E5. STUDENTS MANAGING THE NAPLEX 4:30 - 5:30PM
E5. STUDENTS MANAGING THE NAPLEX 4:30 - 5:30PM Speakers: T. Alex Hoopes, PharmD, is the Clinical Services Resident for OutcomesMTM. In this role, Dr. Hoopes has responsibilities within the Clinical Services Department and beyond. These include providing clinical expertise to a mix of clients, developing programs that optimize medication therapy, enhancing claims efficiency using data-driven approaches, and precepting pharmacy students. Alex is a member of a number of national and local healthcare organizations including the Academy of Managed Care Pharmacy and the American Health Lawyers Association. Alex received his Doctor of Pharmacy degree from Drake University in 2013. Andrea Bennett, PharmD, RPh, is a PGY1 Pharmacy Practice Resident at the University of Iowa Hospitals and Clinics, where she is receiving professional training in all aspects of hospital pharmacy. She is also currently conducting research to evaluate the treatment of gastrointestinal bleeding in patients with left ventricular assist devices. Andrea also is Adjunct Faculty at the University of Iowa College of Pharmacy, an active member of the Johnson County Pharmacy Association and a member of the Iowa Pharmacy Association Health-System Liaison Board. Andrea received her Doctor of Pharmacy from the University of Iowa College of Pharmacy and her Bachelor of Science degrees in biochemistry and dietetics from Iowa State University. Janis M. Rood, PharmD, is originally from Ypsilanti, Michigan. She graduated from Hope College in 2002 with a Bachelor of Arts in Psychology and Spanish. Her work in clinical research at the University of Michigan sparked her interest in patient care, driving her to return to school. In April 2013 she earned her Doctor of Pharmacy degree from the University of Michigan College of Pharmacy, and is currently a PGY1 Community Practice Resident with the University of Iowa College of Pharmacy at Osterhaus Pharmacy in Maquoketa, Iowa. Dr. Rood’s professional interests include MTM, immunizations, HME, practice management and precepting students. After completing her residency, she plans to pursue a Community Practice joint-faculty position at a U.S. College of Pharmacy. FEBRUARY 7-9, 2014 | THE MEADOWS EVENTS & CONFERENCE CENTER | ALTOONA, IOWA NAPLEX & MPJE – How to Start & What to Expect ANDREA P. BENNETT, PHARM.D. PGY-1 PHARMACY PRACTICE RESIDENT UNIVERSITY OF IOWA HOSPITALS AND CLINICS ALEX HOOPES, PHARM.D. PGY-1 CLINICAL SERVICES RESIDENT OUTCOMES MTM JANIS M. ROOD, PHARM.D. PGY-1 COMMUNITY PRACTICE RESIDENT OSTERHAUS PHARMACY Faculty Disclosure Andrea Bennett, Alex Hoopes, and Janis Rood report no actual or potential conflicts of interest associated with this presentation. Andrea Bennett, Alex Hoopes, and Janis Rood have indicated that off‐label use of medication will not be discussed during this presentation. 1 Learning Objectives Upon completion of this activity, pharmacists (or pharmacy technicians) should be able to: 1. Define the purpose of the NAPLEX and MPJE 2. Undergo the registration process for each exam 3. Understand the scoring process of each exam 4. Review for each exam 5. Identify and execute study tips for each exam 6. Identify post‐exam procedures and score notifications Personal Learning Objectives Upon completion of this activity, I would like to be able to: 1. 2. 3. 2 Pre‐Assessment Questions 1. Which testing facility administers the NAPLEX and MPJE? 2. What main topics are covered in the NAPLEX? 3. What types of resources are available to help study for the NAPLEX? 4. How many questions are there on the NAPLEX and MPJE? Purpose of the NAPLEX & MPJE North American Pharmacist Licensure Examination (NAPLEX) Purpose: to determine if it is safe for one to begin practicing pharmacy Used by all 50 states, DC and 5 US territories to assess competence to practice pharmacy Multistate Pharmacy Jurisprudence Examination (MPJE) Purpose: to assess the pharmacy jurisprudence knowledge of prospective pharmacists Created by the National Association of Boards of Pharmacy (NABP) for individual states 3 NAPLEX & MPJE Registration Register with the NABP to obtain the Authorization to Test (ATT) number Online registration for NAPLEX, MPJE, and NAPLEX Score Transfer www.nabp.net Programs tab Examination or Student tab Examination NAPLEX Registration (can sign up for both the NAPLEX & MPJE or just one) NAPLEX: $485/examination MPJE: $200/examination **Registration Bulletin is VERY helpful** 4 Eligibility Requirements Graduation from a recognized college of pharmacy Or a Foreign Pharmacy Graduate Equivalency Examination (FPGEE) certification Proof of internship hour completion for Iowa Board of Pharmacy (1,500 hours) or chosen state If internship hours were obtained out of state, that state board must transfer hours to Iowa’s Board of Pharmacy Applicant is responsible for making contact to the other state board of pharmacy 5 Registration/Eligibility Timeline Prior to graduation: Register with NABP After graduation: State board confirms eligibility and notifies NABP Authorization to Test (ATT) Number ATT is emailed after eligibility requirements are met **Do NOT give a faulty email to NABP** Once ATT number is assigned: Register with Pearson VUE (www.pearsonvue.com/nabp) Schedule exam(s): Online or via phone (1.888.709.2679) Schedule early – times fill up FAST May test at any Pearson VUE, regardless of state where you are seeking licensure Email confirmation from Pearson VUE 6 7 Scheduling & Re‐Scheduling Must reschedule two (2) business days prior to scheduled exam $50/exam: Pearson VUE rescheduling fee Rescheduling due to a missed appointment or cancellation less than two (2) business days from the scheduled exam NAPLEX: $50: Pearson VUE rescheduling fee $140: NABP missed appointment fee MPJE: $50: Pearson VUE rescheduling fee $90: NABP missed appointment fee Iowa Testing Sites Pearson Professional Centers – West Des Moines 3737 Woodland Ave Colony Park Office Building 3rd floor, Suite 340 West Des Moines, IA 50266 (515) 226‐0502 Pearson Professional Centers ‐ Davenport 100 East Kimberly Road, Suite 401 Northwest Bank & Trust Company Davenport, IA 52806 (563) 386‐0906 Pearson Professional Centers – Coralville 327 2nd St., Suite 370 Wells Fargo Building Coralville, IA 52241 (319) 338‐1148 Pearson Professional Centers ‐ Sioux City 4300 S. Lakeport, Suite 204 Sioux City, IA 51106 (712) 274‐2114 8 Other Close Testing Sites Pearson Professional Centers – Peoria, IL Pearson Professional Centers – Rochester, MN 4507 N. Sterling Ave Norwoods Professional Bldg, Suite 302 Peoria, IL 61615 (309) 682‐8638 Pearson Professional Centers ‐ Omaha, NE 10832 Old Mill Road, Suite 4 Omni Corporate Park Omaha, NE 68154 (402) 697‐9119 1544 Greenview Drive SW Greenview Office Bldg, Suite 200 Rochester, MN 55902 (507) 285‐3277 Pearson Professional Centers – Madison, WI 8517 Excelsior Drive Prairie Trail Office Suites II, Suite 202 Madison, WI 53717 (608) 833‐3991 State Licensure Applications Iowa Illinois Minnesota Nebraska Wisconsin 9 Iowa Licensure Application Iowa Board of Pharmacy http://www.state.ia.us/ibpe/pharmacists/exam.html Fees: Application and licensure $252 Requirements: Notarized application, “Certification of Pharmacy Education” form completed by the dean of your college, fee (personal check acceptable), proof of 1500 hours of internship, photograph Illinois Licensure Application Illinois Department of Financial & Professional Regulation http://www.idfpr.com/Renewals/apply/Pharmtech.asp Fees: Application and licensure $200 Continental Testing Service (CTS) fee $91 Requirements: Application, ED‐PHM form completed by the dean of your college, fees (certified check or money order) 10 Minnesota Licensure Application Minnesota Board of Pharmacy http://www.phcybrd.state.mn.us/Main‐lic.htm Fees: Application $130 Licensure fee $143 Requirements: Application, official college transcript, fees (money order, cashier’s check, certified check), proof of 1600 hours of internship, photograph, official birth certificate Nebraska Licensure Application Nebraska Department of Health and Human Services http://dhhs.ne.gov/publichealth/Pages/crl_medical_pharm_ pharmlic_procedures.aspx Fees: Application and licensure $178 Requirements: Application, “Certificate of Pharmacy Education” completed by college of pharmacy or an official transcript, fee (personal checks acceptable), proof of 1500 hours of internship, copy of birth certificate, driver’s license, or other proof of age 11 Wisconsin Licensure Application Wisconsin Department of Safety and Professional Services http://dsps.wi.gov/Default.aspx?Page=904de91d‐2a2c‐4f97‐ 9887‐c6020d240c18 Fees: Application and licensure $140 Requirements: Notarized application, form #2512 completed by the dean or registrar’s office, fee, proof of 1500 hours of internship Score Transfer Transfers NAPLEX score to multiple states Apply when registering for the NAPLEX or Up to 90 days after taking the NAPLEX Allows you to obtain licenses by examination in more than one state Using this, x number of states will be a “primary” license Any of these licenses may lapse without repercussions 12 Score Transfer Still need to fulfill all requirements of each state prior to obtaining a license Many states require you to complete requirements for licensure within 1‐2 years after receiving your NAPLEX score $75 for each score transfer request Saves time, paperwork, and $$$!! License Transfer (Reciprocity) Allows licensed pharmacists to transfer their license from one state to another Many states require at least one year as a licensed pharmacist before transferring a license MPJE is the required law exam in 48 states MPJE required within 12 months after license transfer Allows transfer without re‐taking the NAPLEX You can only reciprocate licenses obtained through examination Must ALWAYS keep original license valid and current 13 License Transfer (Reciprocity) Steps for transferring Submit preliminary application to NABP NABP reviews information and will send official application Official application must be submitted to board of pharmacy within 90 days Pass MPJE (or applicable state law exam) License is issued Costs NABP transfer fees ‐ $350 for first state and $50 for each additional state (if on the same form) State verification fee State registration fee Registration Fee Summary NABP Fees: NAPLEX: $485 NAPLEX score transfer: $75 per state MPJE: $200 per state License transfer (reciprocity): $350 for first state State Application & Licensure Fees: Varies from state to state **More state applications more money** Rescheduling & Late Fees: AVOID if possible 14 What’s in a name? Authorization To Test Identification Acceptable? John D. Smith John David Smith Yes John David Smith John D. Smith Yes John Smith John David Smith No John D. Smith John Smith No John David Smith John Smith No 15 The NAPLEX Assessment of competence to practice pharmacy Entry level practitioner Possible topics: Pharmacology Calculations Pharmacokinetics & pharmacodynamic Therapeutics Dosage Forms The NAPLEX 4 hours, 15 minutes Optional 10 minute break after two hours of testing 185 questions 150 questions count towards score 35 questions are pretest questions Do NOT count towards NAPLEX score Cannot be identified Minimum score: 0; Maximum score: 150 Score needed to pass: 75 Not a percentage Questions are weighted differently 16 The NAPLEX Cannot omit or skip questions Cannot return to questions once submitted Questions are presented one at a time One case may be used for multiple questions Answer all questions Penalty applies if answer less than 185 Clock and calculator on computer Scroll boxes available Not all information is available on screen at one time Tutorial prior to examination to practice using computer NAPLEX Blueprint NABP website: http://www.nabp.net Assess pharmacotherapy to assure safe and effective therapeutic outcomes 56% of test Assess safe and accurate preparation and dispensing of medications 33% of test Assess, recommend, and provide health care information that promotes public health 11% of test 17 Content Slides NAPLEX Review Resources Top 200 Drugs (brand/generic) Class Notes Pre‐NAPLEX Pharmaceutical Calculations Comprehensive Pharmacy Review ASHP’s PharmPrep APhA’s Complete Review for Pharmacy ProntoPass QUICKCARDS Live and Online Review Class 18 Pre‐NAPLEX Preview of NAPLEX experience Only NAPLEX practice examination developed by NABP Actual questions from previous NAPLEX exams No eligibility requirements Estimated, scaled score 50 questions for $50 Allowed 70 minutes May take up to 2 times 2 unique forms http://www.pre‐naplex.com Understanding Pharmacy Calculations Cost : ~$40 ISBN: 978‐1582120959 5‐lesson design with practice problems 200 problems with explanations 100 problem practice test “Easy to Understand” 19 Pharmaceutical Calculations Cost : ~$70 ISBN : 978‐1451120363 Practice problems throughout Companion website with more practice problems Answers to half of problems in back of book Comprehensive Pharmacy Review Cost : ~$50 ISBN: 978‐1451117042 Comprehensive outlines & practice questions for topics covered in curriculum Law, chemistry, OTC, kinetics, USP 797, prescriptions, etc. 2 full length tests Patient cases similar to format of the NAPLEX 20 ASHP’s PharmPrep Cost : ~$50 ISBN: 978‐1585282555 Book + Online: Over 2,500 sample questions and 300+ sample cases CD‐ROM to simulate NAPLEX Companion sections for law, compounding, and calculations APhA’s Complete Review for Pharmacy Cost : ~$55 ISBN: 978‐1582121765 Reviews drug therapy for common diseases, calculations, study tips, top 200 drug list, practice questions, CD‐ROM included Practice questions after each chapter with explanations for answers 21 ProntoPass QUICKCARDS® Cost: $265 www.prontopass.com >1000 QUICKCARDS, 3” x 5” index cards 67 subject areas Presents the most important facts using pictures, rhymes, and simple sayings Math set available: $139 & MPJE set available: $130 Money‐back guarantee if do not pass NAPLEX Online and Live Review Classes RxPrep NAPLEX Board Review Online course of 66 lectures – 12 month access 2,3, 4, or 5 day live course $988 Cost – not listed Several times a year, 1‐2 month notice via website 2400+ question test bank $179.00 Kaplan NAPLEX Live Review Course 3 day live course includes lectures, notes, review questions, and other references $449 22 Study Tips Do: Review! Read all questions carefully Review your weaknesses OTCs/herbals Calculations HIV medications Be confident of what you know Take exams on separate days Take Pre‐NAPLEX after first review of material Don’t: Procrastinate Try to memorize everything Forget to eat before the exam Forget to sleep the night’s before the exam Study Tips ‐ What to Study Calculations! Top 200 brand/generic Drug Classes OTCs/herbals Therapeutic Topics Guidelines Focus on weaknesses 23 Calculations Concentrations: Alligation medial/alternate Aliquots TPN Na+ equivalents Temperature measurement, weight conversions 1 cup = 236.6 ml F C; C F Calories to Grams Calcium‐Phos products Ratios Specific dosages Isotonic Solutions mmol, mEq, mOsmols, ppm, 1:1000, etc. Dilutions & Concentrations: Dosing weight, IBW, ABW, CrCL, BSA, BMI, etc. Know equations Calculate drip rates Practice Practice Practice Content Slides 24 Top 200 Drugs Brand/generic names Therapeutic class/primary indication Drug class/MOA Patient Counseling ADRs Drug Interactions Disease Contraindications Product availability – tablet, IV, suspension, suppository, etc. **Very little emphasis on manufacturer or chemical structure Therapeutic Topics Chronic Disease States CAD, HTN, lipids, arrhythmias, diabetes Transplant Oncology HIV Psychology Women’s health Thyroid/adrenal/endocrine Critical care Fluids/electrolytes Nutrition Infectious disease Dermatology Immunizations Toxicology RA/OA/gout/lupus 25 Miscellaneous Basic compounding Practice! Surfactants, emulsions, etc. Kinetics T1/2, steady state, Vd, protein binding Sterile Products Pharmacogenomics Lab Values Pregnancy category Hepatic/renal dosing adjustments 26 The MPJE Overview Pharmacy law examination Topics include: State and federal law Controlled substances Long‐term care pharmacies Telepharmacy & Central Fill Retail pharmacies 27 The MPJE Format 2 hours 90 multiple‐choice questions 75 questions will be used to calculate your test score 15 questions are pretest questions and do NOT affect your score Pretest questions will be asked throughout the exam Cannot identify them Computer‐adaptive technology based on answer The MPJE Scoring Score necessary to pass: 75 Not a percentage value Determines your ability level then compares it to the predetermined minimum acceptable ability level Minimum: 0 Maximum: 100 Not possible to transfer MPJE score to another state MPJE is unique to state/jurisdiction 28 Taking the MPJE Cannot omit or skip a question Cannot change an answer once you have confirmed Cannot go back and review a question Answer all questions to avoid penalty Exam includes clock on screen Exam tutorial available prior to beginning MPJE Blueprint NABP website: www.nabp.net Pharmacy Practice 84% of test Licensure, Registration, Certification, and Operational Requirements 13% of test Regulatory Structure and Terms 3% of test 29 MPJE Review Resources IPA Educational Expo Materials Law Review/Class Notes State Law Manual State Board of Pharmacy Website NABP Website DEA Pharmacist Manual: http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/index. html MPJE Review Resources Iowa Pharmacy Law and Information Manual $100 with no updates on IPA website PDF http://www.state.ia.us/ibpe/rules_laws/index.html 30 MPJE Review Resources Pharmacy Practice and the Law 6th Edition (2011): ISBN: 978‐0763781293 $75 Guide to Federal Pharmacy Law 7th Edition (2010): ISBN: 978‐0967633268 $30 MPJE Review Resources ProntoPass – MPJE Several states available Pass MPJE two weeks from the day you order (money back guarantee) $130 + $7.95 shipping Extra $35 per additional state 31 MPJE Review Resources Survey of Pharmacy Law Revised/published each December Four sections: Organizational law Licensing law Drug law Census Data Available as CD‐ROM ($195) Complimentary to all final‐year student pharmacists NAPLEX/MPJE Registration Bulletin Contents include Registration instructions Testing appointment information Test administration Information on score results Competency statements Treat as learning objective as you study Website: http://www.nabp.net/programs/examination/naplex/registration‐ bulletin/ 32 MPJE Study Tips Do not take both NAPLEX and MPJE on the same day Make sure you know both state and federal laws Stricter rule always prevails Use combo study resources, if available Prescriptive authority of various healthcare professionals Know what abbreviations designate each discipline http://www.deadiversion.usdoj.gov/drugreg/practioners/ MPJE Study Tips Controlled Substances Act Know schedules for each controlled substance Example: Fioricet vs. Fiorinal Know what can be changed on a controlled substance prescription Know who can prescribe controlled substances Know “emergency dispensing” requirements Iowa Code http://www.state.ia.us/ibpe/controlled_substance/index.html 33 MPJE Study Tips Technician certification New certification requirements/implementation dates Immunization laws Requirements for a prescription to be legal Transferring prescriptions process Interstate Intrastate Controlled substances MPJE Study Tips Iowa MPJE: Review IPA Educational Expo session notes Review law manual Outside Iowa: Review law manual Contact Board of Pharmacy Consider ProntoPass if you are worried 34 After the Test In Iowa, scores are posted online within 2 to 10 business days Scores only updated ONCE daily! Scores are only reported for candidates seeking licensure in Iowa http://www.state.ia.us/ibpe/pharmacists/scores.html Write down your ATT before taking exam! ATTs are assigned by NABP upon test registration ATT will be used to post scores If all else fails… Retake policy NAPLEX: Must wait a minimum of 91 days MPJE: Must wait a minimum of 30 days for the same jurisdiction If not passed on 2nd try must petition the Board to take the exam again Candidates who have failed the exam three or more times must obtain remedial education prior to taking the exam again ALL FEES MUST BE PAID AGAIN! 35 Questions Post‐Assessment Questions How much does it cost to get licensed in Iowa? How many internship hours are required to get licensed in the state of Iowa? What are the two ways to obtain licensure in a second state? Name three topics that are covered in the NAPLEX. Name two specific resources that are available to help study for the NAPLEX. 36 References http://www.cartoonstock.com/newscartoons/cartoonists/gri/lowres/grin304l.jpg www.danscartoons.com/pharm3_demo.gif National Association of Boards of Pharmacy (NABP). http://www.nabp.net/ Iowa Board of Pharmacy http://www.state.ia.us/ibpe/pharmacists/exam.html http://www.state.ia.us/ibpe/rules_laws/index.html http://www.state.ia.us/ibpe/controlled_substance/index.html Illinois Department of Financial & Professional Regulation http://www.idfpr.com/Renewals/apply/Pharmtech.asp Minnesota Board of Pharmacy http://www.phcybrd.state.mn.us/Main‐lic.htm Nebraska Department of Health and Human Services http://dhhs.ne.gov/publichealth/Pages/crl_medical_pharm_pharmlic_procedures.aspx Wisconsin Department of Safety and Professional Services http://dsps.wi.gov/Default.aspx?Page=904de91d‐2a2c‐4f97‐9887‐c6020d240c18 References Pre‐Naplex http://www.nabp.net/programs/examination/pre‐naplex/ DEA Pharmacist Manual http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/index.html ProntoPass – MPJE http://www.prontopass.com/index.php?page=MPJE%20Review Amazon.com – book information Survey of Pharmacy Law http://www.nabp.net/publications/survey‐of‐pharmacy‐law/ 37
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