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UH-Hilo’s College of Pharmacy reaches American Samoa


Lyndon B. Johnson Tropical Medical Center pharmacist Malaefou Anesi, left, and Chief of Pharmacy Evelyn Ahhing-Faaiuaso, right, welcome a delegation from the University of Hawaii at Hilo College of Pharmacy that includes third-year students Daniel Navas and Robert Esteban; Dr. Carolyn Ma, associate professor and chair for Pharmacy Practice and director of experiential education; and Drs. Anita Ciarleglio and Scott Holuby, assistant professors in the Department of Pharmacy Practice. (Photo courtesy of UH-Hilo)

Lyndon B. Johnson Tropical Medical Center pharmacist Malaefou Anesi, left, and Chief of Pharmacy Evelyn Ahhing-Faaiuaso, right, welcome a delegation from the University of Hawaii at Hilo College of Pharmacy that includes third-year students Daniel Navas and Robert Esteban; Dr. Carolyn Ma, associate professor and chair for Pharmacy Practice and director of experiential education; and Drs. Anita Ciarleglio and Scott Holuby, assistant professors in the Department of Pharmacy Practice. (Photo courtesy of UH-Hilo)

MEDIA RELEASE

 

There’s only one place in the small, far-flung U.S. territory of American Samoa for its 60,000-plus residents to fill their prescription needs.

Dr. Evelyn Ahhing-Faaiuaso oversees it all as the chief of pharmacy for the Lyndon B. Johnson Tropical Medical Center. She’s one of only two pharmacists on this group of islands 2,600 miles southwest of Hawaii and is the only one licensed in the U.S. That distinction presents tremendous challenges for her.

“There’s such a great need for pharmacists in our setting,” said Ahhing-Faaiuaso, who is a native of American Samoa. “There are not enough to serve our population.”

That’s where the University of Hawaii at Hilo hopes to step in. Three College of Pharmacy faculty members and two third-year pharmacy students recently spent a week in American Samoa to assess the hospital’s pharmacy needs, educate medical staff and encourage island students to pursue a pharmacy career.

The delegation returned July 3.

“My hope is to promote pharmacy to students here so they take up the profession,” Ahhing-Faaiuaso said, “and to return back home and serve our community.”

Dr. Carolyn Ma, associate professor and chair for pharmacy practice and director of experiential education, first visited the hospital in March to determine how UH-Hilo’s burgeoning pharmacy program could help the territory now and in the long term, in line with its mission to improve the quality of health care in Hawaii and throughout the Pacific.

The college has begun a pre-pharmacy initiative at American Samoa Community College through a grant from the U.S. Department of Education.

Ma said she was impressed by the hospital’s successes despite its limited resources.

“The health care providers at the hospital do an incredible job with what they have, and I really admire and respect them for their dedication,” Ma said.

Ma also is a member of an interdisciplinary health-care team from the June Jones Foundation, whose summer mission overlapped the College of Pharmacy’s work in American Samoa.

Jones, the head football coach at Southern Methodist University, worked with athletes at a football camp while his nonprofit medical mission donated $400,000 worth of supplies to the hospital. Members of the pharmacy delegation helped deliver those supplies.

Ma and Drs. Anita Ciarleglio and Scott Holuby, assistant professors in the Department of Pharmacy Practice, also offered continuing education classes for pharmacy staff, physicians and nurses.

Topics included diabetes, hypertension and asthma, which are all prevalent in American Samoa, as well as the prevention of medication errors. The faculty attended rounds to offer assistance to providers, patients and families regarding their medications and to learn more about hospital functions.

“There’s such a huge potential for pharmacy services, but they truly need more pharmacists who are familiar with the culture and sensitive to the needs of the Samoan people,” Holuby said.

“We want to promote pharmacy as the beautiful profession that it is,” Ciarleglio said. “It’s a fine way to give back to one’s community and serve others.”

Ma’s other purpose on this mission was to evaluate a potential partnership between the college and the hospital to place students in fourth-year, advanced pharmacy practice experiential rotations while encouraging island residents to consider a pharmacy career.

“It became apparent from this visit that certainly the LBJ medical center would welcome and benefit from fourth-year students to help build their inpatient pharmacy services, and also that our students could help promote the pharmacy profession at the intermediate, high school and community college levels,” Ma said.

College of Pharmacy students Robert Esteban and Daniel Navas were selected for the medical mission and also will receive elective credits for their efforts.

Both are third-year students on track to graduate with the college’s inaugural class in 2011.
Esteban and Navas shared their educational journeys with a crowded classroom of community college students and encouraged them to follow a similar path.

“I hope I gave students the impression that they are able to make a difference in their communities, as well as their own lives, through education,” said Esteban, a 32-year-old student from Honolulu.

Navas, 36, of Honolulu hopes he has piqued the interest of Samoan students so that one day they will help their islands.

“Understanding the culture is essential in communication and effective patient care,” Navas said. “The situations I encountered here are real and complicated, and need real solutions despite limited resources.”

The need for pharmacists is great, Ahhing-Faaiuaso said, especially native-born people who understand the Samoan language and the islands’ traditions. She received a bachelor’s degree in pharmacy in 1987 and a doctorate in pharmacy in 2003. She took over the pharmacy in 2007 after gaining experience in retail pharmacy and at Tripler Army Medical Center on Oahu.

“An affiliation with UH-Hilo would bring the current standards of pharmacy practice into our setting,” Ahhing-Faaiuaso said, “and with the limited resources we have, we can meet them halfway with ongoing teaching for the students who will be spending time here.”

The College of Pharmacy was awarded candidate accreditation status by the Accreditation Council for Pharmacy Education in July 2008.

The college will be eligible for full accreditation when its first class of students graduates from the four-year program in 2011. It will welcome its third class of 90 students in August.

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UH-Hilo to aid isle aging populations


MEDIA RELEASE

When people need to go to the county’s Aging and Disability Resource Center, they will soon be able to get advice on medications from experts from the University of Hawaii at Hilo’s College of Pharmacy. 

The collaboration is due to funding from the Health Resource Services Administration from a grant that will also benefit UH-Hilo’s Nursing program’s efforts to promote geriatric healthcare.

The project, entitled Pacific Island Geriatric Education Center, gives $22,000 each to the College of Pharmacy and the Baccalaureate Nursing Program to increase the amount of interdisciplinary geriatric care concepts with community projects. 

One of Pharmacy’s projects is to provide counseling at the Aging and Disability and Resource Center.

“We’ll be able to reach parts of the community through the Center for Aging and Disabilities that never have a chance to meet anyone from the University of Hawaii at Hilo,” said Dr. John M. Pezzuto, dean of the College of Pharmacy. “In addition, our collaboration with our colleagues from nursing on this grant allows us to reach inward as well and concentrate on similar health issues. It’s a win-win situation.”

Nursing is using grant funds to support a conference benefiting geriatrics called “Pulama I Ke Ola” (Hold Life Precious), on the Hilo campus May 21-22. 

Cecilia Mukai, an associate professor in nursing who has been a practicing Registered Nurse since 1973, said she envisions further collaborative efforts with Pharmacy to include mutual geriatrics coursework. Currently, she teaches one geritological healthcare course that is open to other disciplines.

“It’s part of our responsibility as healthcare professionals to work together and teach the whole experience of living healthily,” Mukai said. “For the same reason, we are including a youth program and including high school students in our conference this year. We are trying to influence future generations, and the best way to do that will be by working together.”

Through this collaboration, the Pacific Island Geriatric Education Center proposes to increase faculty expertise in the area of geriatric medicine. 

Work at the Aging and Disability Resource Center places Pharmacy faculty in the middle of 11 agencies that provide care and support.

Also called Kahi Malama, or “a place for caring,” the center acts as a single access facility housing the county Office of Aging, the local Area Agency on Aging, the ARC of Hilo, the Center for Independent Living, Coordinated Services for the Elderly, and the Hawai’i County Nutrition Program. A future tenant will be the state Department of Human Services.

“One of the reasons people are living longer is because of medications, so the contract with the College of Pharmacy is a natural fit,” said Alan Parker, Executive on Aging at the center, which had a grand opening in November after three years of planning. “When you start working together, ideas just start popping up.”

Faculty members will be available to start consulting with clients by September, said Dr. Scott Holuby, an assistant professor in the Department of Pharmacy Practice who is also a licensed practicing pharmacist with a specialty in diabetes. 

He is working on getting supplies, such as computers and projectors, as well as planning group classes, field trips and one-on-one counseling.

“We can show people how to read medication labels, how to choose over-the-counter drugs and how to use their medications properly,” Holuby said. “My goal is to encourage seniors to use their local pharmacist to help them get the most out of their medications.”

Ultimately it will be a rotation site for students, he said. One role of the students will be to help the patients set up medication schedules. They will be able to print lists of medications with instructions, as well as provide additional written medical information from verified online resources available through UH-Hilo.

“Our hope would be that this will lead to a geriatric residency opportunity for our students,” said Dr. Edward Fisher, associate dean for academic affairs in the College of Pharmacy. “It’s the perfect opportunity for students to experience the various problems that geriatric patients encounter by observing other agencies in the Center.”

For more information, call 961-8626. For information on the College of Pharmacy, call 933-2909 or email pharmacy@hawaii.edu.

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Mar 16, 2010 / 4:04 pm