Ambulatory Care Pharmacy Specialty Review Course, Practice Exam, and Core Therapeutic Modules Package (Cert # L189074)

ACPE Numbers: Various – see listing below
Product Release Date: 05/23/2018
Expiration Date: Various
Activity Type: Application-based
CE Credits: 31 hours (ACPE only)
Activity Fee: $575 (ASHP member); $799 (non-member); $402.50 (Resident Member)

APhA Members:  To receive the member rate when purchasing this activity, enter APhA18PRM in the promotion code field at check out.

Accreditation for Pharmacists

ASHP and APhA are accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education.
 

Target Audience

These activities are intended for pharmacists who are seeking to update their knowledge and skills commensurate with a board certification examination in the areas listed below.

Activity Overview

The purpose of these activities is to help participants prepare for a Board of Pharmacy Specialty (BPS) certification examination. Each activity is approved for 1.0 – 2.0 hours of continuing pharmacy education credit. Successful completion of all the learning activities will provide up to 31 hours of continuing pharmacy education credit.

AMBULATORY CARE 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 BPS Specialty Certification Examination.

Learning Activity

ACPE Number

Credit Hours

Expiration

Ambulatory Care Review and Recertification Course:
Practice Management, Part 1-2

0204-9999-18-924-H04-P

2

05/22/19

Ambulatory Care Review and Recertification Course: 
Complex Case: Cardiovascular Disease 1

0204-9999-18-925-H01-P

1.75

Ambulatory Care Review and Recertification Course: 
Complex Case: Chronic Pain

0204-9999-18-926-H01-P

1.25

Ambulatory Care Review and Recertification Course: 
Complex Case: Cardiovascular Disease 2

0204-9999-18-927-H01-P

2

Ambulatory Care Review and Recertification Course: 
Research Design, Evidence-Based Medicine, and Statistical Analysis

0204-9999-18-928-H04-P

2

Ambulatory Care Review and Recertification Course: 
Complex Case: Geriatric Patient

0204-9999-18-929-H01-P

1.25

Ambulatory Care Review and Recertification Course: 
Complex Case: Anticoagulation

0204-9999-18-930-H01-P

2

Ambulatory Care Review and Recertification Course: 
Complex Case: Pulmonary

0204-9999-18-931-H01-P

1

Ambulatory Care Review and Recertification Course: 
Complex Case: Pediatric Patient

0204-9999-18-932-H01-P

1

Ambulatory Care Review and Recertification Course: 
Complex Case: Women’s Health

0204-9999-18-933-H01-P

1.75

Learning Objectives 

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

Practice Management, Part 1-2
ACPE Number: 0204-9999-18-924-H04-P

  • Explain how to identify the need for and establish ambulatory clinical pharmacy services in response to patient care needs and/or business potential.
  • Apply skills needed to perform evaluations of quality, value, and need to justify, modify, disband, or expand ambulatory care pharmacy services.
  • Explain how to organize a practice in a manner that supports efficient work flow, and integration of care, and assures timely patient visits and follow-up as well as assuring time, space, and resources necessary to provide patient care services.
  • Explain how to manage a financially viable practice.
  • Explain how to develop systems to obtain reimbursement for ambulatory clinical pharmacy services.
  • Summarize key points pertaining to scope of practice and other guidelines.
  • Discuss quality as it relates to pharmacy practice.
  • Identify different quality improvement methods.
  • Provide successful examples of pharmacist quality improvement initiatives.
  • Differentiate between various quality organizations.
  • Explain the role of performance measurement.
  • Identify appropriate care for patients affected by public health threats and disasters.
  • Explain effective disaster response preparation and planning.
  • Identify methods for effectively managing transition of care issues.

Complex Case: Cardiovascular Disease 1
ACPE Number: 0204-9999-18-925-H01-P

  • Correctly answer case-based questions about appropriate ambulatory treatment for a complex patient with multiple medical problems, including dyslipidemia, gout, hypertension, obesity, and sexual dysfunction.
  • Identify effective methods of managing affordability and cost-effectiveness issues for an underserved patient.
  • Identify and recommend appropriate resource organizations/groups to assist a specific patient.

Complex Case: Chronic Pain
ACPE Number: 0204-9999-18-926-H01-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex patient with multiple conditions including chronic pain, constipation, chronic kidney disease, peptic ulcer, and sinusitis.
  • Explain how to conduct symptom analysis using effective interviewing techniques.
  • Identify and make appropriate referrals when a given patient’s needs are beyond the scope of the ambulatory care pharmacy specialist.
  • Explain effective systems to track medication errors and determine possible interventions.

Complex Case:  Cardiovascular Disease 2
ACPE Number: 0204-9999-18-927-H01-P

  • Correctly answer case-based questions about appropriate management, including follow-up assessment and treatment, of a complex patient with multiple conditions and needs, including coronary artery disease, diabetes, electrolyte abnormalities, heart failure, and smoking cessation.
  • Identify and explain how to interpret pertinent physical and diagnostic assessments of a given patient’s current condition and/or therapies.
  • Assess a patient’s self-management knowledge, understanding, skills, and willingness and ability to actively participate in his/her own care.
  • Explain disease-related patient education / counseling needed by a specific patient.
  • Explain focused and integrated disease-state management for a specific patient.

Research Design, Evidence-Based Medicine, and Statistical Analysis
ACPE Number: 0204-9999-18-928-H04-P

  • Analyze biomedical literature with regard to study methodology, statistical analysis, and significance.
  • Explain the use of evidence-based treatment guidelines and protocols in the ambulatory care environment.
  • Interpret the biomedical literature and its application to ambulatory care pharmacy practice.
  • Identify appropriate sources of information to use in addressing questions that arise in one’s practice or from patients and other health care professionals.
  • Explain how to provide education on principles and practices of evidence-based medicine to current and future health care professionals.

Complex Case: Geriatric Patient
ACPE Number: 0204-9999-18-929-H01-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex geriatric patient with multiple conditions, including osteoarthritis, osteoporosis, dementia, glaucoma, incontinence, and thyroid disorder.
  • Identify patient-specific barriers to successful drug therapy.
  • Determine a patient’s ability and willingness to pay for services (e.g., insurance coverage, out-of-pocket expenses).
  • Explain and incorporate information from community screenings into patient assessment and care.
  • Resolve formulary issues to ensure access to cost-effective drug therapy.

Complex Case: Anticoagulation
ACPE Number: 0204-9999-18-930-H01-P

  • Correctly answer case-based questions about appropriate treatment of a complex patient with multiple conditions and needs, including atrial fibrillation (AF), deep vein thrombosis (DVT), hypothyroidism, anticoagulation, and stroke prevention.
  • Interpret pharmacogenetic data to make warfarin dosing decisions.
  • Apply the principles of formulary management in the selection of anticoagulant drugs.
  • Describe how to manage point-of-care testing in accordance with regulatory requirements.
  • Formulate a quality improvement plan based on well-established quality improvement frameworks.
  • Discuss the pharmacist’s scope of practice under the specifications of a collaborative practice agreement.
  • Identify clinically significant drug-drug, drug-food, and drug-disease interactions involving warfarin.
  • Apply the principles of adult education to a preceptor-trainee scenario.

Complex Case: Pulmonary
ACPE Number: 0204-9999-18-931-H01-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex patient with multiple conditions and needs, including chronic obstructive pulmonary disease (COPD), lower respiratory tract infection, benign prostatic hyperplasia (BPH), anemia, hepatitis C virus (HCV) infection, and gastroesophageal reflux disease (GERD).
  • Given a medication profile, recognize medications classified by the Institute for Safe Medication Practices (ISMP) as leading to potential misuse or patient harm.
  • Evaluate the patient’s administration technique for medications that are not administered orally (for example nasal inhalers, oral inhalers).
  • Recommend immunizations indicated based on current Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) adult immunization schedules.  

Complex Case: Pediatric Patient
ACPE Number: 0204-9999-18-932-H01-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex pediatric patient with multiple conditions and needs, including lice, asthma, attention deficit hyperactivity disorder (ADHD), skin infection, and poisoning.
  • Identify appropriate drug-related patient education/counseling.
  • Evaluate the patient’s administration technique for medications that are not administered orally (for example nasal inhalers, oral inhalers).
  • Identify appropriate resource groups, organizations, and agencies that would be helpful to a specific patient.
  • Recommend immunizations indicated based on current CDC and ACIP immunization schedules for children and adolescents.
  • Recommend appropriate vaccine administration techniques (route, site).

Complex Case: Women’s Health
ACPE Number: 0204-9999-18-933-H01-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex patient with multiple conditions and needs, including contraception, emergency contraception, urinary tract infection, vulvovaginitis, sleep disorder, and pregnancy.
  • Explain appropriate patient-specific wellness and prevention education and counseling.
  • Identify appropriate patient-specific education and counseling about nonprescription (over-the-counter or OTC) products, including herbal supplements.
  • Identify appropriate screening tests for a given patient.
  • Identify resource groups, organizations, and agencies that may be helpful to a given patient.
  • Identify an appropriate response to a drug information request.

CORE THERAPEUTIC MODULES

The Core Therapeutic Modules Package consists of 13 activities in which faculty review clinical topics and practice skills using a case-based approach. The activities are designed to assist the learner in identifying knowledge gaps in preparation for a pharmacy specialty board examination. In addition to a recorded presentation, each activity includes links to resources for further self-study and a practice test developed in the same format and rigor as the specialty exam.

 

Learning Module

ACPE Number

Credit Hours

ACPE Expiration Date

Statistics, Evidence-Based Medicine, and Clinical Trial Design

0204-0000-18-934-H04-P

2

05/16/21

Cardiac Arrhythmias and Advanced Cardiac Life Support

0204-0000-16-919-H01-P

1

06/02/19

Pharmacotherapy Considerations in the Management of HIV and AIDS

0204-0000-18-601-H02-P

1

06/06/21

Select Topics in Infectious Diseases

0204-0000-16-962-H01-P

2

06/02/19

Select Topics in Men's Health

0204-0000-17-932-H01-P

1

05/30/20

Select Topics in Women's Health

0204-0000-18-921-H01-P

1

05/22/21

Select Topics in Neurologic Disorders

0204-0000-18-602-H01-P

1

06/06/21

Select Topics in Psychiatric Disorders

0204-0000-18-603-H01-P

1

07/27/21

Select Topics in Gastrointestinal Diseases

0204-0000-18-922-H01-P

1

05/22/21

Bone, Joint, and Rheumatology

0204-0000-18-604-H01-P

1

07/27/21

Diabetes

0204-0000-17-933-H01-P

1

05/30/20

Heart Failure

0204-0000-18-923-H01-P

1

05/22/21

Principles of Adult and Patient Education

0504-9999-17-934-H04-P

1

05/30/20

Learning Objectives

Statistics, Evidence-Based Medicine, and Clinical Trial Design
ACPE Number: 0204-0000-18-934-H04-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • 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.

Cardiac Arrhythmias and Advanced Cardiac Life Support
ACPE Number: 0204-0000-16-919-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Interpret signs, symptoms and diagnostic tests for cardiac arrhythmias.
  • Explain issues in most current medication therapies for arrhythmias.
  • Identify drug-related problems, including drug interactions.
  • Identify and prevent drug-associated arrhythmias.
  • Determine the most appropriate therapy and monitoring for cardiac arrhythmias based on patient-specific information and the most current guidelines.
  • Utilize advanced cardiac life support (ACLS) guided therapies.

Pharmacotherapy Considerations in the Management of HIV and AIDS
ACPE Number: 0204-0000-18-601-H02-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Determine the most appropriate guideline-directed therapy based on patient-specific information.
  • Manage and prevent opportunistic infections.
  • Explain protocol for preventing mother to child transmission of HIV infection.
  • Demonstrate a knowledge of occupational post-exposure antiretroviral therapy guidelines.
  • Resolve HIV drug-related problems including drug interactions.
  • Evaluate therapeutic and monitoring plans for patients receiving antiretroviral therapy.

Select Topics in Infectious Diseases
ACPE Number: 0204-0000-16-962-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Determine the most appropriate empiric therapy and monitoring based on patient-specific information and the most current guidelines for the following conditions:
    • Syphilis, gonorrhea, chlamydia, herpes
    • Uncomplicated and complicated urinary tract infections
    • Urinary tract infection in pregnancy
    • Otitis media, sinusitis, pharyngitis
    • Endocarditis
    • Meningitis
    • Clostridium difficile

Select Topics in Men's Health
ACPE Number: 0
204-0000-17-932-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Identify the role of prostate cancer screening and discuss available options for those requiring treatment.
  • Determine the most appropriate treatment and monitoring based on patient-specific information and the most current guidelines for patients with benign prostatic hyperplasia, erectile dysfunction and testosterone deficiency.
  • Provide an overview of screening and treatment of osteoporosis in men.
  • Discuss current recommendations for prevention of HIV transmission in high risk patient populations.

Select Topics in Women’s Health
ACPE Number: 0204-0000-18-921-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Identify how drug response differs based on sex.
  • Recommend health screenings based on patient-specific information for osteoporosis, breast cancer, endometrial cancer, and cervical cancer.
  • Determine the most appropriate treatment and monitoring based on patient-specific information and the most current guidelines for osteoporosis and menopausal symptoms.
  • Determine which contraceptive options are appropriate based on patient-specific information, including emergency contraception.
  • Recommend safe and effective therapies to use during pregnancy and lactation.

Select Topics in Neurologic Disorders
ACPE Number: 0204-0000-18-602-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • For patients with seizure disorders, Parkinson’s disease, migraine and sleep disorders:
    • Identify the risks and benefits of drug therapy, considering medication and patient specific risk factors.
    • Discuss the most appropriate treatment and monitoring based on patient-specific information and most current guidelines.
    • Identify available information to determine drug-related problems and response to therapy.
    • Identify appropriate modifications of patient-specific treatment plans based on follow-up assessment.

Select Topics in Psychiatric Disorders
ACPE Number: 0204-0000-18-603-H01-P              

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Assess benefits and risks of drug therapy considering other medication, and other patient-specific factors.
  • Determine the most appropriate treatment and monitoring based on patient-specific information and the most current guidelines.
  • Assess available information to identify drug-related problems and response to therapy.
  • Identify appropriate modifications of patient-specific treatment plans based on follow up assessment.

Selected Topics in Gastrointestinal Diseases
ACPE Number: 0204-0000-18-922-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • For patients with nausea, vomiting, inflammatory bowel disease, gastroesophageal reflux disease or peptic ulcer disease: Determine the most appropriate treatment and monitoring regimen based on drug-specific variables, patient-specific factors, and clinical practice guidelines.
  • Assess available information to identify drug-related problems and response to drug therapy.
  • Identify appropriate modifications to optimize patient-specific treatment plans based on follow-up assessment.

Bone, Joint, and Rheumatology
ACPE Number: 0204-0000-18-604-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Recommend appropriate ambulatory treatment for a complex patient with rheumatoid arthritis, osteoarthritis or gout.
  • Compare and contrast medications used to manage these conditions.
  • Outline necessary monitoring and safety concerns for medications used to manage these conditions.

Diabetes
ACPE Number: 0204-0000-17-933-H01-P              

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Interpret diagnostic and/or laboratory tests in patients with Diabetes.
  • Determine the most appropriate treatment based patient-specific information and the most current guidelines for patients with diabetes.
  • Identify appropriate modifications of patient-specific treatment plans based on follow up assessment in patients with diabetes.

Heart Failure
ACPE Number: 0204-000-18-923-H01-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • For patients with heart failure:
    • Interpret diagnostic findings and/or laboratory test results, vital signs, clinical presentation.
    • Determine the most appropriate treatment based on patient-specific information and the most current treatment guidelines.
    • Identify appropriate modifications of patient-specific treatment plans based on follow-up assessment.

Principles of Adult and Patient Education
ACPE Number: 0204-9999-17-934-H04-P

At the conclusion of this application-based educational activity, participants should be able to do the following:

  • Describe the interconnections between motivation and learning.
  • Apply the key principles of adult learning to an instructional event (or encounter) with a patient, student, or colleague.
  • Select appropriate instructional materials and methods based on learner-specific characteristics, settings, and objectives.
  • List the essential components of an effective patient or professional education program.

Faculty Information

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

Larry W. Buie, Pharm.D., BCOP
Clinical Specialist – Leukemia
Memorial Sloan Kettering Cancer Center
New York, New York

Sarah Clark, Pharm.D., BCPS
Clinical Pharmacist, Neurosciences
Mayo Clinic
Rochester, Minnesota

Jennifer N. Clements, Pharm.D., BCACP, BCPS, CDE, FCCP
Associate Professor of Pharmacy Practice
Presbyterian College School of Pharmacy
Clinton, South Carolina

Ilya M. Danelich, Pharm.D., BCPS
Cardiology Clinical Pharmacy Specialist
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania

Heather Draper, Pharm.D., BCPS
Clinical Pharmacist, Emergency Medicine
Mercy Health Saint Mary’s
Grand Rapids, Michigan

Kelly Epplen, Pharm.D., BCACP, FASHP*
Associate Professor of Clinical Pharmacy Practice and Administrative Sciences
James L. Winkle College of Pharmacy, University of Cincinnati
Cincinnati, Ohio
Ambulatory Pharmacy Resource Coordinator
St. Elizabeth Physicians
Edgewood, Kentucky

Stuart T. Haines, Pharm.D., BCPS, BCACP, BC-ADM*
Professor and Director, Professional Pharmacy Development
University of Mississippi School of Pharmacy
Jackson, Mississippi

Suzanne C. Harris, Pharm.D., BCPP, CPP
University of North Carolina
UNC Eshelman School of Pharmacy and UNC Medical Center
Chapel Hill, North Carolina

Nicholas Leon, Pharm.D., BCPS, BCACP, FCPP
Associate Professor of Pharmacy Practice
Thomas Jefferson University, Jefferson College of Pharmacy
Philadelphia, Pennsylvania

Katelin Lisenby, Pharm.D., BCPS
Assistant Clinical Professor
Auburn University Harrison School of Pharmacy
Tuscaloosa, Alabama

Joel C. Marrs, Pharm.D., BCACP, BCPS-AQ Cardiology, CLS, ASH-CHC, FASHP , FCCP, FNLA*
Associate Professor
University of Colorado Skaggs School of Pharmacy
Aurora, Colorado
Clinical Pharmacy Specialist
Denver Health & Hospital Authority
Denver, Colorado

Krystal Moorman, Pharm.D., BCPS
Clinical Assistant Professor, Pharmacotherapy
University of Utah College of Pharmacy
Clinical Pharmacist
University of Utah Hospitals and Clinics
Salt Lake City, Utah

N. Jim Rhodes, Pharm.D., BCPS
Infectious Diseases Pharmacotherapy Fellow, Department of Pharmacy Practice
Midwestern University, Chicago College of Pharmacy
Northwestern Memorial Hospital
Chicago, Illinois

Joseph  Saseen, Pharm.D., BCACP, BCPS
Professor and Vice Chair
University of Colorado
Aurora, Colorado

Julie M. Sease, Pharm.D., FCCP, BCPS, CDE, BCACP
Assistant Dean for Academic Affairs and Professor of Pharmacy Practice
Presbyterian College School of Pharmacy
Clinton, South Carolina

Betsy Shilliday, Pharm.D., CDE, CPP, BCACP, FASHP
Director, Advanced Practice Provider Center
UNC School of Medicine
Clinical Pharmacist Practitioner
UNC Health Care
Chapel Hill, North Carolina

Michael L. Thiman, Pharm.D., BCPS
Clinical Assistant Professor
University of Georgia College of Pharmacy
Athens, Georgia

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

C. Brock Woodis, Pharm.D., BCACP, BCPS, CDE, BC-ADM, CPP
Associate Professor/Clinical Pharmacist Practitioner
Campbell University College of Pharmacy & Health Sciences/Duke Family Medicine
Durham, North Carolina

 *Content Matter Experts

Reviewers

Susan R. Dombrowski, M.S., R.Ph.
Kristi Hofer, 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 identify and resolve 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.

  • All planners, presenters, and reviewers of this session report no financial relationships relevant to this activity.

Methods and CE Requirements

The Pharmacotherapy Specialty Review Course consists of 10 activities which can be completed in any order. The Core Therapeutic Module Review Package consists of 13 activities which can be completed in any order. Each activity consists of audio/video/PDFs and an evaluation. Learners must review all content and complete the evaluations to receive continuing pharmacy education credit for each activity.

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

System Technical Requirements

Courses and 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.