A Bridge for International Pharmacy

成為國際藥學交流的橋樑

Tsung Wei Chang
Tsung Wei Chang (張綜瑋), M.S. Pharm.
Clinical Pharmacist, Yuanlin Christian Hospital
Adjunct Lecturer, Dept. of Pharmacy, Chia Nan University of Pharmacy & Sciences
June 2026

A Decade of Submissions, One Pharmacist

Where I started

  • Yuanlin Christian Hospital · district hospital, Changhua
  • B.Pharm, Dept. of Pharmacy, Chia Nan University of Pharmacy & Sciences
  • M.S. Clinical Pharmacy, Taipei Medical University (in-service, 2021)
  • Adjunct Lecturer, Dept. of Pharmacy, Chia Nan University of Pharmacy & Sciences

Where it has led

  • 9 first-author posters / orals at FIP & FAPA since 2017
  • 7 international peer-reviewed papers · H-2
  • 8 articles in 藥師週刊 · 5 are FIP congress reports
  • 28-center day-care medication safety program
From one HIV case report in Seoul 2017 — to two acceptances at Montreal 2026.
Each year, one step further.

TOPIC 3 · DIRECTIONWhy I Am Asking This Year

My email in 2017

2017-01-24 · My first email to a stranger

Stranger's reply in 2017

His reply · A hand-drawn study-design tree from a stranger I still cannot identify

In 2017 I emailed a stranger pharmacist, asking how to submit my first FIP abstract. He replied: "I've never submitted to FIP myself, but..." — and drew this tree by hand. That email led to my first FIP poster in Seoul.

🔑 Today I want to be the one who replies — for the 80% of Taiwan's pharmacists who work outside medical centers and rarely see what FIP discusses.
換我來當那個回信的人,給看不到 FIP 的 80% 同行

TOPIC 1 · RESEARCHOral #353 — Background

Bridging the Gap in Geriatric Care

The pain points in adult day-care centers:

Polypharmacy 多重用藥

Elderly residents on complex regimens, high risk of ADRs and falls

Storage gaps 儲藥不當

Inadequate dedicated medication preparation space & individual cabinets

Documentation 紀錄破碎

Fragmented administration records, no standardized medication profile
🔑 No professional pharmacy oversight at the place where vulnerable elders take their medication every day.

TOPIC 1 · RESEARCHThe Tripartite Model 三方共治

We integrated three stakeholders into one standardized medication-management framework:

🏛 Health Bureau

Administrative coordination & policy enforcement

🏥 Hospital

Academic clinical support & pharmacist expertise

🏪 Community Pharmacy

Local accessibility & ongoing presence
🔑 The model's name: "One Daycare, One Pharmacist" 一日照一藥師

TOPIC 1 · RESEARCHFour-Stage Implementation

① Assessment
On-site evaluation of current practices
② Standardization
Unified SOPs & Medication Profile
③ Pilot & Iteration
3 pilot centers · iterative refinement
④ Scaling
3 → 28 centers (25 existing + 3 new)
🔑 Long-term goal: cover all 80 day-care centers in Changhua County.
Standardized assets: "Long-term Care Medication Profile" + "Standardized Administration Records"

TOPIC 1 · RESEARCHResults — From 44% to 100%

44% → 100%
Dedicated medication preparation space
44% → 100%
Individual storage cabinets
100%
Long-term Care Medication Profile completion
🔑 A total transition from disorganized environments to professional, pharmacy-grade storage and administration systems across all 28 centers.

📊 Live Dashboard

Project Video — 28 Day-Care Centers

TOPIC 1 · RESEARCHPoster #197 — Background

Low Investment, High Return: A Targeted Overtime Model 低投入高回報・精準加班模式

The constraint we faced:

Staffing reality

Inpatient service covered by only 3 pharmacists

Workflow problem

Routine hours dominated by dispensing — minimal time for in-depth review
🔑 We needed to decouple clinical assessment from dispensing duties — without hiring more staff.

TOPIC 1 · RESEARCHMethod — Pre/Post Comparison

Pre-Intervention (Jul–Aug 2025)

Pharmacists performed reviews during routine hours, with dispensing interruptions

Post-Intervention (Sep–Dec 2025)

Dedicated 23 hours/month overtime block for clinical review
(~7 hours/week · zero distraction)
11,537
Assessments analyzed
~91 hrs
Total overtime investment (4 months)
7 hrs / week
Average dedicated overtime

TOPIC 1 · RESEARCHResults — Disproportionate Returns

Therapeutic duplication interventions
治療重複介入
Medication de-escalation recommendations
用藥降階建議
85.1% → 88.0%
Physician acceptance rate
醫師接受率
🔑 ~7 hours of dedicated time per week produced disproportionate gains —
especially in time-intensive DRPs that routine workflow cannot catch.

A scalable, cost-effective solution for resource-limited district hospitals worldwide.

TOPIC 2 · FIP PLANWhat I Will Do in Montreal — Present

🎤 Short Oral #353

  • Deliver with live dashboard demo
  • Q&A on the "One Daycare, One Pharmacist" model
  • Collect reviewer feedback → journal manuscript

📋 Poster #197

  • Present + on-site Q&A
  • Network with small-hospital pharmacists worldwide
  • Collect reviewer input → parallel manuscript

🤖 Plus: AI-Powered Platform I Built Myself 我親手建的 AI 平台

I will also share how I personally built and operate the AI-powered platform that coordinates the day-care project across Health Bureau · hospital pharmacists · community pharmacists · pharmacist association — a replicable model for multi-party clinical programs with limited manpower.

TOPIC 2 · FIP PLANWhat I Will Do in Montreal — Attend

🩺 Sessions I will follow

  • SEC Community & Hospital Pharmacy
  • Workforce Development & Education
  • Digital Health & AI in Pharmacy
  • Pharmacoeconomics & HTA

❓ Questions I will ask

  • How do small hospitals scale clinical services?
  • What does modern geriatric pharmacy look like abroad?
  • How are members using digital tools responsibly?
Watsons Pharmacy, Malaysia 2022
Hands-on past observation: at FAPA 2022 Kuala Lumpur, I walked into a Watsons community pharmacy myself, paid RM3 out of pocket, and experienced a glucose test as a real patient — the pharmacist handled only pharmaceutical services, never checkout. A workflow Taiwan can learn from.
🔑 I don't go to FIP to observe — I go to bring answers home.

TOPIC 3 · ENGAGEMENTCongress Year (2026) — Deliverables

WhenWhatChannel
During congress3–4 dispatches + interview with a FIP leader藥師週刊
During congress15+ posts & live observations慢慢來藥師 (FB 8,896 / IG / Blog)
Post-congress (Sep)Full post-congress reportTSHP newsletter
Post-congress (Oct)Oral sharing & Q&ATSHP bimonthly meeting
🔑 I have written FIP dispatches for 藥師週刊 for three years already. With TSHP's support, I will do this for the society first.

藥師週刊: #2331 Brisbane · #2378 Cape Town · #2427 Sinclair · #2427 Reception
慢慢來藥師: Rigshospitalet 醫院藥局 · Kongelig Hof Apotek 社區藥局

TOPIC 3 · ENGAGEMENTYear 2 (2027) — Deliverables

📝 Research output

  • 2 journal manuscripts derived from #353 / #197
  • Reviewer-feedback-driven refinements built in

🎓 Teaching

  • 2 TSHP-credited lectures on intl engagement
  • Integrate FIP content into Chia Nan curriculum

🌐 Speaker network · 🤝 Collaboration

  • Source 3+ international speakers for TSHP events
  • Co-organise 1 Taiwan-hosted intl workshop
  • Report at Intl Affairs Committee annual review
Taiwan-Overseas Pharmacy Forum EP13

Already done: panelist on Taiwan & Overseas Pharmacy Forum EP13 (FAPA experience, UMN-hosted)

Thank You for Walking This Next Step With Me

Ten years ago, presenting a single case report in Seoul,
I could not have imagined sitting here today.

If given this opportunity, I will represent TSHP with care,
and bring back what I learn for our community.

Thank you — I welcome your questions and your guidance.

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