Geriatric Pharmacy Specialty Review Course, Stats CTM, and PRACTICE Exam: PACKAGE (No Recert Credit (Cert # L189015)

ACPE Numbers: Various – see listing below
Release Date: 02/07/2018
Expiration Date: 06/25/2019
Activity Type: Application-based
CE Credits: 18 hours (ACPE only)
Activity Fee: $350 (ASHP member); $600 (non-member); $245 (Resident Member)

Accreditation for Pharmacists

ASHP is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

These activities were recorded during a live educational event on December 2-3, 2017 at the Midyear Clinical Meeting in Orlando, Florida. Learners who claimed credit for the live activities should not claim credit for these home study activities.

Target Audience

These activities are intended for pharmacists who are seeking to update their knowledge and skills commensurate with a board certification examination in geriatric pharmacy.

Activity Overview

This online course provides a robust preparatory curriculum for the geriatric pharmacy professional preparing for the Board of Pharmacy Specialties (BPS) Geriatric Pharmacy Specialty Certification Examination, offered in Spring and Fall 2018. Designed based on the domains, tasks, and knowledge statements developed by BPS for the examination, the course will help you prepare for the exam by identifying areas needed for in‐depth review of the geriatric pharmacy issues by:

  • Reviewing pertinent clinical topics and practice skills
  • Providing exam practice questions
  • Listing valuable resources for further self-study 

This course consists of 9 activities  (see table below) recorded on December 2-3, 2017 in Orlando, Florida, and provides up to 18 hours of continuing pharmacy education credit. 

Geriatric Pharmacy Specialty Review Course

The Review Course includes case-based presentations for application to real-life scenarios, a practice exam along with correct answers, and links to the reference sources, and domains, tasks, and knowledge statements. To help you further prepare, this package includes a compilation of practice questions in the same format and rigor to help you prepare for the BCGP Specialty Examination, a PDF of Chapter 3 from Fundamentals of Geriatric Pharmacotherapy, 2nd edition and a Core Therapeutic Module covering statistics, evidence-based medicine, and research design.

ACPE Number

Learning Activity

Credit

Hours

0204-0000-17-976-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Ambulatory Geriatric Clinic

2

0204-0000-17-972-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Assisted Living

2

0204-0000-17-973-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Long-term Care

2

0204-0000-17-977-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Hospice/Palliative Care

2

0204-0000-17-974-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Inpatient to Family Medicine Clinic

2

0204-0000-17-975-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Ambulatory Family Medicine Clinic

2

0204-0000-17-978-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Inpatient Surgery to Skilled Nursing Facility

2

0204-0000-17-979-H01-P

Geriatric Pharmacy Review and Recertification Course: Complex Case: Skilled Nursing Care

2

0204-0000-15-988-H04-P

Statistics, Evidence-Based Medicine, and Clinical Trial Design - Core Therapeutic Module*

2

*The activity was not part of the live course in Orlando, Florida. This activity expires in June 2018.

Learning Objectives

After participating in this CPE activity, learners should be able to: 

Complex Case: Ambulatory-Geriatric Clinic
ACPE Number:0204-0000-17-976-H01-P
Application-based

  • Recommend and interpret the results of appropriate screening and assessments relevant to the management of the geriatric patient.
  • Select the appropriate treatment and monitoring for a complex patient-case with multiple conditions, including:
    • Chronic obstructive pulmonary disease
    • Osteoarthritis
    • Depression
    • Urinary tract infection
    • Glaucoma
    • Herpes Zoster
  • Evaluate strategies to promote evidence-based approaches for screening, immunizations, health promotion, and disease prevention for older adults.
  • Assess the patient’s complete medication list, including prescription and over-the-counter medications, and complementary and alternative therapies.
  • Identify the components of an interprofessional, comprehensive geriatric assessment and the roles individual disciplines play in conducting and interpreting a comprehensive geriatric assessment.
  • Assess specific risks to older adult safety, including falls, abuse, physical/chemical restraints, and other environmental hazards.
  • Recognize the role of advanced directives and living wills, power of attorney, and other substitute decision-makers documents in medication use decisions. 

Complex Case: Assisted Living
ACPE Number: 0204-0000-17-972-H01-P
Application-based

  • Recommend aninterpret the results of appropriate screening and assessments relevanto the management of thgeriatric patient.
  • Selecthe appropriattreatment and monitorinfo ra complex patient-case with multiple conditions, including:
    • Urinary incontinence
    • Dysphagia
    • Stroke
    • Neuropathic pain
    • Gout
    • Seizure disorder
    • Substance abuse
  • Evaluatself-care capacity, including medicatioself- administration.
  • Recognizsignosubstance anmedication misuse/abuse in oldeadults.
  • Assesthe impacof social behaviorsincludinuse of tobacco, caffeine, alcohol, and illicit drugs.
  • Recognizneefor referral of patientto other healtcare professionals.
  • Assesverbal and nonverbal communication strategies to overcome potential sensory, language, and cognitivlimitations in older adults.
  • Evaluate adherence anprovidstrategies for improvemento older adultstheir caregivers anthe interprofessional team. 

Complex Case: Long-term Care
ACPE Number: 0204-0000-17-973-H01-P
Application-based

  • Recommend and interpret the results of appropriate screening and assessments relevant to the management of the geriatric patient.
  • Select the appropriate treatment and monitoring for a complex patient-case with multiple conditions, including:
    • Alzheimer’s with behaviors
      • Hypertension
      • T2DM
    • Geriatric syndromes – malnutrition/failure to thrive/weight loss
      • Renal dysfunction/CKD
  • Recognize ethical issues that arise during therapy with individuals who have diminished decision-making capacity.
  • Identify potential medication-related causes of declining physical and cognitive function.
  • Identify clinical situations where life expectancy, functional status, patient preference or goals of care should override standard recommendations for screening/ treatment.
  • Prioritize care needs considering severity of illness, patient preference, quality of life, and time to benefit.
  • Advocate interventions and behaviors that promote physical and mental health, nutrition, function, safety, social interactions, independence, and quality of life to older adults and their caregivers.
  • Assess specific risks to older adult safety, including falls, abuse, physical/chemical restraints, and other environmental hazards.
  • Apply the findings of research to the care of older adults.
  • Evaluate the relevancy of clinical practice guidelines and standards of care for older adults.
  • Apply protocols for managing high risk medication. (institution-specific) 

Complex Case: Hospice/Palliative Care
ACPE Number: 0204-0000-17-977-H01-P
Application-based

  • Recommend and interpret the results of appropriate screening and assessments relevant to the management of the geriatric patient.
  • Select the appropriate treatment and monitoring for a complex patient-case with multiple conditions, including:
    • Parkinson’s disease
    • Pressure ulcers
    • Coronary artery disease
    • Peripheral vascular disease
    • Hyperlipidemia
    • Pain management
  • Prioritize care needs considering severity of illness, patient preference, quality of life, and time to benefit.
  • Recognize iatrogenic conditions (e.g., healthcare associated infections, falls, pressure ulcers, medication- induced conditions).
  • Understand cultural competencies (e.g., ethnic/racial, religion, spiritual, age-related, language) relevant to the older adult population.
  • Apply cultural competency concepts and guidelines to healthcare decisions.
  • Identify clinical situations where life expectancy, functional status, patient preference or goals of care should override standard recommendations for screening/ treatment.
  • Recognize need for referral of patients to other healthcare professionals.
  • Recognize the altered benefit-risk ratio of medications at the end of life.
  • Discuss end of life issues as they relate to medication appropriateness.
  • Assess strategies to facilitate shared decision making when evaluating changes in the drug regimen considering patients' values, goals and preferences. 

Complex Case: Inpatient to Family Medicine Clinic
ACPE Number:0204-0000-17-974-H01-P
Application-based

  • Recommend aninterpret the results of appropriate screening and assessments relevantthe managemenof thgeriatricpatient.
  • Selecthe appropriattreatment and monitorinfor a complex patient-case with multiple conditions, including:
    • Atrial fibrillation
    • Post-myocardial infarction
    • Gastroesophageal refludisease
    • Heart failure
    • Hypertension
    • Insomnia
    • Urinary retention
    • Dry eyes and mouth
  • Definthcontinuuocare available tgeriatric patientssuch as communitresourceshomecare, assisted livinfacilitiesnursing facilitiessub-acutecare facilitieshospice care, anhospitals.
  • Identifpotentially inappropriate medication(PIMfor older adults.
  • Identify medicationthacontributtgeriatric syndromes or condition(e.g.fallscognitive impairment).
  • Assesbiomedical information considerinstuddesign and methodology, statistical analysisand significancof reported datanconclusions. 

Complex Case: Ambulatory - Family Medicine Clinic
ACPE Number:0204-0000-17-975-H01-P
Application-based

  • Recommend aninterpret the results of appropriate screening and assessments relevantthe managemenof thgeriatric patient.
  • Selecthe appropriattreatment and monitorinfor a complex patient-case with multiple conditions, including:
    • Atrial fibrillationpost-MI
    • Heart failure
    • Hypothyroidism
    • Diabetes mellitusnew onset
    • Benigprostatic hyperplasia
    • Hypotension
    • Gastroesophageal reflux disease
    • Frailty
  • Assesfinancial/reimbursement issues (e.g.formularies, insuranccoverage) when makintherapeutic recommendations.
  • Describsteps to assist a patient witpayment issues for medicationsmedication therapy managemenservices, and medical equipment.
  • Describstrategies to assescaregiver knowledge and expectations regarding advanced agandisease on health risksneeds, antreatment of health conditions.
  • Evaluatthe appropriatenesocare plans and services based on older adults’ and caregivers changes in age, healtstatusanfunction; assist caregivers in altering planand actions as needed.
  • Evaluate adherence anprovidstrategies for improvemento older adultstheir caregivers anthe interprofessional care team.
  • Collaboratwith older adultstheir caregiversanthe healtcare team durincare planninand implementation.
  • Recognizthneed for continuitftreatmenand communication acrosthspectrum of services anduring transitionbetween care settings.
  • Select methodtfacilitatmedication reconciliation durintransitions of care.
  • Apploutcomes of investigationto optimizcare of older adults. 

Complex Case: Inpatient Surgery to Skilled Nursing Facility
ACPE Number:0204-0000-17-978-H01-P
Application-based

  • Recommend and interpret the results of appropriate screening and assessments relevant to the management of the geriatric patient.
  • Select the appropriate treatment and monitoring for a complex patient-case with multiple conditions, including:
    • Delirium
    • Deep vein thrombosis prophylaxis
    • Pneumonia
    • Anxiety
    • Pain management
    • Fluid & electrolytdisorder
    • Falls
  • Definthcontinuuocare available to geriatric patientssuch as communitresourceshomecare, assisted livinfacilitiesnursing facilitiessub-acutecare facilitieshospice care, anhospitals.
  • Recognizthneed for continuitotreatmenand communication acrosthe spectrum of services anduring transitionbetween care settings.
  • Identifpotential hazards of hospitalization for older adults, including immobilitydelirium, medicatioside effects, malnutritionpressure ulcersprocedures, and hospital acquired infections.
  • Assesspecific riskto older adult safety, includinfalls, abuse, physical/chemical restraints, another environmental hazards.
  • Recognize iatrogenic condition(e.g.healthcare associated infectionsfallspressure ulcers, medication-induced). 

Complex Case: Skilled Nursing Care
ACPE Number:0204-0000-17-979-H01-P
Application-based

  • Recommend and interpret the results of appropriate screening and assessments relevant to the management of the geriatric patient.
  • Select the appropriate treatment and monitoring for a complex patient-case with multiple conditions, including:
    • Anemia
    • Anxiety
    • Deep vein thrombosis prophylaxis
    • Osteoporosis
    • Pain management
    • SIADH
    • Falls
    • Constipation
  • Recognizthneed for continuitotreatmenand communication acrosthspectrum of services anduring transitionbetween care settings.
  • Identifpotential medication-related causes of declining physical and cognitivfunction.
  • Select methodtoacilitatmedication reconciliation durintransitions of care.
  • Evaluatthe relevancand limitations of biomedical informatiofor the care of older adults.
  • Apploutcomes of investigationto optimizcare of older adults.
  • Develostrategies tprevent or resolve iatrogenic conditions.
  • Recognize eldrabuse/neglec(e.g.physical, psychological, anfinancial).
  • Identify resources to assist in prevention, reporting, and treatmenof elder abuse/neglect. 

Statistics, Evidence-Based Medicine, and Clinical Trial Design - Core Therapeutic Module
ACPE Number: 0204-0000-15-988-H04-P
Application-based

  • Determine quality of a study by examining study design, statistical analysis, quality of conclusions, and interpretation of graphs.
  • Determine clinical and statistical significance.
  • Determine if appropriate statistical tests have been used.
  • Determine whether the study applies to a specified patient population. 

Faculty

Trista Askins-Bailey, Pharm.D., BCGP, BCPS
Assistant Professor
Texas Tech University Health Sciences Center - School of Pharmacy
Abilene, Texas 

Christopher Betz, Pharm.D., BCPS, FKSHP, FASHP*
Associate Professor, Clinical and Administrative Sciences
Sullivan University College of Pharmacy
Louisville, Kentucky 

Snehal H. Bhatt, Pharm.D., BCPS*
Associate Professor of Pharmacy Practice
Massachusetts College of Pharmacy and Health Sciences
Clinical Pharmacist
Beth Israel Deaconess Medical Center
Boston, Massachusetts 

Amie Taggart Blaszczyk, Pharm.D., BCGP, BCPS, FASCP*
Associate Professor and Division Head – Geriatrics
Texas Tech University Health Sciences Center - School of Pharmacy
Dallas, Texas 

Dana G. Carroll, Pharm.D., BCGP, BCPS, CDE*
Associate Clinical Professor
Auburn University Harrison School of Pharmacy
Adjunct Associate Professor
University Medical Center Department of Family Medicine
Tuscaloosa, Alabama 

Carol Fox, Pharm.D., BCGP
Associate Professor, Pharmacotherapeutics and Clinical Research
University of South Florida College of Pharmacy
Tampa, Florida 

Stuart T. Haines, Pharm.D., BCPS, BCACP, BC-ADM
Professor and Vice Chair for Clinical Services
Department of Pharmacy Practice and Science / University of Maryland School of Pharmacy
Baltimore, Maryland
Clinical Pharmacy Specialist—Primary Care
West Palm Beach VA Medical Center
West Palm Beach, Florida 

Lisa C. Hutchinson, Pharm.D., M.P.H., BCPS, FCCP
Professor
University of Arkansas for Medical Sciences UAMS College of Pharmacy
Little Rock, Arkansas 

Jill R. Johnson, Pharm.D., M.H.A., BCGP, BCPS
Clinical Pharmacy Specialist
Veterans Affairs Medical Center
Memphis, Tennessee 

Sunny Linnebur, Pharm.D., BCGP, BCPS, FASCP, FCCP
Professor
University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences
Clinical Pharmacist
University of Colorado Hospital
Aurora, CO 

Maria Shin, Pharm.D., BCGP, BCPS*
Assistant Professor of Clinical and Administrative Sciences
Sullivan University College of Pharmacy
Louisville, Kentucky 

Douglas Slain, Pharm.D., BCPS (AQ-ID), FCCP, FASHP*
Associate Professor and Infectious Diseases Clinical Specialist
West Virginia University School of Pharmacy
Morgantown, West Virginia

*Content matter experts

Reviewers

Holly L.  Byrnes , Pharm D., BCPS
Susan R. Dombrowski, M.S., R.Ph.
Sandra Oh Clarke, R.Ph.
Jill A. Sellers, B.S.Pharm., Pharm.D. 

Disclosures

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support and the Accreditation Council for Pharmacy Education’s Standards for Commercial Support, ASHP requires that all individuals involved in the development of activity content disclose their relevant financial relationships. A person has a relevant financial relationship if the individual of his or her spouse/partner has a financial relationship (e.g. employee, consultant, research grant recipient, speakers bureau, or stockholder) in any amount occurring the in the last 12 months with a commercial interest whose products or series may be discussed in the educational activity content over which the individual has control. The existence of these relationships is provided for the information of participants and should not be assumed to have an adverse impact on the content.

 

All faculty and planners for ASHP education activities are qualified and selected by ASHP and required to disclose any relevant financial relationships with commercial interests. ASHP identifies and resolves conflicts of interest prior to an individual’s participation in development of content for an educational activity. Anyone who refuses to disclose relevant financial relationships must be disqualified from any involvement with a continuing pharmacy education activity.

  • Snehal H. Bhatt, Pharm.D., BCPS, has served on the advisory board and speaker’s bureau for Janssen Pharmaceuticals, Inc.
  • All other faculty and planners report no financial relationships relevant to this activity. 

Methods and CE Requirements

Activities consist of audio/ video/PDF files, an attestation statement, and activity evaluation. Learners must review all content and complete the attestation statement and course evaluation to receive continuing pharmacy education credit for each activity. 

Follow the prompts to claim, view, or print the statement of credit within 60 days after completing the activity. 

System Technical Requirements

Learning activities are delivered via your Web browser and Acrobat PDF. For all activities you should have a basic comfort level using a computer and navigating web sites. 

View the minimum technical and system requirements for learning activities. 

Development

These activities were developed by ASHP.

To maintain its strict, independent standards for certification, BPS does NOT endorse or provide review information, preparatory courses, or study guides for Board Certification Examinations.