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The CEimpact Podcast features three shows; GameChangers, Precept2Practice, and LevelUp. The GameChangers podcast, hosted by Geoff Wall, features the latest game-changing pharmacotherapy advances impacting patient care. New episodes arrive every Monday, and users can earn CPE from each episode. The Precept2Practice podcast, hosted by Kathy Scott, features information and resources you can use to precept students and residents. New episodes arrive on the third Wednesday of every month. CEimpac ...
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Shortages, access, and cost have led to compounding GLP1s, which has created confusion and misinformation for patients and healthcare providers. Join us as we discuss this practice and delve into what you need to know as a healthcare provider. THE GAMECHANGER: The advent of GLP1s is a true GameChanger in the health of patients with diabetes, cardio…
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This episode discusses the 2023 Inflation Reduction Act and HHS's authority to negotiate prices for high-cost drugs in Medicare Part D. In addition to the initial list of 10 drugs, HHS is now focused on medications used in the hospital and covered under Medicare Part B. The GameChanger HHS updates the Inflation Reduction Act that will impact over 7…
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This episode discusses quality and value in healthcare and how the BPCI program, designed to lower costs and enhance care quality, particularly in the post-acute phase, did not demonstrate notable positive impacts on HF-related measures. What does this mean for the larger health quality landscape? The GameChanger Quality in healthcare is rapidly ev…
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The anti-rejection drug rapamycin has been shown in mice and other mammals to reverse cellular damage caused by aging to extend healthy life by up to 20%. This has caused massive off-label prescribing and use of rapamycin in humans as an anti-aging drug. The GameChanger What do you tell patients about the evidence-based use of rapamycin for anti-ag…
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In this episode, we delve into the crucial topic of understanding generational differences in the context of pharmacy education. Our guest expert, Melissa Medina from the University of Oklahoma, brings a wealth of knowledge and experience to the table, shedding light on why grasping these generational nuances is paramount for preceptors working wit…
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The GameChanger A new study looks at the utility of omalizumab in preventing food allergy reactions after accidental exposure. ACEis and Beta-blockers should be avoided in patients with recurrent anaphylaxis if possible. Host Geoff Wall, PharmD, BCPS, FCCP, BCGP Professor of Pharmacy Practice, Drake University Internal Medicine/Critical Care, Unity…
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Stay updated on recently FDA-approved medications crucial for pharmacists. Gain essential insights on new drugs approved in the last 12 to 18 months, ensuring accurate dispensing and effective patient education. The GameChanger SweatControl Patch approved for primary axillary hyperhidrosis. Update in treatment for Alzheimer's with mild cognitive im…
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The cardiometabolic syndrome is a concept recently developed by the American Heart Association to denote the totality of risk in a patient with risk factors that may lead to or worsen chronic kidney disease or cardiovascular events. A new validated scoring system has been endorsed by AHA to better assess the short and long-term risk for these in th…
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Several outbreaks of a relatively new, resistant fungal infection - candida auris - have been reported in the Pacific Northwest. It is highly contagious and its mortality has approached 60%. Listen in as we discuss what to watch for and how to prepare if this reaches your geography. THE GAMECHANGER: Candida auris is resistant to most antifungals, h…
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Do you feel like it is getting more difficult to engage your students or residents on your rotation and keep them engaged? Or maybe you personally feel a little bored with the same old activities and strategies. In this episode, preceptors Beth Cady and Carrie Vogler of Southern Illinois University Edwardsville on some creative strategies they use …
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With pockets of measles outbreaks throughout the country, we discuss the reasons and strategize ways pharmacy can impact vaccination rates in their communities. The GameChanger Measles was essentially eliminated from the US in 2000. Now, we are seeing a resurgence of outbreaks that have prompted the CDC to issue warnings and reminders of the import…
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With record-cold temperatures in much of the United States this winter, a high number of cold injuries have been reported. This podcast discusses prevention and treatment for hypothermia and frostbite. Brrrrr! The GameChangers: Frostbite prevention using layers and heating measures Hypothermia treatment using external and internal heating Frostbite…
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The American Diabetes Association has released the 2024 Standards of Care for people with Type 1 and Type 2 Diabetes. Join us as we talk with one of our favorite diabetes experts, Dr. Sue Cornell, about the major shifts in diabetes care that are omnipresent in this year's guideline updates. The GameChanger Diabetes treatment is shifting to preventi…
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Insulin icodec is the first class of long-acting insulin to be administered only once a week. Join host, Jen Moulton, as she discusses the safety and efficacy of insulin icodec with guest, Geoff Wall. The GameChanger Insulin icodec is the first of the ultra long-acting insulins with once weekly dosing. Multiple clinical studies have suggested these…
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Alcohol Use Disorder (AUD) and cirrhosis are common medical conditions with significant morbidity and mortality. Join host, Geoff Wall, as he evaluates the new American College of Gastroenterology guidelines. The GameChanger The MELD score is now preferred over the Madrey score for assessing mortality. Baclofen is the primary treatment for reducing…
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Communication is ‘an essential duty’ of a pharmacist and the cornerstone of quality patient care. And yet, it continues to be one of the most common frustrations reported by preceptors when working with students and residents. Many factors may be at play, including a pandemic, as well as a digital society where so much communication happens in quic…
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Hyponatremia is a side effect of most diuretics but the incidence from thiazides is unknown. Join host, Geoff Wall, as he evaluates a new study from Denmark evaluating hyponatremia and thiazides. The GameChanger Thiazide diuretics are considered first-line therapy but electrolyte side effects are underevaluated. A new study suggests hyponatremia is…
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Sickle cell disease (SCD) is a devastating medical condition causing pain, fatigue, and early mortality. Join host, Geoff Wall, as he evaluates a new gene therapy via CRISPR that may cure SCD. The GameChanger CRISPR is a new method to develop targeted gene editing treatments. Lovo-cel is the first FDA-approved therapy and may treat sickle cell dise…
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Atrial fibrillation is the most common clinical arrhythmia. The newest guidelines have significant changes in diagnosis, assessment, and treatment. Join host, Geoff Wall, with guest Matt Boyd, as they evaluate the pharmacotherapy changes in the new guidelines in this two-part episode. The GameChanger Rate and rhythm control medications largely have…
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Atrial fibrillation is the most common clinical arrhythmia. The newest guidelines have significant changes in diagnosis, assessment, and treatment. Join host, Geoff Wall, as he evaluates the first half of the guidelines in this two-part episode. The GameChanger Different stratifying types of atrial fibrillation no longer exist. Additionally, left a…
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Utter the words "Artificial Intelligence" to other preceptors and pharmacy faculty, and you might get a reaction that ranges anywhere from fear and anxiety to excitement. In this insightful discussion, we explore the fundamental question of what AI is and its diverse application in shaping the landscape of pharmacy education. Guest Tim Aungst delve…
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Join Ashlee as she talks with Ina, the Director of Clinical Operations at RxGenomix, about the fascinating world of pharmacogenomics. Throughout this episode, Ashlee and Ina get into the nitty-gritty of pharmacogenomic testing - a game-changer in ensuring the right medication is administered to the right patient at the right time and dose. Listen t…
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One of the oldest medications in our pharmacopeia is digoxin. It may be used for atrial fibrillation and heart failure, although not as a first-line agent. Despite this, digoxin use is on the rise. Join host, Geoff Wall, as he evaluates why more prescribers are using digoxin. The GameChanger No new randomized controlled trials have been published t…
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Join Ashlee as she talks with Jen Moulton, the president of CEimpact, about her top five takeaways from a transformative year in pharmacy education and patient care. Listen to this episode to reflect on, learn, and apply the biggest lessons 2023 taught us, from the every-day practices that define us to the big picture within pharmacy education that…
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Alzheimer's Disease is a progressive terminal disease. Many treatments are focused on lifestyle modification to delay diagnosis and onset. Join host, Geoff Wall, with guest Jake Galdo, as they look at a new study evaluating the association between vaccines and the development of Alzheimer's Disease. The GameChanger Postviral inflammation may play a…
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Exocrine enzyme dysfunction is far more common than many primary care practitioners realize. Using pancreatic enzymes can help with symptoms and vitamin absorption. Join host, Geoff Wall, as he reviews new guidelines on the appropriate use of pancreatic enzymes. The GameChanger Chronic pancreatitis is the most common cause of exocrine dysfunction i…
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The world of healthcare is changing and so are our students and residents. If you are in a precepting role, you are experiencing some challenges in navigating these new waters. In this episode, Logan Murry, CPD champion, makes professional development practical, effective, and intentional. Listen in to learn how taking time to practice intentional …
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Menopausal vasomotor symptoms occur in about 80% of women and have a significant impact on quality of life. Hormone replacement therapy works well; however, it is often underused. Join host, Geoff Wall, as he evaluates Fezolinetant, a new medication to treat 'hot flashes.' The GameChanger HRT is vastly underused in menopausal women. Gabapentin and …
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Respiratory failure from COVID-19 should be treated as soon as possible. Join host, Geoff Wall, as he evaluates the the role of convalescent plasma in treating patients with COVID-19 and on mechanical ventilation. The GameChanger COVID-19 is still a significant concern acutely and for long-term complications. Convalescent plasma may benefit severel…
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Join Ashlee as she talks with Derek Borkowski, CEO and founder of Pyrls about the journey that led to the creation of Pyrls. Alongside this, Derek discusses Pyrls' partnership with CEimpact and the future of Pyrls as a company. Pyrls is an online drug information provider that focuses on design and simplicity in their delivery of that information. …
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Piperacillin/tazobactam and vancomycin have been reported in numerous clinical trials to be associated with acute kidney injury. Comparatively, cefepime with vancomycin may increase neurotoxic effects. Join host, Geoff Wall, as he evaluates a new randomized controlled trial evaluating the safety of these medications. The GameChanger Vancomycin, eve…
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Join Ashlee as she talks with Bernadette Jakeman, an ID-HIV specialized prescribing pharmacist and associate professor at the University of New Mexico College of Pharmacy. Her expertise lies in infectious diseases and HIV, a field that she's deeply passionate about and has dedicated her career to. Listen in as she takes us on a fascinating journey,…
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Polymyalgia rheumatica is a common rheumatic disorder. Steroids are the mainstay of therapy despite significant adverse reactions. Join host, Geoff Wall, as he evaluates a new treatment for PMR. The GameChanger Sarilumab is now FDA-approved for relapsing polymyalgia rheumatica. Sarilumab can be an alternative to long-term steroid therapy or methotr…
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Join Ashlee and Tim Ulbrich, pharmacist and founder of Your Financial Pharmacist, in this week's Level Up episode as they discuss Tim's career, advice, and resources that pharmacists can use in the journey toward attaining financial wellness. Tim Ulbrich, pharmacist & CEO of Your Financial Pharmacist, set out to help pharmacists solve this issue by…
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There are numerous formulations of aspirin available over-the-counter often advertised to decrease gastric issues. Join host, Geoff Wall, as he evaluates a new study to see if enteric aspirin is worth the extra money and effort. The GameChanger Buffered and coated aspirin are purported to cause fewer gastric adverse events. However, no efficacy or …
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Ever imagine what it's like to evolve from a retail pharmacy worker to a celebrated pharmacy technician trainer? Join Ashlee as she talks with Nicole Foster, the manager of pharmacy technician and client education at CEimpact about her inspiring journey. During this episode, the two discuss - Nicole's career and mentors - The essential shift in the…
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Hypertensive urgency - asymptomatic patients with elevated blood pressure - is frequently treated in the hospital and outpatient setting. Join host, Geoff Wall, as he critically examines the evidence to assess risk over benefit. The GameChanger Treatment of asymptomatic hypertension has not been shown to improve clinical outcomes. Recent data highl…
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Think journal clubs are a heavy lift? That they can't be done in a small pharmacy environment? Worried that you don't have enough statistical savvy? Listen to this episode and you'll discover how journal clubs can be incorporated into just about any setting with some simple strategies. The value they bring is immense - NAPLEX preparation for gradua…
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Ever wonder about the journeys behind the professionals working to advance in the pharmacy technician field? Join Ashlee as she talks with Liza Chapman, the Chief Professional Officer at the PTCB (Pharmacy Technician Certification Board), and Zachary Hall, the Associate Director of Professional Affairs about professional evolution in the pharmacy t…
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Injectable, long-acting therapy is a new frontier for hypertension management. Join host, Geoff Wall, as he evaluates zilebesiran, a hepatic angiotensinogen blocker for blood pressure control for up to six months. The GameChanger Zilebesiran blocks the final production of angiotensinogen at the hepatic level making it safer from a renal perspective…
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In the competitive pharmacy world, defining and separating yourself in the profession are keys to success. Far too often we overlook the benefits that can come from establishing a personal brand in this profession - at first glance, it can be a daunting and unfamiliar task. Join Jen Moulton, President of CEimpact, as she interviews Ashlee, VP of ma…
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Emergency contraception use has an effectiveness of about 70%. Join host, Geoff Wall, as he reviews new literature to see if COX-2 inhibition improves that rate. The GameChanger Emergency contraception (EC) is safe and effective but overall efficacy rates could be better. COX-2 inhibitors may enhance the effectiveness of EC but require multiday dos…
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The opioid crisis is still among us. In fact, according to the CDC, Opioids were involved in more than 68,000 deaths in 2020, which was 8.5 times the number of opioid-involved overdose deaths in 1999. The rate of drug overdose deaths involving opioids remains high, and CDC continues to track opioid overdose deaths. In this episode of the Level Up p…
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The cost of medications is often attributed to a burden on healthcare - despite hospitalizations costing four times as much. Join host, Geoff Wall, as he discusses the new Inflation Reduction Act which allows the government to negotiate medication prices. The GameChanger The US Federal Government can now negotiate with drug companies for the cost o…
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OTC Phenylephrine is in the news! Join Ashlee and David Brushwood as they navigate the convoluted world of OTC decongestants, and the pivotal roles pharmacists play in ensuring patient safety and medication efficacy. During this episode, the two discuss: 1. The role of the FDA in managing GRASE, Generally Recognized as Safe and Effective, medicatio…
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Multiple studies highlight the benefits of direct oral anticoagulants (DOACS) with lower incidence of side effects and non-inferiority to warfarin. Join host, Geoff Wall, and guest, Mathew Boyd, as they discuss the FRAILE AF study and whether warfarin may be the best bet in older adults. The GameChanger: DOACs are recommended by nearly all relevant…
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In this week's Level Up episode Ashlee speaks with CoraLynn Trewet who has the honor of being the first recipient of the Thomas R. Temple Mentorship Award from the Iowa Pharmacist Association. A testament to the transformative power of mentorship, CoraLynn’s journey is one of reciprocation, authenticity, and the profound impact of being truly seen.…
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Although uncommon, severe headaches, neck sitffness, and other symptoms may occur after epidural procedures (lumbar puncture). Join host, Geoff Wall, as he evaluates new guidelines for the management of these symptoms The GameChanger Post procedural headache can be severe and last up to two weeks or longer. Management includes standard pain medicat…
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Drawing upon personal experiences and professional acumen, our guest Dawn Grittman, a steadfast advocate for mental health awareness and suicide prevention, joins Ashlee to peel back the layers of her journey intertwined with the National Alliance on Mental Illness (NAMI). As a pharmacist, Dawn’s story is a compelling narrative of transition from v…
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N-Acetyl Cystine (NAC) has been long used as the antidose for acetaminophen poisonings - although with variable implementation. Join host, Geoff Wall, and guest, Kayla Myers, discuss a new consensus guideline for appropriate treatment of acetaminophen overdose. The GameChanger NAC should be used if any doubt of acetaminophen poisoning based on new …
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