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Welcome to the official Twitter of Pharm So Hard Network! 🎙️ Your go-to source for everything in emergency medicine, hospital & ambulatory care pharmacy.

United States
Joined September 2019
Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)Photo by The Pharm So Hard Podcast Network (@pharmsohardnet)
"That's a really good delineation point where we can hand things off." Dr. David Zimmerman discusses the parts of the emergency medicine pharmacist role that must be protected during heavy boarding, including bedside resuscitations, trauma activations, strokes, and other time-sensitive emergencies. #EmergencyMedicine #Resuscitation #EMPharmacist #EDBoarding #CriticalCare 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx
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What happens when EMPs become responsible for everything? Protecting the EMP role is not about limiting contributions. It is about ensuring the right pharmacist is available for the right patient at the right time. 💬 How does your institution balance care for boarded patients while preserving EMP availability for emergent care? #EmergencyMedicine #EMPharm #EDBoarding #PatientSafety #Burnout
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"Because we don't say no." Dr. Alyssa Robertson discusses how emergency medicine pharmacists can become victims of their own success, taking on more and more responsibilities simply because they're capable and willing to help. 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx #EmergencyMedicine #EMPharmacist #EDBoarding #HealthcareOperations #ClinicalPharmacy
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What should EMPs own during periods of ED boarding? Protecting the EMP role is not about doing less. It is about ensuring EMPs remain available for the highest-risk, highest-impact moments in emergency care. 📖 Table 1 of the JACCP opinion paper by Gilbert et al. summarizes the expert panel consensus on which responsibilities should remain within the core EMP role during periods of ED boarding. #EmergencyMedicine #EMPharm #EDBoarding #PatientSafety #CriticalCare
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"When there's no clear ownership of a patient, that's when those transitions of care and follow-up get lost." Dr. Heather Blue explains why boarded patients still need pharmacist involvement—and how unclear ownership can lead to missed follow-up, delayed interventions, and medication errors. #PatientSafety #TransitionsOfCare #EDBoarding #ClinicalPharmacy #EMPharmacist 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx
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Did you know? As ED boarding continues to rise, the impact extends beyond patient flow. Prolonged boarding has been associated with delays in care, medication-related safety events, and increasing strain on emergency care teams. This statistic and the broader implications of ED boarding are discussed in the recent JACCP opinion paper on the role of the EMP in managing boarded patients and in our latest podcast episode. 🎧 Watch the discussion: youtu.be/omwJHOD-PUs 💬 What is the longest boarding time you have seen at your institution and how has it affected workflow and patient care? #EmergencyMedicine #EMPharm #EDBoarding #PatientSafety #HospitalMedicine
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"It's patient care and safety." Dr. David Zimmerman discusses how emergency medicine pharmacists can advocate for their role without sounding like they're refusing patient care and why the ED shouldn't be expected to absorb challenges that would be unacceptable anywhere else in the hospital. #EmergencyMedicine #EDBoarding #PatientSafety #EMPharmacist #HealthcareOperations 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx
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One of the biggest differences between students and residents is autonomy. As a student, the focus is learning disease states and medications. As a resident, you're expected to make recommendations, prioritize patient care, and operate more independently while continuing to ask questions and learn. 🎧 Stream the full episode: YouTube: youtu.be/ePPhA_jO5qU Apple Podcasts: buff.ly/3ZqGKzn #PharmacyStudent #ResidencyLife #ClinicalPharmacy #PharmacySchool #YourPharmDBestie
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The easiest pharmacist interventions to spot... and the next level of clinical thinking. Catch Alina Luk, PharmD, and William Xu, PharmD, as they discuss patient workups, clinical reasoning, and the transition from pharmacy student to resident in this episode of Your PharmD Bestie. 🎧 Listen to the full discussion on: YouTube: youtu.be/ePPhA_jO5qU Apple Podcast: buff.ly/3ZqGKzn #PharmacyResidency #Pharmacist #PharmacyStudent #ResidencyLife #YourPharmDBestie
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What should EMPs protect during periods of heavy ED boarding? A new JACCP opinion paper by Gilbert and colleagues, endorsed by AEMP and SEMP, explores how boarding is reshaping EMP practice and provides recommendations for preserving the core role of the EMP. As ED boarding becomes an operational reality, protecting EMP time for acute, high-risk care is essential for patient safety, emergency care efficiency, and workforce sustainability. Have you seen EMP role drift during periods of heavy boarding? 💬 Share how your institution defines and protects the EMP role. #EmergencyMedicine #EMPharm #EDBoarding #PatientSafety #CriticalCare
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As hospitals become increasingly crowded, EMPs are often asked to take on additional responsibilities for boarded patients. When EMPs are pulled away from resuscitations and other time-sensitive interventions, patient care can suffer. This challenge, and how to protect the core role of the EMP during periods of congestion, is discussed in the new JACCP opinion paper on boarding patients and explored further in our latest podcast episode. Watch the episode on youtu.be/omwJHOD-PUs 💬 How does your institution support EMPs during periods of heavy boarding? Share your experiences in the comments below. #EmergencyMedicine #EMPharm #PatientSafety #EDBoarding #CriticalCare
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What does it actually mean to "work up a patient"? One of the biggest challenges for pharmacy students and new residents is figuring out where to even start when opening a patient chart. 🎧 Stream this episode with William Xu, PharmD on YouTube: youtu.be/ePPhA_jO5qU Apple Podcast: buff.ly/3ZqGKzn #PharmacyStudent #PharmacyResidency #ClinicalPharmacy #PatientWorkup #YourPharmDBestie
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"Start that dialogue and really understand what current practice is." Dr. Heather Blue shares the first operational change she wants pharmacy and ED leaders to make: understand the current state of emergency medicine pharmacy practice before redesigning workflows around boarded patients. 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx #EmergencyMedicine #PharmacyLeadership #EMPharmacist #EDBoarding #HealthcareOperations
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"It's really institution specific." Dr. Brian Gilbert discusses the metrics pharmacy leaders should be tracking during ED boarding—from throughput and length of stay to identifying gaps in specialty pharmacy coverage and workflow ownership. 🎧 Catch the whole episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx #EmergencyMedicine #PharmacyLeadership #EDBoarding #HealthcareOperations #EMPharmacist
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"We kind of lose our specialty and skills in our area." Dr. David Zimmerman discusses how expanding responsibilities can pull emergency medicine pharmacists away from the high-risk, time-sensitive work where they make the greatest impact. 🎧 Listen to this episode YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx #EmergencyMedicine #PatientSafety #EMPharmacist #CriticalCare #EDBoarding
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"That drift comes along with it." Dr. Alyssa Robertson discusses role drift in emergency medicine pharmacy and how EM pharmacists can gradually become responsible for longitudinal inpatient care while trying to support their teams. 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx #EmergencyMedicine #EDBoarding #ClinicalPharmacy #HealthcareOperations #EMPharmacist
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"The emergency department is so much more than a location." Dr. Heather Blue explains why boarded patients create a unique challenge for pharmacy services and why assigning ownership based solely on physical location misses the bigger picture. #EmergencyMedicine #PatientSafety #EDBoarding #ClinicalPharmacy #EMPharmacist 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx
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"ED boarding isn't a new problem but it's probably as bad as it's ever been." Dr. Brian Gilbert discusses why the issue of boarding demanded action and how a conversation among EM pharmacists turned into advocacy for defining pharmacy ownership and protecting the role of the emergency medicine pharmacist. 🎧 Stream this episode on YouTube: youtu.be/omwJHOD-PUs Apple Podcast: buff.ly/3Uq1Efr Spotify: buff.ly/3VyPxhx #EmergencyMedicine #PharmacyLeadership #EDBoarding #EMPharmacist #MedTwitter
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Sometimes the hardest part of board prep isn't the material—it's the pressure. Hearing pass rates, comparing yourself to others, and knowing residency is right around the corner can make exam season feel overwhelming. David Nguyen, PharmD, shares his honest experience navigating the stress of NAPLEX and CPJE preparation. 🎧 Listen to the whole episode on YouTube: youtu.be/aoOqd2l06P0 Apple Podcast: buff.ly/3ZqGKzn #NAPLEXPrep #CPJEPrep #PharmacyTok #ResidencyLife #YourPharmDBestie
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📖 CPJE Reality Check: Many students spend so much time memorizing pharmacy law that they overlook one of the most challenging parts of the exam: the clinical content. David Nguyen, PharmD, shares what surprised him most about preparing for the CPJE and what future test takers should keep in mind. 🎧 Stream this episode on YouTube: youtu.be/aoOqd2l06P0 Apple Podcast: buff.ly/3ZqGKzn #CPJEPrep #BoardExams #PharmacyEducation #PharmacyPodcast #YourPharmDBestie
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