Lecture 1

Question 1

what is the definition of attrition

Answer 1

people leaving their employment for any reason, whether voluntary or involuntary

Question 2

what does HRSA stand for?

Answer 2

health resources and service administration

Question 3

HRSA is part of the department of….

Answer 3

health and human services

Question 4

according to HRSA, what are the reasons for the shortage of around 6,000 pharmacists

Answer 4

1. switch from bachelors (4 years) to pharmD (6 years) created a huge INITIAL shortage
2. expanded services (ie: CDTM/MTM) – shortage of pharmacists who are trained to do this

Question 5

when did pharmaceutical care start becoming a known part of the role of the pharmacist

Answer 5

1970s-1980s

Question 6

today, pharmaceutical care is…

Answer 6

CDTM/MTM/SMOI
–expanded services

Question 7

explain what MTM is

Answer 7

medication therapy management

it’s an advanced pharmacy practice model.
an example of PHARMACY PROVIDED specialized services

Question 8

are pharmacy expanded services related to counseling?

Answer 8

NO – NOT COUNSELING

SMOI – selection, modification, ordering, and interpreting medications

CDTM/MTM have SMOI in common

Question 9

true or false

a pharmacist with their state license to practice pharmacy does not need additional training to practice SMOI

Answer 9

FALSE – they need to have additional clinical training and get certified to perform SMOI

Question 10

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?

Answer 10

the board of pharmacy specialties grants the certification

Question 11

to perform CDTM or MTM, what is the LEGAL REQUIREMENT for years of clinical experience before receiving certification?

Answer 11

2 years

Question 12

explain the difference between therapeutic substitution and therapeutic interchange

Answer 12

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

Question 13

true or false.

therapeutic substitution/therapeutic interchange requires additional training for a pharmacist to be able to perform it

Answer 13

TRUE – not legal for a pharmacist to do it unless granted certification

Question 14

true or false

therapeutic substitution/therapeutic interchange is a SPECIALIZED SERVICE, not in practice as a conventional, licensed pharmacist

Answer 14

true

Question 15

what can you say about GENERIC SUSTITUTION in NY?

Answer 15

it is mandatory in NY.
if DR writes for brand, we’re legally required to dispense generic unless DR writes “DAW1”

Question 16

Is generic substitution a specialized service?

Answer 16

NO – don’t need special authority to perform it

Question 17

true or false

there is a shortage of regularly licensed pharmacists

Answer 17

FALSE – only CDTM/MTM/MR/CMR pharmacists

Question 18

as mentioned, there is not a shortage of regularly licensed pharmacists.
what numbers indicate this?

Answer 18

PDI numbers
(pharmacist demand indicator)

Question 19

what did PDI used to be called

Answer 19

ADI – aggregate demand index

now called PDI – pharmacist demand indicator

Question 20

if PDI is a small number, it indicates ___
if PDI is a large number, it indicates ____

Answer 20

small number = no shortage
large number = shortage

Question 21

what website maintains a database specifically for the pharmacy workforce?

Answer 21

AACP
american association of colleges of pharmacy

have PDR – pharmacy demand report on website

Question 22

what is KAISER?

Answer 22

a health insurance organization in california.
operates in 7-8 different states
one of the first MANAGED CARE organizations

Question 23

true or false

there is a shortage of pharmacy TECHNICIANS, not pharmacy interns

Answer 23

true