1. Impact of Integrating Family Medicine and Pharmacy in an Interdisciplinary Anti-Coagulation Program B. Timothy Kodsi M.D., Michael Machek M.D., Keiran Shute M.D., Nicholas Carris PharmD, Steven M. Smith PharmD, MPH, John Malaty M.D., George P.N. Samraj M.D. Community Health and Family Medicine, University of Florida, Gainesville Introduction & Rationale As the U.S. population ages, conditions requiring the use of long- term anticoagulation are expected to increase considerably. For example, the prevalence of atrial fibrillation/flutter is projected to more than double by 2050. 1 Currently, patients on warfarin have an INR outside of the therapeutic range more than 35 percent of the time. Rates of therapeutic INRs appear to improve significantly under the care of comprehensive anti-coagulation clinics, as compared to community-based practices. 2 At UF, our academic-based residency program has established an innovative, multidisciplinary anticoagulation clinic that incorporates pharmacy students, pharmacists,and family medicine physicians. Up to this point, little is known about how patients and residents view the merits of a comprehensive anticoagulation clinic. Study Design The authors have no disclosures to report. Two anonymous surveys were distributed and completed, one for family medicine residents at UF (n = 22) and one for patients in the anticoagulation clinic (n=27). A collection box allowed for anonymity. Each survey consisted of five questions, with responses graded from “strongly disagree” (1) to “strongly agree” (5).  A higher response score indicated a more favorable opinion. Results Patient Surveys – about the UF anti-coagulation program Improved their access for anticoagulation management Improved their understanding of how their diet and medications affect their warfarin level Led to better management of their INR (more safe & effective) They recommended this program to others Resident Surveys – about the UF anti-coagulation program Improved recognition and management of medication and diet interactions Improved overall ability to manage anticoagulation. Led to better patient outcomes (more safe & effective) They recommended a similar program be implemented at other Family Medicine residency programs. Study Limitations References  Small sample size.  Cross-sectional data  Absence of pre-implementation surveys  Self-selection bias  Voluntary survey  Exclusion bias  Excludes patients who no longer come to the anticoagulation clinic 1.Naccarelli GV, Varker H, Lin J, et al. Increasing prevalence of atrial fibrillation and flutter in the United States. American Journal of Cardiology 2009; 1;104(11):1534-9. 2.Van Walraven C, Jennings A, Oake N, et el. Effect of study setting on anticoagulation control: a systematic review and metaregregression. Chest 2006; 129:1155. Conclusion Both family medicine residents and anticoagulation patients reflected positive attitudes towards the implementation of an interdisciplinary anticoagulation program, within the framework of an academic-based residency program. To our knowledge, this is the first report of patient and resident perceptions of this type of interdisciplinary anticoagulation program.