Randomized trial of a decision aid for BRCA1/BRCA2 mutation carriers: impact on measures of decision making and satisfaction.

Objective: Genetic testing is increasingly part of routine clinical care for women with a family history of breast cancer. Given their substantially elevated risk for breast cancer, BRCA1/BRCA2 mutation carriers must make the difficult decision whether or not to opt for risk reducing mastectomy. To help BRCA1/2 carriers make this decision, the authors developed a computer-based interactive decision aid that was tested against usual care in a randomized controlled trial.

The pharmacy leadership competency gap: diagnosis and prescription.

The purpose of this paper is to inform the health administration community and its educators about the importance of pharmacy leadership, the competencies associated with the role, and a suggested path to achieve a greater number of pharmacy leaders. The role of the pharmacy leader is often unrecognized or undervalued, yet it has significant implications for many facets of the healthcare delivery organization, including the cost of care, patient safety and quality, the influence and potential involvement of the pharmacist in the hospital or health system. Hospitals and health systems should recognize the power of an effective pharmacy leader, and strive to fill those positions.