Smith resigned in June 1967 to go to Long Beach Memorial Hospital where he would soon establish a major clinical pharmacy service. He was succeeded by Miller. Shortly thereafter, Dennis Mackewicz, PharmD,19 joined the staff, as later did Eric T. Herfindal, PharmD
Having accomplished the goal of developing the role of the clinical pharmacist in an inpatient setting and having set in place the educational experiences necessary for such practitioners, the division now turned its attention to research, a necessary step for it to receive the recognition of the academic community. Despite a heavy service and teaching load, clinical faculty were encouraged to gradually become involved in collaborative research with physicians in their practice area. Many did and ultimately became principal investigators in projects involving pharmacokinetics, pharmacodynamics, and health-service research, among other areas. The residency program was expanded and included specialized programs in hospital pharmacy administration, pharmacokinetics, drug information, and pediatrics. Research fellowships soon appeared on the scene.
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Although the role of the pharmacists in patient care at UCSF was now fully accepted by the medical staff and administrators, it was clear that the lack of quantitative justification would remain a stumbling block in expanding the program and in providing the pharmacy community with a model that could be implemented in other settings. In 1978, an extensive research project was implemented to study the impact of the clinical pharmacist on physician prescribing behavior. Two publications4,5 and an American Society of Hospital Pharmacists Research Award (1984) resulted.
In the long run, however, it matters little who the many parents of clinical pharmacy were (and there were many), for like the gifted child it was, it has far exceeded the modest expectations of those who participated in its conception, birth, or adolescence. Even as a young adult, now slightly over 25, it is still testing its wings and it becomes more independent by the day. To have shared in the experience of having helped it take its first few, toddling steps was a privilege. To see it as it is now is a dream come true.
Over the course of her career, Kathleen Brodowy, PharmD, applied her pharmacy expertise to management and clinical positions at various San Francisco East Bay hospitals, including Samuel Merritt Hospital, Kaiser Permanente, and the Veterans Administration Health Care System. She earned a PharmD degree from the UCSF School of Pharmacy, then completed a first-year postdoctoral pharmacy residency at the University of Iowa Hospitals and Clinics and a second-year residency at Stanford University Medical Center hospitals. 006ab0faaa
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