Dean Mary Anne Koda Kimble accepts 2012 Medical Center award


Hello, everyone. I wish I could be with you
all today, but as you know by now I’m out presiding over a graduation of the School
of Pharmacy. I just want to say how deeply touched I am
by this recognition, because truly the UCSF Medical Center is at the heart of my entire
career as a pharmacist. And I thank you all – Mark, Sheila, Ken, Josh, and all of my many,
many friends in the medical center. So in particular the reason why this award
is so special to me is that I, as I said, am a product of this place. I began my career
here in the basement of the pharmacy, in the Unit Dose Area, and I ended up in the Ninth
Floor Pharmacy, the first satellite ever in the nation. And I am the product of visionary
leaders. The first was Bill Derzon, who was head of the medical center. The second was
Dr. Englebert Dunphy, who was then chancellor and also chair of the Department of Surgery.
And the third was Jere Goyan, then dean of the School of Pharmacy. First I have to say that these three men carried
out a very bold vision. Graduates of the School of Pharmacy who were highly trained in chemistry
and pharmaceutics were very dissatisfied with their practice: they didn’t feel that they
were applying it in the right way; they complained to the then dean, Jere Goyan. And he came
up with the idea that a pharmacist could be more clinically involved in the care of patients.
He, together with Dr. Dunphy, decided to take the pharmacist out of the basement and put
them into a pharmacy on the surgical ward. And so Dr. Dunphy gave us that space, and
we put together the first ever satellite in the nation on a hospital ward. Finally, Mr. Durzon funded nine pharmacists
in the School of Pharmacy to experiment with this idea. They were all passionate about
the notion that a pharmacists could do more to enhance patient care. So when this experiment began, I was a student,
and I heard about it, and I was completely taken by the idea that I actually might be
able to influence patient care. My whole goal then was to become an employee of UCSF. And
as I mentioned to you before, I started out in the basement pharmacy where we were one
of the first pharmacies, by the way, to implement unit dose products. I begged to go up to that
ninth floor pharmacy, and as a person at the bottom of the totem pole, at the ripe old
age of 23, I was given the graveyard shift. And at that time the pharmacists on the graveyard
shift, on the ninth floor pharmacy, was the only pharmacist in the house. That’s a pretty
scary thought; it was scary then and it’s scary to me now. And I can tell you that that
experience was both frightening and exhilarating, but it shaped me because it taught me responsibility,
I had to be on my toes, and it taught me teamwork because I was there with nurses and physicians
on-call. So some of my memories from those days is
to be grateful to surgeons; I have a soft spot in my heart for them, because they welcomed
us pharmacists onto the wards. They thought we were curious creatures up there, but they
nevertheless welcomed us. And they really allowed us – while they were in surgery – to
work with the nurses to look over medication therapy, just as long as we didn’t mess with
their prophylactic antibiotic therapy. And I recall at the time we were trying to convince
them to switch from streptomycin to a newfangled drug called “gentamicin,” because it would
be less renal toxic. Then I owe a huge debt to my nurse friends
who were really in charge of the service. They were huge advocates for pharmacists,
and they welcomed us and taught us along the way many of our clinical skills. There’s no question that that ninth floor
project took root. Today every single School of Pharmacy in the nation trains pharmacists
to practice clinically. Furthermore, every single hospital in the nation has clinical
pharmacy services. So I’m particularly grateful to the medical
center for allowing me the privilege of growing up as a professional here, it’s really a special
place. And I thank you for including me in the latest transformation of pharmaceutical
practice here. Finally, I think my colleagues in Pharmaceutical
Services, especially Bret Brodowy and Joe Guglielmo, for delivering on the promise that
we made 40 years ago. It would be uncharacteristic of me not to
leave you with a challenge, we’re not finished. Although clinical pharmacy practice is well-established
in hospitals, there’s much to do in the community. So I urge you all, the medical center, nurses,
pharmacists, physician leaders, to think about how we might transform the practice of pharmacists
in the community so that our patients can have better use of drugs, that there can be
better transitions of care, and fewer hospitalizations, and fewer medication errors. So, again, thank you all. I’m really touched. [End of Audio]
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