribing for pharmacists and it’s important that we understand the dis-tinction. The first part of “prescribing” would involve modifying, adapting and/or extending an already written pre-scription that is based on an already-made and communicated diagnosis by another practitioner. These are the ac-tivities that the College initially pro-posed be included within the current controlled act of “dispensing “(without further authorization) because they do not involve initiation of a new prescrip-tion by a pharmacist. The second part of “prescribing” HPRAC recommends would involve pharmacists initiating

...we believe all pharmacists have the knowledge, skills and ability to appropriately exercise their professional judgement respecting any prescriptions they receive.

registrar’s message

5pharmacyconnection • January/February 2009

new prescriptions for certain Sched-ule l drugs for minor ailments.

There is a significant difference between a pharmacist “modifying, adapting or extending an already writ-ten/existing prescription” and a phar-macist “initiating a prescription for a Schedule l drug “, whether for a minor ailment or not. We resist making the distinction at our peril. Differentiating between the two will be especially im-portant going forward, and identify-ing who can do what, and within what terms and conditions.

To maintain some consistency amongst the various health professions who prescribe now and in the future, HPRAC is proposing the creation of specific drug lists, or lists of drug class-es/categories that respective profes-sions would be able to prescribe. The College does not support the need for a defined list of drugs or drug classes or categories for those prescribing activ-ities associated with medication ther-apy management-modifying, adapting, or extending already-written prescrip-tions. With the exception of narcotic and controlled substances where we could support an exception, we believe

all pharmacists have the knowledge, skills and ability to appropriately exer-cise their professional judgement re-specting any prescriptions they receive. Confining pharmacists to a specific or limited list of drugs when exercising professional judgement respecting pre-scriptions already written by another practitioner would be counterproduct-ive , and in our view, would seriously limit the pharmacists ability and effect-iveness in managing medication ther-apy for their patients

The College could consider a de-fined list more appropriate for phar-macists or any emerging prescribing professionals who initiate drug ther-apy. The College is concerned that all pharmacists do not currently have the necessary training, competency or confidence to conduct the level of assessment needed before initiating a prescription drug for any ailment. Our public protection mandate leads us to proceed more cautiously in sup-porting pharmacist initiation of Sched-ule l drugs- first ensuring that additional education and training was available and mandatory for all pharmacists and then working with educators,

pharmacists and other professions to determine which ailments and drugs could appropriately and safely be rou-tinely initiated by pharmacists.

These are very exciting times! While ongoing and often competing economic challenges facing the retail businesses where Pharmacy is commonly prac-ticed may continue, there are before pharmacists now unprecedented and tremendous opportunities that we must, as a health care profession em-brace with enthusiasm but also with the respectful caution that is needed to optimize the care of your patients in a safe, responsible way- the future of our profession depends on this. Be as-sured that the College will continue to do its part to ensure all pharmacists are able to work to their fullest ability and scope- the rest is up to you.


editor’s message

A pharmacist is a pharma-cist is a pharmacist. That is what our provincial govern-

ments are telling us through the up-coming Agreement on Internal Trade revisions. Next year, a licensed phar-macist, or any licensed professional for that matter, will be able to move from province to province according to the AIT. This means there will be no re-training or re-examination of profes-

sionals when moving from province to province, except where necessary for public protection.

On one hand the College will be ex-pected to readily license pharmacists who are already licensed in another province. On the other hand, the Col-lege is also responsible for making sure that every pharmacist who practices in Ontario is currently competent to prac-tice and meet the standards of practice. No matter where a pharmacist practi-ces it is the responsibility of each of us

as professionals to have plan in place for continuing education to keep us cur-rent in our areas of practice.

That is not as simple as it used to be. In the past, many pharmacists have been comforted by the fact that they did 15 or 20 continuing education units (CEUs) per year. But think of it – med-ical and drug information is renewing it-self every 5 to 10 years! And the profes-sion is expanding its scope so that phar-

macists will now be using their medi-cation knowledge is more accountable way – through adapting, modifying and extending prescriptions. How can we keep up with 20 CEUs per year?

The College has a requirement for every pharmacist to keep a record of their continuous learning. The On-line CPD portal gives each pharmacist an opportunity to self-assess their know-ledge and skills, and to build a learning portfolio which will keep them current with issues in their daily practice. As

well, the OCP website contains sev-eral options for continuing education which pharmacists can access on a regular basis. The CPD portal, recently launched, is now available to all phar-macists to use as a tool for continuous professional development. We also en-courage you to plan your learning for the year in anticipation of an expanded scope. Check the OCP website for op-portunities for continuing professional development in your area and on-line.

With the AIT agreement, and the review of scope of practice in Ontario, every pharmacists in Ontario will be accountable for demonstrating their knowledge and skills at a new level.

Make 2009 the year for increased professional development and profes-sional renewal.

Della Croteau, R.Ph., B.S.P., M.C.Ed.

Deputy Registrar/Director of Professional Development

Next year, a licensed pharmacist, or any licensed professional for that matter, will be able to move from province to province according to the AIT...


council report

DECEMBER 2008

Council Approves Proposed Amendments To The General Operating By-Law The amendments to the Regulat-ed Health Professions Act, which will come into force on June 2009 as part of the Health System Improvements Act (HSIA), include changes to the section of the Procedural Code that pertain to the Register. Accordingly, Council discussed and approved amendments to Article I (Definitions), Article XII (Register) and Article XIII (Filing of In-formation by Pharmacists, Pharmacies and Health Profession Corporations) of the by-law. These amendments ex-pand the list of information that the public must have access to and direct that all the information on the Regis-ter (as stipulated in the Code as well as other information to be maintained in the Register in accordance with our by-laws) shall be posted on the Col-lege’s website.

Furthermore, there was agree-ment that the College will interpret the Health System Improvements Act (HSIA) Register amendments to re-quire the College to continue to have available to the public the results of the discipline and incapacity proceedings that are on the public Register as of June 3, 2009 but not to include in the Register as of June 4, 2009, results of discipline and incapacity proceedings which have been removed as of June 3, 2009. This interpretation of the HSIA amendments is consistent with the position of other Health Colleges. For more detailed information

respecting these amendments, please refer to the website at www.ocpinfo.com

As required by the regulations,

feedback is being sought and

members of the College are requested

to direct comments by February 23,

2009 to: Connie Campbell, Director

of Finance and Administration, -

[email protected]

Capital Budget Approved As reported in the previous issue of Pharmacy Connection, at its meeting in September, Council agreed to defer approval of a capital budget for build-ing and leaseholds pending consulta-tion to determine how the current facilities owned and operated by the College could be reconfigured to in-crease the utility and efficiency.

This spring, on the recommenda-tion of the Building Committee, the College contracted the services of Mayhew Workspaceworks, a real-es-tate and design firm to undertake an objective analysis of the space needs and expectations. Upon confirming the importance of the existing fa-cilities to the organization, they ex-plored the concept of utilizing the current space in a different way and have recommended an approach that would incorporate alternate work ar-rangements, including telecommuting into the College’s operations.

Following a comprehensive inter-active process, involving all levels of management and staff, Mahew made recommendations respecting con-version of the space and the business processes. Levels of telecommuting

were established for all existing job functions at the College with criteria attached to each. A two year transi-tion period is proposed to evolve both the physical facility at 483 Huron Street as well as the technologic-al supports for operations to enable the majority of the operations to be undertaken at home office locations. Based on these recommendations, Council approved an expenditure of $1,800,000 for transitioning internal College operations to a telecommut-ing platform ($1.3 million – facility re-lated; $0.5 million for work process conversion).

The transition is aimed at main-taining or improving services provided by the College as the need to acceler-ate on-line services for staff translates to increased on-line services for the public, members and other stakehold-ers. Although many other business sectors have moved to telecommut-ing as a means of providing flexibility for staffing while reducing overhead costs for facility related expenses, our College was commended for its leadership among regulatory agencies in pursuing this option.

For the next two years, it is an-ticipated that the space at 186 St. George would be utilized to tempor-arily hold staff dislocated from their workspace at 483 during construc-tion. As we progress through the transformation of the 483 space, the Finance Committee will consider the appropriate action with respect to property on St. George Street.

Submissions UpdateIn early October, this College, together with other regulated health


colleges and professional associa-tions whose members may prescribe or administer drugs as part of their practice, were invited by HPRAC to a briefing respecting their review of Non-Physician Prescribing and Ad-ministration of Drugs under the Regu-lated Health Professions Act and were invited to submit comments re-specting this matter by November 12, 2008.

While much of the information previously submitted in the “Scope of Practice for Pharmacy” documents applies to this review as well in this new review, the College focuses on the actual activities required for phar-macists to fully realize their roles in Medication Therapy Management, namely adapting, modifying and ex-tending prescriptions, and administer-ing drugs by inhalation and injection.

In mid November, the Hon. David Caplan, Minister of Health and Long-Term Care of Ontario released Health Professions Regulatory Ad-visory Council’s (HPRAC) Interim Report to the Minister of Health and Long-Term Care on Mechanisms to Facilitate and Support Interprofes-sional Collaboration among Health Colleges and Regulated Health Pro-fessionals: Phase ll, Part l. In this re-port, HPRAC has included its report and recommendations respecting the scope of practice review of four regulated health professions, namely, Pharmacy, Physiotherapy, Midwifery, and Dietetics.

The key recommendations includ-ed in the report are as follows: Support of a Scope of Practice State-

ment (HPRAC has supported the College’s proposals respecting adding the pharmacist’s role in Medication

Therapy Management. HPRAC has also changed “provision of infor-mation relating to…..” to “providing education relating to their use”).

Support of the addition of four new Controlled Acts (HPRAC has sup-ported the addition of four new con-trolled or authorized acts, subject to terms and conditions proposed by the College. These include: prescrib-ing, skin pricking, administration of a substance by injection and adminis-tration of a substance by inhalation). HPRAC further recommends that pharmacists have the authority to in-itiate prescriptions for minor ailments and for smoking cessation. Further-more, pharmacists will now be au-thorized to order laboratory tests for Medication Therapy Management and monitoring purposes. HPRAC did not support phar-

macists being authorized to perform routine injections or immunizations; or being authorized to initiate ther-apy for travel prophylaxis to prescribe Schedule ll and lll drugs solely for pur-poses of reimbursement under an in-surance plan.

Council was extremely pleased with the recommendations put forth by HPRAC and appreciates HPRAC’s recognition respecting the high level of training and education pharmacists in Ontario possess.

The Ministry of Health and Long-Term Care has invited comments by the end of January, 2009 and, to this end, Council has directed that with respect to the recommendation re-specting the establishment of lists of specific drugs-categories or classes, the College indicate our support of a list of defined drug classes or categor-ies ONLY where pharmacists initiate

prescriptions for Schedule l drugs.Council also expressed strong sup-

port of the inclusion of objects of the College to ensure collaboration be-tween professions but does not sup-port the mandatory inclusion of other professions on our Pharmacy Stan-dards Committee. The College will however, indicate our commitment to obtaining and utilizing the input and expertise of those professions who currently prescribe and perform lab tests as we go forward in developing and establishing practice standards to support pharmacists in the new au-thorized acts and scope of practice.

CPSO Dispensing Policy EndorsedThe College of Physicians and Sur-geons of Ontario (CPSO), in col-laboration with this College, has de-veloped a policy on dispensing for those physicians who dispense drugs, or who are considering adding dis-pensing to their practice. Council en-dorsed the proposed policy, noting that both the Professional Practice and the Executive Committees were of the opinion that physicians be held to the same standard as pharmacists with respect to the controlled act of dispensing in order to ensure public safety.

Advertising Regulations UpheldFollowing the release of a report by the Competition Bureau as it relat-ed to the Pharmacy profession, the College undertook a review of the current advertising regulation to de-termine whether any revisions or amendments are appropriate.

The College’s current advertising

council report


regulation, made under both the Pharmacy Act and the Drug and Phar-macies Regulation Act (DPRA), were reviewed at length by the College’s Professional Practice Committee and also debated extensively at Council, with the conclusion that the current provisions of the advertising regula-tion are appropriate and should be retained.

In particular, the public members of Council expressed serious con-cerns respecting the advertising of in-dividual prescription products as cur-rently occurs in the USA and strongly believe it is not in the public interest to permit pharmacists to advertise sole prescription products to the pub-lic as loss leaders. While the current requirement to include at least 15 dif-ferent drugs, 10 of which each belong to a different classification may ap-pear onerous, there was strong con-sensus that this requirement actually protects the public from a pharmacy pushing or promoting one Rx prod-uct over another. Further, it was sug-gested that this may actually encour-age competition while supporting the public in making their choices re-specting the provision of pharmacy services in accordance with the level of pharmaceutical service and care provided rather than on price of prod-uct alone.

Library Requirements For Pharmacies Council endorsed a recommendation made by the Accreditation Commit-tee to add a new reference from Me-diResource, Patient Connect ™ DDI to the patient counselling category and is in agreement with the Ac-creditation Committee that it would

be beneficial to members in their care of patients. Current library require-ments can be found on the College’s website at www.ocpinfo.com

Ait/Labour MobilityCouncil received for information a comprehensive presentation by of-ficials from the Ministry of Train-ing Colleges and University respect-ing AIT and Ontario-Quebec labour mobility agreements. Included in the presentation was a review of the pro-cess for implementing the two agree-ments, including key milestones and timing. An overview of the key ele-ments of the AIT and implications for regulatory bodies was also provided. Following the presentation and after extensive discussion, Council recom-mended that staff prepare and pro-vide to the Ministry, a business case that demonstrates why this College’s requirements for a jurisprudence exam and an International Pharmacy Graduate program should be con-sidered necessary and valid require-ments for labour mobility.

To this end, it was noted that NA-PRA, the National Association of Pharmacy Regulatory Authorities, is working concomitantly with the regulatory authorities on the Mu-tual Recognition Agreement (MRA) which will also serve to ensure labour mobility of pharmacists in Canada. The Agreement, which establishes the conditions under which a phar-macist who is licensed/registered in one Canadian jurisdiction will have his /her qualifications recognized in an-other Canadian jurisdiction, will sup-port and enhance the federal agree-ments for the profession.

Remote Dispensing/ E-PrescribingCouncil considered a legal opin-ion as to whether the current provi-sions of the DPRA (Drug and Phar-macies Regulation Act) permit remote dispensing and e-prescribing and agreed with the Executive Commit-tee’s recommendation that this mat-ter be referred, including the issue of any amendments that would need to be made to the DPRA, to the Ac-creditation Committee for further consideration, and further that rec-ommendations respecting any legis-lative/regulatory amendments to be brought back to Council for further discussion.

Strategic Plan Update Progress continues towards meeting the goals and objectives set out in the Strategic Plan and Council received the progress report of action taken by all College areas since the September Council Meeting. It was noted that activities set in March 2006 are ex-pected to reach completion in 2009 when Council will embark upon a new Strategic Plan. The College has engaged the services of Ms. Elinor Caplan to facilitate this process and a report from this Strategic Planning Retreat will be presented to Council in June 2009 for ratification.


online renewal

Pharmacists’ fees for 2009 are:

Part A pharmacists’ fee $564.81 ($537.91 + $26.90 GST)

Part B pharmacists’ fee $282.40 ($268.95 + 13.45 GST)

The pharmacist annual renewal has moved online! No form will be mailed to you, however email remind-

ers will be sent. Please ensure the College has your current email address. Please refer to the attached brochure for more information on how to complete your online renewal.

Information Renewal – Step 1• To begin your online renewal, go to www.ocpinfo.com,

click on the Member Login button(as seen above). • Enter your User ID (your OCP number) and your

password.

The first time you login and until you change it, your password is the last six digits of your social insurance num-ber. After your initial log in, we encourage you to change your password. Once you have successfully logged in, click on Pharmacist Renewal on the left hand side of the screen. Once you complete and submit this first step of your renewal, print/save a copy of your Confirmation of Information Renewal.

After a review of our renewal processes, we realized that many people were not taking advantage of complet-ing their renewal online because they preferred to pay by cheque or their pharmacy was paying their renewal on

their behalf. The new online process will guide all pharma-cists, regardless of payment method, through the informa-tion requiring verification and/or updating. We have been in contact with the pharmacy chains and worked out a process whereby the Confirmation of Information Renewal submitted to them by a pharmacist will suffice as notifica-tion that a pharmacist has completed the information re-newal portion of their annual renewal. Employers will, in turn, provide a list to the College of all of these pharma-cists when submitting payment.

Payment – Step 2• On-Line

Payment by Credit Card or INTERAC can be made online in a secure environment digitally protected by Moneris ™.

• by ChequeYour Confirmation of Information Renewal must be print-ed and returned along with a cheque made payable to the “Ontario College of Pharmacists” or “OCP”. Write your OCP number on the front of your cheque and make sure your cheque is signed. All unsigned cheques will be returned for signature. NSF cheques are treated as late and incur both a late penalty fee and a $20 NSF service charge.

• by EmployerYour Confirmation of Information Renewal must be print-ed and submitted to your employer as confirmation that you have completed the first step of your renewal.

Pharmacists’ Annual Renewal due March 10, 2009


Late Payments Late payments are subject to a late fee of $105 ($100 + $5 GST) (if paid within 30 days after the due date) or $157.50 (if paid more than 30 days after the due date). This in-cludes cheques that are received early but postdated after March 10, 2008. Late payments are not processed until the late payment fee has been received.

Move from Part A to Part B of the College’s RegisterTo elect to Part B of the College register please send an email to [email protected] indicating your desire to move to Part B of the register. Pharmacists in Part B of the register are not required to obtain personal professional liability insurance or participate in practice re-view. The renewal fee for a Part B pharmacist is $282.40.

Member Emeritus Any pharmacist who has practiced continually in good standing in Ontario and/or other jurisdictions for at least 25 years can voluntarily resign from the Register and make an application for the Member Emeritus designa-tion. Members Emeritus are not permitted to practice pharmacy in Ontario but will be added to the roll of per-sons so designated, receive a certificate and continue to receive Pharmacy Connection at no charge.

Once you have completed your information filing online and your payment has been processed, your wallet card and income tax receipt will be mailed to your residence.

Pharmacists’ Annual Renewal due March 10, 2009

Personal Professional Liability Insurance Mandatory for Part A pharmacists

It is a mandatory requirement of your annual renewal to

update the details of your personal professional liability

insurance. You will be able to update your insurance

information while completing your online renewal. The

list of insurance products and broker organizations that

satisfy the criteria prescribed in College by-law is listed

below. Members should be cautious if considering any

other insurance products. If your insurance product is not

on the pre-approved list you will be required to provide

the College with additional details of your policy. It is the

member’s responsibility to ensure that they have

compliant insurance and that their insurance is fully

portable regardless of their employment status.

At this time, we can confirm that the following insurance

products and organizations satisfy the criteria prescribed

in College by-law:

• Ontario Pharmacist’s Association

- AON Reed Stenhouse

• Canadian Society of Hospital Pharmacists

- The Insurers Financial Group

• Aviva Canada - This product is available through multiple

insurance brokers across Ontario and through specific

agreements with various pharmacy groups/networks.

The list of brokers includes but is not limited to:

• Cockburn & Sons

• Palermo

• Pilot

• Pottruff & Smith

• Sound Insurance

• Unison

• Willis

• Gellatly Insurance Limited

- The Economical Insurance Group

• HKMB Hub International

– Chubb Insurance

• McCaslin Horne Insurance Brokers Inc.

– Grain Insurance (Pharmaguard Individual

MalPractice Liability)

• Pottruff and Smith

– Aviva, ING, Lombard


pharmacy technician Q&A

Susan James

Project Director, Pharmacy Technician Regulation

QI understand that when I register with the College there is an annual fee that I will have to pay. Can

you tell me what the fee is, what it is for, and what benefit I will receive in return for this fee? Yes, there is an annual registration fee that all members of the College must pay. The current proposal is that Phar-macy Technicians should pay a fee that is two thirds of what pharmacists pay. Based on the current fee structure, the amount would be $358.57.

This fee is not set in relation to the profession’s earning potential, but is based on the costs associated with self-regu-lation. These costs include activities such as registering new members, maintaining a continuing competency program, ensuring there are standards of practice, and investigating and resolving any practice concerns that are brought for-ward. In fact, there is an argument to be made that the fee should be consistent for all members of the College. In set-ting the fee, however, the Council considered that the scope of practice for pharmacy technicians is not as broad as that of a pharmacist in Part A of the register.

It is difficult to describe the benefit of paying these fees. To be a regulated professional means one has an exclusive right and privilege to use the title of the profession and to perform a function for society that others are not permitted to do. A registered pharmacy technician will have the au-thority and independent accountability to perform the tech-nical functions related to dispensing and compounding of drugs. As a member of a self-regulated profession, you have the added privilege of being held to account by a body of your peers, as opposed to others who may not be familiar with the realities of professional practice.

QWhen I become registered with the College, will I also have to purchase professional liability

insurance, as pharmacists do?

It has not been proposed that pharmacy technicians be re-quired to maintain personal professional liability insurance (as is now required for pharmacists and interns). Up until last year, pharmacists were not required to have personal coverage, because they were covered under the policies at their place of employment. The new requirement for phar-macists and interns to have their own policy relates to the expanding roles and new environments that pharmacists are working in, and their need for coverage to be more mobile. At this time, it is expected that pharmacy technicians will be covered within their place of employment, just as pharma-cists were in the past. The College will continue to monitor this expectation and make adjustments if needed.

Although it is not required, the College strongly recom-mends personal professional liability insurance for all mem-bers. At a minimum, pharmacy technicians should confirm that they are covered by their employer.

QI passed the certification exam several years ago. What benefit has that actually given me since I

am still required to complete the bridging education program and entry-to-practice and jurisprudence exams to become registered with the College? The certification exam was put into place to address a con-cern that pharmacists expressed regarding the diversity of training programs for pharmacy technicians. With appli-cants for pharmacy technician positions having trained on the job, at a private career college, or at a community col-lege, employers were unsure how to compare among them. Pharmacy technicians who achieved certification demon-strated they had at least the consistent level of knowledge required to pass the exam. Over time, many employers came to rely on the certification as a requirement to dem-onstrate an applicant was qualified for the job. Individuals who maintained their certification also demonstrated a


commitment to continuing education. Those pharmacy technicians who have completed the

certification exam have the advantage of satisfying the first requirement for registration, having already demonstrated that they also have the knowledge necessary to enter the bridging education program.

The College also considers those who have achieved and maintained their certification over the years as leaders in the profession. Through their commitment, these individ-uals helped demonstrate the profession’s readiness for self-regulation. We believe this is another important benefit of your certification.

bulletin board

The College bid a fond farewell to Carol Culhane, Admin-istrative Assistant in the Continuing Competence program. Carol had been with the College since 2005 and has decided to focus her efforts on her Shiatsu practice and teaching.

Kathy Vesterfelt joined the College at the beginning of De-cember as the Senior Policy Advisor for the College. Kathy is an Ontario pharmacy graduate with experience in hospi-tal and community pharmacy, and for the past nine years has worked at Health Canada in a variety of roles including that of Policy Analyst and Project Manager. Most recently she was the Acting Manager of the Evalua-tion and Authorization Division of the Office of Controlled Substances where she worked on, among other things, the exemption for pharmacists providing methadone. Kathy has also been a Teaching Associate at U of T (Faculty of Phar-macy) and a consultant for Health Canada in the First Na-tions and Inuit Health Branch.

Margaret Poon has recently joined the College as the Re-cords and Information Analyst. Margaret has 20 years of records management experience having worked with the City of Toronto for over thirteen years and then moved to another regulatory College where she spent over five years as their Manager, Information Management, responsible for records management, library, intranet and statistics. Mar-garet has her BA in Economics and Mathematics and her Masters of Library Sciences.

Dean Saeidvafa joined the College at the beginning of De-cember as the Help Desk Specialist. Dean has more than 12 years of extensive experience in desktop support, operat-ing systems and applications support. Dean has a B. Sc. in Applied Computational and Mathematical Science, his cer-tification as a Microsoft Certified System Engineer and his diploma as Information Technology Professional.


registration Q&A

Chris Schillemore, R.Ph., B.Sc.Phm. M.Ed.

Manager, Registration Programs

Q I successfully completed my Pharmacy degree at the University of Toronto Unfortunately, I failed

one part of the PEBC Qualifying Exam. I thought I needed the exam before starting internship. Can you clarify when I can start my internship training?One requirement for starting internship is the completion of an undergraduate pharmacy program accredited by the Canadian Council for the Accreditation of Pharmacy Pro-grams. OCP must confirm that you have the following: 1. successful completion of your U of T Pharmacy

program 2. a preceptor who meets the structured practical training

(spt) preceptor criteria3. a training site that meets the spt site criteria4. appropriate documentation, and5. personal professional liability insurance.

Once we notify you that you have met these require-

ments, you are entitled to start your internship training. The PEBC Qualifying Exam, Parts I & II is not necessary for internship, but must be completed before you can be registered as a pharmacist. For more information on pre-ceptor and site criteria, go to www.ocp.info.com and click on licensing> training and assessments>spt.

QI am an internationally trained pharmacist who went to a panel of the Registration Committee

to request an exemption from studentship. It seems unfair to me that the College allows U of T students to start internship without the PEBC Qualifying Exam, Parts I & II but that international pharmacy graduates

are required to pass the exam before going to a panel Could you explain why I am being treated differently? The key point here is not that you are an international phar-macy graduate, but that you are requesting an exemption from one of the entry-to-practice requirements, namely, studentship. For international pharmacy graduates, stu-dentship is comprised of two elements: completion of 16 weeks of the IPG (International Pharmacy Graduate) Pro-gram, plus 16 weeks of structured practical training at the student level.

International pharmacy graduates, who have successful-ly completed the IPG program and have completed struc-tured practical training are treated the same as graduates of the B.Sc. Phm program at the University of Toronto, and may start their internship without the PEBC Qualify-ing Exam. However, everyone is required to successfully complete both parts of the PEBC Qualifying Exam in or-der to be licensed.

A panel of the Registration committee would require some supporting evidence to grant an exemption from the IPG program or a reduction in studentship. The successful completion of the PEBC Qualifying Exam, Parts I & II is a key piece of evidence panels have considered in the past. Additional information may include any Canadian experi-ence you have had working as a pharmacy technician. For more information on exemptions, go to www.ocp.info.com and click on licensing> member registration> registration panel requests.


practice Q&A

Greg Ujiye, R.Ph., B.Sc.Phm.

Professional Practice Advisor

QThere are several drugs listed in the National Drug Schedules, Schedule I that do not have a

“Pr” symbol written on the upper left corner of the label of the prescription bottle. Are these considered prescription drugs? Yes. Ontario adopted the National Drug Scheduling System in 1999, replacing provincial schedules with the National Drug Schedules, and all drugs listed in Schedule I require a prescription in order to sell.

The “Pr” symbol found on many Schedule F drugs is unique to the Food and Drugs Act (FDA) and is required by section C.01.004 (b)(i) for drugs listed Part C and D of the Regulations to the FDA. Schedule F is included in Part C. All the drugs listed in Schedule F of the FDA are listed as Schedule I drugs in the National Drug Schedules. Any drug not listed in Schedule F of the FDA is reviewed by the Na-tional Drug Scheduling Advisory Committee to determine the level of intervention and advice necessary for the safe, effective use of that drug, and then placed in the appropri-ate schedule. The most common examples are muciprocin (Bactroban®) and quinine capsules.

The above question has been updated and originally appeared in the Pharmacy Connection, July-Aug 2001

QWhen the National Drug Scheduling Advisory Committee approves a change in schedule,

i.e., a Schedule I drug moves to Schedule II or III, or becomes unscheduled, is there a period of time before this change is effective in Ontario?No. Ontario uses the National Drug Schedules as its

provincial drug schedule and they are embedded in the Drug and Pharmacies Regulation Act. This means that On-tario, in effect, schedules by reference. When the NDSAC approves a drug schedule or a drug schedule change, the change takes effect immediately in Ontario.

QCan a pharmacist deliver a Schedule II narcotic preparation such as acetaminophen with

codeine 1/8 gr?A pharmacist can deliver any Schedule II product, provided that he or she has met the requirements for sale of a Sched-ule II product. The pharmacist must be satisfied that the sale is appropriate prior to approving it for delivery.

The Executive Officer issued a notice on Oct 2,

2008 (BBS #8085) notifying pharmacists of the

termination of the existing HNS agreement, effective

Jan. 15, 2009, and issuance of a new agreement.

Failure to execute the new agreement will result

in the suspension of that pharmacy operator’s

account on Jan. 15, 2009. Questions about the new

agreement can be directed to the ODB by e-mail to

[email protected]

Please monitor your BBS notices and notices from

the Ontario Pharmacists’ Association (OPA) to

ensure your ODB account is not suspended.


When checking prescriptions, pharmacists must con-sider the appropriateness of the dosage being pre-scribed. This can only be done if the pharmacist

is aware of, or considers the indication for use or purpose of the medication being prescribed. For example, when codeine is prescribed for the treatment of acute pain, the reccommended adult dosage is 15 to 60 mg orally every four to six hours.1 How-ever, when used as a cough suppressant, the recommended dosage is 5 to 20 mg orally every four to eight hours.2 Yet, the indication for use or purpose of the medication is not usually included on prescriptions. This missing piece of information is often a contributing factor to medication errors.

Case:

The above prescription was written for a patient for the treatment of cold sores (herpes labialis). The prescription was taken to a local pharmacy for processing.

On entering the prescription into the computer, the phar-macy technician entered Valtrex® 500 mg tablets. However, the directions for use was not adjusted and therefore entered as two tablets twice daily. When checking the prescription, the pharmacist did not detect the error. A total of four Val-trex® 500 mg tablets were therefore dispensed instead of four 1000 mg tablets or eight 500 mg tablets with the appropiate instructions for use.

A few months later, the patient requested a refill of the Val-trex® tablets. A pharmacy technician processed the refill and gave it to the pharmacist for checking. On checking the refill

focus on error prevention

Ian Stewart, R.Ph., B.Sc.Phm

Toronto Community Pharmacist

Pediatric dosages

prescription, the pharmacist on this occasion observed that the dosage was not consistent with the usual dosage used in the treatment of herpes labialis or other common viral infections. The original prescription was therefore checked to confirm the prescriber’s intent. On checking the original prescription, the dosing error was identified. The correction was made, and the patient given eight Valtrex® 500 mg tablets with instruc-tions to take four tablets (2000 mg) twice daily. The patient was very upset upon hearing of the error. She stated that she “thought something was wrong, and questioned the pharma-cist.” Unfortunately, the pharmacist at that time read the pre-scription and reassured the patient that the physician did indeed prescribe two tablets twice daily.

Possible Contributing Factors:• The pharmacy stocked the 500 mg strength of Valtrex® and

not the 1000 mg.• The technician failed to adjust the directions for use to com-

pensate for the change in strength.• The indication for use or purpose of the medication was not

included on the prescription.• The initial pharmacist did not consider the possible indication

for use to ensure appropiateness of the dose.• Despite concerns raised by the patient, the pharmacist

failed to double check all components of the prescription for accuracy.

Recommendations:• Whenever possible, dispense the same strength or concen-

tration of the medication as prescribed. The directions for use would therefore be the same given to the patient by the pre-scriber. Clearly explain any changes to the patient.

• Always consider the possible indication for use when check-ing prescriptions for appropiateness and accuracy.

• Investigate thoroughly all concerns raised by the patient.• Appropiate steps should be taken by all stakeholders to en-

sure that the indication for use or purpose of the medica-tion is included on all prescriptions. This is certainly a patient safety issue.

References:1. Gray J, Therapeutic Choices, Canadian Pharmacists

Association Ottawa ON 2007;2072. Gray J, Therapeutic Choices, Canadian Pharmacists

Association Ottawa ON 2007;1535


For complete information & electronic mailing of the Health Canada Advisories/Warnings/Notices subscribe online at: http://www.hc-sc.gc.ca/dhp-mps/medeff/index_e.html

MedEffect e-Notice is the new name which replaces Health Canada’s Health_Prod_Info mailing list. The content of the e-notices you receive will remain the same and are now part of MedEffect, a new Health Canada Web site dedicated to adverse reaction information. MedEffect can be visited at www.hc-sc.gc.ca/dhp-mps/medeff/index_e.html

Health Canada Notices are also linked under “Notices” on the OCP website: www.ocpinfo.com

health canada advisories & notices

Nov 11, 2008

Nov 13, 2008

Nov 17, 2008

Nov 21, 2008

Dec 12, 2008

Dec 12, 2008

Dec 17, 2008

Dec 18, 2008

Dec 19, 2008

Dec 19, 2008

The Hong Kong Department of Health warned consumers not to buy or use Lu Quan because it contains undeclared glibenclamide and sildenafil. The Hong Kong Department of Health warned consumers not to buy or use Fat Killer, Carbohydrate Cut and Sugar-Carbohydrate Cut because they contain sibutramine and an unauthorised substance similar in structure to sibutramine, and Zhuang Yao Gu Shen Capsule because it contains sildenafil.

Glaxo Operations UK Limited and Shopper’s Drug Mart Specialty Health Network are voluntarily recalling 2 lots of Argatroban vials (lot numbers C347625 and C363385) from the Canadian marketplace.

The U.S. FDA warned consumers not to buy or use Viapro because it contains an unauthorised substance similar in structure to sildenafil. Sildenafil is a prescription drug used in the treatment of erectile dysfunction and should only be used under the supervision of a health care practitioner. The U.S. Food and Drug Administration informed consumers of a voluntary manufacturer recall of these 12 products because they contain human placenta, aristolochic acid and/or ephedra, and may pose serious health risks. All 12 products are manufactured by Jen-On Herbal Science International Inc. (also known as Herbal Science International Inc.). Consumers who had purchased these products were advised to discontinue their use immediately and return them to the place of purchase for a full refund.

Infection-related deaths were reported with the use of MabCampath (alemtuzumab) following initial combination therapy with anti-leukemia drugs which also suppress the body’s immune response. Serious infections, including infection-related deaths have been reported in association with the unauthorized use of MabCampath as consolidation therapy following combination treatment with other immunosuppressive agents for B-cell chronic lymphocytic leukemia.

Some glucose monitor systems may report falsely elevated readings associated with the use of medical products which contain or are metabolised to maltose, galactose and xylose. Health Canada provides recommendations to minimize the risks of these device-drug interactions.

Hill-Rom issued an Urgent Medical Device Correction letter to notify customers of safety information regarding Liko Uno Patient Lift. The actuator of the lift may separate from the lift leading to the patient fall. Users need to take the affected units out of service immediately and contact the company for corrective options.

Fatal adverse events have occurred in patients with moderate hepatic impairment and advanced solid tumours treated with Tarceva (erlotinib).

Health Canada is advising consumers of the outcome of its review of cough and cold medicines for children under the age of 12. Manufacturers are required to re-label over the counter cough and cold medicines that have dosing information for children to indicate that these medicines should not be used in children under 6.

Cases of eye inflammation have been reported following off-label intravitreal injection of Avastin lot B3002B028. There has been no unusual reporting pattern for this lot with authorized use in 2008. It meets all specifications for lot release.

Health Canada is informing diabetic patients taking Actos (pioglitazone hydrochloride) of recent changes to the prescribing information for this product. Health Canada has worked with the manufacturer to strengthen the labeling around heart failure and emphasize proper use. The current Product Monograph for Actos contains the new or updated information.


CE co-ordinators

PurposeThe Regional CE Co-ordinators assist in the identification of CE needs of pharmacists in their region and help organ-ize CE events.

The CE Co-ordinator works with the Ontario College of Pharmacists (OCP), the Ontario Pharmacists’ Asso-ciation (OPA) and, where feasible, with the local pharma-cists’ association. Depending on the needs of the region, coordinators may work in teams of two or more.

Goal: To provide live, evidence-based CE events for phar-macists throughout OntarioOutcome: Each CE Co-ordinator will organize at least two events per year in their region

ResponsibilitiesWith the support of OCP and OPA you will:

1. Identify CE Needs of Pharmacists in Your Region Through your direct contact with pharmacists in your re-gion, you will identify and prioritize their learning needs.

CE programs which meet the needs of the maximum number of pharmacists will be selected. If you are new to your region, OCP will supply you with a list of pharma-cists and contact information so you can contact phar-macists in your region.

2. Identify Topics and Speakers for Presentation in Your RegionHaving identified CE topics of interest, you may seek out local specialists in your area to provide education for your members. Alternatively, you may liaise with Co-ordinators from other regions to provide leads for topics and speakers. OCP will also advise you of any potential CE programs to be delivered in your region.

3. Organizing CE Presentations CE Co-ordinators develop the program’s budget, ob-tain financial sponsorship if needed, organize meet-ings (facilities, refreshments, AV needs, marketing the event), request program accreditation / CEU assign-ment, collect registration fees where applicable, serve as moderator, recruit members, etc, as required. OCP will help to publicise the program both on our website and in Pharmacy Connection.

Time CommitmentThe amount of time involved in becoming a CE Co-ordin-ator varies. It will depend on the number of presentations you are able / willing to organize in your region. As a rough approximation, assume about 10 hours of involvement per program presented and one full-day meeting per year to network with other CE Co-ordinators.

Regional Continuing Education (CE) Co-ordinator Role Description

OCP is currently looking for regional CE coordinators in district areas 9, 17, 23, 25, and for an Associate coordinator in district 14 (http://www.ocpinfo.com/client/ocp/OCPHome.nsf/web/CE+Region+Assignments)

As a Regional CE Coordinator, you will identify the CE needs of local pharmacists in your region and plan, organize and implement CE events with fellow team members. Further details on the attached flyer. Interested pharmacists should submit their resume to Shirin Jetha at [email protected]


If you want to stay up to date with the pharmacy

technician regula-tion initiative be sure to sign-up for email notifications. It’s easy to do – just go to the College website (oc-pinfo.com) and click on pharmacy technicians under the Fast Track menu. Click on “Stay Informed” and follow the directions to sign-up. When there are new developments or updates, you will receive an email notification to advise you of them.

College Webcasts Provide Current InformationThe college hosted three webcast sessions in December to review the most up to date information about the regis-tration requirements for pharmacy technicians. To view one of these sessions go to www.ocpinfo.com>Pharmacy Technicians>Update on the Regulation of Pharmacy Tech-nicians Webcast and click on the link to view the presenta-tion and the question and answer period.

Further webcast sessions will be offered to provide infor-mation about the most recent updates related to the Regula-tion initiative. Details will be posted on the College website and sent to email notification subscribers.

Pharmacy Examining Board of Canada Evaluation Exam Replaces OCP Certification ExamCongratulations to those phar-macy technicians who success-fully completed the College’s certification exam in October 2008. Over 1500 pharmacy tech-nicians took part in the College’s final offering of the exam.

Anyone who has not completed the OCP certification exam but would still like to pursue registration with the Col-lege in the future will need to complete the Pharmacy Exam-ining Board of Canada’s Evaluating Exam. Details about the PEBC exam can be found at www.pebc.ca .

Take note however that the PEBC exams are available to applicants from across Canada and some of the require-ments for registration with the Ontario College of Phar-macists differ from other provinces. For example, the pro-posed deadline for completion of the evaluation exam for those pursuing registration in Ontario is January 1, 2012. In other provinces, where the regulation initiative is in much earlier stages of development, the deadline will be extended to 2015. To understand the requirements for registration in Ontario, be sure to review the process and timelines posted on the College website in addition to the information posted on the PEBC website.

technician regulation

Staying Informed about Pharmacy Technician

Regulation


Case 1

Member found guilty of an offence

relevant to his suitability to practise

Member: Roger Demers

Hearing Date: October 8, 2008

Facts The College commenced an investiga-tion into the Member’s conduct after learning that the Member may have been charged with a criminal offence. Through subsequent inquiries, the Col-lege learned that in or about July 2004, the Member had been charged with possessing child pornography. Through his counsel, the Member cooperated with the College concerning the crim-inal proceedings.

In an Agreed Statement of Facts with the Crown, the Member admit-ted to having used his home computer to purchase access to three different websites on three separate occasions in April 2002, April 2003, and June 2003, which websites contained child por-nography as defined by the Criminal Code of Canada. He further admitted to having accessed additional child por-nography websites during the period March 8, 2000 to July 28, 2004, and to having in his possession at his home 10 printed images and 34 electronic im-ages of child pornography. The Mem-ber pleaded guilty to the charge of pos-session of child pornography and was sentenced in criminal court.

The discipline hearing proceeded by way of Agreed Statement of Facts and Joint Submission on Penalty. The Member admitted that he had com-mitted acts of professional misconduct, namely that he had been found guilty

of an offence relevant to his suitability to practise, and that he had engaged in conduct or performed an act relevant to the practice of pharmacy that, hav-ing regard to all the circumstances, would reasonably be regarded by mem-bers of the profession as disgraceful, dishonourable or unprofessional.

The Joint Submission on Penalty in-cluded a reprimand, a suspension of the Member’s Certificate of Registration for two months to be served in two one-month blocks, and costs of $4,500 to the College. The Joint Submission also included certain terms, conditions and limitations on the Member’s Cer-tificate of Registration with respect to providing current and future employers with the Discipline Panel’s decision.

Decision and ReasonsThe Discipline Panel found this case to be very challenging when it came to crafting a penalty. This is a case that underscores that a pharmacist’s behaviour outside of the place of em-ployment is integrally connected to his or her professional standing in the com-munity and in the profession. The cir-cumstances of the Member’s conduct are troubling, but the Panel believed the Member is paying his dues in re-gards to the criminal process. In the professional disciplinary context, his misconduct does not go to his fitness to practise pharmacy on a technical or skills based level, but rather his moral fitness to hold himself out as a profes-sional pharmacist. The Panel could not simply order course work, order a sus-pension and impose a fine as a means to protect the public, and trust that the Member will not reoffend. Rather, the Panel’s focus in protection of the public

was perhaps even more heightened than in more typical discipline cases.

The Panel had two problems with the Joint Submission on Penalty. The Panel was acutely aware of the over-whelming body of case law directing it to accept Joint Submissions, but did not feel it could do so in this case without implementing greater protections for the public. To the credit of the Mem-ber, the College and their respective counsel, the Panel was able to raise its concerns at the hearing, and the par-ties were able to come up with a suit-able additional term to further protect the public.

The Panel was concerned about members of the public learning, after the fact, that the Member, as their pharma-cist, may have been counselling their chil-dren on prescriptions given the nature of the Member’s criminal conduct. Ac-cordingly, the Panel proposed that the Joint Submission be amended to include a term that the Member would not coun-sel patients under the age of 18 without an adult being present during that coun-selling, with the Panel’s preference be-ing that the other adult be a member of the professional staff of the pharmacy. When attendance by another profes-sional staff member was not possible, the Panel expected the Member to pursue alternative methods, such as counselling by telephone, or the patient reattending another day for counselling.

The Panel was also concerned that the proposed suspension was to be broken up into two blocks of time, to accommodate some scheduling difficul-ties of the owner/Designated Manager of the pharmacy in which the Member was employed. Without being disre-spectful to the pharmacy owner, the

deciding on discipline


Panel felt that the Discipline Commit-tee must address the misconduct of the Member without getting tied into pharmacy scheduling demands. The parties addressed the Panel’s concern, and came up with alternative dates for the Member to serve his suspension in a consistent block of time.

Having addressed these areas of con-cern, the Panel was satisfied with the remainder of the Joint Submission.

Order:1. A reprimand.2. Specified terms, conditions and lim-

itations on the Member’s Certificate of Registration, and, in particular, that the Member:a) confirm in writing to the Manager,

Investigations and Resolutions, the name and address of each phar-macy in which he practises as a dispensing pharmacist;

b) provide a copy of the decision of the Discipline Committee from

the Discipline hearing of Octo-ber 8, 2008 (“Decision”) to the Designated Manager of any place in which he practises, within one week from the date of receipt of the Decision;

c) request that any Designated Man-ager to whom a copy of the Deci-sion has been provided write to the Manager, Investigations and Resolutions, to confirm receipt of the Decision; and

d) until June 14, 2009, refrain from providing counselling to anyone under the age of 18 years of age unless in the presence of another person 18 years of age or older.

3. A suspension of the Member’s Cer-tificate of Registration for a period of two months.

4. Costs to the College in the amount of $4,500.00.

ReprimandThe Panel had a difficult time reviewing

this case, due to the nature of the misconduct.

The Member is now aware that the actions he takes in his personal life can and do have a significant impact, not only on him but also on the profession, since such actions shake the trust the public has in their pharmacist. The Panel appreciated how embarrassing the experience of going through the criminal process must have been for the Member, but it wanted the Member to consider how uncomfortable it must have been for the Member’s patients to have learned that someone they trust-ed and relied upon, when their children or they themselves were sick, had en-gaged in viewing child pornography.

The Panel hoped that the Member learned a valuable lesson throughout this process, and did not expect to see him before the Discipline Committee again.


THANK YOU PRECEPTORS

2008 HIGHLIGHTS

This year, more than 400 pharma-cists attended one of 22 precep-

tor workshops across the province. The one-day workshops were offered in Burlington, London, Ottawa, Sud-bury, and Toronto. Fifteen Orienta-tion workshops were held for first-time preceptors or pharmacists who had last acted as a preceptor several years ago. An OCP Registration Advisor and an experienced preceptor facilitate the Orientation workshops, in which they explain the goals of the SPT program, the role and responsibilities of a precep-tor, and the expectations for students and interns, and make pharmacists aware of what skills that they will need as preceptors. Using videos, role-play-ing and guided discussions, the phar-macists learn how to set expectations, motivate students and interns, facili-tate practice opportunities, and provide feedback and assessment. In response to feedback from preceptors, the Regis-tration Advisors have made a number of changes to the Orientation work-shop. In January, the workshop was revamped so that the entire afternoon is now spent working in small groups to discuss how to guide the student or intern to complete the activities, and how the preceptor should review the

student or intern’s activities before they are submitted to OCP.

The Advanced workshop is of-fered to preceptors who last attended a workshop more than three years ago and who wish to continue acting as preceptors. The Advanced work-shop is intended to provide an oppor-tunity for preceptors to enhance their teaching and assessment skills and to share their experiences with other pre-ceptors. We were pleased to have Dr. Zubin Austin continue to conduct the “Conflict Analysis & Resolution” workshop, in which preceptors are introduced to the way in which con-flict may arise in the workplace, as-sess how to identify their own conflict management style, and explore how to develop new methods for address-ing disagreements and negotiating mu-tually acceptable solutions. Response to this workshop has been positive and we will continue to offer it in 2009. Dr. Lionel Laroche continued to receive a very positive response to his work-shop, “Managing Cultural Differen-ces.” This workshop provided precep-tors with insight on cultural differen-ces that may exist between Canadian and International Pharmacy Gradu-ates (IPGs) and helped them prepare to face the challenges and reap the oppor-tunities of being preceptors to a diverse

population of students. We look for-ward to introducing new workshop topics in 2009.

Given the increasing number of stu-dents and interns in the SPT program, we have expanded our network of ex-ternal pharmacists who review the SPT activities submitted to OCP. We thank them for their commitment to providing coaching and individualized feedback to students and interns on their activities in a timely manner.

The SPT assessment forms and ac-tivity documentation forms are avail-able online. The SPT Studentship and Internship Manuals continue to be available online for members. Several returning preceptors have commented that they find the current SPT experi-ence to be much improved and rel-evant to current practice.

Once again, a sincere thank you to our preceptors, facilitators, presenters, and reviewers for their valuable contri-bution to the SPT program and to the future of pharmacy!

The dates and topics for Preceptor Workshops in 2009 are posted on the OCP website. If you would like to become a SPT preceptor, please contact Vicky Gardner by phone at (416) 962-4861 x 297 or 1-800-220-1921 x 297, or by e-mail at [email protected]

On behalf of the College, we would

like to thank the pharmacists

who served as preceptors in the

Structured Practical Training (SPT)

program in 2008. By welcoming a

pharmacy student or intern to their

pharmacy team, these preceptors

have continued the tradition

of pharmacists sharing time,

experience, and enthusiasm for our

profession with a future colleague.

Students and interns continue

to express appreciation to their

preceptors for the encouragement

and learning opportunities that the

preceptors have provided. Many

preceptors described the experience

of having a student or intern in their

practice as refreshing, rewarding,

and educational. Pharmacists

enjoyed discovering what new

graduates are learning, and seeing

where the profession is heading.

Conducting medication reviews as

part of the Meds Check Program

and running clinic days continue to

be popular activities that interns

incorporate into their rotation to

demonstrate their pharmaceutical

care and communication skills.


AJAX Kevin Hsu Pharma Plus

Basem Indrawes Costco Pharmacy

Nilam Patel Drugstore Pharmacy

Giovanni Spina Shoppers Drug Mart

Dileep Tripuraneni Drugstore Pharmacy

ALLISTON

Kathryn Canson Zellers Pharmacy

ANCASTER

Daeyup Kim Drugstore Pharmacy

Mahmood Najak Wal-Mart Pharmacy

Mary Nelson Dell Pharmacy

AURORA

Edmund Bielawski Summit Pharmacy Inc.

Jack Holtzman Shoppers Drug Mart

David Onizuka Shoppers Drug Mart

Cindy Piquette Shoppers Drug Mart Doane Hall

Alexandria Slavik Summit Pharmacy Inc.

AYLMER

Viveka Appadoo Shoppers Drug Mart

BARRIE

Stanley D’Souza Drugstore Pharmacy

Shirley Hogarth Pharma Plus

Sheri-Anne Kidson Drugstore Pharmacy

BELLEVILLE

Steven Casselman Drug Basics

Vaughn Galloway Rexall Pharma Plus

Jason Roth Shoppers Drug Mart

BOLTON

Virenkumar Desai Drugstore Pharmacy

Nabil Gobran Total Health Pharmacy

Yin Siow Shoppers Drug Mart

BOWMANVILLE

Neha Dengre Drugstore Pharmacy

Muhammad Ishfaq Shoppers Drug Mart

Evelyn Travis Shoppers Drug Mart

Lorraine Watson Shoppers Drug Mart

BRACEBRIDGE

Angela Crichton Rexall Pharma Plus

BRAMPTON

Reginald Ackerman Pharmacy 1 Drug & Food

Yousef Botros Pharmasave

Chuen Chung Wal-Mart Pharmacy

Sandra D’Souza Shoppers Drug Mart

Albert George Lakeridge Pharmacy Hany Girgis Bramiss Pharmacy

Rakhi Goel Brampton Civic Hospital

James Hernane Shoppers Drug Mart

Shaminder Kahlon Shoppers Drug Mart

Munawar Khan Costco Pharmacy

Sunitha Kondoor Shoppers Drug Mart

Samuel Messiha Shoppers Drug Mart

Anita Reilly Brampton Civic Hospital

Ethel Rizarri Shoppers Drug Mart

Sarah Rowe Brampton Civic Hospital

Fatema Salem Wal-Mart Pharmacy

Rafid Saman Drugstore Pharmacy

Nadeem Sayani Connaught Place Pharmacy

Sheetal Sharma Drugstore Pharmacy

Ashish Sheth Westbram Pharmacy

Devinder Singh Shoppers Drug Mart

Parvinder Singh Shoppers Drug Mart

Shuchita Srivastava Drugstore Pharmacy

Jency Varickattu Rexall

Mohamed Walji Westbram Pharmacy

Joseph Yousef Sandalwood Pharmacy

BRANTFORD

Christine Battiston Shoppers Drug Mart

Bruno Bove Shoppers Drug Mart

Susan Lee Wal-Mart Pharmacy

Santosh Kumar Manjunath Drugstore Pharmacy

Denise O’Hanian Dell Pharmacy

Rashda Rana Zellers Pharmacy

William Thompson The Brantford General Hospital

BRIGHTON

William Hickson Rexall Pharma Plus

BURLINGTON

Jaime Chan Costco Pharmacy

Jason Handa Smartmeds Pharmacy Group

Tauseef Hassan Smartmeds Pharmacy Group

Lawrence Leung Brant Plaza Pharmacy

Sami Naguib Plainsview Drug Store

Ashraf Shweitar Wal-Mart Pharmacy

CAMBRIDGE

Joseph Asindi Shoppers Drug Mart

Kantilal Patel Medic Pharmacy

Sanjay Patel Drugstore Pharmacy

Michael Tsandelis Wal-Mart Pharmacy

CARLETON PLACE

Kathryn Coleman Shoppers Drug Mart

Ghada Gabr Shoppers Drug Mart

CHATHAM

Monica Dovancescu Shoppers Drug Mart

Al-Karim Ladak Zellers Pharmacy

Tina Lively Chatham Kent Health Alliance

CHELMSFORD

Christa Drolet Chelmsford Pharmacy

Leo Penttila Drugstore Pharmacy

COBOURG

Stephen White Wal-Mart Pharmacy

COLLINGWOOD

Xerez Garcia Zellers Pharmacy

CORNWALL

Abolhasan Ahangaran Drugstore Pharmacy

Joanne Labelle Shoppers Drug Mart

DON MILLS

Esther Fishman Shoppers Drug Mart

DOWNSVIEW

Ping-Ching Chan Zellers Pharmacy

Jaymesh Khetia Shoppers Drug Mart

Nelson Leung Shoppers Drug Mart

Amro Noureldin Main Drug Mart

Hassan Salama Humber River Regional Hospital

Refat Samuel Jane Centre Pharmacy

Si-ho Wong Shoppers Drug Mart

DUNDAS

Mariana Vernescu Shoppers Drug Mart

ELLIOT LAKE

Griselda Co Zellers Pharmacy

Anna Radecki Rexall

ELMIRA

Stefan Gudmundson Shoppers Drug Mart

ETOBICOKE

Rami Abdelmalek Sherway Medical Pharmacy

Nicu Badulescu Pharmacy 2

Sylvia Der-Sahakian Shoppers Drug Mart

Emad Mankaruos Sav-On Drug Mart

Elena Mikhaelian Costco Pharmacy

Arif Raheem Wal-Mart Pharmacy

Saeed Tahir Axis Al-Shafa Pharmacy

Lawrence Ura Shoppers Drug Mart

FERGUS

Heidi May Shoppers Drug Mart

FONTHILL

Franco Sicoli Shoppers Drug Mart

GLOUCESTER

Bashir Amir Pharma Plus

Sousan Ayad Shoppers Drug Mart

Nhat-Tam Nguyen-Dinh Zellers Pharmacy


thank you preceptors

George Salidis Zellers Pharmacy

Essame Thabet Shoppers Drug Mart

Narcisa Tripsa Drugstore Pharmacy

GUELPH

Issac Gergs Campus Drugmart

Tan Huynh Pharma Plus

Mohammad Kabir Drug Basics Pharmacy

Ram Kaushik Drugstore Pharmacy

Elson Kora Zellers Pharmacy

Julie Lomas Guelph General Hospital

Kenneth Manson Rexall Pharma Plus

Kuveshan Naidoo Shoppers Drug Mart

Suzy Rouman Wal-Mart Pharmacy

Nabil Samaan Drug Basics Pharmacy

Neil Veridiano Zellers Pharmacy

HAMILTON

Usama Agaybey Upper Gage Pharmacy

Jamil Ahmad Shoppers Drug Mart

Denis Angelatos Hess Tower IDA Pharmacy

Anna Brooks Hamilton Health Sciences Corp

Mark Duffett Hamilton Health Sciences Corp

Samuel Dyer Drugstore Pharmacy

Ayman El-Attar Daniel Drug Mart

Heather Emerson Wal-Mart Pharmacy

Joanna Grabowski Dell Pharmacy

Helen Habinski Drug Basics

Jafar Hanbali Shoppers Drug Mart

Philip Hosiassohn Rexall

Luay Khaled Shoppers Drug Mart

Daeyup Kim Drugstore Pharmacy

Betty Kurian Zellers Pharmacy

Annie Kurian Hamilton Health Sciences Corp

Saji Mathew Zellers Pharmacy

John Mikhail Drugstore Pharmacy

Youssef Morcos Gordon’s Pharmacy

Ahmed Nofal Shoppers Drug Mart

Eustace Orleans-Lindsay Drugstore Pharmacy

Sony Poulose Shoppers Drug Mart

Kusum Shukla Shoppers Drug Mart

Koshy Thomas Shoppers Drug Mart

Mary Thornewell Hamilton Health Sciences Corp

Chau Tran Hamilton Health Sciences Corp

Christine Wallace St. Joseph’s Hospital

HANOVER

Rajinder Rajput Zellers Pharmacy

HAWKESBURY

Sylvie Robillard Pharmacie Jean Coutu Pharmacy

INGERSOLL

Nestor Andrade Shoppers Drug Mart

KANATA

Raghunadha Kuruganti Costco Pharmacy

Marie Martineau Rexall Pharma Plus

Daniela Nitescu Zellers Pharmacy

Munaza Wasay Drugstore Pharmacy

KENORA

Peter Adams Zellers Pharmacy

Cameron Buchanan Drugstore Pharmacy

Lorna Smith Wal-Mart Pharmacy

KINGSTON

Syed Ahmad Drugstore Pharmacy

Christina Cella Kingston General Hospital

Jennifer Mather Kingston General Hospital

Linda Methot Kingston General Hospital

Peggy Ng Shoppers Drug Mart

Bonnie Ralph Kingston General Hospital

Jennifer Sheldrick Rexall Pharma Plus

Ian Trimble Kingston General Hospital

KIRKLAND LAKE

Vivianne Brasch BDR Drug Mart

KITCHENER

Robert Bien Drugstore Pharmacy

Ana Elefteriu Drugstore Pharmacy

Mervat Saad Main Drug Mart

LASALLE

Roberto Modestino Rexall

Josephine Piruzza Shoppers Drug Mart

LEAMINGTON

Dejan Apostolovski Rexall

Mark Vickers Thomson Guardian Pharmacy

LINDSAY

Michael Cavanagh Drugstore Pharmacy

Edgar Cheng Zellers Pharmacy

Winlove Morales Zellers Pharmacy

Catherine Puffer Pharma Plus

David Walker Shoppers Drug Mart

LISTOWEL

Nelia Ngo Zellers Pharmacy

LONDON

Graham Barham Shoppers Drug Mart

Charles Bayliff London Health Sciences Centre

Joseph Leonard Beaver Shoppers Drug Mart

Milad Bosta Zellers Pharmacy

Robert Campbell Prescription Centre

Carolee Coulter Shoppers Drug Mart

John Farrell Shoppers Drug Mart

Nina Hanif Zellers Pharmacy

Claire Knauer Shoppers Drug Mart

Syed Mahmood Wal-Mart Pharmacy

Ola Moubayed El-Chabib Wal-Mart Pharmacy

Paulomi Patel Drugstore Pharmacy

Sahleslassie Redae Drugstore Pharmacy

Peter Semchism Zellers Pharmacy

Munir Suleiman Shoppers Drug Mart

Derek Trainor Wal-Mart Pharmacy

MANOTICK

Charles Rak Rexall

MAPLE

Jack Dalimonte Shoppers Drug Mart

MARKHAM

Patricia Brown Markham Stouffville Hospital

Kinh Huynh Shoppers Drug Mart

Hui Jin Costco Pharmacy

Rebecca Leong Ho Supercare Pharmacy Markham

Georgina Mikhail Markham Stouffville Hospital

Faisal Motiwala Fenton Discount Pharmacy

Kandavel Palanivel Denison Discount Pharmacy

Faranak Pashang Costco Pharmacy

Mabel Pau Drug Basics

Intern Evaluation of Preceptor and Practice Site

“My preceptor stimulated my knowledge of pharmacy practice and motivated me as a health care professional.”

– Umbreen M


Vicky Wong Shoppers Drug Mart

MIDLAND

Michael Tolmie Shoppers Drug Mart

MILTON

Hitesh Kakadia Loblaw Pharmacy

Faisal Khawaja Hawthorne Pharmacy

Gehan Nazmy Total Health Pharmacy

Dawn Ross Shoppers Drug Mart

MISSISSAUGA

Akilhussein Adamjee Wal-Mart Pharmacy

Jauher Ahmad Shoppers Drug Mart

Nadeem Ahmed Total Health Guardian Pharmacy

Passant Al-Shaikh Shoppers Drug Mart

Eiman Amin Noor Drug Mart

Mina Awad City Care Pharmacy

Andrew Awadalla Total Health Guardian Pharmacy

Ramy Banoub Shoppers Drug Mart

Manuela Berbecel Costco Pharmacy

Dennis Cazzin Guru Nanak Dev Pharmacentre

Huong Duong Costco Pharmacy

Sherif Ghattas Total Health Pharmacy

Tawhida Gobara Zellers Pharmacy

Janis Greenhill Medical Building Pharmacy

Chaza Hadaia Pharma Plus

Maged Henein Glen Erin Pharmacy

Charlene Houshmand The Pharmacy

Khurram Hussain Shoppers Drug Mart

Fawzy Ibrahim Tomken Centre Pharmacy

Neema Kapadia The Trillium Health Centre

Alaric Kimson Wal-Mart Pharmacy

Vincenzo Lamonica Derry Road Pharmacy

Ying Lau Rexall Pharma Plus

Ameesh Lekhi Shoppers Drug Mart

Aysha Lodhi The Pharmacy

Jagjit Maghera Shoppers Drug Mart

Rick Mak Zellers Pharmacy

Shady Mawad Britannia Medical Pharmacy

Sharmil Mithia Grand Park Pharmacy

Emad Nossier Erindale Medical Pharmacy

Ricardo Obusan Jr. Zellers Pharmacy

Hitesh Pandya Shoppers Drug Mart

Smita Patil Rexall Pharma Plus

Ramniklal Sachania Heritage Hills Pharmacy

Suhad Sa’Doun The Pharmacy

Arlene Salonga-Abule The Credit Valley Hospital

Sujan Shrestha Loblaw Pharmacy

Sameh Sidrak King Medical Arts Pharmacy

Olivera Skakavac Hoopers Pharmacy

Linda Snyder Rexall Pharma Plus

Yousuf Syed Costco Pharmacy

Alpana Vora Drugstore Pharmacy

Ahmad Waseem Shoppers Drug Mart

Alexander Wong Meadowvale Pharmacy

Violet Yousefi Wal-Mart Pharmacy

NAPANEE

Jeffrey Boutilier Drugstore Pharmacy

NEPEAN

Steven Bloom Shoppers Drug Mart

Georgeta Botehkan Drugstore Pharmacy

Ghada Farah Rexall Pharma Plus

Kathleen Jordan Shoppers Drug Mart

Jennifer Shaw Drugstore Pharmacy

NEWMARKET

Eliza Chu Costco Pharmacy

Sofia Massad Zellers Pharmacy

Yana Shamiss Southlake Regional Health Cntr

Janne Yang Shoppers Drug Mart

NIAGARA FALLS

Ugochukwu Nwankwo Wal-Mart Pharmacy

Jennie Pichelli The Greater Niagara Gen Hosptl

Veronica Rudan Pharmashield Dispensary

Barbara Trojanowska Drugstore Pharmacy

Marnie Varley Pharma Plus

NORTH BAY

Patricia Euler North Bay General Hospital

Ryan Post Shoppers Drug Mart

Hywel White Pharma Plus

NORTH YORK

Dakshesh Amin York Gate IDA Drug Mart

Hala Demian Main Drug Mart

Eric Lui North York General Hospital

Bahaa Mehany Main Drug Mart

Geoffrey Newton York Lanes Pharmacy

Hung Ng Zellers Pharmacy

Steven Schachter Shoppers Drug Mart

OAKVILLE

Irene Asad St. Mark’s Pharmacy

Georgios Benakopoulos Oakville Town Centre Pharmacy

Fabio De Rango Shoppers Drug Mart

Abdel-Messeih Fahmy Oak Park Community Pharmacy

Sherif Gerges Total Health Pharmacy

Amgad Hakim River Oaks Medical Pharmacy

Christine Kamel Total Health Pharmacy

Bassant Mansour Total Health Pharmacy

Balaji Pamalpadi Loblaw Pharmacy

Situl Sachania Shoppers Drug Mart

Kanwardip Sandhu Shoppers Drug Mart

Grace White Halton Healthcare Services

ORILLIA

Stephen MacDonald Shoppers Drug Mart

ORLEANS

Yousra El-Jaby Drugstore Pharmacy

Irene Mohareb Zellers Pharmacy

Bassem Nashed Crown Pointe Pharmacy

OSHAWA

Nelson Albacete Shoppers Drug Mart

Rita Ankus Lakeridge Health

Devin Bhimani Drugstore Pharmacy

Baris Huner Shoppers Drug Mart

Amir Hussain Wal-Mart Pharmacy

Allan Ingles Pharmacy 1 Drug & Food

Rajni Kassett PharmaChoice

Paresh Mehta Drugstore Pharmacy

Karen Monaghan Pharma Plus

Sheri Power Shoppers Drug Mart

Suresh Shukla Drugstore Pharmacy

Wynand Van Rooyen Medical Pharmacy

OTTAWA

Majed Abed Drugstore Pharmacy

Samira Ali-Abdullah The Drugstore Pharmacy

Kennevie Aquino Zellers Pharmacy

Daiana Barbalata Pharma Plus

Pedro Barreiro Shoppers Drug Mart

Shelagh Campbell Rexall Pharma Plus

Richard Cho Costco Pharmacy

Celine Corman The Ottawa Hospital

Yasmin Damji Medisystem Pharmacy

Eden D’Entremont Montfort Hospital

Shauna Devison Shoppers Drug Mart

Mohamed El Sayed Drugstore Pharmacy



Nahed El-Hawary Ottawa Medical Pharmacy

Yousra El-Jaby Drugstore Pharmacy

Tamer Farag First Care Pharmacy

Benjamin Gunter Drugstore Pharmacy

Narmin Jalaldin Shoppers Drug Mart

Jason MacEwen Shoppers Drug Mart

Jason Shaw Shoppers Drug Mart

Al-Amin Shrimali Drugstore Pharmacy

Jimrod Suello Zellers Pharmacy

Joseph Thibault Shoppers Drug Mart

Alison Trellert Shoppers Drug Mart

Gillian Wong Sen Chan Pharma Plus

OWEN SOUND

Kathleen Cu Zellers Pharmacy

John Paul Gloria Zellers Pharmacy

Atena Heydari Drugstore Pharmacy

Peter Rissi Parker Pharmacy

PARIS

Iyabode Kuye Sobeys Pharmacy

PEMBROKE

Michelle Baltazar Zellers Pharmacy

Joan Weise Mulvihill Drug Mart

PETAWAWA

Livia Vodenicar Shoppers Drug Mart

PETERBOROUGH

Rita Bain Wal-Mart Pharmacy

Patricia Myall Peterborough Regional Health Centre

Rohit Vats Drugstore Pharmacy

Michael Youssef Burnham Medical Pharmacy

PICKERING

Patricia Allen Crook Pharma Plus

Balvantrai Daya Fairport Guardian Drugs

Irvin Ng Zellers Pharmacy

Rahim Suleman Shoppers Drug Mart

PICTON

David Paul Picton Clinic Pharmacy

PORT PERRY

Nancy Meyer Shoppers Drug Mart

REXDALE

Jaspreet Bajaj Shoppers Drug Mart

Mina Gobrail John Garland Pharmacy

Adel Tadros Best Care Austin Pharmacy

RICHMOND HILL

Maher Abdel Malak Bayview 16th Medical Pharmacy

Nineta Anghelache Sobeys Pharmacy

Vera Avetissov Shoppers Drug Mart

Atossa Babaie-Nami Richmond Medical Pharmacy

Giuseppe Colella Shoppers Drug Mart

Tasneem Haji Rexall

Simon Lau Drugstore Pharmacy

Zahira Moledina York Central Hospital

Karen Monaghan Rexall

Maged Naguib Procare Pharmacy

Daniela Pacitto York Central Hospital

Mirette Riad Leslie & Major Mac. I.D.A. Pharmacy

Samy Saad Richpoint Pharmacy

Kai Wong Meditrust Pharmacy

Johnny Wong A & W Pharmacy

Kit Yim York Central Hospital

ROCKLAND

Guillaume Grenier Shoppers Drug Mart

SARNIA

Rushabh Damani Drugstore Pharmacy

Marcel Laporte Shoppers Drug Mart

SAULT STE MARIE

Carla Deluco Group Health Centre Pharmacy

Sebastian Desumma Market Mall Pharmacy

Steven Filek Shoppers Drug Mart

Olga Fischer Rexall

Jamie Greco Medical Center Pharmacy

Donald Hare Zellers Pharmacy

Mary Jane Margaret Ngo Zellers Pharmacy

SCARBOROUGH

Amgad Abdel Sayed Extra Care Pharmacy

Ahmad Abdullah Shoppers Drug Mart

Moe Amro Shoppers Drug Mart

Amir Attalla Zellers Pharmacy

Mojgan Bijanzadeh Shoppers Drug Mart

Carrie Boudreau Scarborough Grace Hospital

Shimon Cabrera National Pharmacy

Thomas Chau Providence Healthcare

Elizabeth Chau Drugstore Pharmacy

Michael Chowdhury Wal-Mart Pharmacy

Anoja Devaranjan Valueplus Pharmacy

Akil Dhirani Village Square Pharmacy

Truong Duong Wal-Mart Pharmacy

Mamdouh Farag Danforth Pharmacy

Sherif Ghattas Best Care Pharmacy

Sali Ghobrial Guildwood Drug Mart

Winnie Ho The Scarborough General Hospital

Jerry Ip Shoppers Drug Mart

Bassem Iskander DiscountPlus Pharmacy

Hari Kambo Pharmacenter

Minaaz Kara Pharmasave

Moslem Kashiri Fairlane Drug Mart

Kyungsuk Lee Costco Pharmacy

Man Liu Shoppers Drug Mart

Erlinda Lo Wal-Mart Pharmacy

Joanna Man Bay Pharmacy

Abdoulnaser Mansoubi Shoppers Drug Mart

Shelina Mawani Pharma Plus

Chimanlal Mistry Mornelle Drug Mart

Seema Nayani Costco Pharmacy

Oluremi Ojo Guardian Corporate Pharmacy

Nayan Patel Pharmasave

Dang Pham Shoppers Drug Mart

Ramachandran Ramapathy Pharma Grace Drug Mart

Zahra Rhemtulla Shoppers Drug Mart

Suresh Shukla Drugstore Pharmacy

Hany Silwanes Best Care Pharmacy

Uday Pratap Singh Shoppers Drug Mart

Shirin Somani Shoppers Drug Mart

Elena Sze The Scarborough General Hospital

Ekaterina Takopoulos The Pharmacy

Terence Wong Shoppers Drug Mart

Man Yiu Shoppers Drug Mart

SIMCOE

Helen Jonker Pharmasave

Jannette Pinson Zellers Pharmacy

Emily Sta Rita Zellers Pharmacy

SIOUX LOOKOUT

Fiona Arbiter Rexall

Intern Evaluation of Preceptor and Practice Site

“He made learning fun and enjoyable.”

– Renukanthan P


ST. CATHARINES

Norris Brown Shoppers Drug Mart

David Costiniuk Shoppers Drug Mart

Betty George Drugstore Pharmacy

Monisha Jhirad Drugstore Pharmacy

Moez Saju Zellers Pharmacy

Anne Sinclair Costco Pharmacy

ST. CLAIR BEACH

Mojisola Gbadamosi Drugstore Pharmacy

STONEY CREEK

Lisa Carvalho Drugstore Pharmacy

Alan Genik Supercare Pharmacy Stoney Creek Pharmasave

Matthew Neskar Shoppers Drug Mart

STOUFFVILLE

Paul Kuras Shoppers Drug Mart

STRATFORD

Merike Metcalfe Drugstore Pharmacy

STRATHROY

Jennifer Evered Drugstore Pharmacy

SUDBURY

Shaun Barry Rexall

Micheal Kilby Costco Pharmacy

Luisa Ranger Shoppers Drug Mart

THORNHILL

Maria Afrooz Pharma Plus

Gina Chiang Pharma Plus

Sameh Ibrahim Steeles Pharmacy

Irving Knopman Pharmacy 1 Drug & Food

Fred Kohan Pharmacy 1 Drug & Food

Amany Mourid St. Mary Pharmacy

Samir Patel Shoppers Drug Mart

Hema Rajawat Pharmacy 1 Drug & Food

Nagaty Samaan St. Mary Pharmacy

THOROLD

Mohsen Shivafard Pharma Plus

THUNDER BAY

Brenda Adams Janzen’s Pharmacy

Sean Albanese Thunder Bay Regional Health Sciences Centre

Deborah Emery St. Joseph’s Hospital

Chi Luu Shoppers Drug Mart

Maria Catherine Manalili Zellers Pharmacy

Paul Manary Thunder Bay Regional Health Sciences Centre

Catherine Omeljaniuk Thunder Bay Regional Health Sciences Centre

Angelica Rubio Zellers Pharmacy

Grace Tan Zellers Pharmacy

Marcia Wilson Safeway Pharmacy

TIMMINS

Nicole Lacroix Zellers Pharmacy

TORONTO

Hanan Allahham Pharmasave

Shalini Anand Shoppers Drug Mart

Edwin Barrera-Liza Drugstore Pharmacy

Parvin Bineshian Pharmasave

Aleksandra Bjelajac Mejia The Hospital For Sick Children

Lauren Blatt Toronto Rehab. Institute

Amir Botros Albion Medical Pharmacy

Lisa Burry Mount Sinai Hospital

Gregory Callaghan Centre for Addiction and Mental Health

Karen Cameron The Toronto Western Hospital

Betty Chan The Toronto Western Hospital

Sarah Chaudhry Drugstore Pharmacy

Yan Chen Shoppers Drug Mart

Doret Cheng Mount Sinai Hospital

Fabrizio Damiani Shoppers Drug Mart

Nader Danyal Clairhurst Medical Pharmacy

Thanh Dao St. Michael’s Hospital

Norman Dewhurst St. Michael’s Hospital

Jatinderjit Dhaliwall Shoppers Drug Mart

Richard Diesch Shoppers Drug Mart

Stanley Dinoff Shoppers Drug Mart

Jackline Elsobky Bathurst-Bloor IDA Drug Mart

Onimisi Etudaiye Wal-Mart Pharmacy

Ashraf Faltaous Shoppers Drug Mart

Ramez Fares St. Joseph’s Health Centre

Veeral Gandhi Rexall Pharma

Basem Ghatas Dufferin-Finch Pharmacy

Amir Girgis Boktor Methadrug Pharmacy

Dianne Grise Drugstore Pharmacy

Liliana Guidoccio The Toronto General Hospital

Henry Halapy St. Michael’s Hospital

Manjit Hansra Shoppers Drug Mart

Brian Hardy Sunnybrook Health Sciences Centre

Jun Higuchi The Pharmacy

Cynthia Ignacio Pharma Plus

Akeel Jaffer Shoppers Drug Mart

Ksenija Jankovic Shoppers Drug Mart

Alexandra Karmiris Shoppers Drug Mart

William Kassel Kassel’s Pharmacy Limited

Michelle Kim Shoppers Drug Mart

Robyn Knight Rexall Pharma Plus

Josephine Kong Costco Pharmacy

Jennifer Korman Mount Sinai Hospital

Demitrios Koutroubis Rexall Pharma Plus

Allen Kula The Medicine Shoppe

Ri-feng Lam Drugstore Pharmacy

Mei Lam Drugstore Pharmacy

Melissa Lan The Toronto General Hospital

Joanne Lapointe Toronto East Gen & Ortho Hosp

Tracey Lawson St. Joseph’s Health Centre

Ki-Seok Lee Bloor Park Pharmacy

Anne Longo The Hospital For Sick Children

Cyrille Lugassy Shoppers Drug Mart

Miranda Mak The Riverdale Hospital

Michael Makary Main Drug Mart

Maen Mashnuk Pharmasave Harbourfront Pharmacy

Kaye Mekawi Zellers Pharmacy

Sami Mikhaeil Sam’s I.D.A. Pharmacy

Sanaz Mozayyan The Toronto Western Hospital

Jasmina Mureta Drugstore Pharmacy

Gehan Nazmy Total Health Pharmacy

Maria Nenadovich Shoppers Drug Mart

Lesley Neves-Azevedo College Medical Pharmacy

Fanika Nikiforovski Drugstore Pharmacy

Cyndy Oliver Sunnybrook & Womens Col H.S.C

Mohamed Osman Zellers Pharmacy

Elaine Ostfield Mount Sinai Drugstore

Marissa Panganiban Zellers Pharmacy

John Papastergiou Shoppers Drug Mart

Behzad Peyrovan Drugstore Pharmacy

George Phillips Shoppers Drug Mart

Sarah Pooler Pharma Plus

Johanna Proceviat St. Michael’s Hospital

Chi-wah Quan Janedal Pharmacy

Phoebe Quek Ambulatory Patient Pharmacy

Brigitte Reiner Kassel’s Pharmacy Limited

Abraam Rofael Zellers Pharmacy

Maria Rofaiel White’s Pharmacy

Irina Sagaidak Shoppers Drug Mart

Samia Sahyone Pharmasave

Yahya Salem Zellers Pharmacy



Jack Seki The Princess Margaret Hospital

Vaishali Sengar St. Michael’s Hospital

Shirish Shah Bloor-Dundas Pharmacy

Parmanand Singh Shoppers Drug Mart

Safwat Sourial Shoppers Drug Mart

Nadia Sourour Keele & Rogers Pharmacy

Beth Sproule Addiction Research Foundation

Kenny Tan Shoppers Drug Mart

Luciano Tauro Dufferin Drug Mart

Pablo Tiscornia Pharma Plus

Eliza To The Toronto General Hospital

Shveta Unarket Toronto Rehab. Institute

Jefter Vandenburg Shoppers Drug Mart

Vesna Vukcevic Best Drug Mart

Janet Weber Rexall Pharma Plus

John Weymouth Don Russell Drug Mart

Amy Wong The Pharmacy

Michael Wong Medical Pharmacy

Kam Wong The Toronto Western Hospital

Peter Youhanna Islington Medical Pharmacy

Suet-Mui Yuen The Pharmacy

Roudolph Zaky Sone’s Pharmacy

TRENTON

Monette Alviola Zellers Pharmacy

VAL CARON

Julie Olivier Rexall

VANIER

Anishkumar Sanghavi Drugstore Pharmacy

VAUGHAN

Pirasteh Adab Drugstore Pharmacy

Naveed Ahmad Medi-Pharm Pharmacy

Jamil Ebrahimzadeh Ahari Drugstore Pharmacy

Sunitha Kondoor Shoppers Drug Mart

Ogieriakhi Omozusi Shoppers Drug Mart

Soheila Rajablarijani Shoppers Drug Mart

WALLACEBURG

Matthew Dockrill Wal-Mart Pharmacy

WATERDOWN

Kristin Duby Langford Pharmacy

Kathryn Milligan Drugstore Pharmacy

Saly Thomas Zellers Pharmacy

WATERLOO

Veneta Anand Shoppers Drug Mart

Lisa Bak Westmount Place Pharmasave

Meika Brogden Sobeys Pharmacy

Louis Celli Rexall Pharma Plus

Mahboob Fatima Drugstore Pharmacy

Maria Horner Shoppers Drug Mart

Bilal Mouneimne Rexall Pharma Plus

Dragana Nedeljkovic Shoppers Drug Mart

WELLAND

Christopher Bida Rose City Pharmacie

Elizabeth Jackson Rexall

Katherine Loth Dell Pharmacy

Shawn Severin Zellers Pharmacy

WESTON

Tasneem Akhtar Shoppers Drug Mart

Shereen El-Azrak Humber River Regional Hospital

John Palumbo Shoppers Drug Mart

Kevin Phang Shoppers Drug Mart

Adel Soliman Westown Pharmacy

WHITBY

Susan Bowser Shoppers Drug Mart

Tammy Cheung The Pharmacy

Vanessa Coffey Pharmasave

Muhammad Farooq The Pharmacy

Issac Gergs Pharmasave

Meenaz Jaffer Medical Pharmacy

Rosemary Rofail Drugstore Pharmacy

WILLOWDALE

Albert Cheng Pharma Plus

Essam El-Arif Fairview Pharmacy

Riad Elsobky Cliffwood IDA Pharmacy

Ara Kolandjian Shoppers Drug Mart

Yong Lin Shoppers Drug Mart

Bethany McMullen Shoppers Drug Mart

Malgorzata Samuel Drug Basics Pharmacy

Robert Scherz Zellers Pharmacy

WINDSOR

Salam Abdul Rexall

Emmanuel Airewele Drugstore Pharmacy

Cheryl Bielicz Windsor Regional Cancer Centre

Timothy Brady Shoppers Drug Mart

Carmela Catizzone Rexall

Robin Chang Shoppers Drug Mart

John Devlin Hotel-Dieu Grace Hospital

Theodore Kummer Shoppers Drug Mart

Min Long Windsor Regional Hospital

David Marentette Wal-Mart Pharmacy

Eulalia Ocampo Windsor River Pharmacy

Lynnette Ridley Windsor Regional Hospital

Joseph Sobol Windsor Regional Hospital

Cristina Thomas Wal-Mart Pharmacy

Lidia Yrigoyen Windsor Regional Hospital

WOODBRIDGE

Saman Daneshkhah Costco Pharmacy

Caterina Mazza Pharma Plus

Mona Raphael Hendersons Woodbridge Medical Pharmacy

WOODSTOCK

Ahmad Jaradat Wal-Mart Pharmacy

Jayantkumar Patel Zellers Pharmacy

Student Evaluation of Preceptor and Practice Site

“Having a great preceptor to encourage you daily gives you confidence to pursue many activities.”

– Jasmin J


GTAJanuary 17, 2009Fundamentals of Buprenorphine Maintenance Treatment Centre for Addiction and Mental Health (CAMH)Toronto, ONContact: Robyn Steidman 416 535-8501, ext. 6640Alternate Tel: 1 800 661-1111

January 26-30, 2009Tobacco Cessation workshopTorontoTraining Enhancement in Applied Cessation Counselling and Health (TEACH)Toronto, ON Contact: [email protected] Tel: 416 535-8501 ext.1600

January 22, 2009Obesity, The Canadian Epidemic: An Update for Pharmacists Metropolitan Toronto Pharmacists Association (MTPA)Toronto, ONRegister online: http://www.mtpa.org/2007/jan22200.html

February 27 2009Enhancing MedsCheck: Con-ducting a Best Possible Medication History and Resolving Medication Discrepancies (Members only)Metropolitan Toronto Pharmacists Association (MTPA)Toronto, ON Register online: http://www.mtpa.org/education.asp

February 8 and February 22, 2009Opioid Dependence Treatment Core ProgramCAMH Online tutorials and live workshop Toronto, ON Contact: Robyn Steidman 416 535-8501, ext. 6640Alternate Tel: 1 800 661-1111

ONTARIO January 21, 2009Pharmacists Role in Methadone Maintenance Treatment Ottawa, ONContact: Peter Williams, Centre for Addiction and Mental Health 613 569-6024Email: [email protected]

February 21, 2009Update/Mise a jour 2009The Ottawa Valley Regional Drug Information ServiceOttawa, ONContact: Linda Ahmad613 737-8347 x [email protected]

CANADAJanuary 27-28, 2009Advancing Safe Medication Practi-ces: ISMP CanadaRegina, SaskatchewanTel: 416 733-3131 ext. 226Email: [email protected]

INTERNATIONALMay 10 – 15, 2009Clinical Pharmacy in Primary CarePrato, ItalyContact: Maria Bystrin 416 978-8458Email: [email protected]

ON-LINE Centre for Addiction and Mental Health (CAMH): January 26, 2009http://www.camh.net/education/Online_courses_webinars/index.html -Introduction to Concurrent Disorders-Admission, Discharge and Assess-ment Tools (ADAT) Training-Fundamentals of Mental Health -Fundamentals of Addiction -Interactions between Psychiatric Medications and substances of Abuse

http://www.rxcertified.ca Online fee-based certificate courses developed by the Drug Information and Research Centre (DIRC) and rx-BriefCase.com. Currently offering:- Diabetes Patient Care Level 1- Obesity Program

http://www.opacti.org/Online Clinical Tobacco Interventions for Health Care Professionals

http://www.pharmacygateway.comOn-line CE lessons

http://www.rxbriefcase.com/On-line CE lessons

CE for Pharmacy TechniciansFebruary 200927th Pharmacy technicians ConferenceHumber College North Campus, TorontoRegister online at pharmacy.humber.ca Contact: Irene Van Vliet416 675-6622 ext. 4691

Visit the College’s website: www.ocpinfo.com for a complete listing of upcoming events and/or available

resources. A number of the programs listed below are also suitable for pharmacy technicians.

CE resources


2007 annual statistics


laws & regulations

Drug and Pharmacies Regulation Act (DPRA) * sAmended June 4, 2008 Regulations to the DPRA:DPRA R.R.O. 1990, Regulation 545 – Child Resistant PackagesDPRA Ontario Regulation 297/96 Amended to O.Reg. 173/08 – GeneralDPRA R.R.O. 1990, Regulation 551 Amended to O.Reg. 172/08 – General

Drug Schedules **Summary of Laws Governing Prescription Requirements, Transfers, Refills, Prescription Drug Ordering and RecordsJune 2007 OCPCanada’s National Drug Scheduling System – December 10, 2008 NAPRA (or later)

Regulated Health Professions Act (RHPA) * sAmended November 27, 2008 Regulations to the RHPA:Ontario Regulation 39/02 -Certificates of Authorization Amended to O.Reg. 666/05Ontario Regulation 107/96 – Controlled ActsOntario Regulation 59/94 – Funding for Therapy or Counseling for Patients Sexually Abused by Members

Pharmacy Act (PA) & Regulations * sAmended 2007 Regulations to the PA:Ontario Regulation 202/94 Amended to O.Reg. 270/04 – GeneralOntario Regulation 681/93 Amended to O.Reg. 122/97 – Professional Misconduct

Standards of Practice sStandards of Practice, January 1, 2003 OCPStandards of Practice for Pharmacy Managers, July 1, 2005

Drug Interchangeability and Dispensing Fee Act (DIDFA) & Regulations * sAmended June 18, 2008 Regulations to the DIDFA:R.R.O. 1990 Regulation 935 Amended to O.Reg. 354/08 – GeneralR.R.O. 1990 Regulation 936 Amended to O.Reg. 205/96 – Notice to Patients

Ontario Drug Benefit Act (ODBA) & Regulations * sAmended 2007 Regulations to the ODBA:Ontario Regulation 201/96 Amended to O.Reg. 356/08 – General

Food and Drugs Act (FDA) & Regulations ** 'Updated as of December 31, 2006Amendment 1478 & 1491 – Addition of two medicinal ingredients to Part I of Schedule F. Reg. SOR/2007-224, Oct 25/07Amendment 1476, 1502, 1511 and 1512 – Addition of nine medicinal ingredients to Part I of Schedule F. Reg SOR/2007-234, Oct 25/07Regulations Amending the Food and Drug Regulations (Project 1551- Lanthanum salts) (February 7, 2008)

Controlled Drugs and Substances Act (CDSA) **Current as of November 18, 2008

Regulations to the Controlled Drugs and Substances Act (CDSA) **All regulations updated August 13, 2008Benzodiazepines & Other Targeted Substances RegulationsMarihuana Medical Access RegulationsPrecursor Control RegulationsRegulations Exempting Certain Precursors and Controlled Substances from the Application of the Controlled Drugs and Substances ActNarcotic Control Regulations **

OCP By-Laws By-Law No. 1 – December 2007 sSchedule A - Code of Ethics for Members of the Ontario College of Pharmacists - December 2006Schedule B - “Code of Conduct” and Procedures for Council and Committee Members - December 2006Schedule C - Member Fees - Effective January 1, 2007Schedule D - Pharmacy Fees - Effective January 1, 2007Schedule E – Certificate of Authorization – Jan. 2005Schedule F - Privacy Code - Dec. 2003

Reference sOCP Required Reference Guide for Pharmacies in Ontario, November, 2008

* Information available at Publications Ontario (416) 326-5300 or 1-800-668-9938 www.e-laws.gov.on.ca ** Information available at www.napra.org ' Information available at Federal Publications Inc. Ottawa: 1-888-4FEDPUB (1-888-433-3782)

Toronto: Tel: (416) 860-1611 • Fax: (416) 860-1608 • e-mail: [email protected] s Information available at www.ocpinfo.com

Jan

ua

ry/Fe

bru

ary

20

09 • V

olu

me 16

, Nu

mb

er 1

Documents

Ontario College of Pharmacists