Publications by authors named "Michelle L Rager"

The question of whether outstanding leaders are born or made has been debated for years. There are numerous examples of historical figures that came naturally to leadership, while others developed their leadership skills through tenacity and experience. To understand leadership, both nature (the genetic component) and nurture (the environmental influences) must be considered.

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The 2015 American College of Clinical Pharmacy (ACCP) Educational Affairs Committee was charged with developing a self-assessment guide for residency programs to quantitatively and qualitatively evaluate the outcomes of resident teaching curricula. After extensively reviewing the literature, the committee developed assessment rubrics modeled after the 2013 ACCP white paper titled "Guidelines for Resident Teaching Experiences" and the revised American Society of Health-System Pharmacists (ASHP) 2014 accreditation standards for PGY1 residencies, which place greater emphasis on the teaching and learning curriculum (TLC) than the previous accreditation standards. The self-assessment guide developed by the present committee can serve as an assessment tool for both basic and expanded TLCs.

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This cross-sectional study enrolled 180 patients at a private family practice in Virginia. Total serum vitamin D concentrations were obtained weekly from January 30, 2013, through March 30, 2013, in consecutive patients regularly scheduled for laboratory work at the practice. Patients were categorized into 2 groups and analyzed for variant alleles in vitamin D receptor ( VDR; rs2228570), cytochrome P450 2R1 ( CYP2R1; rs10741657), 7-dehydrocholesterol reductase ( DHCR7; rs12785878), and group-specific component ( GC; rs2282679) to determine whether variants of those alleles influenced total serum 25(OH)D concentrations.

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Purpose: Concerns surround discontinuity of care and poor communication during transitions of care between inpatient and outpatient settings. This study was designed to examine the differences in medication discrepancies during these transitions between an outpatient clinic with admitting privileges (PCP-AD) and another without admitting privileges (PCP-NOAD).

Methods: Retrospective, chart review of patients admitted to the hospital between January and July 2009, who stated their primary care provider (PCP) was from either one of the outpatient clinics.

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Background: Pharmacists should be key members of a medical mission trip by providing assistance with medication knowledge and therapeutics.

Objective: To determine the value of a pharmacist as a member of a medical mission team through (1) pharmacy interventions on 2 medical teams and 1 women's health team and (2) team satisfaction with the pharmacy services.

Methods: Pharmacy interventions were documented by 2 medical teams and 1 women's health team and included, but were not limited to, dosing recommendations, medication selection, and therapeutic substitution.

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