Lecture 1 Flashcards
what is the definition of attrition
people leaving their employment for any reason, whether voluntary or involuntary
what does HRSA stand for?
health resources and service administration
HRSA is part of the department of….
health and human services
according to HRSA, what are the reasons for the shortage of around 6,000 pharmacists
- switch from bachelors (4 years) to pharmD (6 years) created a huge INITIAL shortage
- expanded services (ie: CDTM/MTM) – shortage of pharmacists who are trained to do this
when did pharmaceutical care start becoming a known part of the role of the pharmacist
1970s-1980s
today, pharmaceutical care is…
CDTM/MTM/SMOI
–expanded services
explain what MTM is
medication therapy management
it’s an advanced pharmacy practice model.
an example of PHARMACY PROVIDED specialized services
are pharmacy expanded services related to counseling?
NO – NOT COUNSELING
SMOI – selection, modification, ordering, and interpreting medications
CDTM/MTM have SMOI in common
true or false
a pharmacist with their state license to practice pharmacy does not need additional training to practice SMOI
FALSE – they need to have additional clinical training and get certified to perform SMOI
As mentioned, an average licensed pharmacist needs certification as well as additional clinical training to practice SMOI.
from where do these pharmacists get that certification from?
the board of pharmacy specialties grants the certification
to perform CDTM or MTM, what is the LEGAL REQUIREMENT for years of clinical experience before receiving certification?
2 years
explain the difference between therapeutic substitution and therapeutic interchange
nothing – they’re the same terms referring to the same thing
it is when a pharmacist can legally substitute 1 drug for another, in the SAME THERAPEUTIC CLASS
ie: one beta blocker for another, one SSRI for another
true or false.
therapeutic substitution/therapeutic interchange requires additional training for a pharmacist to be able to perform it
TRUE – not legal for a pharmacist to do it unless granted certification
true or false
therapeutic substitution/therapeutic interchange is a SPECIALIZED SERVICE, not in practice as a conventional, licensed pharmacist
true
what can you say about GENERIC SUSTITUTION in NY?
it is mandatory in NY.
if DR writes for brand, we’re legally required to dispense generic unless DR writes “DAW1”
Is generic substitution a specialized service?
NO – don’t need special authority to perform it
true or false
there is a shortage of regularly licensed pharmacists
FALSE – only CDTM/MTM/MR/CMR pharmacists
as mentioned, there is not a shortage of regularly licensed pharmacists.
what numbers indicate this?
PDI numbers
(pharmacist demand indicator)
what did PDI used to be called
ADI – aggregate demand index
now called PDI – pharmacist demand indicator
if PDI is a small number, it indicates ___
if PDI is a large number, it indicates ____
small number = no shortage
large number = shortage
what website maintains a database specifically for the pharmacy workforce?
AACP
american association of colleges of pharmacy
have PDR – pharmacy demand report on website
what is KAISER?
a health insurance organization in california.
operates in 7-8 different states
one of the first MANAGED CARE organizations
true or false
there is a shortage of pharmacy TECHNICIANS, not pharmacy interns
true
