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Pharma D can now use DR prefix, Doctors cry foul

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Pharma D can now use DR prefix, Doctors cry foul

Nagpur: Controversy has erupted within the medical fraternity following the decision of Pharmacy Council of India (PCI) to grant “Dr” prefix to all Pharma D degree holders. While the Pharma D students have welcomed the move, the doctors have claimed that Pharmacists using the “doctor” tag will only create confusion in the minds of patients

Pharm D is a 6- year doctorate level course, including five years of academic study and a year of internship or residency. It is offered by a variety of public and private universities in India

Through a recent decision, the Pharmacy Council of India made it clear to allow Pharm D ( Doctor of Pharmacy) to use the prefix of “Dr” from now on. The confirmation of the said decision of the PCI came via letter received by the Director of the Board of Examination and evaluation of Sant Gadge Baba Amravati University which stated, “PCI has taken a decision of prefixing ‘Dr’ before the name of the candidate who are awarded Pharm D degree. All the universities and examining authorities approved by the PCI are requested to use this prefix while awarding degree certificates.”

The Council wrote to the government universities all over the country to add the prefix to the names in the certificates of those students who completed their degrees in Pharm D. Majority of the private universities added the prefix ‘Dr’ before the degree as per the direction of the PCI, but few government colleges showed unwillingness to add the prefix.

Dispensing medications by compounding, packaging, and labelling pharmaceuticals is one of the jobs of a pharmacist, it will only be confusing for patients when they see the doctor title with the pharmacist.

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The council had earlier intimated its decision to all the universities approved by the PCI under section 12 (2) of the Pharmacy Act 1948 to conduct examinations for Pharm D to use the prefix Dr before the names of passed out students while awarding certificates under Regulation 18 of the Pharm D Regulations 2008.

As universities in the state were not issuing degrees with ‘Dr’ prefix till now, members of Doctor of Pharmacy Association of Maharashtra had approached the PCI for a clarification.

Vinayak Bhagwat Ghayal, president of Doctor of Pharmacy Association, Maharashtra told the TOI, “We have been pursuing this issue from the last two years. When university authorities told us that they don’t have written directives from the PCI regarding the ‘Dr’ prefix, we wrote to PCI. On May 24, the PCI issued a letter in this regard.”

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A Pharm D student told the daily, “There are several pharma related courses right from diploma (D Pharm) to PG degree (M Pharm) in India. But the Pharm D is the biggest as it includes five years of study and one year of internship or residency. The ‘Dr’ prefix will differentiate us from the other pharma degree holders. We will get our due recognition in the job market.”

Doctors, however, pointed out that a “Dr” tag to pharmacists will only create confusion with patients now thinking that a pharmacist may be approached for prescriptions as well. ” Doctors prescribe and pharmacists dispense. The demarcation is currently clear. Allowing the prefix “dr” to pharmacists is bound to create confusion in the minds of gullible patients who might begin asking the pharmacists for medical advice and prescriptions. ” Dr Arvind Chopra, Delhi Medical Association told Medical Dialogues

“There are long term allegations that many pharmacists, having little knowledge to dispense the medicine also attempt at prescribing the medicine and now if the differentiation between prescription and dispensing is lost, This would further propagate the menace of quackery, ” he added

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Source: with inputs
55 comment(s) on Pharma D can now use DR prefix, Doctors cry foul

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  1. user
    Abid Ali Balospura July 26, 2019, 12:24 pm

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  2. user
    Dr.Daddikoppad June 1, 2019, 9:27 am

    I feel there must be difference, otherwise it bound to cause confusion among people. Don\’t unnecessary create confusion, clarification is needed before applying the terms.

  3. user
    Dr G.Harish, PharmD June 1, 2019, 10:28 am

    Yes i agree there must be difference by sticking Physicians only to Diagnosis and Clinical Pharmacists to Treatment management in Indian Scenario.,where the other developed countries are already following it.,as we know medical associations are playing politics never make Indian health care system towards development pathways and there is requirement needed for Proper health care system.

  4. user
    Dr G.Harish, PharmD May 31, 2019, 8:59 pm

    Dont even try to dare giving negative comment on PharmDs about our knowledge, If it continues then we will dont hesitate on reverse commenting on your all knowledge.,better do take mind before posting. If you dont know about our work of PharmDs better keep quiet.

  5. user
    Dr.Daddikoppad June 1, 2019, 9:31 am

    Sir, , no body doubting your capacity or Calibre, what We want is clarification.How can one doubt about others knowledge.

  6. user
    Dr G.Harish,PharmD June 1, 2019, 12:16 pm

    You people want clarification that is welcomed from us, we have all rights of involvement in dealing with Patient treatment management and care, we concentrate in each and every aspects of Patient medication management regarding the increase patient disease cure rate by keeping in the mind to avoid all sort of high risk management occuring with Dosing errors,Susceptible ADRs, Drug toxicities, Drug interactions,Medication errors etc through rational drug therapy, drug level monitorings by following standard treatment guidelines protocols during Patient recovery, mentioning below are some of them i would like to mention to overcome these high risk through our Pharamacotherapy aspects
    “DOAC interactions”
    “pain consult”
    “transition between anticoagulants”

    9. “PCA dosing”

    10. “Drug Fever”

    11. “Penicillin Cross-Reactivity”

    13. “Pharmacist\’s Role in Preventing Readmission of COPD Patients”

    14. “Medication Reconciliation”

    1. “Antibiotics in Upper GI Bleeding”

    2. “pharmacists role in preventing C diff in icu”

    4. “necrotizing faciitis”

    5. “Ludwigs”

    6. “avoiding quinolones in certain conditions”

    7. “sepsis de-escalation”

    8. “step down pneumonia”

    9. “warfarin abx interaction”

    10. “uti-stewardship”

    11. “Linzeolid SSRI Interaction”

    12. “Azithromycin vs Levofloxacin Cardiac Risk”

    14. “IV to PO Antibiotic Switching”

    15. “High Dose Daptomycin”

    1. “Tranexamicacid in treatment of bleeding”

    2. “Practical Strategies for Acutely Elevated ICP”

    3. “brady-tachy”

    4. “opioid overdose”

    5. “toxidromes”

    6. “SVT”

    7. “deep sedation”

    8. “upper gi bleeding”

    9. “ICH after TPA”

    DOAC reversal

    “IV Lidocaine for analgesia in the ED”

    12. “Successfully Managing a Myasthenia Crisis”

    13. “High Dose Insulin Therapy”

    14. “Pharmacist\’s Role at a Stroke Alert”

    15. “Emergency Severity Index and Pharmacist Workflow”

    1. “Blood pressure control in acute stroke”

    2. “Augmented Renal Clearance”

    3. “Status epilepticus”

    4. “dexmedetomidine”

    6. “dietician tpn”

    7. “ketamine”

    9. “Heparin reversal”

    10. “Antiplatelet bridge”

    11. “TDM of anti-rejection and anti-epileptic medications”

    13. “Heparin-induced thrombocytopenia in the ICU”

    14. “Severe hyponatremia”

    15. “Lipid Rescue”

    16. “Vancomycin Dosing”

    17. “Management of the patient with septic shock”

    19. “Airway Pharmacology\”

    20. “Pharmacist Emergency Response 101”

    21. “ICU Bugs and Drugs ”

    22. “ECG Recognition”

    23. “Interpreting Laboratory Data”

    24. “Glucose Management with IV Insulin”

    25. “ICU Sedation”

    26. “Opioids: Safe & Effective Use in the ICU”

    27. “Neuromuscular Blocking Agents”

    28. “ECMO pharmacotherapy”

    29. “Vasopressors”

    30. “Severe alcohol withdrawal”

    31. “Patient Assessment

    Finally after all these, are there we not deserve for mentioning \’Dr\’ as prefix.

  7. user
    Dr Rajeev jain May 31, 2019, 6:49 pm

    Ye drug dispense karne ke liye hain.this is what they study.they need to dispense the drugs prescribed by clinical doctors.its good that we will be getting the subordinates.they didn\’t ever go to hospitals and see patient so no question of practising medicine.what quality they are talking?half of the pharmacists selling drugs without prescription and increasing resistance.they won\’t go ever to pharmacist for treatment once they will be or family member will be sick.this comparison is ridiculous.

  8. user
    Dr G.Harish PharmD,BCPS,BCOP,BCIDP (USA) May 31, 2019, 8:14 pm

    This says you are unfit for Health care professional, you only knows that what pharmacist doing is dispensing..Lol 😂 so whether you dont know other that sentense better keep quiet…you are saying we PharmDs not going to hospital…brother we are attending from our 2 nd year to 6th year, which is internship so that is your knowledge.
    We PharmDs increasing drug resistance ? Lol Dont say to any other clinical pharmacists in developed countries and developing countries…..they will laugh at you for not having even basic drug knowledge.,if possible come to us we will teach you.
    Does even you know how tratment guidelines are made.,probably you doesnt now because you are only a physician…we made drug guidelines with often conducting different clinical studies whether the drug is compatable for specific disease conditions.
    Now finally saying you are all not comparable to us.,even the word doesnt suites to you physicians…You are also saying we are sub-ordinates you, well may be we are your all ego suppressors, this is the situation where 50 years back USA has faced now most vulnerable helath care system in world.
    You are also saying when sick to family members never goes to pharmacists….no problem after all listening to this, you consult us for your parents sick.,we will give better than your treatment, if only you people diagnose well 😂😂😂…dont fear looking after name to that degrees those are my upcoming US specialisations in my PharmD doctoral programme.

  9. user
    Dr Rajeev jain May 31, 2019, 6:35 pm

    Jo kabhi doctor na ban sake competitive exams dekar wo apni failure aise poore Kar rahe hain.jinse kabhi neet clear nahi hue koi exam clear nahi hua wo Dr banna chah rahe hain.bheek mein Mila hua Dr Lekar bhi kuch na kar paoge.

  10. I have left MBBS for BVSc AH .
    I feel PharmD are really needed to monitor drug administration and dosage.
    MBBS are too busy to explain patients about how to take medicines. They never care to see old prescriptions. Never talk about any adverse side effects or complains by patients. Pharmacists and clinical pharmacists will help as people need to be explained about various medicines. Many old aged people who live alone have nobody to explain them how to.take a drug.

  11. user
    SUJIT pharma D June 4, 2019, 5:42 pm

    mr. jain neet exam tho abhi ayya hai. App logo ne thoda jiyada mark ley liya aur kuch logo ne cum mark leykar aur paise dekar dr. sit ley liya. cum mark wale sab paise wale unkho tho degree se matlab paise they kar aur degree ley liya . BHEEK APP SE NAHIN MAGAN RAHA HAI SARKAR SE MANGE REHE HAI KHIYO KI PCI KA ORDER THA JO PADEGA WHO SE HI DR. DEGREE DE DIYA JAYE. APP KHO DARR LAG RAHA HAI. KI YE LOG KAHIN APP SE ACCHEE NA BHAN JAYE.

  12. user
    Dr G.Harish, PharmD May 31, 2019, 9:20 pm

    Arey bhai neet exam nahi…lekin patient ko perfect examination karna seekho…badh me dekhungi thumara neet exam ka cheese 😂.

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