National Resource Center for Academic Detailing [NaRCAD]
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  • Who We Are
    • WHY WE MATTER
    • Our Team
    • Internship Program
    • Testimonials
    • Contact Us
  • LEARNING COURSES
    • Training Series
    • SKILLS LAB
    • ON-DEMAND WEBCASTS
    • Virtual Coaching Sessions
  • Tools
    • Program Planning Hub
    • AD How-To Guides
    • AD Core Toolkits >
      • Inclusivity Toolkit
      • Evaluation Toolkit
      • Opioid Safety Toolkit
      • HIV Prevention Toolkit
      • E-Detailing Toolkit
  • Community
    • COMMUNITY CHECK-INS
    • Peer Connection Program
    • Detailing Community
  • EVENTS
    • CONFERENCE SERIES
    • Present at NaRCAD2025
    • THE CONFERENCE HUB
    • AD Summit Series
    • The AD Summit Hub
  • MEDIA CENTER
    • The Details Blog
    • Podcast Series
    • e-newsletter
    • AD Literature Archives
    • Virtual Bookshelf

The DETAILS BLOG

Capturing Stories from the Field: Reflections, Challenges, & Best Practices
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Podcast Episode 14: "An Eye on the Evidence: Navigating a Shaky Time for Public Health"

4/25/2025

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Bevin Amira, Deputy Director, NaRCAD
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Tag: Podcast Series, Evidence Based Medicine
How can public health professionals stay resilient and connected
​when the landscape is shifting beneath their feet?


In this episode, Anna Morgan-Barsamian passes the mic to Bevin Amira, NaRCAD’s Deputy Director and interim host, for a conversation on navigating devastating public health funding cuts and the rising spread of misinformation. Together, they explore how detailers can stay grounded in evidence, sustain meaningful relationships with clinicians, and lean into the power of community during challenging times.

*Stay tuned until the end for a special discount to NaRCAD’s upcoming AD Virtual Summit!

(Click here for the audio transcription.) 
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"It's been important for us to connect with our public health detailing colleagues and tell them that we are there for them, that we're there to put our heads together [...]  to do important work amidst these funding challenges."


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Bevin Amira
Deputy Director, NaRCAD
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Bevin directs NaRCAD’s communications and strategic partnerships, building collaborations with public health leaders at the national and federal level. With career experience in building learning communities to increase engagement and sustainability, Bevin has expertise in creating interactive, interdisciplinary training curricula at healthcare-based non-profits. In collaboration with the dynamic NaRCAD team, Bevin facilitates NaRCAD's virtual and in-person learning sessions to encourage hands-on skill development and best practices sharing amongst peer programs. Read more.

Want more? Follow us on Spotify or Apple!

Podcast Episode 13: "Rethinking Harm Reduction: Transformative Strategies for Better Health"

3/27/2025

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Maggie Kaufmann, MPH, MA, Director of Harm Reduction Programs, University of Illinois Chicago
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Tag: Podcast Series, Evidence Based Medicine, ​Harm Reduction
How can harm reduction strategies not only save lives but also challenge stigma and transform communities?

In this episode, Maggie Kaufmann, Director of Harm Reduction Programs at the University of Illinois Chicago dives deep into harm reduction strategies, exploring how these evidence-based approaches save lives, combat stigma, and integrate with academic detailing projects. Maggie shares insights on transformative and creative harm reduction initiatives, including drug checking, mobile medications for opioid use disorder (MOUD) services, overdose prevention sites, and community-based education in local theaters. Tune in for a compelling conversation on the evolving landscape of harm reduction and its impact on public health. 

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If you have any questions about integrating harm reduction into academic detailing projects, please contact Maggie at [email protected].

(Click here for the audio transcription.) 
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Maggie has been with the Community Outreach Intervention Projects (COIP) at University of Illinois Chicago for almost ten years in several roles including overseeing both research studies and service provision for People Who Use Drugs (PWUD). She brings with her expertise in harm reduction, hepatitis C prevention interventions, case management/recovery support and clinical capacity building. She earned her Master of Public Health and Master of Arts in Anthropology from University of Illinois Chicago (UIC), in 2014. Prior to her work with COIP she taught courses in anthropology at the undergraduate level with a focus on the effects of racism and other modes of discrimination on healthcare access and quality. Currently, she is the Harm Reduction Services Coordinator for COIP, Project Director for a NIDA-funded study evaluating an intervention to reduce opioid overdoses among those with criminal legal system involvement in Illinois, and Director of the NACCHO-funded, Harm Reduction Academic Detailing Project at UIC. She also has experience with provider education and clinical capacity building and regularly speaks to diverse groups in the health sciences around harm reduction and how to integrate these principles and practices into clinical settings. She is passionate about improving the health and wellbeing of PWUD and reducing stigma around substance use to increase access to nonjudgmental, person-centered care and supportive services.  

Want more? Follow us on Spotify or Apple!

Podcast Episode 12: "Embracing Uncertainty: The Power of Presence & Adaptability"

2/27/2025

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Tahirih McAleer, BSP, Academic Detailer, RxFiles Academic Detailing Program and Loren Regier, BA, BSP, Consultant Pharmacist, RxFiles Academic Detailing Program
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Tag: Podcast Series, Evidence Based Medicine
How do we navigate uncertainty in our conversations?

 Join us as we hear from our colleagues at RxFiles Academic Detailing Program as they share strategies for handling uncertainty. From balancing preparation with the inevitable "I don't knows" to practicing presence in both professional and personal settings, this episode offers insights into how detailers can make deeper connections and have more meaningful discussions. Tune in to learn how embracing discomfort can lead to growth and confidence.

(Click here for the audio transcription.) 
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Loren is a Pharmacist and Consultant Editor with RxFiles Academic Detailing Service in Saskatoon, SK, Canada. Loren has guided the development of this provincial academic detailing service since the first “ground breaking” pilot project began in 1997. Loren is active as a member of the Canadian Academic Detailing Collaboration and provides training and consultation to various programs and initiatives. Loren’s interests cover the practical application of evidence to practice and the ongoing development of multifaceted interventions that support academic detailing. Additionally, Loren serves as a faculty facilitator for NaRCAD’s Academic Detailing Techniques trainings. Read more.

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Tahirih graduated from the College of Pharmacy and Nutrition at the University of
Saskatchewan in 2015. Since then, she has been working in community pharmacies
in rural settings. She joined RxFiles as an academic detailer in 2018 where she
primarily visits rural health care providers. Tahirih is passionate about improving
accessibility to primary care practices. Outside of healthcare practices, Tahirih
and her husband run a mixed animal veterinary clinic alongside their 2 young
boys.​

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Want more? Follow us on Spotify or Apple!

Facing the Unknown: We've Got You.

1/9/2025

1 Comment

 
Bevin Amira, Deputy Director, NaRCAD
*Blog readers: First 10 respondents will win free registration to our 2025 AD Summit in June!*
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To state the obvious: it's a particularly challenging time to be working in evidence-based medicine. While rapid change is nothing new in clinical outreach education, we're facing a lot of wild unknowns as we head into 2025. When it's hard to see straight, or find the right motivation to forge ahead, a sense of community is critical support that can make what seems insurmountable a bit less daunting.

​At NaRCAD, we're particularly lucky--this community is especially empathetic, attuned, whipsmart, creative, and supportive. When one of us is struggling, we're right there with one another, sharing care, compassion, and perhaps the most vital ingredient of all: a sense of humor. (Yep, this community is hilarious.) So, how do we harness this energy as we commit to our work this year?

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We spend more time collaborating and talking about challenges, with less time in isolation. Join us at our quarterly Community Check-ins, or apply to be part of our 2025 Peer Connection Program (taking new cohort applications soon!) Need some inspiration? Come to one of our trainings, or join a virtual or in-person event. 

Want to feel connected while you work independently? Stream an 
on-demand webcast, or catch up on a Changing Minds podcast--especially our New Year's episode that just dropped, where our founder Mike Fischer talks about where we're headed as a field.

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You're valuable, and you're not alone in this. Our 2025 dance card is getting full of exciting events and learning sessions, but we always have time for you. And everyone in our community is cheering you on.

To kick off 2025 with some intentional hope, let's try this out: 
​
  • Comment below by writing an encouraging New Year's message to our Detailing Community.
  • The first 10 respondents will win free registration to the 2025 AD Summit. (We'll reply to you via e-mail.) Didn't make it into the first 10? Leave a message anyway!

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1 Comment

Podcast Episode 11: "Adapting the Model: Rising to Meet Health Challenges"

1/2/2025

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Dr. Mike Fischer, Founder & Director, NaRCAD

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Tag: Podcast Series, Evidence Based Medicine
How can innovation and adaptation drive the field of academic detailing forward?

In this episode, Founder and Director Mike Fischer shares the importance of adapting the AD model to meet diverse needs and tackle emerging public health challenges. We discuss the uncertainty of the landscape that lies ahead, meeting it with hope that we can continue to explore new opportunities to improve clinical care. Join us as we discuss the growth of the NaRCAD community, highlighting its role in shaping the future of clinical outreach education.

 (Click here for the audio transcription.) 
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​"If we don't adapt, if we don't innovate, and if we don't get adaptive and innovative ideas from the community, then we'll be delivering an intervention that's not going to be as effective as it could."


Dr. Mike Fischer
Founder & Director, NaRCAD
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Dr. Fischer is a general internist, epidemiologist, and health services researcher. He is Chief of the Section of General Internal Medicine at Boston Medical Center (BMC) and a Professor of Medicine at Boston University Chobanian & Avedisian School of Medicine. He practices primary care internal medicine at BMC’s safety-net clinic and supervises residents in both the outpatient and inpatient settings. With extensive experience in designing and evaluating interventions to improve medication use, he has conducted numerous studies demonstrating the potential gains from improved prescribing. In 2010 he and Dr. Jerry Avorn co-founded NaRCAD and since then he has led its growth and has published on the principles of academic detailing and its application to a range of clinical areas. Read more.

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Want more? Follow us on Spotify or Apple!

Podcast Episode 10: "Amplifying Patient Voices: Transforming Health, Combatting Stigma"

11/26/2024

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD
A conversation with Mary Hightower, Regional Health Specialist
​Iowa Department of Health and Human Services


Tag: Podcast Series, HIV/AIDS
How can patient voices be incorporated into AD work to affect change?

Join us as we discuss how Iowa’s detailing program is addressing health disparities and combatting stigma in rural communities. Whether you work in public health, healthcare, or community advocacy, this episode provides practical strategies to elevate patient perspectives and inspire meaningful change.

 (Click here for the audio transcription.) 
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"​By fostering ongoing, strong, collaborative partnerships with advocacy groups and community organizations, we can really ensure that diverse voices are included and that our programs remain responsive to the actual needs of those that we're serving."


Mary Hightower

Regional Health Specialist, Iowa Department of Health & Human Services
Mary Hightower is a Regional Health Specialist with the Iowa Department of Health and Human Services, Bureau of HIV, STI, and Hepatitis. Her role involves building relationships with healthcare providers and community stakeholders to promote STI testing, treatment, and education. For the last eight years, she has connected stakeholders to resources for HIV, linkage to care, and encouraged PrEP uptake (Pre-exposure prophylaxis) while addressing stigma in rural Iowa. Before this position, Mary managed grants for the Southeast Iowa Adolescent Pregnancy Prevention Coalition and worked as a Health Educator at Planned Parenthood of the Heartland for eight years. She has 16 years of experience in infection prevention education and is pursuing a Master of Public Health, expected to be completed in August 2025.
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Podcast Episode 9: "Harm Reduction in Action: Broward County's Opioid Safety Initiative"

10/28/2024

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Alexandria Stevenson, MPH, Academic Detailer, Florida Department of Health in Broward County.

​Tag: Podcast Series, Harm Reduction, ​Opioid Safety

​How can meaningful conversations impact the opioid crisis?

Academic Detailer Alexandria Stevenson from the Florida Department of Health in Broward County discusses her team’s important work on opioid safety and overdose prevention. Funded by the CDC's Overdose Data to Action Local Grant, Alexandria shares how her team collaborates with clinicians and community partners to promote harm reduction, distribute free naloxone kits, and educate the community.​

​(Click here for the audio transcription.) 
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​"So often I'll hear comments and stories from attendees at our presentations or at community events about someone they know or how something I explained changed their way of thinking. That’s my goal with community events and detailing — to truly connect with people."

-Alexandria Stevenson, MPH
Academic Detailer
Florida Department on Health - Broward County
Want more? Follow us on Spotify!
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​Alexandria M. Stevenson serves as the Lead Academic Detailer and Health Educator for the Overdose Data to Action (OD2A) LOCAL grant at the Florida Department of Health in Broward County. Since joining the Department in 2015, she has worked in various programs, including the AIDS Drug Assistance Program (ADAP) and Women, Infants, and Children (WIC), in Broward and Brevard counties. She also has interned at Office of Health Promotion and Education in Seminole County. Alexandria has been with Broward County’s OD2A-L initiative since 2020, where she has excelled as an academic detailer for the past two years. She holds a bachelor’s degree in anthropology from the University of South Florida and a master’s degree in public health from Rollins College.

It's The Most Wonderful Time...(No Really, It Is.)

10/2/2024

45 Comments

 
Bevin K. Amira, Deputy Director, NaRCAD
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It's no exaggeration to say that our annual conference is our team's favorite time of the year. The chance to connect with everyone who makes our community so uniquely vibrant creates a consistently infectious renewal of enthusiasm every year, without fail. "NaRCAD 2024: Envisioning Our Future: Growth and Innovation in AD” will be no different, and we hope you'll be with us as we celebrate!

This year's event takes creative AD approaches to the next level. AD programs from across the globe will share their important work on myriad topics, from opioid use disorder to gender-affirming care; from preventing detailer panic to encouraging clinician use of person-first language in support of patients who deal with highly-stigmatized conditions. You can take a peek at our agenda here and see what we've got planned for you!

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​Presenters will lead you through key strategies for AD success such as smart data tracking, EMR alignment, and increasing your program's visibility through better marketing. And of course, AD originator and NaRCAD Co-founder Dr. Jerry Avorn will deliver his Annual AD Talk, bringing you his reliable brand of insights from the year in healthcare and his visions for the future of AD. 

We'll also be exploring key adaptations to the model itself. Successful programs will share their innovations in delivering detailing sessions to alternative target audiences, branching out beyond frontline clinicians to community-based organizations who also play a key role in supporting patient safety. Want to move around during your breakout? You'll get a chance to try medical improv with seasoned detailers who are also experts in the world of theatre! And our Global Perspectives session will feature successes and diverse approaches to AD from our colleagues in Japan, Norway, and Canada.

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​We're so eager to spend two days with you. Whether you're with us in Boston this year, or joining us virtually, we're here to listen to your ideas, think about ways to put them into action, share your successes and challenges, and connect you with the brightest and most creative folks in our field. 

And we'll be leading the charge in keeping the energy of excitement alive as we all prepare for the year ahead--2025 will be packed with opportunities to learn new approaches to clinical outreach education, train your team in the nuances of persuasive communication, and build new relationships with clinicians who need your expertise to provide the best evidence-based care to the patients who trust them. 

See you in six weeks!
Bevin K. Amira
​Deputy Director, NaRCAD


*Be the first 15 blog commenters below and win a free registration to the in-person event!*

45 Comments

Podcast Episode 8: "AD Down Under: The Arc of the Australian Detailing Program"

9/26/2024

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Debra Rowett, PSM, BPharm, Adv Prac Pharm, FPS, Advanced Practice Pharmacist, Drug and Therapeutics Information Service 

​Tag: Podcast Series

​What lessons can three decades of AD teach us about adapting to change? 

Hear from Debra Rowett, an advanced practice pharmacist and academic detailing leader in Australia for over 30 years. Deb shares the origins of AD in Australia and how it has evolved to support health professionals across various therapeutic areas. She discusses the importance of building trusted relationships with clinicians, particularly in rural areas, and how her team has adapted to challenges through the years. Deb also highlights the future of AD, emphasizing co-design, collaboration, and the role of technology. Don’t miss her insights on how AD continues to evolve and make a meaningful impact on patient care.



​(Click here for the audio transcription.) 
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​"The future of academic detailing lies in co-design—working hand-in-hand with clinicians to shape the programs and solutions that best meet their needs."

​-Debra Rowett, PSM, BPharm, Adv Prac Pharm, FPS
​Advanced Practice Pharmacist

Drug and Therapeutics Information Service

​Want more? Follow us on Spotify!
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Debra Rowett PSM, BPharm, Adv Prac Pharm, FPS, has led an academic detailing team for over 20 years and is a member of the team which designed, developed and delivered the “Best Practice in Educational Visiting” training for academic detailers in Australia and has provided consultancies to international academic detailing programmes. Debra is an experienced academic detailer with expertise in designing, developing, training, implementing and evaluating academic detailing programmes. Debra has served as the President of the Australian Pharmacy Council and President of the Council of Pharmacy Schools. Debra has worked extensively in the area of quality use of medicines, inter-professional practice, policy and health workforce development in Australia. Debra is a member of the national Drug Utilisation Sub-Committee of the Australian Pharmaceutical Benefits Advisory Committee (PBAC).

AD-vice: Building Bridges in HIV Prevention & Care

9/25/2024

 
Curated by: Aanchal Gupta, Program Coordinator, NaRCAD

Tags: ADvice, HIV/AIDS, Sexual Health, Gender-Affirming Care
 
In this edition of our AD-vice series, we delve into the critical role of community partnerships, approaches to address stigma, and evidence-based practices in HIV prevention and sexual health, empowering clinicians and patients to work together to make informed health decisions.
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BUILDING RELATIONSHIPS & PARTNERSHIPS

  • “We send out a Weekly Special [newsletter] with a buffet of options on new evidence and information related to HIV prevention and care. We’re creating an active and robust network of professionals!” – Rocko Cook, DISH-AZ
 
  • “It’s important to build a relationship with your state’s health department leadership and obtain an official endorsement letter from the state supporting your activities. Establishing a relationship not only positively impacts your program’s visibility and ability to gain access to clinicians, but it also helps to make sure you're aware of other outreach initiatives.” – Ashley Allison, Oregon AIDS Education and Training Center
 

  • “When I'm talking to providers, one of the things I hear most is, ‘I wish I had other providers to talk to about gender-affirming care.’ A big part of what we do with academic detailing is connect other providers together.” – Ryan Anderson, DISH-AZ

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ADDRESSING STIGMA

  • “Whenever I address something uncomfortable with a provider, stigma or otherwise, I try to create an environment where we can work collaboratively on the issue and the provider feels as though I am a resource for them.”  – Jess Alward, MS, State of NH
 
  • “In order to talk about PrEP, you first have to talk about risks for HIV, which often means talking about sex. I think there can be discomfort on both the patient and provider side, and sex is often still a stigmatized topic. There are also overarching resource barriers, including the fact that clinicians are extremely busy and have to address competing health needs in the primary care setting.” – Alyson Decker, NP, MPH, San Francisco Department of Public Health
 
  • “All clinicians and staff need to be able to communicate with patients in a sex-positive way and in a way that connects with patients’ specific experiences, identities, and needs. They need to be comfortable communicating about sexual behavior, testing, and PrEP.” – Rocko Cook, DISH-AZ
 
  • “Racial and ethnic minorities continue to be underrepresented in PrEP utilization and overrepresented in new HIV diagnoses, and I want my work to contribute to correcting this. I think PrEP can be a tool for health justice and being part of that is valuable to me.” – Mary Nagy, MPH, RN/BSN, Michigan Department of Health and Human Services

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BEST PRACTICES, FLEXIBILITY & ADAPTABILITY

  • “Providers were asked which supports would best help them to incorporate PrEP into their practice, and ‘education’ was by far the most frequent answer. In addition to the research I’ve seen indicating detailing is an effective intervention to change provider behavior, it's clear that the providers themselves agree that education is important.” – Mary Nagy, MPH, RN/BSN, Michigan Department of Health and Human Services
 
  • “There are many places where 1:1 visits aren’t feasible due to clinic structure or culture. If I’m able to detail to a small group, it can be a way to meet with a few providers and gain insight about how PrEP might be incorporated or enhanced in their setting.” – Alyson Decker, NP, MPH, San Francisco Department of Public Health

The insights shared by experts highlight the power of partnerships, approaches to address stigma, and evidence-based practices in creating meaningful change and positively impacting patient outcomes. Explore our revamped HIV Prevention Toolkit for more tools and resources.
 
Best,
The NaRCAD Team

Podcast Episode 7: "From Disparity to Equity: Public Health Detailing as a Tool for Change"

8/26/2024

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Jacki Travers, PharmD, Clinical Pharmacist, Pharmacy Management Consultants

​Tag: Podcast Series, Cardiovascular Health, ​Diabetes

​How can we ensure that community partnerships are front-and-center in improving patient health? Pharmacist, detailer, and trainer Jacki Travers shares insights into a five-year collaboration with the Oklahoma State Department of Health aimed at reducing health disparities related to diabetes and cardiovascular disease. This project empowers local populations by partnering with safe spaces at the heart of communities, inviting libraries, faith-based organizations, and community health workers to work in harmony with detailing to reduce health disparities and increase patient access to care, resources, and support.

​(Click here for the audio transcription.) ​
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​​​"The reach of detailing is so much stronger when we get those community linkages in place. I cannot emphasize that point enough. We're stronger together for sure."
​​
- Jacki Travers, PharmD
Clinical Pharmacist
Pharmacy Management Consultants
Want more? Follow us on Spotify!
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Jacki Travers is a clinical pharmacist with Pharmacy Management Consultants (PMC), a division of the University of Oklahoma College of Pharmacy. Since 2015, she has led the PMC academic detailing program. Her AD efforts are primarily in service to Oklahoma Medicaid providers, who in turn care for some of the state’s most vulnerable population. She has served as a training facilitator for the NaRCAD Academic Detailing Techniques trainings since 2019.

Since earning her Pharm.D. degree from the University of Oklahoma, she has served in the practice settings of independent, hospital, and clinical pharmacy. She currently develops detailing materials, delivers detailing services, and analyzes program results for multiple topics as part of a statewide plan. Her program efforts focus on bridging the gap between information and application in order to provide quality health care in a fiscally responsible manner.

Community Recovery: A Pathway to Repairing Harms in Kensington, Philadelphia

8/26/2024

 
Olivia Halle, Public Health Intern, NaRCAD

Tags: Harm Reduction, Health Disparities, Stigma, Substance Use
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What do we owe to people who have been stigmatized due to circumstances beyond their control? The people of the historically redlined neighborhood of Kensington, Philadelphia come to mind, having been stigmatized for too many reasons: their race, their socioeconomic status, and an increased access to drugs in their neighborhood. As drugs become more potent, such as the synthetic opioid, fentanyl, and the sedative, xylazine, more people have been severely affected by opioid use disorder, and the people of Kensington are no different.

​But where this neighborhood’s circumstances differ is that they have been victimized by city officials who have capitalized on the stigma of drug use in order for financial benefit. City officials owe it to the people of Kensington to allocate the necessary resources and funds to help reclaim their neighborhood.


The city government gentrified Kensington by pushing the people with chronic substance use disorders who are experiencing home insecurity onto Kensington Avenue. This engendered an open air drug market with hundreds of people actively using drugs such as fentanyl and xylazine, better known as “tranq”. The redlining of Kensington has led to low owner occupancy, the lowering of property value, increased segregation, and an overall lack of financial resources injected into the community.

The dehumanization of the people that are experiencing unstable housing, a portion of those due to the chronic use of substances, has resulted in this gross and condoned mistreatment by city officials, who capitalized on this situation in order to reduce surrounding property values. It is those same officials who sought to capitalize on vulnerable people that must be the ones to find compassion and recognize that the people of Kensington Avenue are their neighbors too. 

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How do we begin to repair these complex harms? Harm reduction is an effective direct response to the rise of drug use and seeks to well equip people who use drugs with life-saving tools and information, and the emergency medical setting can be an access point to those services. Emergency clinicians are often the main point of care for people who use drugs or experience housing instability. By using a strategy like academic detailing (AD) within the emergency medical setting, trained public health educators can encourage emergency medical staff to integrate harm reduction as a critical tool to increase safety for people who use drugs. 

Detailing would raise awareness and give hope to people with OUD by providing destigmatized access to care, leading to fewer overdoses. AD can also provide the necessary education in equipping emergency clinicians with person-first language. When many people who use drugs have little trust in the healthcare system, it is vital for emergency clinicians to lead with compassion when caring for people who use substances.

Connecting people who use substances to harm reduction services not only ensure safe practices in the person seeking out harm reduction services, but enable a sense of agency that often fades when experiencing housing instability. Increased referrals from emergency clinicians to harm reduction services would support people who use drugs in living safer lives, increasing community connection, trust in the healthcare system, and a greater sense of dignity. ​

PictureThe people of Kensington gathering to support increased funding in their neighborhood. ©Co-Creating Kensington https://www.kensingtonplan.org/
Funding these relatively inexpensive interventions is critical. In 2023, the city of Philadelphia announced that $7.5 million dollars from national opioid settlement funds would be directly funneled into Kensington’s schools, parks, foreclosure prevention, and rental assistance. These services, which can be accessed through Co-Creating Kensington, in conjunction with harm reduction services such as Prevention Point Philadelphia on Kensington Avenue, would help to destigmatize home insecurity and drug use when paired with AD. While $7.5 million dollars will barely scratch the surface of what is owed to the Kensington community, it will begin to mobilize reparations. 
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The people of Kensington, Philadelphia deserve better. They deserve access to harm reduction services and OUD treatment with the full support of the city behind them. By continuing to fund community-directed services, along with academic detailing and harm reduction, city officials can take these first steps to begin to repair harm and restore agency, security, and hope to the people of Kensington. 

Biography. Olivia is a summer intern helping the NaRCAD team through providing feedback and support on usability of NaRCAD’s online materials and training sessions. She also aids the NaRCAD team through conducting literature reviews along with organizing and collecting data for online toolkits covering critical academic detailing areas.

Olivia is an incoming sophomore at the University of Washington studying public health gaining exposure to the field through her summer internship at NaRCAD. Olivia provides insight into how academic detailing and other evidence-based public health research can be more digestible to a greater audience. Olivia enjoys reading and practicing yoga in her spare time.

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AD-vice: Harnessing Data to Drive Change

8/5/2024

 
Curated by: Aanchal Gupta, Program Coordinator, NaRCAD

Tags: ADvice, Evaluation, Data
 
In this edition of our AD-vice series, we explore the importance of data collection, program evaluation, and leadership buy-in for AD programs. Gathering and analyzing data not only helps in understanding the challenges faced by clinicians, but also in driving meaningful change by demonstrating the impact of your detailing efforts. Read insights from experts in the field on planning and executing your AD program evaluations.
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PRACTICE TOOLS & STRATEGIES FOR DATA COLLECTION

  • "For a resource-constrained department, having that one-page Word document that allows detailers to chart their interactions is more than enough data. Charting for just five minutes after a detailing visit about everything that took place becomes a wealth of information. You can also use an Excel document to input data from provider surveys." -Kristefer Stojanovski, PhD, MPH, San Francisco Department of Public Health
 
  • "When I’m detailing on one topic, I’m always thinking about future topics by gathering data from providers so that I can better understand their challenges. I ask providers their biggest concerns and I’ve been really surprised at how ready they are to share gaps in resources and information."
            -Jacki Travers, PharmD, Pharmacy Management Consultants

  • "For every campaign, we conduct an initial and follow-up visit where we assess providers’ practices. This allows us to see if there has been a change in practice from the initial to the follow-up visit. Additionally, we rate what providers intend to adopt in terms of the key recommendations, supporting tools, and resources. We also collect a large amount of qualitative data because it's also critical to gain a more complete picture of the campaign’s success, especially when reporting on barriers, access, and materials." -Michelle Dresser, MPH, New York City Department of Health and Mental Hygiene

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MAKING THE CASE TO LEADERSHIP & FUNDERS

  • "It’s important to track a mix of quantitative and qualitative data, and the critical components that should be tracked are the outcomes and the process of detailing. Data is absolutely critical for getting leadership buy-in, especially if it can tell a story." -Kristefer Stojanovski, PhD, MPH, San Francisco Department of Public Health
 
  • "It’s always been useful for us to evaluate and publish our results, especially when we approach the government for more funding. While we can’t do every campaign as a research project, I’ve been working on evaluating a campaign we did on diabetes and also a study on the impact of group visits vs. 1:1 detailing." -Harald Langaas, MPharm, MPH, KUPP - RELIS
 
  • "It would be a strong statement if someone was able to go to leadership with a story about how providers have changed their practices. Using concrete results and showing leadership that detailing is making a change is extremely helpful for buy-in." -Kristefer Stojanovski, PhD, MPH, San Francisco Department of Public Health

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IMPACT & VALUE OF EVALUATION 
​

Key Insights from Melissa Christopher, PharmD & Mark Bounthavong, PharmD, MPH, VA Pharmacy Benefits Management Academic Detailing Services
​



  • "Measuring program work builds a case not just for the success of one academic detailing intervention, but for the success of future programs--a case for sustainability. Evaluation measures the quality of a program, analyzing results to look at a program’s impact, and allowing for process improvement adjustments to be made to streamline efforts and strengthen that impact. Evaluation cannot be optional, especially when lives are at stake."
 
  • "Leveraging results from well-designed evaluation is essential for academic detailing interventions to illustrate success, share value, and provide stakeholders and community members with a clear ‘Yes!’ in answer to their overarching question: ‘Was the investment worth it?’"
 
  • "We encourage other academic detailing programs to prioritize program evaluation as we have at the VHA—no matter the size of your program, if you’re thinking, ‘we can’t afford to do program evaluations,’ we stress that you can’t afford NOT to do them."

For additional information, check out our AD Evaluation Toolkit for guides on planning an evaluation intervention, adaptable surveys, detailing visit tracking sheets, and more!
 
Best,
The NaRCAD Team

Podcast Episode 6: "Embracing Identities: A Focus on Gender-Affirming Care"

7/17/2024

 
Host: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Ryan Anderson, Academic Detailer, DISH-AZ, Arizona DHS

​Tag: Podcast Series, Gender-Affirming Care

​
​How can we ensure that every patient feels respected throughout their healthcare journey? Learn about the crucial importance of gender-affirming care and how AD can promote respectful, patient-centered healthcare for gender-expansive individuals. Listen to Ryan’s impactful personal story and vision for the future of gender-affirming care. ​​

​(Click here for the audio transcription.) 
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​​"The ability to access gender-affirming care is very inconsistent throughout the U.S., and academic detailing has the potential to bridge that gap."
​
- Ryan Anderson
Academic Detailer
Arizona Department of Health Services

​Want more? Follow us on Spotify!
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Ryan Anderson serves as an Academic Detailer for DISH-AZ (Detailing for Improved Sexual Health in Arizona), a program of the Office of Evaluation and Partner Contracts for the Southwest Interdisciplinary Research Center (SIRC) at Arizona State University in partnership with the Arizona Department of Health and Human Services. Ryan worked as a microbiologist for 9 years in manufacturing settings and has quality assurance experience in clinical settings. In addition to professional experience, Ryan has 14 years of experience volunteering with organizations that serve the LGBTQ+ community. Ryan is passionate about improving health outcomes for those in the LGBTQ+ community.
​
​
Additional Materials from DISH-AZ:
MSM Syphilis Toolkit
Gender Expansive Care Toolkit
Congenital Syphilis Toolkit

"Changing Minds" Episode 5: AD Leaders on Health Equity & Inclusion

7/9/2024

 
Moderated By: Bevin K. Amira, Deputy Director, NaRCAD

A live interview from the 2024 AD Virtual Summit with Carla Foster, MPH, Epidemiologist at NYC Department of Health and Mental Hygiene (NYC DOHMH) and Sarah Popish, PharmD, BCPP, Clinical Program Manager at the VA Pharmacy Benefits Management Academic Detailing Services.

​Tag: Podcast Series

​
​In this episode, join us for our "Leadership Spotlight" at the AD Summit where Bevin Amira moderates a session featuring experts Carla Foster and Sarah Popish. They discuss the barriers to health equity, the importance of patient trust in healthcare, and the power of inclusive practices. Hear their insights on the importance of
examining language, racialization, and individual biases in order to commit to authentic and effective anti-racist efforts. You don’t want to miss this thought-provoking session! ​Click here for the audio transcription. 
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​"Being able to establish trustworthiness is making sure that the interactions that you have with a population are truly collaborative."

-​Carla Foster, MPH

Epidemiologist, NYC DOHMH 


​"If you have a lived experience, delve into that and share it."
​

​
-​Sarah Popish, PharmD, BCPP

Clinical Program Manager, VA PBM ADS
Want more? Follow us on Spotify!

Listen to Episode 4 of the "Changing Minds" Podcast

6/12/2024

 
By: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Emmeline Paintsil, PharmD, MSLD, BCPS, Director of Professional Affairs, Iowa Pharmacy Association

​Tag: Podcast Series


​Harm reduction is an impactful approach to empower people who use drugs (and their families) to live self-directed and healthy lives. In this episode, we speak with pharmacist Emmeline Paintsil, who delves into her team's innovative academic detailing project focused on harm reduction. Join us as we explore the impact of providing nonjudgmental care, building trust with patients, and advocating for harm reduction strategies. Click here for the audio transcription. 
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​"We all have a role, especially as pharmacy professionals, in the success of harm reduction initiatives because discrimination, stigma, [and] lack of knowledge of how quickly this landscape is changing should not impact a patient's access to harm reduction strategies."

- Emmeline Paintsil, PharmD, MSLD, BCPS
Director of Professional Affairs
​Iowa Pharmacy Association
Want more? Follow us on Spotify!

AD-vice: Transforming Healthcare Through Harm Reduction

6/11/2024

 
Curated by: Aanchal Gupta, Program Coordinator, NaRCAD

Tags: ADvice, Harm Reduction

​Harm reduction has gained significant traction, especially as an area of focus in AD, with campaigns encouraging clinicians to provide preventive care, discuss harm reduction services with their patients, and connect their patients to related community initiatives. In this edition of AD-vice, we explore the evidence supporting harm reduction strategies, the broader approach that shifts the narrative from stigmatization to inclusivity, and the crucial role of clinician-patient communication. 
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EVIDENCE & IMPACT OF HARM REDUCTION STRATEGIES

  • “Various harm reduction approaches have been proven to prevent overdose and death, injury, infectious disease transmission, and substance misuse. There is nearly 30 years of research that has shown that syringe services programs decrease transmission of viral hepatitis, HIV, and other infections.” - Anna Morgan-Barsamian, NaRCAD

  • “There are tons of examples of harm reduction that are built into everything we do. Seatbelts, masks, fire escapes, smoke detectors, vaccines, and the FDA regulatory agency are all forms of harm reduction. As a society, we’ve never looked at substance use through this lens because using drugs is so stigmatized.” - Shuchin Shukla, North Carolina Technical Assistance Center

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HARM REDUCTION APPROACH

  • “Harm reduction offers a powerful framework that facilitates a shift within communities that moves away from moralization and stigmatization of individuals who use drugs. It’s easy to blame individuals for their behavior, but it’s far more challenging to critically reflect on how systems and decisions put people in those circumstances in the first place.” - Adriane Apicelli, University of New Hampshire, College of Health and Human Services
 
  • “We’re reducing harm, saving lives, and preserving a sense of family and community. When we reduce harm, we allow a mom to be a part of her family again, we allow her to get a job, we allow her to get off the street and out of harm’s way. Harm reduction can allow people to return home.” - Lindsey C. Beardsley, Individual in Recovery
 
  • “Communication and empathy are two huge pieces to consider with this topic. We spent a lot of time asking clinicians about the conversations they have with patients and the types of questions they ask about substance use. We really wanted to understand what was going well and where there were gaps that we could help fill with resources and support.” - Meghan Breckling, University of Arkansas for Medical Sciences
 
  • “With this topic, paying attention to the emotions of the clinician you're detailing and acknowledging those emotions before jumping into your key messages is much more important than any other topic I’ve worked on. Be patient and empathetic – every visit counts toward making a change.” - Shuchin Shukla, North Carolina Technical Assistance Center

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CLINICIAN-PATIENT SUPPORT & COMMUNICATION

  • “Clinicians need to have open, non-judgmental, inclusive discussions. That starts with asking all patients about their mental health and substance use history. Educators can provide clinicians with scripting tools if they feel uncomfortable having these conversations.” - Lindsey C. Beardsley, Individual in Recovery
 
  • “We provided clinicians with screening tools to help identify patients with mental health conditions and SUD to determine who could benefit from additional services. We even created a local resource guide for clinicians to easily connect patients to community services. The clinicians found that these accessible tools helped them have open conversations with patients.” - Meghan Breckling, University of Arkansas for Medical Sciences
 
  • “Patients seem grateful that I approach conversations in a straightforward way that doesn’t stigmatize their use of drugs. I’ve never had a patient be offended or confused about why I was talking to them about harm reduction. Their eyes usually widen when I ask them things like how they use their drugs, how they cook their drugs, or where they get their drugs from.” - Shuchin Shukla, North Carolina Technical Assistance Center
 
  • “… peer support in the plan of care can help take some of the stress off of the clinician. This can include reviewing community resources and continuing the conversation with patients, while also educating the clinician on substance use through sharing personal experiences.” - Lindsey C. Beardsley, Individual in Recovery

We hope these insights inspire you to consider harm reduction approaches in your detailing work. If you’re interested in learning more, join us at our 2nd annual AD Virtual Summit where we will dive into these areas further!
 
​Best,
The NaRCAD Team

The Latest "Changing Minds" Podcast Episode

5/24/2024

 
By: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Bevin Amira, Deputy Director, NaRCAD. 

​Tag: Podcast Series
How can we change the minds of clinicians? Tune in for an insightful conversation with our NaRCAD team members Anna Morgan-Barsamian and Bevin Amira as they discuss the impact of public health detailing programs across the country. Get the inside scoop on what we do here at NaRCAD and how the AD field continues to evolve, with campaigns focusing more and more on harm reduction and collaborative, community-wide initiatives! Click here for the audio transcription. 
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​"We love to see detailers build their confidence and know they can go in, have challenging conversations, and be the igniter for a series of behavior changes."

-Bevin Amira, Deputy Director, NaRCAD
Want more? Subscribe to our podcast on Spotify!

New Podcast Episode!

5/2/2024

 
By: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

A conversation with Julia Bareham BSP, MSc, Pharmacist, RxFiles Academic Detailing Service

​Tag: Podcast Series
How does teaching others encourage us to evolve as health educators? Today we're chatting with expert trainer Julia Bareham as she reflects on providing structure and a personalized approach to training new detailers, resulting in her own professional and personal evolution. Click here for the audio transcription.
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​"I've discovered that nothing's ever perfect in terms of my learning and my process, and that I will always be inspired to adjust that."

-Julia Bareham, NaRCAD Facilitator
Want more? Subscribe to our podcast on Spotify!

Your New Source of Inspiration: NaRCAD's Podcast Series!

3/22/2024

 
By: Anna Morgan-Barsamian, MPH, RN, PMP, Senior Manager, Training & Education, NaRCAD

​Tag: Podcast Series
Introducing the Changing Minds podcast! Dive into conversations with experts and thought leaders from around the world as you join our growing community of listeners committed to advancing the field. Each episode is packed with insights and actionable tips to inspire you on your AD journey!​


​​"One of the things that's really powerful about academic detailing is the ability to bring your own personality and life experiences into the conversation." 

-Chirag Rathod, NaRCAD Facilitator
Listen to Episode 1 to hear from two of our expert detailers, Jess Alward & Chirag Rathod, as they share about the impact of improv. We'll discuss how it can be used to shift communication and how detailers can incorporate these skills into their work. Click here for the audio transcription.

Resources on Medical Improv: 
  • Resource: About Medical Improv
  • Article: No Joke: The Serious Role of Improv in Medicine
  • Article: How Medical Improv Training Sparks Better Communication, Teamwork
  • Video: Improvisation and the Art of Medicine: Adaptable skills for an Uncertain World
  • Book: A New Way to Improve Communication​
  • ​Book: If I Understood You, Would I Have This Look on My Face?​
Want more? Check out our Podcast Series page!
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