My goal in academic, research and clinical work has been to optimize patient care by creating practice environments that enable pharmacists to practice to full scope - the anticoagulation management service provided a model for the Alberta College of Pharmacy to move forward with Additional Prescriptive Authority, enabling Albertan pharmacists to prescribe Provincially regulated drugs – a role that is the most advanced in the world.
Dr. Tammy Bungard received her Doctor of Pharmacy from Wayne State University in Detroit, after which she pursued a post-doctoral research fellowship at the University of Alberta. She then completed two specialized traineeships in thrombosis / anticoagulation management in the United States, before returning to the University of Alberta where she joined the Division of Cardiology in 2001.
A committed leader in pharmacy, Dr. Bungard has received many awards throughout her scholastic and professional career for her academic achievements, peer and trainee mentorship and contributions to the field of pharmacy.
Leadership and Collaborations:
Dr. Bungard developed, implemented and directs the Anticoagulation Management Services at the University of Alberta Hospital. As an expert in management of anticoagulants, she has performed research and published in areas related to the clinical management of thrombosis. Nationally, she is the co-chair of the Patient & Families Committee with Thrombosis Canada and has participated on that organization’s annual general meeting. She has held numerous regional and national leadership positions within the Department of Medicine, pharmacy peer associations and Alberta Health Services.
Dr. Bungard lectures to pharmacy students specific to thrombosis and its clinical management. She has a longstanding track record of one-on-one preceptorship for clinical training for both those in undergraduate / graduate programs as well as those pharmacists practicing wanting to elevate their clinical scope. She supervises research trainees and She is the Pharmacy Resident Research Advisor for Edmonton Zone, Alberta Health Services. She has won several awards for her teaching excellence, several of them through nominations by students.
Dr. Bungard delivers continuing medical educations sessions in Edmonton and at clinical setting throughout Alberta. She has developed educational modules, several clinical tools and outreach programs for anticoagulation management.
Over her career, Dr. Bungard has translated her clinical work into her research portfolio, generally focusing on influencing scopes of practice in Alberta and across the country, ultimately having an impact on patient care. Research themes encompass models for care delivery, the clinical management / knowledge of antithrombotic therapies and jurisdictional practices within pharmacy. As Principal Investigator, Dr. Bungard has been awarded over $2.5 million in grants from Alberta Health, the University Hospital Foundation, and via Industry. She has published over 60 peer-reviewed articles, and for the vast majority, is either the lead or senior author.
chronic disease management, pharmacy practice research, thrombosis
, Ritchie BR. A randomized trial of restarting warfarin at maintenance versus loading doses following an elective procedure. J Thromb Thrombolysis 2017;44(4):507-515. DOI: 10.1007/s11239-017-1553-6
, McMurtry MS, George-Phillips K,
. Critical INRs after hours – To call or not to call? Can Fam Physician 2017:63:e170-176 Bungard TJ, Schindel T, Garg S, Brocklebank C. Evaluation of a multi-staged professional development course for practicing pharmacists in anticoagulation management. Intern J Pharm Practice 2012;20(2):107-117.
, Foisy M, Brocklebank C. Drug Interactions involving warfarin: Practice tool and practical management tips. Can Pharm J 2011;144(1)21-25e.9.
Schulman S, Anderson DA, Bungard TJ, Kahn SR, Wells P. Direct and indirect costs of management of long-term warfarin therapy in Canada. J Thrombosis Heamostasis 2010;8(10):2192-2200.
, Gardner L, Archer S, Hamilton P, Ritchie B, Tymchak W, Tsuyuki RT. Evaluation of a Pharmacist-Managed Anticoagulation Clinic – Improving Patient Care. Open Medicine 2009;3(1):16-21.
Yuksel N, Eberhart G,
. Prescribing by pharmacists in Alberta – our journey. Am J Health Syst Pharm 2008;65(15):2126-2132.
, Archer SL, Hamilton P, Ritchie B, Tymchak W, Tsuyuki RT. Bringing the benefits of anticoagulation management services to the community: Alberta program may serve as a model of care. Can Pharm J 2006;139(2):58-63. (awarded
“Best Paper Award” for 2006
by the Editorial Board)
, Ghali, WA, Teo KK, McAlister FA, Tsuyuki RT. Why do Patients with Atrial Fibrillation Not Receive Warfarin? Arch Intern Med 2000; 160:41-46.
Dr. Bungard is a clinical pharmacotherapy practitioner with Alberta Health Services at the University of Alberta Hospital, and dedicates her clinical time to thrombosis / anticoagulation management.