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Pharmacoeconomic Education in Egyptian Schools of Pharmacy
Soliman, Ahmed M.
Hussein, Mustafa
Abdulhalim, Abdulla M.
American Journal of Pharmaceutical Education
Objective. To investigate the status of pharmacoeconomics education in Egyptian schools of pharmacy and compile and construct recommendations on how Egypt and similar countries could improve their educational infrastructure in pharmacoeconomics.
Methods. A modified version of a published survey instrument was sent to all schools of pharmacy in Egypt (n= 24). The data were assessed to identify associations between offering pharmacoeconomics education and school characteristics.
Results. Usable responses were obtained from 20 schools (response rate: 83%). Only 7 schools offered pharmacoeconomics education, with a median of 20 teaching hours per semester. Among respondents, 4 schools had instructors with some training in pharmacoeconomics and only 1 school had a faculty member with PhD-level training. Only 4 schools offered graduate-level courses in pharmacoeconomics. Eight additional schools expressed interest in teaching pharmacoeconomics in the near future. Having 1 or more faculty members with training in pharmacoeconomics was significantly associated with offering pharmacoeconomics education (p = 0.03).
Conclusions. Pharmacoeconomics education in Egypt is still in its infancy and there exists a unique opportunity for well-trained instructors and researchers to fill this gap. Providing structured pharmacoeconomics education to student pharmacists, researchers, and stakeholders can help countries establish an integrated scientific community that can start applying pharmacoeconomic evidence to healthcare decision-making.
pharmacoeconomics; education; Egypt; curriculum
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Pharmacoeconomics Education in US Colleges and Schools of Pharmacy
Makhinova, Tatiana
Rascati, Karen
American Journal of Pharmaceutical Education
Objective. To determine the extent of pharmacoeconomics education in US colleges and schools of pharmacy provided to doctor of pharmacy (PharmD) students in 2011.
Methods. E-mails requesting syllabi and information about courses covering pharmacoeconomic topics were sent to all US colleges and schools of pharmacy from which PharmD students had graduated in 2011 (n=103).
Results. Of 87 responding pharmacy colleges and schools, 85 provided pharmacoeconomics education in 2011. The number of hours dedicated to pharmacoeconomic-related topics varied from 2 to 60 per year (mean=20).
Conclusions. Pharmacoeconomics education is provided at almost all US colleges and schools of pharmacy; however, variation in the number of teaching hours and topics covered demonstrates a lack of standardization in the PharmD curriculum. Pharmacy administrators and educators should invest more resources and tools to standardize training in this area.
pharmacoeconomics; pharmacy education; curriculum
Related Articles
Mental Health and Psychiatric Pharmacy Instruction in US Colleges and Schools of Pharmacy
Cates, Marshall E.
Monk-Tutor, Mary R.
Drummond, Stephanie Ogle
American Journal of Pharmaceutical Education
To describe the extent of psychiatric pharmacy instruction in US pharmacy curricula, including course and faculty characteristics and mental health topics taught in clinical therapeutics-based courses.
An 11-item survey instrument (54% response) was developed and mailed to 91 colleges and schools of pharmacy.
Over 75% of colleges and schools employed a psychiatric pharmacist; however, less than 50% of faculty teaching psychiatric pharmacy content were psychiatric pharmacy specialists as defined in the study. All colleges and schools included psychiatric topics as part of a therapeutics-based course with an average of 9.5% of course content devoted to these topics. About 25% of colleges and schools offered elective didactic courses in psychiatric pharmacy. Only 2 schools required a psychiatric pharmacy advanced pharmacy practice experience (APPE), but about 92% offered elective APPEs. The mean number of hours spent on lecture- and case-based instruction across all colleges and schools was highest for depression and lowest for personality disorders.
There is a need for colleges and schools of pharmacy to better identify and standardize the minimal acceptable level of didactic instruction in psychiatric pharmacy as well as the minimal level of specialty qualifications for faculty members who teach this subject.
psychiatric pharmacy; pharmacy education; curriculum; mental health
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Pharmacoepidemiology Education in US Colleges and Schools of Pharmacy
Nwokeji, Esmond D.
Rascati, Karen L.
Moczygemba, Leticia R.
Wilson, James P.
American Journal of Pharmaceutical Education
To examine the type and extent of pharmacoepidemiology education offered by US colleges and schools of pharmacy.
An electronic Web-survey was sent to all 89 US colleges and schools of pharmacy between October 2005 and January 2006 to examine the type and extent of pharmacoepidemiology education offered to professional (PharmD) and graduate (MS/PhD) students.
The response rate was 100%. Of the 89 schools surveyed, 69 (78%) provided pharmacoepidemiology education to their professional students. A mean of 119 (±60) PharmD students per college/school per year received some pharmacoepidemiology education (range 1-60 classroom hours; median 10 hours). Thirty-five schools (39%) provided education to a mean of 6 (±5) graduate students (range 2-135 classroom hours; median 15 hours).
A majority of US colleges and schools of pharmacy offer some pharmacoepidemiology education in their curriculum. However, the topics offered by each school and number of classroom hours varied at both the professional and graduate level.
pharmacoepidemiology; epidemiology; curriculum
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The role of pharmacoeconomics in formulary decision making in different hospitals in Riyadh, Saudi Arabia
Alsultan, Mohammed S.
Saudi Pharmaceutical Journal : SPJ
To assess the trend of using pharmacoeconomic information by Pharmacy and Therapeutics (P&T) committees when making formulary decisions.
A cross-sectional study conducted in 2007, using structured survey questionnaires which were distributed to members of the P&T committees in 11 different hospitals in Riyadh, Saudi Arabia.
A total of 100 survey questionnaires were sent to head of pharmacy departments of 11 different hospitals in Riyadh, Saudi Arabia. Out of these, 48 questionnaires were completed and returned. Of the total respondents participated in the study, 64.58% were medical doctors and 16.66% were pharmacists and 75% of the respondents said they have applied pharmacoeconomic evaluations in their decision making process. More than 80% of the respondents perceived that they had a fair knowledge of pharmacoeconomics. Approximately 80% of respondents expressed some degree of agreement that pharmacoeconomics should be applied as a decision making tool. The majority of decision-makers (95%) expressed the interest in attending workshops on pharmacoeconomics.
The study showed that pharmacoeconomics can play an important role in the P&T committee formulary decisions. However, more education to health care professionals and to hospital administrators should be conducted to facilitate the use of such a tool. Also, hospitals should recruit health care professionals with pharmacoeconomic expertise to manage limited health resources in the best way available.
Pharmacoeconomics; Formulary decision; Pharmacy and Therapeutics committees; Saudi Arabia
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A Required Course in the Development, Implementation, and Evaluation of Clinical Pharmacy Services
Skomo, Monica L.
Kamal, Khalid M.
Berdine, Hildegarde J.
American Journal of Pharmaceutical Education
To develop, implement, and assess a required pharmacy practice course to prepare pharmacy students to develop, implement, and evaluate clinical pharmacy services using a business plan model.
Course content centered around the process of business planning and pharmacoeconomic evaluations. Selected business planning topics included literature evaluation, mission statement development, market evaluation, policy and procedure development, and marketing strategy. Selected pharmacoeconomic topics included cost-minimization analysis, cost-benefit analysis, cost-effectiveness analysis, cost-utility analysis, and health-related quality of life (HRQoL). Assessment methods included objective examinations, student participation, performance on a group project, and peer evaluation.
One hundred fifty-three students were enrolled in the course. The mean scores on the objective examinations (100 points per examination) ranged from 82 to 85 points, with 25%-35% of students in the class scoring over 90, and 40%-50% of students scoring from 80 to 89. The mean scores on the group project (200 points) and classroom participation (50 points) were 183.5 and 46.1, respectively. The mean score on the peer evaluation was 30.8, with scores ranging from 27.5 to 31.7.
The course provided pharmacy students with the framework necessary to develop and implement evidence-based disease management programs and to assure efficient, cost-effective utilization of pertinent resources in the provision of patient care.
clinical pharmacy services; pharmacoeconomics; business plan
Related Articles
Variety and Quantity of Professional Electives
Santee, Jennifer
Mead, Tatum
Garavalia, Linda
Fincham, Jack
American Journal of Pharmaceutical Education
Objectives. To compare the elective courses offered by US colleges and schools of pharmacy to establish a benchmark for individual colleges and schools to use in assessing whether they offer a sufficient amount and variety of electives.
Methods. Internet Web sites of US doctor of pharmacy (PharmD) programs were reviewed to identify the number of elective lecture-based courses and elective advanced pharmacy practice experiences (APPE) offered and required. Elective courses were grouped into categories to determine the variety of offerings.
Results. Pharmacy students were required to complete a mean of 7 hours of classroom-based elective courses. Thirty-two lecture-based elective courses were offered per college or school, and the mean number of categories of courses offered was 24. An average of 3 required APPEs was offered within 24 categories.
Conclusions. Pharmacy programs varied in the number of and requirements for elective courses. Most elective courses expanded on what was taught in the required curriculum vs informing on unique concepts or skills.
elective course; curriculum; pharmacy practice experiences
Related Articles
Teaching Evaluation Practices in Colleges and Schools of Pharmacy
Barnett, Candace W.
Matthews, Hewitt W.
American Journal of Pharmaceutical Education
To document teaching evaluation practices in colleges and schools of pharmacy.
A 51-item questionnaire was developed based on the instrument used in a previous study with modifications made to address changes in pharmacy education. An online survey service was used to distribute the electronic questionnaire to the deans of 98 colleges and schools of pharmacy in the United States.
Completed surveys were received from 89 colleges and schools of pharmacy. All colleges/schools administered student evaluations of classroom and experiential teaching. Faculty peer evaluation of classroom teaching was used by 66% of colleges/schools. Use of other evaluation methods had increased over the previous decade, including use of formalized self-appraisal of teaching, review of teaching portfolios, interviews with samples of students, and review by teaching experts. While the majority (55%) of colleges/schools administered classroom teaching evaluations at or near the conclusion of a course, 38% administered them at the midpoint and/or conclusion of a faculty member's teaching within a team-taught course. Completion of an online evaluation form was the most common method used for evaluation of classroom (54%) and experiential teaching (72%).
Teaching evaluation methods used in colleges and schools of pharmacy expanded from 1996 to 2007 to include more evaluation of experiential teaching, review by peers, formalized self-appraisal of teaching, review of teaching portfolios, interviews with samples of students, review by teaching experts, and evaluation by alumni. Procedures for conducting student evaluations of teaching have adapted to address changes in curriculum delivery and technology.
teaching; evaluation; assessment; survey
Related Articles
Therapeutic Lifestyle Strategies Taught in U.S. Pharmacy Schools
Lenz, Thomas L
Monaghan, Michael S
Hetterman, Elizabeth A
Preventing Chronic Disease
Several organizations representing pharmacy and other health professions stress the importance of teaching public health topics as part of training future practitioners. The objective of our study was to assess the number of U.S. pharmacy schools that incorporate lifestyle modification topics into their curricula.
We developed an electronic survey on lifestyle modification topics and sent it to each of the 89 pharmacy schools in the United States. The survey defined lifestyle modification topics as topics that address nutrition, exercise, weight loss, smoking cessation, and alcohol use.
Of 89 pharmacy schools contacted, 50 (56%) responded to the survey. Of the 50, four offer at least one required course in a lifestyle modification topic, seven offer at least one elective course, and one offers a required course that incorporates more than one lifestyle modification topic. Five required and nine elective courses were identified from the responses. Nutrition was the most commonly offered required course topic, followed by smoking cessation, exercise, weight loss, and alcohol use.
Few pharmacy schools are addressing recommendations to promote public health education through formalized didactic courses. More courses on lifestyle modification topics should be offered to pharmacy students, who will be highly accessible to the public as pharmacists and will be able to offer education to enhance public health focused on the prevention of chronic diseases.
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Pharmacy cases in Second Life: an elective course
Veronin, Michael A
Daniels, Lacy
Demps, Elaine
Advances in Medical Education and Practice
Interactive pharmacy case studies are an essential component of the pharmacy curriculum. We recently developed an elective course at the Rangel College of Pharmacy in pharmacy case studies for second- and third-year Doctor of Pharmacy students using Second Life® (SL), an interactive three-dimensional virtual environment that simulates the real world. This course explored the use of SL for education and training in pharmacy, emphasizing a case-based approach. Virtual worlds such as SL promote inquiry-based learning and conceptual understanding, and can potentially develop problem-solving skills in pharmacy students. Students were presented ten case scenarios that primarily focused on drug safety and effective communication with patients. Avatars, representing instructors and students, reviewed case scenarios during sessions in a virtual classroom. Individually and in teams, students participated in active-learning activities modeling both the pharmacist's and patient's roles. Student performance and learning were assessed based on SL class participation, activities, assignments, and two formal, essay-type online exams in Blackboard 9. Student course-evaluation results indicated favorable perceptions of content and delivery. Student comments included an enhanced appreciation of practical issues in pharmacy practice, flexibility of attendance, and an increased ability to focus on course content. Excellent student participation and performance in weekly active-learning activities translated into positive performance on subsequent formal assessments. Students were actively engaged and exposed to topics pertinent to pharmacy practice that were not covered in the required pharmacy curriculum. The multiple active-learning assignments were successful in increasing students' knowledge, and provided additional practice in building the communication skills beneficial for students preparing for experiential clinical rotations.
Second Life; virtual worlds; pharmacy case studies; computer simulation; health education; pharmacy education
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Use of Adjunct Faculty Members in Classroom Teaching in Departments of Pharmacy Practice
Fjortoft, Nancy
Mai, Thy
Winkler, Susan R.
American Journal of Pharmaceutical Education
Objective. To determine trends among departments of pharmacy practice regarding use of adjunct faculty members for classroom-based teaching and to assess departmental support provided to these faculty members.
Methods. Chairs of pharmacy practice departments in US colleges and school of pharmacy were contacted by e-mail and asked to complete an 11-item electronic survey instrument.
Results. Chair respondents reported an average of 5.7 adjunct faculty members hired to teach required courses and 1.8 adjunct faculty members hired to teach elective courses. Compensation averaged $108 per lecture hour and $1,257 per 1-credit-hour course. Twenty-five percent of the respondents expected to hire more adjunct faculty members to teach required courses in the upcoming year due to curricular changes, faculty hiring freezes, and the shortage of full-time faculty members. Only 7% of respondents reported that they provided a teaching mentor and 14% offered no support to their adjunct faculty members.
Conclusions. Departments of pharmacy practice commonly use adjunct faculty members to teach required and elective courses. Given the pharmacy faculty shortage, this trend is expected to increase and may be an area for future faculty development.
adjunct faculty; faculty; teaching
Related Articles
Drug Information Education in Doctor of Pharmacy Programs
Wang, Fei
Troutman, William G.
Seo, Teresa
Peak, Amy
Rosenberg, Jack M.
American Journal of Pharmaceutical Education
To characterize pharmacy program standards and trends in drug information education.
A questionnaire containing 34 questions addressing general demographic characteristics, organization, and content of drug information education was distributed to 86 colleges and schools of pharmacy in the United States using a Web-based survey system.
Sixty colleges responded (73% response rate). All colleges offered a campus-based 6-year first-professional degree PharmD program. Didactic drug information was a required course in over 70% of these schools. Only 51 of the 60 colleges offered an advanced pharmacy practice experience (APPE) in drug information, and 62% of these did so only on an elective basis.
Although almost all of the PharmD programs in the US include a required course in drug information, the majority do not have a required APPE in this important area.
drug information; course; curriculum; pharmacy education; experiential training; advanced pharmacy practice experience
Related Articles
Pharmacogenomics in the Curricula of Colleges and Schools of Pharmacy in the United States
Murphy, John E.
Green, James S.
Adams, Laura A.
Squire, Robert B.
Kuo, Grace M.
McKay, Alan
American Journal of Pharmaceutical Education
To assess the breadth, depth, and perceived importance of pharmacogenomics instruction and level of faculty development in this area in schools and colleges of pharmacy in the United States.
A questionnaire used and published previously was further developed and sent to individuals at all US schools and colleges of pharmacy. Multiple approaches were used to enhance response.
Seventy-five (83.3%) questionnaires were returned. Sixty-nine colleges (89.3%) included pharmacogenomics in their PharmD curriculum compared to 16 (39.0%) as reported in a 2005 study. Topic coverage was <10 hours for 28 (40.6%), 10-30 hours for 29 (42.0%), and 31-60 hours for 10 (14.5%) colleges and schools of pharmacy. Fewer than half (46.7%) were planning to increase course work over the next 3 years and 54.7% had no plans for faculty development related to pharmacogenomics.
Most US colleges of pharmacy include pharmacogenomics content in their curriculum, however, the depth may be limited. The majority did not have plans for faculty development in the area of pharmacogenomic content expertise.
pharmacogenomics education; pharmacogenetics education; curriculum
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Methods for the comparative evaluation of pharmaceuticals
Zentner, Annette
Velasco-Garrido, Marcial
Busse, Reinhard
GMS Health Technology Assessment
Political background
As a German novelty, the Institute for Quality and Efficiency in Health Care (Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen; IGWiG) was established in 2004 to, among other tasks, evaluate the benefit of pharmaceuticals. In this context it is of importance that patented pharmaceuticals are only excluded from the reference pricing system if they offer a therapeutic improvement.
The institute is commissioned by the Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA) or by the Ministry of Health and Social Security. The German policy objective expressed by the latest health care reform (Gesetz zur Modernisierung der Gesetzlichen Krankenversicherung, GMG) is to base decisions on a scientific assessment of pharmaceuticals in comparison to already available treatments. However, procedures and methods are still to be established.
Research questions and methods
This health technology assessment (HTA) report was commissioned by the German Agency for HTA at the Institute for Medical Documentation and Information (DAHTA@DIMDI). It analysed criteria, procedures, and methods of comparative drug assessment in other EU-/OECD-countries. The research question was the following: How do national public institutions compare medicines in connection with pharmaceutical regulation, i.e. licensing, reimbursement and pricing of drugs?
Institutions as well as documents concerning comparative drug evaluation (e.g. regulations, guidelines) were identified through internet, systematic literature, and hand searches. Publications were selected according to pre-defined inclusion and exclusion criteria. Documents were analysed in a qualitative matter following an analytic framework that had been developed in advance. Results were summarised narratively and presented in evidence tables.
Results and discussion
Currently licensing agencies do not systematically assess a new drug's added value for patients and society. This is why many countries made post-licensing evaluation of pharmaceuticals a requirement for reimbursement or pricing decisions. Typically an explicitly designated drug review body is involved.
In all eleven countries included (Austria, Australia, Canada, Switzerland, Finland, France, the Netherlands, Norway, New Zealand, Sweden, and the United Kingdom) a drug's therapeutic benefit in comparison to treatment alternatives is leading the evaluation. A medicine is classified as a therapeutic improvement if it demonstrates an improved benefit-/risk-profile compared to treatment alternatives. However, evidence of superiority to a relevant degree is requested.
Health related quality of life is considered as the most appropriate criterion for a drug's added value from patients' perspective. Review bodies in Australia, New Zealand, and the United Kingdom have committed themselves to include this outcome measure whenever possible.
Pharmacological or innovative characteristics (e.g. administration route, dosage regime, new acting principle) and other advantages (e.g. taste, appearance) are considered in about half of the countries. However, in most cases these aspects rank as second line criteria for a drug's added value.
All countries except France and Switzerland perform a comparative pharmacoeconomic evaluation to analyse costs caused by a drug intervention in relation to its benefit (preferably by cost utility analysis). However, the question if a medicine is cost effective in relation to treatment alternatives is answered in a political and social context. A range of remarkably varying criteria are considered.
Countries agree that randomised controlled head-to-head trials (head-to-head RCT) with a high degree of internal and external validity provide the most reliable and least biased evidence of a drug's relative treatment effects (as do systematic reviews and meta-analyses of these RCT). Final outcome parameters reflecting long-term treatment objectives (mortality, morbidity, quality of life) are preferred to surrogate parameters. Following the concept of community effectiveness, drug review institutions also explicitly favour RCT in a "natural" design, i.e. in daily routine and country specific care settings.
The countries' requirements for pharmacoeconomic studies are similar despite some methodological inconsistencies, e.g. concerning cost calculation.
Outcomes of clinical and pharmacoeconomic analyses are largely determined by the choice of comparator. Selecting an appropriate comparative treatment is therefore crucial. In theory, the best or most cost effective therapy is regarded as appropriate comparator for clinical and economic studies. Pragmatically however, institutions accept that the drug is compared to the treatment of daily routine or to the least expensive therapy.
If a pharmaceutical offers several approved indications, in some countries all of them are assessed. Others only evaluate a drug's main indication. Canada is the only country which also considers a medicine's off-label use.
It is well known that clinical trials and pharmacoeconomic studies directly comparing a drug with adequate competitors are lacking - in quantitative as well as in qualitative terms. This is specifically the case before or shortly after marketing authorisation. Yet there is the need to support reimbursement or pricing decisions by scientific evidence. In this situation review bodies are often forced to rely on observational studies or on other internally less valid data (including expert and consensus opinions). As a second option they use statistical approaches like indirect adjusted comparisons (in Australia and the United Kingdom) and, commonly, economic modelling. However, there is consensus that results provided by these techniques need to be verified by valid head-to-head comparisons as soon as possible.
In the majority of countries reimbursement and pricing decisions are based on systematic and evidence-based evaluation comparing a drug's clinical and economic characteristics to daily treatment routine. However, further evaluation criteria, requirements and specific methodological issues still lack internationally consented standards.
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Rural Health in Pharmacy Curricula
Thrasher, Kim
O'Connor, Shanna K.
Joyner, Pamela U.
American Journal of Pharmaceutical Education
The 2010 Patient Protection and Affordable Care Act proposes strategies to address the workforce shortages of primary care practitioners in rural America. This review addresses the question, "What specialized education and training are colleges and schools of pharmacy providing for graduates who wish to enter pharmacy practice in rural health?" All colleges and schools accredited by the Accreditation Council for Pharmacy Education or those in precandidate status as of December 2011 were included in an Internet-based review of Web sites. A wide scope of curricular offerings were found, ranging from no description of courses or experiences in a rural setting to formally developed programs in rural pharmacy. Although the number of pharmacy colleges and schools providing either elective or required courses in rural health is encouraging, more education and training with this focus are needed to help overcome the unmet need for quality pharmacy care for rural populations.
rural health; pharmacy curriculum; underserved; experiential
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Active-Learning Processes Used in US Pharmacy Education
Stewart, PharmD, David W.
Brown, Stacy D.
Clavier, Cheri W.
Wyatt, Jarrett
American Journal of Pharmaceutical Education
To document the type and extent of active-learning techniques used in US colleges and schools of pharmacy as well as factors associated with use of these techniques.
A survey instrument was developed to assess whether and to what extent active learning was used by faculty members of US colleges and schools of pharmacy. This survey instrument was distributed via the American Association of Colleges of Pharmacy (AACP) mailing list.
Ninety-five percent (114) of all US colleges and schools of pharmacy were represented with at least 1 survey among the 1179 responses received. Eighty-seven percent of respondents used active-learning techniques in their classroom activities. The heavier the teaching workload the more active-learning strategies were used. Other factors correlated with higher use of active-learning strategies included younger faculty member age (inverse relationship), lower faculty member rank (inverse relationship), and departments that focused on practice, clinical and social, behavioral, and/or administrative sciences.
Active learning has been embraced by pharmacy educators and is used to some extent by the majority of US colleges and schools of pharmacy. Future research should focus on how active-learning methods can be used most effectively within pharmacy education, how it can gain even broader acceptance throughout the academy, and how the effect of active learning on programmatic outcomes can be better documented.
pharmacy education; active learning; teaching; survey
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Educating Pharmacy Students to Improve Quality (EPIQ) in Colleges and Schools of Pharmacy
Gilligan, Adrienne M.
Myers, Jaclyn
Nash, James D.
Lavigne, Jill E.
Moczygemba, Leticia R.
Plake, Kimberly S.
Quiñones-Boex, Ana C.
Holdford, David
West-Strum, Donna
Warholak, Terri L.
American Journal of Pharmaceutical Education
Objective. To assess course instructors' and students' perceptions of the Educating Pharmacy Students and Pharmacists to Improve Quality (EPIQ) curriculum.
Methods. Seven colleges and schools of pharmacy that were using the EPIQ program in their curricula agreed to participate in the study. Five of the 7 collected student retrospective pre- and post-intervention questionnaires. Changes in students' perceptions were evaluated to assess their relationships with demographics and course variables. Instructors who implemented the EPIQ program at each of the 7 colleges and schools were also asked to complete a questionnaire.
Results. Scores on all questionnaire items indicated improvement in students' perceived knowledge of quality improvement. The university the students attended, completion of a class project, and length of coverage of material were significantly related to improvement in the students' scores. Instructors at all colleges and schools felt the EPIQ curriculum was a strong program that fulfilled the criteria for quality improvement and medication error reduction education.
Conclusion The EPIQ program is a viable, turnkey option for colleges and schools of pharmacy to use in teaching students about quality improvement.
quality improvement; medication error; pharmacy education; pharmacy student; assessment; curriculum
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Bioidentical hormone therapy: Nova Scotia pharmacists' knowledge and beliefs
Whelan, Anne Marie
Thebeau, Jean-Pierre
Jurgens, Tannis M.
Hurst, Eileen
Pharmacy Practice
To investigate Nova Scotia (NS) pharmacists' knowledge and beliefs regarding the use of bioidentical hormones (BHs) for the management of menopause related symptoms.
Using Dillman's tailored design methodology, an invitation to complete the web-based questionnaire was emailed to pharmacists in NS as part of the Dalhousie College of Pharmacy Continuing Pharmacy Education Department's (CPE) weekly email update. Data was analyzed using descriptive statistics.
Of approximately 1300 e-mails sent, 113 pharmacists completed the questionnaire (response rate 8.7%). The majority of respondents (94%) knew that BHs were not free from adverse drug reactions. More than 50% were aware that conjugated equine estrogens and medroxyprogesterone acetate were not examples of BHs. For seven of eleven knowledge questions, 33-45% indicated that they did not know the answer. When asked about their beliefs regarding BHs, many believed that BHs were similar in efficacy (49%) or more effective (21%) than conventional hormone therapy (CHT) for vasomotor symptoms. Most respondents also believed that both BHs and CHT had similar safety profiles. Additionally, responding pharmacists indicated that more education would be helpful, especially in the area of safety and efficacy of BHTs compared to CHT.
NS pharmacists knew BHs were not free of adverse effects, however knowledge was lacking in other areas. This may reflect the level of coverage of this topic in pharmacy school curriculums and in the pharmacy literature. Results indicate a need for additional education of NS pharmacists with respect to BHs, which could be accomplished through modification of undergraduate pharmacy programs and supplementary CPE.
Pharmacists; Health Knowledge, Attitudes, Practice; Estradiol Congeners; Menopause; Canada
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Education in sleep disorders in US dental schools DDS programs
Simmons, Michael Scott
Pullinger, Andrew
Sleep & Breathing = Schlaf & Atmung
Medical school surveys of pre-doctoral curriculum hours in the somnology, the study of sleep, and its application in sleep medicine/sleep disorders (SM) show slow progress. Limited information is available regarding dentist training. This study assessed current pre-doctoral dental education in the field of somnology with the hypothesis that increased curriculum hours are being devoted to SM but that competencies are still lacking.
Materials and methods
The 58 US dental schools were surveyed for curriculum offered in SM in the 2008/2009 academic year using an eight-topic, 52-item questionnaire mailed to the deans. Two new dental schools with interim accreditation had not graduated a class and were not included. Responses were received from 49 of 56 (87.5%) of the remaining schools.
Results and Conclusions
Results showed 75.5% of responding US dental schools reported some teaching time in SM in their pre-doctoral dental program with curriculum hours ranging from 0 to 15 h: 12 schools spent 0 h (24.5%), 26 schools 1–3 h, 5 schools 4–6 h, 3 schools 7–10 h, and 3 schools >10 h. The average number of educational hours was 3.92 h for the schools with curriculum time in SM, (2.96 across all 49 responding schools). The most frequently covered topics included sleep-related breathing disorders (32 schools) and sleep bruxism (31 schools). Although 3.92 h is an improvement from the mean 2.5 h last reported, the absolute number of curriculum hours given the epidemic scope of sleep problems still appears insufficient in most schools to achieve any competency in screening for SRBD, or sufficient foundation for future involvement in treatment.
Dental school somnology education; Teaching sleep medicine; Competency; Sleep bruxism; Sleep-related breathing disorder; Oral appliance therapy
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The Science of Safety Curriculum in US Colleges and Schools of Pharmacy
West-Strum, Donna
Basak, Ram
Bentley, John P.
Holdford, David A.
Warholak, Terri L.
Malone, Daniel C.
Murphy, John E.
American Journal of Pharmaceutical Education
Objective. To describe the integration of science of safety (SoS) topics in doctor of pharmacy (PharmD) curricula of US colleges and schools of pharmacy.
Methods. A questionnaire that contained items pertaining to what and how SoS topics are taught in PharmD curricula was e-mailed to representatives at 107 US colleges and schools of pharmacy.
Results. The majority of the colleges and schools responding indicated that they had integrated SoS topics into their curriculum, however, some gaps (eg, teaching students about communicating risk, Food and Drug Administration [FDA] Sentinel Initiative, utilizing patient databases) were identified that need to be addressed.
Conclusions. The FDA and the American Association of Colleges of Pharmacy (AACP) should continue to collaborate to develop resources needed to ensure that topics proposed by the FDA in their SoS framework are taught at all colleges and schools of pharmacy.
medication safety; pharmacy education; curriculum; science of safety
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Does self-reflection and peer-assessment improve Saudi pharmacy students' academic performance and metacognitive skills?
Yusuff, Kazeem B.
Saudi Pharmaceutical Journal : SPJ
Background: The patient-centered focus of clinical pharmacy practice which demands nuanced application of specialized knowledge and skills targeted to meeting patient-specific therapeutic needs warrant that the training strategy used for PharmD graduates must empower with the ability to use the higher level cognitive processes and critical thinking effectively in service delivery. However, the historical disposition to learning in the Middle East and among Saudi students appeared heavily focused on rote memorization and recall of memorized facts. Objectives: To assess the impact of active pedagogic strategies such as self-reflection and peer assessment on pharmacy students' academic performance and metacognitive skills, and evaluate students' feedback on the impact of these active pedagogic strategies on their overall learning experience. Method: An exploratory prospective cohort study was conducted among 4th year students at the College of Clinical Pharmacy, King Faisal University, Saudi Arabia to assess the impact of self-reflection and peer-assessment in a semester-wide assessment tasks in two compulsory first semester 4th year courses (Therapeutics-3 and Pharmacoeconomics). An end-of-course evaluation survey with a pre-tested 5-item open-ended questionnaire was also conducted to evaluate students' feedback on the impact of active pedagogic strategies on their overall learning experience. Result: Male students (study group) constituted 40.7% of the cohort while 59.3% were females (control group) with mean ± SD age of 23.2 ± 5.6 and 22.1 ± 4.9 years respectively. The mean ± SD scores for quizzes, mid-term and final exams, and the overall percentage pass were significantly higher in the study group for both courses (P < 0.001). The majority of the students in the study group opined that the exposure to active pedagogic strategies enabled them to improve their use of critical thinking, facilitated deeper engagement with their learning and improved their clinical decision-making and discussion skills. Conclusion: The use of active pedagogic strategies such as self-reflection and peer-assessment appeared to significantly improve examination performance, facilitate deep and constructive engagement with learning and fostered students' confidence in the use of critical thinking and clinical decision-making.
Self-reflection; Peer-assessment; Metacognition; Active pedagogic strategies; Saudi Arabia
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Portfolio Use and Practices in US Colleges and Schools of Pharmacy
Skrabal, Maryann Z.
Turner, Paul D.
Jones, Rhonda M.
Tilleman, Jennifer A.
Coover, Kelli L.
American Journal of Pharmaceutical Education
Objectives. To identify the prevalence of portfolio use in US pharmacy programs, common components of portfolios, and advantages of and limitations to using portfolios.
Methods. A cross-sectional electronic survey instrument was sent to experiential coordinators at US colleges and schools of pharmacy to collect data on portfolio content, methods, training and resource requirements, and benefits and challenges of portfolio use.
Results. Most colleges and schools of pharmacy (61.8%) use portfolios in experiential courses and the majority (67.1%) formally assess them, but there is wide variation regarding content and assessment. The majority of respondents used student portfolios as a formative evaluation primarily in the experiential curriculum.
Conclusions. Although most colleges and schools of pharmacy have a portfolio system in place, few are using them to fulfill accreditation requirements. Colleges and schools need to carefully examine the intended purpose of their portfolio system and follow-through with implementation and maintenance of a system that meets their goals.
portfolio; assessment; evaluation; competency achievement; pharmacy practice experiences; pharmacy education
Related Articles
Survey of Colleges of Pharmacy to Assess Preparation for and Promotion of Residency Training
Dunn, Brianne L.
Ragucci, Kelly R.
Garner, Sandra
Spencer, Anne
American Journal of Pharmaceutical Education
To assess the prevalence of curricular programs or other structured activities designed to prepare students for and to promote residency training.
An electronic survey instrument containing 12 questions regarding institutional demographics and activities related to pharmacy student preparation for residency training was sent to administrators of all US colleges and schools of pharmacy.
Ninety-one survey instruments were e-mailed to US colleges and schools of pharmacy administrators, and an overall response rate of 78% was attained. Twenty-two percent of respondents identified a structured curricular program to prepare students for postgraduate training. In addition, informal programs or informational sessions varying in scope and content were offered by many colleges and schools to prepare students for residency training.
Many of the US colleges and schools of pharmacy reported structured activities or programs that promote residency training to students. Ten programs had a designated clinical-track curriculum.
students; curriculum; residency; survey
Related Articles
Interprofessional Education in Introductory Pharmacy Practice Experiences at US Colleges and Schools of Pharmacy
Jones, Kim M.
Blumenthal, Donald K.
Burke, John M.
Condren, Michelle
Hansen, Richard
Holiday-Goodman, Monica
Peterson, Charles D.
American Journal of Pharmaceutical Education
Objective. To assess the extent to which US colleges and schools of pharmacy are incorporating interprofessional education into their introductory pharmacy practice experiences (IPPEs), and to identify barriers to implementation; characterize the format, structure, and assessment; and identify factors associated with incorporating interprofessional education in IPPEs.
Methods. An electronic survey of 116 US colleges and schools of pharmacy was conducted from March 2011 through May 2011.
Results. Interprofessional education is a stated curricular goal in 78% of colleges and schools and consistently occurred in IPPEs in 55%. Most colleges and schools that included interprofessional education in IPPEs (70%) used subjective measures to assess competencies, while 17.5% used standardized outcomes assessment instruments. Barriers cited by respondents from colleges and schools that had not implemented interprofessional education in IPPEs included a lack of access to sufficient healthcare facilities with interprofessional education opportunities (57%) and a lack of required personnel resources (52%).
Conclusions. Many US colleges and schools of pharmacy have incorporated interprofessional education into their IPPEs, but there is a need for further expansion of interprofessional education and better assessment related to achievement of interprofessional education competencies in IPPEs.
interprofessional education; interdisciplinary education; introductory pharmacy practice experiences; experiential education
Related Articles
A Distance Education Course in Statistics
Ried, L. Douglas
American Journal of Pharmaceutical Education
To evaluate the learning outcomes of an online, distance education course in statistics for doctor of pharmacy (PharmD) students.
Lectures for the course were produced by the course faculty, converted into digital format (mp4), placed within the college's course management system, and video streamed to students. The course required students to interact with the course content using workbooks and simulations and with the instructor via VoIP examination reviews.
A quasi-experimental study involving 4 groups of students was conducted. Second-year (P2) students were assigned randomly to 1 of 3 groups and asked to complete a precourse survey that contained: demographic information only (group 1); demographic items plus 10 items assessing statistics knowledge (group 2); or demographic items plus 20 items assessing statistics knowledge (group 3). At the end of the course, all students were given the same 20 items on the final examination (postcourse survey instrument). A control group consisting of randomly selected first-year (P1) students completed the 20-item precourse survey instrument. P1 and P2 students' scores on the 20-item precourse survey were not significantly different. Students who had taken a statistics course before entering the PharmD program scored higher on the precourse survey. P2 students in all 3 study groups had similar scores on the final examination (postcourse survey) (p = 0.43).
Students can be taught the basic principles of statistics and how to use statistics to read the pharmacy and medical literature entirely online. This study has significant implications for how classes traditionally taught in the classroom might be taught at a distance using innovative instructional technologies.
distance education; statistics; online learning
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One Red Paperclipby Kyle Macdonald
Kyle MacDonald wanted his own house. The problem was he didn't have a job and he didn't have any money. Thinking back to his childhood he remembered the game he loved to play u Bigger and Better. It was a way of trading your old stuff to get bigger and better new stuff. Legend had it, some people managed to trade an old biro for a brand new car! This got Kyle thinking. If that kind of entrepreneurial spirit could turn tiny objects into big ones, then why not try trading up to a house? And then he saw it. One red paperclip, sitting on his desk, holding the pages of his CV together, ready to go out into the world and help him find the job that would eventually get him a house. But that didn't sound nearly as much fun as trading. So he wrote an internet advert hoping to trade one red paperclip and suddenly his inbox filled with responses: the trading had begun. Did he get the house? Well, you're about to find out! One thing's for sure, he did a lot of trades and met a lot of very interesting people. One small paperclip was the beginning of a great big adventure.
Select your format based upon: 1) how you want to read your book, and 2) compatibility with your reading tool. To learn more about using Bookshare with your device, visit the Help Center.
Here is an overview of the specialized formats that Bookshare offers its members with links that go to the Help Center for more information.
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- DAISY Audio - Similar to the Daisy 3.0 option above; however, this option uses MP3 files created with our text-to-speech engine that utilizes Ivonas Kendra voice. This format will work with Daisy Audio compatible players such as Victor Reader Stream and Read2Go.

subset: commoncrawl


text:
I have a proxy server, a GNU/Linux Debian 8.1 64bits with installed Squid 3.4.8-6+deb8u3 and Rkhunter 1.4.2-0.4, both installed via the packet manager.
As check I run "rkhunter --check --enable all --disable none --rwo", sometimes it gives me some warnings about some possible rootkit checking a network port used by /usr/sbin/squid, that is the proxy. I have iptables in action and the input is permitted only if toward the proxy server port or any other only if established or related, more, if I repeat the check after some time it gives me no warning at all. They seems this bug already reported for SME Server and it seems they have already resolved these warnings: https://bugs.contribs.org/show_bug.cgi?id=4614 I think they are just false positive, and they are given to me because sometimes squid uses the ports checked by rkhunter, what do you think about? Have I to worry about these warnings? If I have not to worry about, and actually they are false positives, is there a way to minimize these false positives without to compromise rkhunter scan reliability? -- Andrea Boccaccio ------------------------------------------------------------------------------ _______________________________________________ Rkhunter-users mailing list email@example.com https://lists.sourceforge.net/lists/listinfo/rkhunter-users


text:
Make your guests feel special with the magnificent Oscar 26'' Counter Stool. Let them sit tall on this sleek counter stool and enjoy the plushness of its soft cushioned backrest and seat. The Oscar Stool's creative design will also add a touch of sparkle to your home. A lovely golden tassel on the backrest will reflect your glamorous side.
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at LogRhythm (View all jobs) Boulder, CO LogRhythm is looking for a Software Quality Assurance Engineer to test software that makes the world safer from hackers, identity thieves, and scammers. LogRhythm is a recognized leader in network security, and we are looking for a QA9/7/2016 Boulder, CO Save This Job
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Ibşir Mustafa Pasha
From Wikipedia, the free encyclopedia
(Redirected from İpşiri Mustafa Pasha)
Jump to: navigation, search
Ibşir Mustafa Pasha was an Ottoman statesman, and nephew of the governor and rebel Abaza Mehmed Pasha. He was grand vizier of the Ottoman Empire from 28 October 1654 to 11 May 1655.[1] He was also the Ottoman governor of Damascus Eyalet (province) in 1649. He was a damat ("bridegroom") to the Ottoman dynasty, as he married an Ottoman princess.
See also[edit]
- ^ Encyclopaedia of Islam, Brill Publishers, Leiden, s.v. "Ipshir Muṣṭafā Pasha".
|Political offices
|Preceded by
Sofu Mehmed Pasha
|Ottoman Governor of Damascus
|Succeeded by
|Preceded by
Koca Dervish Mehmed Pasha
|Ottoman Governor of Egypt
28 October 1654 – 11 May 1655
|Succeeded by
Kara Murat Pasha
|This Ottoman biographical article is a stub. You can help Wikipedia by expanding it.


text:
Chat with Chad Ford
Welcome to SportsNation! On Wednesday, ESPN NBA Insider Chad Ford will drop by to talk some hoops.
Ford covers the NBA and NBA Draft for ESPN Insider and also makes appearances on ESPN Radio and ESPNEWS.
Send your questions now and join Ford Wednesday at 1 p.m. ET!
More Chad Ford: Chats | Columns | NBA index
Chad Ford (1:03 PM)
Aloha everyone. Thanks for coming to the chat today. I'm in Lahaina, Maui for the Maui Invitational. Great championship game tonight between Syracuse and Baylor. I'll take NBA questions in the first half followed by NBA Draft in the second half. Let's roll.
Kyle (NYC)
Bulls fan...you have to blow this team up, right? They aren't built to win without Rose this year. Trade Deng, amnesty Boozer offseason, bring over mirotic...am I missing anything?
Chad Ford (1:06 PM)
That would be the prudent thing to do. Unfortunately, I'm not sure that's an easy sell in Chicago right now ... especially with head coach Tom Thibodeau. No way he's not pushing his players to the edge. Only way it would work is if they let him walk as well. That's a tough thing to do ...
Joe (NY)
What kind of deals would you expect to be available for Rondo?
Chad Ford (1:08 PM)
Totally depends on how he looks when he gets back on the court. If it's the old Rondo, I think Ainge may be able to get another young player or draft pick for him. He's not going to get a star, but that's OK. Ainge is looking for assets. I know Ainge and company keep saying they won't trade Rondo, but if they get a good offer, I'm pretty sure he's gone. You have to say that to keep up his trade value.
Jerry (LA)
What do you think of Kobe's new contract?
Chad Ford (1:12 PM)
It's awful. Sentimentality is going to kill the Lakers. His play won't warrant that much money, it allows them to only add one more max contract to the roster next year while losing Pau Gasol, and just as important -- it means the Lakers aren't going to take advantage of a great opportunity to tank the season and try to land a top player in the draft. Short term thinking kills franchises. I know it's LA and will always be a top destination for marquee players. But the Lakers are a mess right now.
Deven (New York, NY)
Who got the better end of that Wolves/Kings trade? And will Derrick Williams be a good fit for the Kings?
Chad Ford (1:14 PM)
Liked the deal from the Kings perspective. He was the No. 2 pick in the draft. What did they really have to lose? They aren't competing for a playoff spot. I'm not sold on Williams as a three, but he's already an upgrade over what they've been playing with. As for the Wolves, I understand it and Mbah a Moute is a terrific defender. But that means the Wolves wiffed on THREE of their four Top 6 picks in the David Kahn era. That's unprecedented. If they had just hit on one more ... they'd be a serious contender in the West right now.
Codey (Indiana)
Thoughts on Paul George and the Pacers this year?
Chad Ford (1:17 PM)
He's a Top 5 player in the NBA right now. My order would look like this. 1. LeBron 2. Durant 3. CP3 4. Anthony Davis 5. Paul George.As for the Pacers, I think they or the Heat are bringing home a NBA title this year. Just hope they can stay focused with absolutely zero competition right now in their conference.
John (NY)
True or False John Wall can be the best pg in the league
Chad Ford (1:20 PM)
Not while Chris Paul is still in his prime. I'd also take Tony Parker over him right now. But in a few more years? Yes, he has that potential. But then again, so does Steph Curry, Russell Westbrook, Damian Lillard, Kyrie Irving and Michael Carter-Williams. And don't forget about Rajon Rondo and Derrick Rose when they are healthy again. So many great PGs in the league right now.
Chad Ford (1:21 PM)
Oh and don't forget Marcus Smart and Dante Exum are coming next year. Both players are special!
Ben (Florida)
Kevin Love is the best PF in the NBA...Do you agree?
Chad Ford (1:22 PM)
I'd take Anthony Davis over Love right now.
VanWilder (NYC)
The two highest payrolls in the NBA are Knicks and Brooklyn who are the third worst and fourth worst teams in the NBA by record. Also they BOTH don't have their picks for next year right? How insane is that? insane or INSANE????
Chad Ford (1:25 PM)
Look. Everyone wants to win a championship. The Knicks have historically tried to buy one and let other teams worry about building from the ground up. The Nets have decided to copy that model. The problem is, they bought the wrong players at the wrong time in their careers. But I'll say this for the Nets. At least they have Deron Williams and Brook Lopez. They have semi-young anchors. The Knicks? Iman Shumpert is the closest thing they have and he's on the trading block.
Jaz fan (Utah)
Did the Jazz make a big mistake taking Burke over MCW?
Chad Ford (1:29 PM)
Maybe. It's pretty early to tell anything. Burke has been injured. He needs some time. The Jazz selected Burke, in part, because they felt like they needed a point guard who could shoot the basketball and thrive off the pick-and-roll. Those were legit reasons to pass on Carter-Williams. With that said, Burke was undersized and not an elite athlete like Carter-Williams. Nor did he see the floor as well or defend as well. The draft is tougher than most people think. Very rarely are their clear answers.
Derrick B (Milwaukee)
Should the Bucks just throw in the towel? Should they just go ahead and have a fire sale?
Chad Ford (1:33 PM)
Yes. I can't think of a team that has a better justification to tank than the Bucks. They aren't luring young stars to Milwaukee via free agency. They need to build through the draft. There are some nice young pieces there already. Antetokounmpo, John Henson ... maybe Brandon Knight, Larry Sanders. They need a Top 5 pick as badly as any team in the NBA right now. Wish their owner Herb Kohl could see that.
Ian (FL)
Parker = Melo, Wiggins = ?
Chad Ford (1:34 PM)
The closest comp I hear from NBA guys is Paul George. Same freaky athlete and great size for his position. Maybe most importantly (and the point I think most of the national media and fans are forgetting) he has the potential to be an elite perimeter defender like George. He can help you on both ends of the floor.
brian (de)
Would Orlando be wise to draft Marcus Smart at the top of the draft or will every team be looking at Wiggins or one of the freshman?
Chad Ford (1:37 PM)
I think Smart will, for sure, be in the picture for Orlando. He's going to be worthy of a No. 1 pick and that's their biggest need. Not sure there will be a consensus No. 1 pick this year. Might come down to need given the talent at the top. I could see Jazz leaning Jabari Parker. Ditto for Celtics. Bucks leaning Julius Randle. Cavs and Sixers leaning Andrew Wiggins.
Kyle (Houston)
Kentucky's highly touted freshman class has been disappointing in spots (except for Randle) Which freshmen would NBA GM's being willing to take in the first round today?
Chad Ford (1:40 PM)
It's early and there is so much talent on the team that it's hard for any of them to put up the numbers they would on a team where they were the focal point. Remember, Anthony Davis' numbers in November? Everyone was questioning whether he was worthy of the No. 1 pick. Randle has clearly been impressive. I still think James Young and Andrew Harrison will be lottery picks. It might be another year for Aaron Harrison, Dakari Johnson and Marcus Lee however.
Marc (Toronto)
Nik Stauskas has been great to start the year, how high is his ceiling in this draft? mid to late first?
Chad Ford (1:42 PM)
Exactly. He cracked our Big Board this week at No. 29. Great shooter. Getting to the rim this year. Good size for his position. Just wish he was a better defender.
Josh (Boston)
What is Aaron Gordon's NBA potential? Is he an NBA 3 or 4?
Chad Ford (1:43 PM)
Scouts love him. But I do think there are legitimate questions about what position he plays and how he scores in the NBA. He plays so hard and with such athleticism, it's hard not to fall in love. But Michael Kidd-Gilchrist did the same thing at Kentucky, everyone fell in love (including me!!!) and he's struggled to make the transition to the NBA. That's the only reason he's rated a little lower than the other guys on our board.
Zack (Philly)
I believe Doug McDermott is the best player in college basketball right now. Why is he not in the lottery in any mock drafts thus far?
Chad Ford (1:45 PM)
Best player in college basketball doesn't always equal best NBA prospect. Just ask Jimmer Fredette. McDermott is great and I think he's finally convinced NBA scouts that he has a role to play in the NBA as a shooter. But his physical limitations and the fact that he's stuck in-between positions limit his ceiling. He's No. 20 on our Big Board. Think he falls somewhere between 15 and 25 on draft night.
Kendall (Spring Hill, KS)
Any chance Isaiah Austin stays another year?
Chad Ford (1:46 PM)
He's probably going to have to stay all four years at this rate. Great size, athleticism and skill. But zero toughness and a body that won't hold up in the NBA.
Aaron (Seattle)
Only concern i have with Randle is his height...seems awfully short for a dominant PF. Any concerns there?
Chad Ford (1:47 PM)
He's very long and a good athlete. If Elton Brand and Zach Randolph can dominate in the NBA, so can Randle.
Benjamin (Oklahoma)
Jordan Bachynski, where would he be picked in this draft? Averaging a double-double and 4 blocks a game.
Chad Ford (1:48 PM)
He's intriguing. He's already 24 years old which scares the crap out of NBA people. (You're old if you are 21 or older in the NBA draft). But at his size and with his mobility, he's going to get a look in the second round.
Nate (Minneapolis)
Name one player in college basketball that is flying under the radar who could end up being drafted in the upcoming draft lottery?
Chad Ford (1:51 PM)
Chris Walker of Florida. Hasn't played yet for Florida because of eligibility issues. May be the most athletic player in the country. Also, lots of scouts very high on Syracuse's Jerami Grant (son of Harvey Grant). Also a great athlete who is starting to get a feel for the game.
Rick (KS)
Who is your draft sleeper this year ...
Chad Ford (1:53 PM)
Myself and a lot of NBA scouts are very high on Wichita State's Ron Baker. He's sitting in the 40s on our Big Board right now, but the more I watch him play and the more I talk with scouts, I think he ends up as a potential first rounder -- especially if scouts are convinced he can play the point in the NBA.
Greg (Michigan)
Rodney Hood is good...How good?
Chad Ford (1:55 PM)
Trying to figure that one out. Has been incredible for Duke so far with the possible exception of the KU game. But Andrew Wiggins had a lot to do with slowing him down. He's got great size, can play two positions, can shoot the basketball and is just so smooth. Not a great defender, but everyone says he's a hard worker. I have him at No. 11 on my Big Board. Could go Top 10.
Conner (Guilford)
What role do you see Dario Saric taking in the NBA? Do you see him as a traditional 4 with above-average shooting and passing capablities or carving a more unique role in the vein of Lebron James and Magic Johnson
Chad Ford (1:58 PM)
Scouts love him. He's been in our Top 10 since July of 2012. He could have been a lottery pick if he came out last year and should be one this year, despite how loaded the class is. He's averaging 13.8 ppg in Croatia right now -- which is really good for a 19 year old in a pro league. I think he's a "point-4" in the mold of Boris Diaw minus the spare tire around his waist. While he has a great basketball IQ, the LeBron/Magic comps are way too much. He's good, but not that good.
Nick (Oakland)
If you were a gm, who would you take if you had the #1 pick at this point?
Chad Ford (1:59 PM)
Wiggins. Highest upside. Very little downside. Plays on both ends of the floor. I love Parker, Randle, Exum and Smart. Love all of them and would be happy with any of them with the No. 1 pick. But I think in 5 years, Wiggins will be the transcendent talent from this loaded draft.
Chad Ford (1:59 PM)
Gotta run everyone. We'll do this again next week.
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text:
I told myself that I wouldn't do another playthrough until all episodes were out but after ep 2 I have decided to do another run with the sole purpose of treating Kenny like the piece of shit he is. It may not be my canonical playthrough but he has to pay for his cowardice somehow
1.5K Comments - Linear Discussion: Classic Style
Tell him that Clem's your family, and he'll acknowledge all the times you helped Kat and Duck and come with you. Doesn't sound like short memory to me.Will85;748880 said:Kenny is a dick with a very short memory of all the times Lee helps his family.
Telltale knew exactly what they were doing and have specifically stated that the movement was intended to be ambiguous - dead or reanimating... oops.CarScar;748769 said:I'm pretty sure it was suppose to show him breathing, Telltale just didn't make the animation for the movement fluid enough. I also don't think Telltale added it in for no reason, it means something (the meaning is to probably spur discussions like this).
Obviously they did their job right considering there are 62 pages of this discussion and it just keeps going.
Actually, I told him Clem was my family and he still didn´t come with me. Instead, he decided to tell me to go fuck myself.Rock114;748888 said:Tell him that Clem's your family, and he'll acknowledge all the times you helped Kat and Duck and come with you. Doesn't sound like short memory to me.
So yeah, he does have short term memory, and a bad case of the dickish.
I've never actually seen him tell anyone to go fuck themselves after they say Clem is family. And why wouldn't he be a dick? His own family died in front of him less than a day before Episode 4 even begins. He's not just going to shrug that off and say "Oh well, I did all I could."Fabrimuch;749000 said:Actually, I told him Clem was my family and he still didn´t come with me. Instead, he decided to tell me to go fuck myself.
So yeah, he does have short term memory, and a bad case of the dickish.
I sided with Lilly when Larry was dying, but with Danny I freaked out and he shot me. And on my second try, I was like KENNY SHOOT THIS F*CKER and he just hid there like a pansy and Lilly had to shoot him. ;_;
You make it sound like its crazy to not have his back all the time, but to do so isn't that easy.clekea;749294 said:You do understand as long as you have his back he has yours right?
Save Duck: Okay this is a pretty easy choice.
Side With Kenny: To side with him you have to aggressively say your gonna kick Larry's ass rather than reason with him. I wasn't on Larry's side here but because I wanted to be more diplomatic here and not aggressive I'm considered to be on Larry's side. This one is more on the dialogue option's fault than Kenny's.
Side with him over Lilly as Leader: He has okay opinions here but usually everyone chooses not to pick a side on this and wants a democracy.
Choose to kill Larry: This is the biggest choice in the whole game with Kenny's opinion on you and to make him like you, you have to smash a man's head in in front of his daughter. He was right but come on he handled it very poorly and impulsive.
Steal from the Van: Easier choice but still clearly the morally wrong choice and majority of people choose the option that is more "Nice guy Lee" than "Survivalist, Pragmatic Lee".
Side with his Boat Plan: I never believed his plan would work and never hid it from him and for that he hated me.
Kill Ben: Killing him because he makes bad decisions is wrong. The best way to handle that would be to either watch him better and treat him like one of the kids and not as an adult, or to kick him out of the group. Murder was not needed and just seems overkill.
Kenny isn't a bad man, but he is impulsive and doesn't like it when people don't agree him. He didn't change until after the boat was gone. The choices needed to have him stay on your good side are mostly the morally wrong option. (Murder, theft)
Larry was a walker waiting to happen.
Lilly's actions in the meat locker were driven by emotion rather than logic, and she was putting the entire group (including Clementine) in danger.
Larry had taken a massive heart attack. He was not breathing and had no pulse, and without the benefit of modern medicine there was no way he could survive. Keep in mind that this heart attack occurs after civilization has collapsed and when there are no paramedics or functioning hospitals, and with the group trapped in a meat locker. Larry's chance at survival even without Kenny introducing his face to a salt lick, was zero.
If Kenny hadn't dropped that salt lick on Larry, they would have had to battle a 6'4 300 lb enraged walker, after it had chewed Lilly's face off.
Yeah, even if he lived, if he keeps on having those heart attacks without medication, he's dead.Scaeva;749334 said:Larry was a walker waiting to happen.
So just kill him because he's handicapped? Is that what you tell yourself to feel better about your choice? It's funny considering people are usually disgusted with Crawford...


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Black Gum, Sour GumCommonly known as the Black gum Tree, Nyssa sylvatica, is a deciduous, slow growing tree which has elegant, sweeping branches which form a loosely conical shape over time. Native to America, where it is commonly known as "Tupelo", it is widely known for its spectacular Autumn displays when the foliage will turn an array of reds and oranges to become ablaze with colour before they finally fall to reveal the intricate shapes of the bare branches. A worthy specimen for any woodland garden although it can take 20 years or more to reach its full height. Height: 12m (39'). Spread: 8m (26'). More info
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Box Elder, Ashleaf MapleA fast growing type of maple, this attractive tree is grown for its striking foliage. New leaves appear in spring with a definite pink hue to them and as they mature they acquire their normal green colouring, with an unusual white or pale pink variegation! Due to its naturally small size for a tree of this type, Acer negundo 'Flamingo' can be grown in a smaller sized garden, although pruning will be needed, alternatively it can be kept pruned back regularly and grown as a large shrub, either way it will certainly be a hit in your garden! Height: 12m (39'). Spread: 8m (26'). More info
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R3 Flat Belly Shot is touted as a 100 percent organic, chemical-free, natural herbal supplement that helps people lose weight. Producers of the supplement claim that the weight is lost primarily in the belly region, which is a trouble zone for most people. And while this product may seem to be a healthy, natural option for increased weight loss, it may not be worth the investment.
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I have been asked to recreate some wedding portraits but have never done a wedding before, is there any words of advice anyone could give? or any easy shots anyone could suggest I do as i do not want to fail at this. Thanks!
ya totally, im sure you've done a bunch of research already, but stay original. scout some possible locations to shoot and take pictures. and dont be afraid to experiment on a few shots. and be sure to do more than what they expect from you
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Tel: (503)646-2151
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Beaverton Christian Preschool & Kindergarten first opened it's doors in the fall of 1966, with kindergarten classes that offered a Christian learning experience for the children in our community.
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Selective Mutism: Comprehensive Evaluation
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Immerso nel cuore del più grande quartiere storico di San Giuseppe, il 1885 palazzo vittoriano attende i visitatori classe offerta e stile. Da dodici piedi soffitti a una grande Entry Hall e Parlor, Whiskey Mansion è una fuga dall'ordinario e offre al visitatore molto da esplorare all'interno delle sue mura. Camere spaziose e biancheria da letto giù aggiungere al quartiere tranquillo e invitano a una notte di riposo. Dopo quasi bruciando a terra, Whiskey Mansion è pieno di fotografie di tutta la sua storia di 120 + anno. Colazioni di buon gusto preparati con ingredienti locali completano l'esperienza. Unisciti a noi a Whiskey Mansion per un soggiorno unico.
4,0 su settembre 10, 2016
Wasn't sure what to expect but I was so pleasantly surprised. The house had been beautifully restored after a big fire. Loved the feel of the place. It was like going back in time. Staff was friendly and helpful. Enjoyed breakfast. I would stay there again without hesitation.
5 su agosto 31, 2016
Gorgeous wallpapers and furniture. Beautiful floors, woodwork, period lighting and fireplaces. We plan to return.
5 su agosto 04, 2016
I love the relaxing atmosphere and large clean rooms. As a lover of St.Joe having grown up there, I love the location, close to downtown, close to HiHo area and away from the Belt. The service, rooms and food are excellent. Eating breakfast on the porch an added bonus. I was a repeat customer and will stay there anytime I stay in St.Joe.
5 su agosto 04, 2016
Loved everything about our stay. Despite the fact that most of the rooms were rented out the evening we were there, we didn't hear outside noise from the confines of Sarah's room. We enjoyed looking through the photographs on display on the main floor. Absolutely adored the music softly playing...no details escaped Mr. Cox's attention.
5 su luglio 19, 2016
Whiskey Mansion was amazing. Words cannot do justice to the great experience we had! The Mansion was beautiful (pictures also do not do it justice!) and extremely clean. Every detail was covered and the food was wonderful. Very close proximity to great dining and Museum Hill, as well as other local attractions. Priced reasonably - competitive to any of the mid-level chain hotels in the area... and a MUCH better atmosphere!
4,8 su giugno 23, 2016
Beautiful and comfortable place to have a relaxing evening with my 3 besties! Breakfast was wonderful the next morning! Highly recommend.
5 su giugno 22, 2016
This was my first stay in a bed and breakfast and it far exceeded my expectations. I felt so at ease and so comfortable with the place and the innkeeper and housekeepers were so congenial and helpful (and offered great advice--Thanks Sarah!). The house is beautifully restored and it is obvious that Olin takes great pride in owning and running the B and B; no attention to detail escapes his notice and he genuinely cares about his guests' satisfaction.. I want to return to Saint Joseph again one day to stay again at this wonderful establishment!
5 su giugno 11, 2016
Wonderful respite and great breakfast.
5 su aprile 11, 2016
Lovely historic home, with great rooms and breakfast. I will definitely stay again.
5 su aprile 01, 2016
Beautiful house, great history, outstanding breakfast and fabulous host!! This is a must stay if you are in St Joseph!!
The Maid's Room is an old servant's quarter, small but quaint. It has a hall bath adjacent the room.
The Maid's Room is an old servant's quarters, small but quaint. It has a hall bath adjacent the room with a clawfoot tub shower combo.
Room allows for private meetings and events. It can seat up to 35. Catering available. Room charges are waived with catering and/or lodging.
Aeroporto, Campagna, Centro città, Piccolo Paese
Kansas City, MO (MCI) 40 miles
Da I-29 take I-229 all'uscita del centro. Segui Edmund Street fino a 18th Street. Girare a sinistra (nord). Viaggiare due blocchi. Whiskey Mansion si trova all'angolo di 18th/Francis
Shopping Antiquariato, Gallerie d'arte, Casino, Cene da gourmet, Interessi Storici, Cinema, Musei, Parchi Nazionali/Statali, Zona Naturale, Teatro, Area Picnic, Fiume, Azienda vinicola
Historic Inn, Boutique Hotel, Mansion
Camino, Microonde, Pianoforte, raggiungere a piedi il trasporto pubblico, Lavatrice/Asciugatrice
Aria condizionata, Sveglia , Attrezzature per Caffè/Tè, Frigorifero, Asciugacapelli, Jacuzzi, Ferro da stiro, TV, Wi-Fi
Noleggio bici, Piste ciclabili, Bici, Osservazione Uccelli, Nautica, Canottaggio, Pesca, Golf, Escursioni, Caccia, Kayak, Mountain Bike, Shopping, Scenari, Nuoto, Campi da tennis
Olin Cox
Inglese, Giapponese
Historic Preservation. Viaggiare. All'aperto. Escursionismo. Nuoto
A basso contenuto di grassi
, Restrizioni , Vegetariano


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World Series of Fighting announced on Wednesday that it has signed heavyweights Jared "The Big Show" Rosholt and Ashley Gooch. read news >>
ZAGREB, Croatia – Jared Cannonier said his brutal first-round knockout of Cyril Asker on Sunday had a lot to do with being mentally in control of things. Filed under: Featured Videos, News, UFC, Vide read news >>
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Heavyweights Derrick Lewis and Jared Cannonier led the assault on the UFC Fight Night 86 post-fight $50,000 bonuses in Croatia. read news >>
Jared Cannonier showcased some scary power in the first heavyweight bout of a card filled with big men.Filed under: News, UFC, Videos read news >>
Watch Jared Cannonier deliver a devastating knockout against Cyril Asker at UFC Fight Night 86 in Croatia. read news >>
Jared Cannonier's first UFC win will be a memorable one for him, for sure. His opponent might not remember it at all. Check out Cannonier's brutal finish of Asker inside. Filed under: News, UFC, Vide read news >>
ZAGREB, Croatia – Jared Cannonier said after his vicious knockout of Cyril Asker that he's still getting used to the octagon, two fights into the UFC. If that's the case, future opponents might have read news >>
Recently released UFC fighter Jared Rosholt notes he made it up to No. 12 in the industry-leader's official rankings. Not bad for a wrestler who never really learned to strike.Filed under: News, UFC read news >>
Stream or download Friday's edition of MMAjunkie Radio with guests Ben Askren, Lowen Tynanes and Jared Rosholt.Filed under: MMAjunkie Radio, News, Radio, UFC read news >>
MMAjunkie Radio kicks off at 1 p.m. ET (10 a.m. PT) with guests Ben Askren, Jared Rosholt and Lowen Tynanes.Filed under: News, UFC read news >>
Jared Rosholt, a successful but unexciting MMA heavyweight, has been released from the UFC's roster. Ariel Helwani of MMAFighting.com broke the news Wednesday afternoon, citing an unnamed UFC officia read news >>
April's UFC Fight Night 86 event in Croatia has a new heavyweight matchup.Filed under: News, UFC read news >>
Roy Nelson did enough to win at UFC Fight Night 82, but just barely. Nelson's co-main event with fellow heavyweight Jared Rosholt resulted in a unanimous decision victory for Big Country. However, th read news >>


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Center for Food Safety wants to
Oppose the DARK act denying your right to know
Don't let Congress deny your right to know: Oppose the DARK act
Don't let Congress deny your right to know: Oppose the DARK act
Any attack on one human, is an attack on humanity.
This One World Declaration of Peace & Justice was co-written by students & sponsored by the United People for Peace!
PepsiCo can help stop Conflict Palm Oil plantations from destroying the rainforest homes of the last wild orangutans.
TYRANNY Grows when politicians and government officials bypass the same laws that they judge others for...
As many as 200 million females are missing because of gendercide. Stand up for girls and women everywhere.