Chapter 4 Flashcards

1
Q

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

A

3rd

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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

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3
Q

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

A

Physicians, Dentist, Veterinarian, Podiatrist

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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
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5
Q

What are the two different types of accreditation?

A

Institutional and Specialized/Program

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6
Q

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

A

true

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7
Q

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

A

true

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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

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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

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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

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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)
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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
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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
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14
Q

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

A
  • false

- >50% are women that work PART-time

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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)
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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
Q

Who may examine patients, diagnose injuries and illnesses and provide treatment under physician supervision?

A

APRN or NP

26
Q

McDonough and Douchette CWR Model

A

a conceptual model for the development of pharmacist-physician Collaborative Working Relationship

27
Q

McDonough and Douchette CWR Model stages (5)

A

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
Q

Short interaction e.g. Refills

A

Stage 0-Professional Awareness

29
Q

Pharmacist is the initiator-sells what he/she can do for the collaborative relationship

A

Stage 1-Professional Recognition

30
Q

Pharmacist still the initiator but physician tries the relationship

A

Stage 2-Exploration and Trial

31
Q

Give and take exchanges but unbalanced-some level of commitment

A

Stage 3-Professional Relationship Expansion

32
Q

High level of input from each party-equity of effort

A

Stage 4-Commitment to a collaborative working relationship

33
Q

What 3 domains can exchanges be grouped in?

A
  • relationship initiation
  • trustworthiness
  • role specifications
34
Q

In which domain is the pharmacist is the primary initiator. Face-to-face is preferred

A

relationship initiation

35
Q

In which domain is trust built by provision of high-quality clinical recommendations that improved patient outcomes

A

trustworthiness

36
Q

In which domain are physicians expect to be the decision makers?

A

role specifications