Home' Australian Pharmacist : Australian Pharmacist Nov 2013 Contents 28 Australian Pharmacist November 2013 I ©Pharmaceutical Society of Australia Ltd.
From pharmacist to
pharmacist diabetes educator
By Nicole Frayne
My working experience as a pharmacist has been varied and has included
clinical hospital employment, managing a community pharmacy and lecturing
at Edith Cowan University. The majority of this work has been at Bunbury in
regional Western Australia.
For the past 10 years I have been employed
with Koombana Health Network (previously
Greater Bunbury Division of General
Practice) as Home Medicine Review
Facilitator (HMR) and NPS Facilitator.
These programs have allowed me to
develop significant relationships with health
professionals in the south west region of
Western Australia. I cannot emphasise the
importance of having these respected
relationships as a vital foundation for
extending diabetes education services and
having an impact on patient outcomes.
I was involved in the Pharmacy Guild's
Diabetes Medication Assistance Service
(DMAS) and found it professionally
rewarding to specialise in a particular
chronic disease. To compliment the training
from the Guild, I completed a Graduate
Certificate in Diabetes Education at Curtin
University. Study is external and can be
completed in six months. The studies are
completed with a 10 day clinical practice
placement. The Australian Diabetes
Educators Association (ADEA) accredits
other tertiary education institutions offering
post graduate courses in diabetes education
Koombana Health Network initiated a
diabetes education service in 2010. This was
funded under the Australian Government's
Rural Primary Health Services Program
(RPHS). Initially 0.4 full time equivalent (FTE)
was allocated to provide a diabetes educator
within general practice. Service provision
within each general practice is varied.
Each practice is given an allocated date
and time for clinics and the practice itself
manages the patient load (referrals, booking
appointments, prioritising patients). In most
cases medical software access provides
relevant information (pathology, current
medications etc) and for documentation of
the session in patient notes. Appointment
times vary from 30--45 minutes and in some
practices the session is directly followed
by an appointment with the patient's GP.
Education focusses on impaired glucose
tolerance, type 2 diabetes, gestational
diabetes, insulin management and other
injectables and lifestyle modification.
The main challenge to this program is
meeting the needs of the community with a
limited funding model.
To access Medicare rebates for diabetes
consultations, it is necessary to be a
Credentialed Diabetes Educator (CDE).
Professions eligible to become CDEs are:
registered nurses, accredited practicing
dieticians, registered medical practitioners,
accredited pharmacists, podiatrists and
accredited exercise physiologists.
Credentialing pathway for pharmacists:
• Registered pharmacists also accredited by
the Australian Association of Consultant
Pharmacy or the Society of Hospital
Pharmacists of Australia to conduct
medication management reviews.
• Post graduate qualification in Diabetes
Education and Management at an
• 1,800 hours of clinical practice in the
specialty area of diabetes.
• Application to ADEA submitting evidence
of the above in addition to professional
For more information go to www.adea.com.au.
Obviously, obtaining the 1,800 hours of
clinical practice may present some difficulties
for pharmacists to overcome. MedsCheck,
RMMRs, and HMRs may present some
opportunities for gaining the required
number of hours.
The role of a pharmacist Credentialed
Diabetes Educator may include:
• Providing medication management
programs such as diabetes MedsCheck.
• Home Medicine Reviews (HMR) --
invaluable as a high number of referred
patients have diabetes.
• Residential Medication Reviews (RMMRs)
and Quality use of Medicines (QUM).
Educating nursing staff on targets and
on managing elderly people and then
implementing these recommendations in
RMMRs has been useful. Alternatively as a
credentialed diabetes educator Medicare
rebates apply to aged care residents for
• Provide information on services available
especially those in your local area.
• Link with other health providers to develop
a network of local people with an interest
in the disease. This may include health
professionals such as exercise physiologists,
podiatrists, dieticians and diabetes
educators. In our area, monthly meetings
are held which include an education
component. The meetings are attended
by private and public health professionals
(West Australian Country Health service)
from the acute and community setting.
• Working with the Medicare Local.
They may be able to connect you with
health professionals working in the area
of diabetes or be a source of funding for
• Provide services to local support groups
and other specialists.
Nicole Frayne BPharm, MPS, AAPCA, CDE is an
accredited pharmacist working in Bunbury,
WA. She combines the roles of pharmacist and
credentialed diabetes educator. She is also
a board member of the Australian Diabetes
ACCREDITED PHARMACIST SPECIAL INTEREST GROUP
Nicole Frayne (right) conducting a diabetes education
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