Pharmacy Discourse Community: What it Takes Refaela Beqi ENG 3010 ORP All About Discourse Community Discourse community: A group of people who share a set of understood values, assumptions, goals, and ways of communicating a specific purpose for these discourses. • Pharmacy discourse community is comprised of several types of individuals: pharmacists, pharmaceutical industry employees, researchers, business men and women, students, doctors and practitioners, and many more. • Among the many goals, improving healthcare and providing affective medicine to individuals is a very important and difficult one. All of these individuals work interdependently in many different settings to contribute to healthcare. • The values for this discourse community are focused around business and pharmacy ethics. In order to meet their goals, these individuals are limited in order to insure that their work does not negatively impact the health of individuals, sometimes causing a problem for researchers. • However, simply making findings is not sufficient in this discourse community. As the scientific process explains, procedures must be done by several others in the discourse community to make sure that the findings are not coincidental or harmful in other aspects. This involves a process of communication among the members, something that is possible through genre. All About Genre Genre: the written or oral forms of communicating ideas, which are historically explained and changing with time. Like discourse communities, genres also have a purpose and goal. There are several genres in the pharmacy discourse, some of which include: writing prescription orders, interpreting prescription orders and translating them into a medication label, writing research reports, and understanding scientific information, such as organic molecular structures. Genres change with time in the pharmacy discourse community because laws are continuously changed, discoveries are frequently made, medications are changing, and new diseases are arising. That is why it is important to be familiar with genres and changes. Genre & Logic Ethos: this refers to the credibility of the author. When studying genre it is important that your information comes from a reputable source. The point is to find more truth or answers to questions so getting inaccurate or false information leads you farther than where you were from the truth. Pathos: this refers to emotions and how authors can persuade their audience. Genre tone can be analyzed to determine wither the author’s own emotions are clouding their judgement and are they using this type of tone to induce that same feeling. Logos: this has to do with reasoning. Audience emotions are a powerful tool in genre analysis but it is logic that really provides evidence for claims. The Relationship Some people may think that pharmacists do not really use genres but this is completely wrong. Pharmacists, and other members of this discourse community use different genres on a daily basis; in fact, it would be impossible to perform their jobs or fulfill their discourse community goals without it. Genres are also used to communicate with members of other discourses, such as: government officials or insurance companies, lawyers, and patients who are all members of different discourses. Purpose For my Research Project, I decided to investigate different genres in my discourse community and their importance. To begin my research process, I thought of issues that arise in my discourse community that are also issues detected by members of other discourse communities, which shapes my theoretical framework. The purpose of this project is to better familiarize myself with different genres in my discourse community and to inform prospective members of these concepts. Methods and Procedure Although I am a member of this discourse community, I am not considered an expert, I am a novice. An expert is an individual that has several thousands of hours performing a specific task. They are knowledgeable enough that they are confident to answer questions or perform a task without using reference guides. As a result, it was appropriate to interview experts of my discourse community as well as included information from experts of secondary research. Research Question As it frequently occurs in research, the research question is adjusted based on the data and information gathered. Below is my new and improved research question: To what extent do different genres of pharmacy discourse community impact the practice of pharmacy? Interview Questions Have you ever felt that your job was limited by government regulations? If so, please share a story or example. How are drugs made and presented in the pharmaceutical industry? Do insurance companies make pharmacy practice easier or more difficult? How do pharmacy-patient communication differ in retail pharmacy, pharmaceuticals, and hospital pharmacy? In what ways do pharmacists inform patients about the use of medications, potential risks associated with use, and other important instructions? Do you think there are or know of any cures to deathly diseases that are not released in America? Why or why shouldn’t pharmaceutical research be regulated and limited by members of other discourse communities? Do the genres of pharmacy marketing differ from genres of Pharmacist-Patient interaction? If yes, how so? Compare and contrast the genre of drug classification. Why is necessary to have different classification systems? What is the significance of pharmacological classification and therapeutic classification? Do the genres of pharmacy practice in America differ from those of other countries, such as Canada? What causes the differences? Is there a significant gender wage gap in pharmaceuticals despite qualifications and experiences? Classification: Therapeutic classification is the method used to organize drugs based on usefulness for a specific disease. Pharmocological classification is how an agent works at the molecular and body system levels. It is important and crucial for pharmacists to know both forms. Most pharmaceutical communications with customers include getting feedback about their medication use. In the pharmacy, most customers consult their pharmacists about medication uses and insurance inquiries. Information such as irritation, side effects, or other issues with the use of drugs can be brought to a pharmacist’s attention; however, they may be directed to contact their physician or go to the hospital. Research: Pharmacists and pharmaceutical industry employees do a lot of marketing and business analysis in the pharmaceutical industry. Pharmacies also do this because they need to determine their profits and expenses and keep track of insurance issues. However, direct advertising on specific drugs are done by pharmaceutical companies, not pharmacies . In finding new cures, it is hard and controversial to determine how much evidence necessary to actually start selling it. For example, a drug is released to help individuals with down syndrome. Advertising it as a cure could be misleading. It may cure some, and not others. It may also do more harm than good, which would cause others to blame doctors, pharmacists and many others for the hard In doing research for drugs, pharmaceuticals search nature for specific enzymes or other material that is believed to be relevant in finding a cure. Next, it is added to laboratories with other chemicals and compounds. Then it is tested and the results are analyzed by others in the industry. Regulations: Drugs are able to be dispensed for a specific amount of time. Most prescription orders expire usually within a year, except for specific drugs. Prescription orders must indicate refills or pharmacies are not permitted to give individuals refills. Prescription orders must be filled out accordingly and by a licensed physician. State and federal laws can permit or inhibit the selling of specific drugs or their uses. Analyzing Genre 1: In the first genre chose, a doctor’s prescription form is turned in to a pharmacy. The Free Medical Assistant Pharmacology program offers a good explanation of the parts of a written prescription: At the topmost left corner, there is a physician’s phone number, which is usually printed by a computer. On the top rightmost corner, there is a DEA number. In the middle, there is the prescriber’s information (address, name, title). Below, there is patient information, such as: name, age, date of birth, and address. Then, the most important bits of information is in the middle of the paper: a superscription-usually Rx, subscription-instructions to pharmacist, inscription-the medication prescribed, signa-directions for patient, and finally special instructions, such as refills. The doctor also signs the prescription at the end. Prescription Order Example Analyzing Genre 2: Next, we analyze the actual bottle label and notice lots of print. Similar to the prescription, you see your name, your doctor’s name, and the drug name in the same general area. On the upper rightmost corner the Rx number is clearly labeled for easy reference. Then there are a lot of numbers, an expiration date, some instructions, and the number of pills in a bottle. Prescription labels also have other instructions and warnings such as instructions for use if drinking alcohol or smoking, or even specific instructions for pregnant women. Prescription Label Example Analyzing Genre 3: Finally, pharmacists distinguish prescription drugs in ways such as color, shape, size, and chemical structure. Pharmacists study lots of structures and organic chemistry— arguably, a second language for pharmacists. The structures and groups attached to a compound, dictate what the compound will do. Consider the example below from Jack Scanlan’s chemistry review material: From the structures above you see three compounds ethane, ethene, and ethyne (respectfully) and are very similar in structure, differing only in the number of bonds: single, double, triple, respectfully. However, because of these differences in structure we learn something very important: there is also a difference in pKa, hence, a difference in acidity. Knowing the acidity of a compound is important in determining how it reacts: the lower the pKa, the higher the acidity. Just as mathematicians communicate with numbers as their genre, or historians use recovered documents for their genre, pharmacists use structures as a new genre to give details and short cuts about important information. Putting it All Together Overall, different genres are crucial for communication within a discourse community and between discourse communities. Doctors and pharmacists may not be involved directly into one discourse community, but they intercommunicate through another, bigger discourse. A patient, pharmacist, and doctor may not be in the same discourse community, but they become knowledgeable of those discourses through their experiences. As a result, genres help discourse communities meet their goals and fulfill their functions.