Iâ€™ve been conversing with several pharmacists about the future of pharmacy practice, specifically about the PPMI developed earlier this year by ASHP. This is a sharp group of people, but what I continually hear is the same thing Iâ€™ve heard for a number of years. While Iâ€™m not as experienced as many of my esteemed colleagues due to a late start to my career, I have worked in several acute care facilities. Iâ€™m not sure who said it, but Einstein gets credit for defining insanity as doing the same thing over and over again and expecting different results.
The literature presented in support of a new practice model is, in reality, based on current practice. Itâ€™s all looking at how best to apply the pharmacistâ€™s current knowledge and resources to the current practice model. Economic outcomes improved by a pharmacist; great, but not new. Improved patient outcomes with a pharmacist in a team approach; awesome, but not new. Use a pharmacist as a prescriber; cool idea, but not new. These models are easily ten years old and weâ€™re still talking about them as if they were new ideas. See a trend here? I think this is exactly what Einstein had in mind when he defined insanity.