They can also jot down what they saw, heard, touched, and ate, preserving sensory experiences that will bring their memories to life. From "Before the Trip" questions to set the excitement in motion, to "What I Did Today" entries, your child can record their daily adventures in detail. The journal features various sections to document every aspect of the trip. Packed with interactive prompts and creative spaces, it's the perfect companion for your family's travel escapades. If you’re looking for something a parent & child can fill out together, check the My Travel Journal: A Journal for 5 Family Vacations.It’s perfect for kids ages 5 – 9 years old and allows you to keep the details from multiple vacations in one spot.Īnd for kids who aren’t crazy about writing - We’re big fans of the Everthing Kids! book series and the The Everything Kids’ Travel Activity Book: Games to Play, Songs to Sing, Fun Stuff to Do – Guaranteed to Keep You Busy the Whole Ride! is the perfect option for those intimidated by blank pages.Looking for a fun way to engage your Kids on your family road trip? I've got you covered! □Įmbark on a road trip adventure with our Printable Kids Road Trip Travel Journal! This 7-page journal is specifically designed to keep your little explorers engaged and capture their travel memories. Older kids would enjoy the Kids’ Travel Specialty Journal by Sarah Hollendar which includes pages for maps, daily activities and interesting things learned on the trip! There’s a generous amount of room for writing words which is perfect for younger kids. This Kid’s Travel Journal by Jeff Sechler is very simple and encourages kids to make lists and record all the important parts of their trip. Lonely Planet also publishes a great Kids Travel Journal that’s packed with prompts, lists, fill-in areas and more! This is a great journal option for older kids The journal also includes games, stickers and other fun prompts too. Go! A Kid’s Interactive Travel Journal is for pint-sized artists! Each page has a colorful prompt where kids can draw in experiences from their trip. It’s perfect for kids ages 6 – 10 years old.Īnother really cool option is The Children’s Travel Journal which is sketched out in black and white so kids can color all the pages while they travel! Details include food journals, people you meet on the trip, spaces to draw your favorite memories and so many more ways to record the trip. My favorite is The Ultimate Travel Journal for Kids which includes TONS of colorful pages, games, boredom busters and fun ways to kids to record their travel memories. If your child prefers a book-type travel journal, here are some of the ones we would recommend: The Unlikely Homeschool has a beautiful Field Trip Log printable for any side trips you have planned. Nute Productions has a printable Trip Journal Page that’s very colorful & your kids will really enjoy! I adore this Travel Journal for Kids over at the Travel Turtle.ī. We 3 Travel has some awesome Travel Journal Pages for Kids - 3 varieties which include drawing pages for younger kids and fill-in vacation details for older ones! These free printable travel journal pages are the perfect way for kids to record all their favorite things each day! Be sure to leave a note to thank the amazing people who created these free printables pages!īefore My Vacation journaling page from TSLBooks is perfect to use the week before you head out! So here are some awesomely creative ways to keep your kids writing while you travel - whether you have a child that’s 5 or 15! In my search for travel journal templates, I can across so many wonderful options that I didn’t limit it to just one ( I’m never good at narrowing things down □ If you’re just starting to travel with your kids, check out Why Kids Need to Travel & What They Learn on the Trip for inspiration! We’re all about DIY which is why I like to create a Road Trip binder and include things that are very specific to our trip. I think downtime during the summer months is really important for kids but I’ve also seen what happens when they don’t pick up a pencil for a few months ( yikes!) It can be a rude awaking when they head back to school so I’m always looking for fun ways to encourage them to write a little throughout the summer. Summer travel is the perfect opportunity to inspire kids to do a little writing not to mention record some great memories! Since we’re heading out on a big road trip this summer, I thought I would include some travel journal pages in our Road Trip Binder (which already has 40+ Free Printable Road Trip Activities you might want to check out!) Use these travel journal ideas & free printable pages to help kids document their next vacation or trip!
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Boss battle introductions and defeat cuscenes.All garbage block sets are a for display on screens.Save, game over, and congratulations screens 00-03.The blinking Pokémon is the current animation event. Test Pokémon animations and listen to their cries from screens 2F-48.Character and Pokémon portraits can also be displayed from screens 0C-2E.Pressing either Left or Right depending on the screen allows testing of various functions such as listening to Pokémon cries, scrolling the garbage vertically, setting the menu cursor, and other specific functions. You can view all stage backdrop sets, special events, and boss introductions. Game Genie code ?0-23B-80E ( 22 or 23) will start Pokémon Puzzle Challenge in a screen setting viewer/CHR set viewer. Although the game was not available in Japan, the Japanese did. This game was only available in North America starting in 2000, making it the first Pokmon game produced for North America first. It is based on the popular puzzle game Panel de Pon, but with Pokmon themes. (Source: Mezmorize, nensondubois) Debug Menu Pokmon Puzzle League is a puzzle game for the Nintendo 64 console. Once the screen is displayed, pressing A (×24), B (×24) will launch Panel de Pon GB.Īlternatively, it can be accessed by using Game Genie code 1F0-23B-80E which will start Panel de Pon in GBC mode, or 1F0-3AB-91E in any other GB mode. If on a Game Boy Color or a newer handheld, the GBC-only screen can be triggered from the title screen by pressing Up (×2), Right (×4), Down, Left (×10), Up (×4), Right, Down (×6), B. If using a non-GBC Game Boy, Panel de Pon GB can accessed from the GBC-only screen by pressing A (×24), B (×24) (you will hear a chime after pressing each button the required amount of times). The European version of this hidden mode renames some of the menu options. Interestingly, the game's CGB Bootstrap ROM palette is remarkably similar to Tetris Attack for Game Boy and its Japanese version, Yoshi no Panepon, except that it is more yellow than green. Mario 64 is a blast with 4 players, totally underrated. The game can even be accessed on a regular Game Boy or Super Game Boy. Mario Kart, F-Zero X and Starfox 64 all have excellent 4 player modes. That said, Panel de Pon GB does exist in a very early and generally unpolished state, as the characters and music are all there. Descriptions of the menu entries are needed hereĬharacters from Panel de Pon can be found in the ROM, suggesting that Pokémon Puzzle Challenge was originally meant to be a Panel de Pon entry but got re-branded partway through. Of course, opening ceremonies can be skipped.Īt this point, the secretary will take a roll call and note who is in attendance and who isn’t. Some organizations choose to do an opening ceremony at this point using the Pledge of Allegiance, a fraternal ritual or a greeting. Such predefined phrases make chairing a board meeting easier because the chair doesn’t have to think about what to say. To start the meeting, the presiding officer will open the session by saying We’ve also provided notes on wording that should be used by presiding officers to formalize it. Using the above format to guide, Robert’s Rules provide a general agenda breakdown as follows. These are either unfinished business or general order points.Īnything new that needs to be addressed, discussed and/or voted on. Generally covers any motions that weren’t disposed of in previous meetings - perhaps they were postponed. Usually time-sensitive business such as upcoming officer elections. Any reports are discussed at this point in the meeting. Special committees are created by several members of the wider group doing their own tasks or investigations without the entire group’s involvement. At this stage, each recommendation can be voted on and adopted to move it forward. This could cover things such as board reports and recommendations. Reports of officers, boards and standing committees This is right at the beginning of the meeting, where the assembly can approve (or debate and amend) the minutes of the previous meeting. The order of business provides priorities for the agenda in the following order: Order One of the keys to running a meeting with Robert’s Rules is taking care of any old business before moving on to new business. This should be a permanent outline of the flow of your meetings, and the agenda for each meeting can be created once this is in place. To create your agenda, you should first start by building an order of business. How to use Robert’s Rules to create an order of business The exception to this is if the group uses the Standard Order of Business as defined by RONR (and sometimes adopted as a standing rule using the organization’s bylaws), in which case it doesn’t need to be voted in. At the beginning of the meeting, the agenda needs to be voted in by a majority vote of more than half of the members present. The agenda should always be prepared in advance by the president or chairman (also known as the presiding officer) or the secretary. During the meeting itself, the agenda should be followed in order from top to bottom, and each point needs to be addressed or voted on before moving on to the next items of business. What is an agenda according to Robert’s Rules?Īccording to Robert’s Rules, each meeting should follow an agenda. Today, Robert’s Rules of Order Newly Revised or RONR is the latest version, published September 2020 with revisions since then to reflect remote and virtual meetings. All revisions respect the fundamental principles of Robert’s Rules and have only been added based on feedback from those who use it. Things have changed a lot since the original publication, and there have been multiple revisions since. All members have equal rights and responsibilities.All leaders must be voted in, but there’s no hierarchy of power.Everyone has the right to present, speak and vote.However, the rights of the minority and absent members are protected.All rulings are run through a vote, where the majority vote rules.Robert’s Rules of Order are a set of rules to effectively run a meeting with the following democratic principles in mind: 8 References and further reading What are Robert’s Rules? Once I quit the "AdobeResourceManager" process, the machine cooled down and began to operate normally. The bottom of my laptop was getting so hot it was nearly burning my leg-and this was just with normal use. My machine had been heating up and the fan was whizzing. This process was using over 80% of my CPU power. I'm on a MBP 15" 2010 i5 model OS 10.6.8.Īs per advice in this thread, I opened both Adobe Acrobat Pro (9.4.5) and Acrobat Reader (10.1.0), and disabled any tracked reviews.Īlso, I opened the Activity Monitor and quit the "AdobeResourceSynchronizer" process. WHAT IS UP WITH THIS, ADOBE? Why are you installing hidden rogue applications in parts of my system that ordinary use will never reveal until my entire hard drive gets filled up and crashes, without asking me first? If you haven't got MainMenu I'm sure there are other ways for forcing the trash to empty. The version I paid for still works on Lion. Just be careful what you trash.Īnd how to empty the trash when you get that stupid message "cannot empty the trash because XXX is in use? I use Main Menu, which I paid for a while ago and which they want me to pay for AGAIN if I upgrade it. You need EasyFind, which is FREE and which will go everywhere on your drive and will find invisible stuff too. The best way to find all this stuff (on a Mac) is not with Spotlight because Spotlight won't go into the dark. Now I have located AdobeResourceSynchronizer and completely deleted it from my system. So I trashed them all AGAIN and once again finding AdobeResourceSynchronizer had sneaked back into my log-in items, I trashed that again too.Īnd guess what? Two seconds later, AdobeResourceSynchronizer was back in my log-in items and had already created a new folder with about 10 of those prefs files in it. Then I thought I was OK but doing a clone today I discovered that Carbon Copy Cloner was once again cloning THOUSANDS of new Adobe prefs files, all in folders with each folder bearing the date. I also took away the AdobeResourceSynchronizer from my log-in items (I didn't even put it there myself). But I had to force empty the trash to destroy them. First, I found all the log files that begin with AUX in private/var/log/asl/ and trashed them. I have been getting this exact same prob since I first installed Photoshop Elements a couple of weeks ago. Here is as a screenshot how the Tracker pref looks in my case. So I redid the above, and it never came back (that was about 3 months ago). That was it for me! AdobeResourceSynchronizer came back once after this, possibly after applying an Acrobat update. Make sure that "Automatically Check for New Comments and Form Data" is set to Never. Select Tracker in the column on the left. In Acrobat or Reader, go to the Preferences in the Acrobat or Reader menu. If it is, select it then click on the - button below. Click on the Login Items tab, and make sure AdobeResourceSynchronizer isn't in the list below. In System Preferences, select Accounts then your account in the column that appears on the left. It is for Acrobat X Pro, but I imagine things are identical for Reader X: In my case what worked is different, it is based only on setting preferences. The instructions you are attempting to follow involve erasing the AdobeResourceSynchronizer app included inside the Acrobat or Reader app, using for this either the Finder or the Terminal app. Peter Parker was such an odd person, but you were so extremely interested in who he really was because sometimes - things didn’t add up. What was he even thinking? A disgruntled sound escaped his throat, and he theatrically sobbed into his hands before dragging them down his face. He should’ve never given you those polaroids. Peter slowly banged his head against the wall, groaning in pure frustration and riddled by self-sabotaging anxiety. “Ew.” You whispered, hurriedly getting up from the couch. You stared at the wallpaper, mouth agape as you shared a disgusted look with the stray, gray cat sitting in your lap. But the muffled noise just would not stop and at this point, it was driving you nuts - Well, Peter Parker always drove you nuts. You had already done it once before, and learned your lesson being nosy by finding out he wore Spider-Man boxers to bed. You weren’t insinuating Peter was having sex. It was never-ending, nonstop, and you had to admit it was a little suspicious. The thumping against the wall was concerning, really. He groans wantonly into your mouth and picks up his thrusts again, grinning when your features fall slack from how wet your pussy responds to him between strokes, “ you’re really gonna get it tonight, silly girl.” You can’t help but giggle loudly, catching the way he glares at you from his peripherals as he stills between your thighs. “please, it’s only a j-joke, babe-“ you yelp when he slams you further into the sheets, his tongue running along the underside of your jaw. “yeah? you like making fun of daddy, don’t you? think it’s funny?” he chuckles darkly, the pads of his fingers digging deeper around your neck before he’s plowing into you harder than before. eddie would fuck you harder into the mattress as soon as that sneaky smile decorates your lips, his face all up in yours as he holds you down against the bed by your throat, scolding you for ever doing such a thing. Keep reading begin again peter parker x reader peter parker x you peter parker fluff peter parker angst peter parker imagine peter parker series peter parker fic peter parker fanfic peter parker fanfiction peter parker tasm peter parker x reader tasm peter x reader tasm peter x you tasm peter parker x you tasm fanfiction tasm imagine tasm fanfic tasm spiderman x reader tasm!spiderman x reader tasm!peter fanfiction tasm!peter parker tasm!peter x you tasm!peter x reader spiderman x you spiderman x reader tasm andrew garfield andrew garfield andrew garfield x you andrew garfield x readerĮddie munson is the type of boyfriend to mock your moans while he fingers you, but as soon as you start mocking him - he takes that personally. It was too early for this, and you had been feeling a cold creep up on you for the past couple days ever since you had gotten back from New Jersey. Taking Webster and your keys, you quickly darted out into the hall. The sound was horrible, and you knew that you needed to leave as soon as possible. Bedsheets were strewn about as you searched for Webster beneath the duvet cover, where the grey cat nestled by your ankles. Grogginess was written all over your body as you groaned at the painful screeching of the noise. The fire alarm deafeningly blared throughout the apartment complex. Optional is Use local DHCP service to distribute IP addresses to VMs.Connect a host virtual adapter to this network – that will create network adapter on host computer.Host-only (connect VMs internally in a private network) – limit traffic only to computer on which we have VMware and GNS3 installed.You should see screen similar to the one below:Ĭlick on VMnet1 and indicate following options in Vmnet Information section below list of the virtual networks: So, first step is to go to Edit menu and then Virtual network Editor. For demonstration purposes I will use VMware wosktation 8. Let’s start from Vmware workstation preparation. It is possible to integrate both environments together to expand our testing LAB. Cloud Node Type on GNS3 can connect to any network adapter installed on host computer.virtual network on VMware Workstation can be presented as network adapter on host computer.So, if we connect those two facts together: In GNS3 environment we have Cloud Node Type which can be configured to communicate with any network adapter installed on the computer on which GNS3 is running Each of virtual networks can be also presented on host computer as network adapter. private network for virtual machines.Ĭonfiguration of virtual networks is flexible and can be adjusted easily. Host-only – network available only for virtual machines connected to it.NAT – VMware will translate virtual network and computers connected to that network and allow communication acting as gateway.Virtual machines connected to bridged network will appear in same network as physical adapter connected to computer. Bridged – virtual network connected seamless way to physical adapter.What that means is that it is possible to have virtual machines hosted on VMware Workstation to communicate with Cisco equipment which is running oin GNS3.īy default VMware Workstation has 10 virtual networks which are named VMnet0, VMnet1, …, VMnet9. By default each of those platforms is separate, however both have components which allow integration. VMware Workstation and GNS3 are two platforms which are very handy to test and evaluate solutions before live implementation. Subscribe to the news feed or enter your email address below to never miss an update. Opening in Summer 2022, Guardians of the Galaxy: Cosmic Rewind. Use promo code PARKSTOP to save 15% every order at . World Discover consists of three pavilions housing three separate thrill rides. That’s all for now, but if you’d like to take a bit of the parks home, Souvenir Scents offer candles and wax melts inspired by theme park attractions like the Burning Rome scent on Spaceship Earth, the baking bread smell on Ratatouille, and all the scents on Soarin’. Regardless of what may have changed from its initial announcement at D23 Expo in 2019, when all of the final changes are complete, this will still be, as Bob Chapek said in 2019, the “biggest transformation of any park that we’ve ever accomplished.” You can learn more about what this update would have entailed in our previous story, or the video below. Named “Our Shared Story,” the new version of this classic attraction would have saw a new “storylight” story telling device, that would travel through time with us, connecting our shared human experiences with one another.Īccording to rumors, nearly the entire second half of the Spaceship Earth attraction would have seen major changes, and the entire ride would have seen new narration, special effects, and music. The same cannot be said for the large Spaceship Earth update however. 4 Comments 883 shares Facebook 368 Pinterest 515 In a historic moment, EPCOT has now changed the park layout, getting rid of Future World and creating 4 distinct Neighborhoods to further organize the park. Thanks for visiting MickeyBlog.New concept art of World Celebration, the hub area for EPCOT If you’re interested in the new, EPCOT Starbucks Tumbler, head to Disney World to complete your set! On the flip side, you’ll find an engraved, Starbucks logo. We can’t forget Mickey and Figment! And, don’t they look adorable? Olaf and Remy are there, and so is Test Track!ĮPCOT’s iconic landmark stands proudly at the top! Notice all of the little characters and images tucked away. Included are Spaceship Earth, Guardians of the Galaxy: Cosmic Rewind, and World Showcase. Isn’t this gorgeous?! What a fantastic collectible to honor Disney’s Platinum Celebration, commemorating 100 years!īeloved attractions are highlighted on the front. Lastly, World Discovery focuses on science, technology and intergalactic adventures, including Test Track and Mission: SPACE. On top, it looks bluer, whereas, on the bottom, you see more silver tones. This neighborhood showcases stories about science, technology and intergalactic adventure. New EPCOT Starbucks Tumblerīefore we start, check out the image below, as it gives an interesting view of the tumbler’s color variation when the light hits it. One can only hope! We’ve already shared about the other three tumblers from Magic Kingdom, Hollywood Studios, and Animal Kingdom.ĮPCOT’s makes 4! Here’s a closer look at the new, beverage container, found at Creations Shop. Mission accomplished this new, EPCOT Starbucks Tumbler completes the set! Starbucks x DisneyĪny merchandise combining Starbucks and Disney is always a hot commodity! These will undoubtedly be super popular, and will most likely fly off of the shelves.Ĭurrently, you cannot find this collection on shopDisney, and we’re unsure if it’ll ever arrive. We’ve been on the hunt for all four items in a coveted Disney World collection. Or go around the world in Disney Worlds famous Epcot No vacation is complete without stops at both Universal Orlando Resort and Walt Disney World Resort. All cases were either performed by the consultant surgeon or by a trainee under direct supervision of the surgeon. All cases were carried out by an open technique, and there was no change in surgical technique during the study period. Individual pathology reports were retrieved from the hospital pathology database and reviewed. Patients were identified from prospectively collected databases at the two centres. In unit one 110 cases were carried out between October 2002 and July 2005 and 103 cases in unit two between August 2005 and October 2009. The study population consisted of 213 patients undergoing consecutive potentially curative CRC resection for adenocarcinoma, operated on by a single consultant surgeon, in two units, over a seven-year period. The aim of this study was therefore to compare the LN harvest and factors influencing it in patients undergoing CRC resection by a single surgeon, in separate units, following relocation of the surgeon during the series. It is not clear, however, whether the interunit variability previously observed is due to variations in patient characteristics, surgical technique, or pathological technique. There is also interunit variability in the harvesting of LNs following CRC resection. LN retrieval is dependent on variables that relate to patient characteristics, the operation, and the techniques of both the operating surgeon and reporting pathologist. National agencies and professional associations in the UK and USA have recommended that a minimum of 12 nodes/patient should be examined, with all units being expected to achieve this level consistently. LN harvest is increasingly being suggested as a surrogate marker of surgical quality in the treatment of CRC. Inaccurate staging may also have an adverse effect on survival statistics for both node negative and node positive cases. Failure to identify nodal metastases that exist may deprive the patient of adjuvant therapy and misinform them of their prognosis. Examination of too few lymph nodes risks under staging a patient's disease. The identification of lymph node (LN) metastases following colorectal cancer (CRC) resection is one of the critical discriminators that influence the decision to use adjuvant therapy. This has implications for nodal harvest as a surrogate marker of surgical quality. Both units comply with national standards, but the “surgeon's results” at the two units appear to be pathologist dependent. A surgeon moving units can experience significantly different LN yield following CRC resection. 007) as independent predictors of harvest. Multivariate analysis identified unit ( P <. In unit one 42% of cases were LN positive and in unit two 48% ( P =. Median LN harvests were significantly different between the two centres: unit 1: 13 nodes/patient and unit 2: 22 nodes/patient ( P <. The study population was 213 consecutive patients undergoing CRC resection by a single surgeon, at two units: unit one 110 operations (2002–2005) and unit two 103 (2005–2009). The aim of this study was to examine the effect of surgeon relocation on lymph node (LN) retrieval in colorectal cancer (CRC) resection. Other more veteran producers claim that it makes them nostalgic to stop using it. The main reason why many producers today still stick to using FL Studio 11 is because of comfort and resistance to change. Would you like to know which is the version, FL Studio 12 vs 20? Check out my guide! Why do producers still use FL Studio 11? The version 11 of Fruity Loops was released on April 19, 2013. If you want to enjoy this version, you can download it from the website (Image-Line).īelow you will find the official documentation with the procedure to follow to download FL Studio 11. Yes, it is still possible to get FL Studio 11. FL Studio 20 is a better finished product with more features compared to the previous version. FAQs – FL Studio 11 vs 20 Is FL Studio 11 better than 20?Ī short answer is no. In other words, in terms of value for money, it has no rival. This Digital Audio Workstation is a premium product with an affordable price tag. Overall, FL Studio 20 is a great improvement over the previous version and is definitely worth the investment. Unfortunately, lower releases of Fruity Loops are not macOS compatible. It was designed so that all of its tools are fully compatible with macOS. FL Studio 20 is the first and only version that supports MacBook computers.The learning curve of Fruity Loops 20 is higher than version 11, which is why the first one is easier to use.The new version is designed to improve production skills and make music faster, which significantly improves your workflow.FL Studio 20 comes with a larger collection of VST plugins, sound effects, high-quality samples and other interesting new features.Image-Line has done a good job with FL Studio 20 making performance improvements. FL Studio 11 is much less stable and reliable than the new version.The latest version has new features such as audio clip editing, automation clip editing and pitch correction.The new version has a completely redesigned interface that is much easier to use and modern looking.There are many differences between FL Studio 11 and 20, but the most notable are as follows: That’s why they have always stayed one step ahead of their competitors, making it the favorite software of famous artists and producers.Īlthough there are other DAWs on the market with good features, Fruity Loops remains one of the most popular professional music production programs. Since the very beginning, the developers of Fruity Loops have been continuously adding new features to their music production software. In addition, it includes revamped plug-ins and others that are exclusive to this update.įL Studio is a powerful, industry-leading music production utility and has become the application of choice for millions of musicians, DJs, electronic artists and producers around the world. It stands out over its rival because it has more features and a better audio library. When comparing the two versions side by side, FL Studio 20 is much better than FL 11.
Drug formularies are widely used by hospitals, health systems, and private and national drug insurance plans.Provenance: Not commissioned externally peer reviewed. (related to preventing drug name confusions) Other: Board of Directors (unpaid) for Med-Errs, Inc. Grants received: Abbott (readability of MedGuides), Novartis (development of pharmacoepidemiologic methods), Ortho McNeil (safety of warfarin post orthopedic surgery), AHRQ (Tools for Optimizing Prescribing). (my own company, specializing in preventing and detecting drug name confusion errors). BL consulted in last 3 years: Abbott (drug name confusion), Transcept. DT received unrestricted grant funding for research from Medco Health Solutions. MK is a Consultant Pharmacist, Pharmacy and Therapeutics Committee, Catalyst Health Solutions, Inc, Rockville, MD. SW consulted for Abbott, Genentech, Primus. JD had a summer student internship with Abbott Laboratories in Regulatory Affairs 2009–2010 7 k (2009) 8 k (2010). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: WG received grant funding from Abbott Labs- 2% FTE this year, Consulting with Walgreens (member of P&T Committee, ∼$5,000). This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.įunding: This work originated from the Formulary Leveraged Improved Prescribing (FLIP) project, which was funded by the Attorney General Consumer and Prescriber Education Grant Program, and was supported by the Agency for Healthcare Research and Quality grant U18HS016973 funding the UIC Center for Education and Research on Therapeutics (CERT) program. PLoS Med 9(5):Ĭopyright: © 2012 Schiff et al. (2012) A Prescription for Improving Drug Formulary Decision Making. US payers were then asked specific questions about each section of the AMCP dossier.Citation: Schiff GD, Galanter WL, Duhig J, Koronkowski MJ, Lodolce AE, Pontikes P, et al. US payers were asked to rate the usefulness of each section of the AMCP dossier on a scale of 0 to 10, where 0 is not useful at all and 10 is extremely useful. Interviews focused on how AMCP dossiers inform decision making and the usefulness of each dossier section. Participants included 7 medical directors and 3 pharmacy directors who were voting members or chairs of Pharmacy and Therapeutics (P&T) committees at a range of US health plans (national, regional, integrated) (Table 1). We then developed a discussion guide for use in one-on-one interviews. To characterize decision makers’ use of AMCP dossiers in granting reimbursement and formulary placement for new health technologies, we reviewed the published literature and third-party websites to identify how health care decision makers employ AMCP dossiers. Limited information has been published on the role of these dossiers in health care decision making. The dossier format guides manufacturers in presenting evidence for new pharmaceuticals, biologics, and vaccines to gain reimbursement and/or formulary placement in the United States (US) health care system. The Academy of Managed Care Pharmacy (AMCP) dossier format was introduced in 2000. |
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