Chapter 4 Flashcards

1
Q

The U.S. health care industry is the ______ largest in the world following defense and agriculture.

A

3rd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Characteristic activities of Profession (3)

A
  • Exercise self-regulation and policing

- Exercise judgment in the routine conduct of one’s work –Become the exclusive keeper of a body of knowledge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Practitioners that are permitted by the jurisdiction to prescribe a controlled substance (4)

A

Physicians, Dentist, Veterinarian, Podiatrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Expanded role of pharmacists (7)

A
  • DUR
  • Vaccines – 6 month training course
  • Patient counseling
  • Drug-level laboratory test monitoring and consultation
  • Prescription of emergency contraception
  • Equivalent drug selection
  • Direct drug prescribing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two different types of accreditation?

A

Institutional and Specialized/Program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F? Institutional accreditation refers to the total institution has met the standards established by the accrediting agency.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F? Specialized/Program refers to parts of an educational institution have met criteria, relating usually to a single profession?

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Registration or Certification? is process by which a non-government agency or association grants recognition to an individual who has met certain predetermined qualifications specified by the agency or association

A

Certification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T/F? Certification is the process by which qualified individuals are listed on an official roster maintained by a government or non-government agency

A

false

-Registration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Licensure or Registration?
The process by which an agency of the government (1) grants permission to people meeting predetermined qualifications to engage in a given occupation and/or use a particular title or (2) grants permission to institutions to perform specified functions

A

Licensure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What 6 specialty areas does the BPS- Board of Pharmaceutical Specialties recognize?

A
Ambulatory care (2011)
Nuclear pharmacy (1988)
Nutrition support pharmacy (1988)
Oncology pharmacy (1996)
Pharmacotherapy (1988)
Psychiatric pharmacy (1992)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Today’s pharmacist must have the following: (4)

A
  • BPharm, BSPharm, or PharmD
  • internship hours
  • taken NAPLEX, MPJE or CPJE (depending upon state)
  • maintain license with CE’s
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pharmacist today are more likely to do what? (4)

A
  • go into residency
  • go into managed care
  • have a post graduate degree
  • like clinical practice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

T/F? >50% of Pharmacist are female and work FULL-time

A
  • false

- >50% are women that work PART-time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Residencies (4)

A
  • training program that allows trainee to further develop clinical skills (experienced practioner supervisor)
  • Exist to train RPh in professional practice and management skills
  • PGY-1 (general wide variety)
  • PGY-2 (specialized)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fellowships

A
  • A directed, highly individualized, postgraduate program designed to prepare the participant to become an independent researcher
17
Q

Fellowships are usually offered here? (3)

A
  • colleges of pharmacy,
  • academic health centers
  • specialized health care institutions, PhRMA, FDA, CDC
18
Q

Future Pharmacist (4)

A
  • Will become more clinically oriented
  • Primary care givers/healthcare providers
  • Increased authority to prescribe
  • Increased role in chronic disease management
19
Q

What are the 2 types of physicians?

A
  • MDs -Allopathic medicine

- DO- Hands on diagnosis-holistic approach-health promotion

20
Q

Training for MD’s (6)

A
  • Didactic training first 2 years
  • Clerkship in years 3 and 4 of the post baccalaureate
  • Licensure (USMLE-3 stage or COMLE)
  • Requires at least one-year
  • internship post graduation
  • 3-5 years residency training
21
Q

What health care profession requires 1 year of study?

A

Licensed Practical Nurse

22
Q

What health care profession requires 2 years of graduate training?

A

Advanced Practice Registered Nurse

23
Q

Which type nurse profession allows for a diploma, A.S, B.S., Masters and Doctorate?

A

Registered nurse

24
Q

Advanced Practice Registered Nurse or Nurse Practitioner (APRN or NP)- (4)

A
  • Work under a physician
  • Established practice agreement w/ MD
  • Supervision requirements and RX authority varies by state but usually can write some prescriptions
  • In GA, can write RX’s with the exception of CIIs
25
Who may examine patients, diagnose injuries and illnesses and provide treatment under physician supervision?
APRN or NP
26
McDonough and Douchette CWR Model
a conceptual model for the development of pharmacist-physician Collaborative Working Relationship
27
McDonough and Douchette CWR Model stages (5)
Stage 0- Professional Awareness Stage 1- Professional Recognition Stage 2-Exploration and Trial Stage 3-Professional Relationship Expansion Stage 4-Commitment to a collaborative working relationship
28
Short interaction e.g. Refills
Stage 0-Professional Awareness
29
Pharmacist is the initiator-sells what he/she can do for the collaborative relationship
Stage 1-Professional Recognition
30
Pharmacist still the initiator but physician tries the relationship
Stage 2-Exploration and Trial
31
Give and take exchanges but unbalanced-some level of commitment
Stage 3-Professional Relationship Expansion
32
High level of input from each party-equity of effort
Stage 4-Commitment to a collaborative working relationship
33
What 3 domains can exchanges be grouped in?
- relationship initiation - trustworthiness - role specifications
34
In which domain is the pharmacist is the primary initiator. Face-to-face is preferred
relationship initiation
35
In which domain is trust built by provision of high-quality clinical recommendations that improved patient outcomes
trustworthiness
36
In which domain are physicians expect to be the decision makers?
role specifications