E3. NAPLEX & MPJE - WHAT TO EXPECT (STUDENTS) 2:00-3:00PM Speakers: Amanda Hagan, PharmD Amanda Hagan, PharmD is a PGY-1 Pharmacy Practice Resident at the Iowa Methodist Medical Center in Des Moines, Iowa where she is furthering her professional training. Her professional interests include internal medicine, transplant and pediatrics. Amanda received her Doctor of Pharmacy degree from the University of Iowa College of Pharmacy. After completing her residency, she plans to pursue a clinical staff pharmacist position in Iowa and become a board-certifi ed pharmacotherapy specialist. Renata Vaschvici, PharmD Renata Vaschevici, PharmD, is a PGY1 Pharmacist Resident at Northeast Iowa Medical Education Foundation. As a resident, she enjoys being able to provide patient care in both the outpatient and inpatient settings by sharing her time between Northeast Iowa Family Practice Center, Waverly Health Center and Covenant Medical Center. Her professional interests include infectious diseases, diabetes education, and medication safety. Renata received her Doctor of Pharmacy degree from the University of Iowa College of Pharmacy in 2014. FEBRUARY 13-15, 2015 IOWA EVENTS CENTER DES MOINES, IOWA
Amanda Hagan, PharmD PGY-1 Pharmacy Practice Resident UnityPoint Health Des Moines Renata Vaschevici, PharmD PGY-1 Pharmacy Practice Resident Northeast Iowa Medical Education Foundation Amanda Hagan and Renata Vaschevici report no actual or potential conflicts of interest associated with this presentation Amanda Hagan and Renata Vaschevici indicate that offlabel use of medication will not be discussed during this presentation. 1
Upon completion of this activity pharmacy students will be able to: State the purpose and structure of the NAPLEX and MPJE exams Recognize the registration process for each exam Identify study materials for each exam Explain exam scoring process and score transfer Be sure that you meet eligibility requirements set by board of pharmacy you are seeking licensure from Read the NAPLEX/MPJE Candidate Registration Bulletin http://www.nabp.net/programs/examination /naplex/registration-bulletin 2
North American Pharmacist Licensure Examination (NAPLEX) Assesses applicant s knowledge of the practice of pharmacy Three areas of interest: Identify practice standards for safe/effective pharmacotherapy and optimize therapeutic outcomes in patients Identify and determine safe/accurate methods to prepare and dispense medications Provide/apply health care information to promote optimal health care Used in all 50 states, DC and U.S. territories Assesses the competency of an ENTRY LEVEL PRACTITIONER Topics: Assess pharmacotherapy to assure safe and effective therapeutic outcomes: approximately 56% Assess safe and accurate preparation and dispensing of medications: approximately 33% Assess, recommend and provide health care information that promotes public health: approximately 11% Read more in the NABP Bulletin http://www.nabp.net/programs/examination/naplex/registrationbulletin 3
Computer exam using adaptive technology to deliver selectedresponse and constructed-response questions Questions: 185 150 are used for scoring 35 are used as pretest questions Time: 4 hours and 15 minutes Optional 10 minute break (after approximately 2 hours) Cost: $505 Rescheduling Fee: $50 Resitting fee: $140 Passing score: 75 Minimum score: 0 Maximum score: 150 ALL test questions must be answered in the order in which they are presented Cannot skip questions You will NOT be allowed to return to a previous question to review your answer Answer all questions At least 162 questions required for score A penalty is applied and score is adjusted if answer <185 questions There will be an optional tutorial you may go though prior to the exam to see the types of questions that will be asked Supplies provided: Calculator and clock on computer Noteboard with marker 4
Top 200 drugs (brand/generic) Class notes Pre-NAPLEX Comprehensive Pharmacy Review ASHP s PharmPrep RxPrep APhA s Complete Review for Pharmacy Understanding Pharmaceutical Calculations ProntoPass Live and online review classes Brand/generic names Therapeutic class Primary indication Mechanism of action Counseling points Drug interactions Common adverse reactions Contraindications Dosage forms 5
Simulates the NAPLEX testing experience Developed by NABP Scores will be reported immediately Questions: 100 Time: 140 minutes Cost: $65/test (up to 2 times) http://www.nabp.net/programs/examination/pre naplex/ Authors: Leon Shargel, PhD, RPh; Alan Mutnick, PharmD, FASHP, RPh; Larry N. Swanson, PharmD, FASHP, RPh; Paul F. Souney, MS, RPh ISBN: 978-1451117042 Cost: $66 (2012) Topic areas: chemistry, pharmaceutics, pharmacology, pharmacy practice, drug therapy and calculations 2 tests and a set of cases 6
Authors: Alan Mutnick, PharmD, FASHP, RPh; Larry N. Swanson, PharmD, FASHP, RPh; Paul F. Souney, MS, RPh; Leon Shargel, PhD, RPh ISBN: 978-1451119879 Cost: $45 (2012) 2 full-length tests, 32 patient cases and 200 practice calculations Author: Lea S. Eiland, PharmD, BCPS ISBN: 978-1585282555 Cost: $42 (2011) 78 sample cases (case-based questions) with detailed explanations Topic areas: calculations, compounding and law 7
Authors: Karen Shapiro, PharmD, BCPS; Sherry Brown, PharmD, BCPS; Danny McNatty PharmD, MHA, BCPS Cost: $159 (2014) Topic areas: exam overview, calculations, chronic and common diseases and plenty of charts Most chapters end with review questions and answers Authors: Dick R. Gourley and James C. Eoff III ISBN: 978-1582121765 Cost: $48 (2013) Topic areas: top 200 list, math, drug therapy for chronic and common diseases, summary tables/drug charts Review questions at the end of each chapter with explanations 8
Authors: Teresa A. O Sullivan and Linda S. Albrecht ISBN: 978-1582120959 Cost: $42 (2012) Designed to develop proficiency in commonly encountered clinical calculations, incorporating clinical examples based on everyday practice 200 practice problems with answers + 100-question test Percent strength (%w/v, %v/v, etc.) Concentrations and dilutions mmol, meq, mosmols and PPM Aliquots Isotonicity Calculate e-values (Na+ equivalents) Calculate drip rates Ratio strengths CrCl and BSA TPN Grams to calories Calcium/phosphate product 9
NAPLEX review Cost: $399 #1,000 3 x5 QUICKCARDS Math practice Review posters Math practice for NAPLEX Cost: $139 Money back guarantee* *Must meet certain requirements http://prontopass.com/index.php?page=samples RxPrep 12-month subscription to the course library (68 topics with video) and 3,000+ test bank questions RxPrep book Cost: $988 KAPLAN Live and interactive online reviews May 11-15, 2015 (5pm-10pm) Kaplan s NAPLEX Review book (550 pages + 2 full practice exams) Cost: $449 PassNAPLEXNow 12-month access (56 hours of lectures) Cost: $950 10
The famous actor John Wayne was born in Winterset, Iowa in 1907 and was the son of a pharmacist. http://blogs.indiewire.com/theplaylist/watch-full-50-minute-john-wayne-documentary-theunquiet-american-20140611 Multistate Pharmacy Jurisprudence Examination (MPJE) Assesses the knowledge of pharmacy law Areas of interest: Legal aspects of pharmacy practice (responsibilities of distribution/dispensing/care of patients) Licensure, registration, certification and operational requirements Regulatory structure and terms of the laws for pharmacists, pharmacies, manufacturers and distributors Combines federal and state-specific questions 11
Pharmacy law exam Topics: Pharmacy Practice: approximately 84% Licensure, Registration, Certification and Operational Requirements: approximately 13% Regulatory Structure and Terms: approximately 3% Read more in the NABP Bulletin http://www.nabp.net/programs/examination/naplex/reg istration-bulletin Computer exam using adaptive technology to deliver selected-response and constructed-response questions Questions: 90 75 will be used for scoring 15 are used as pretest questions Time: 2 hours Cost: $210 Rescheduling Fee: $50 Resitting fee: $90 Passing score: 75 Minimum score: 0 Maximum score: 100 12
ALL test questions must be answered in the order in which they are presented Cannot skip questions You will NOT be allowed to return to a previous question to review your answer Answer all questions At least 80 questions required for score A penalty is applied and score is adjusted if answer <90 questions There will be an optional tutorial you may go though prior to the exam to see the types of questions that will be asked Supplies provided: Calculator on computer Noteboard with marker Guide to Federal Pharmacy Law Pharmacy Practice and the Law ProntoPass Survey of Pharmacy Law Board of Pharmacy website DEA Pharmacist s Manual State Board of Pharmacy FAQs 13
Authors: Barry S. Reiss and Gary D. Hall ISBN: 978-0967633275 Cost: $48 (2013) Easy-to-read guide to federal pharmacy law Over 300 practice questions Author: Richard R. Abood ISBN: 978-1284021363 Cost: $88 (2012) Includes updates to account for new legal, regulatory, and policy developments Open-ended questions and cases 14
Pass MPJE two weeks from the day you order Cost: $130 plus shipping ($15.95) Includes 1 state (additional states are $65) Money back guarantee* *Must meet certain requirements and maximum refund is limited to $150 http://www.prontopass.com/index.php?page=mpje%20review Provided by the NABP and is updated each December 4 sections: Organizational law Licensing law Drug law Census data Topics: how the state boards of pharmacy are organized, how they function and their requirements for licensure Available as a CD Cost: $195 per CD Complimentary to all final-year student pharmacists http://www.nabp.net/publications/survey of pharmacy law/ 15
http://www.state.ia.us/ibpe/rules_laws/index.html http://www.state.ia.us/ibpe 16
Sections: schedules, registration requirements, transfer and disposal of controlled substances, inventory and valid prescription requirements, Combat Methamphetamine Epidemic Act of 2005, etc. Available at: http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/pharm_manual.pdf Remember the STRICTER rule prevails Know the abbreviations for each area of healthcare Example: CRNA or CNM Controlled Substances Act Know the schedules for each controlled substance Example: Fiorcet vs. Fiorinal Understand the requirements for emergency dispensing Know what can and can NOT be changed on an original prescription Know who can and can NOT write for controlled substances Know the requirements for written prescriptions Know the requirements for labeling 17
MPJE for states other than Iowa: Consider contacting that state s Board of Pharmacy Study the Survey of Pharmacy Law Consider using ProntoPass Make friends with a new graduate from the state DO Start reviewing early Read the questions CAREFULLY Try to separate the exams by a couple days Feel confident in what you know PRACTICE, PRACTICE, PRACTICE MATH!!! DON T Try to memorize everything Dwell on questions you think you missed Forget to eat and sleep prior to the exams 18
The town of Strawberry Point, Iowa holds the largest strawberry in the world. http://www.strawberrypt.com/ Must meet eligibility requirements set by board of pharmacy in order to take NAPLEX/ MPJE Must confirm whether MPJE is required Currently used by 48 boards of pharmacy 19
1. Create NABP e-profile a. https://store.nabp.net b. Be sure that the name on the e-profile matches the IDs you will bring on exam day 20
2. Login to e-profile to complete registration a. Exam Services Register for OR Programs and Services NAPLEX/ MPJE Register for b. Information you will need: a. Social Security number b. Official date of graduation (date degree conferred) c. May ask for testing accommodations d. Payment due at this time 21
3. Check registration status under My active registrations Examples include: a. Eligibility Requested b. Authorization to test (ATT) Generated a. Commonly sent as email b. Make sure information is accurate c. Contains a. Dates during which you may take the NAPLEX/ MPJE b. Instructions for scheduling exam appointment d. May need to save 22
5. Schedule testing appointment a. Must schedule according to board of pharmacy deadlines b. Online: www.pearsonvue.com/nabp c. Telephone: 1-888-709-2679 (7:00 am to 7:00 pm CST) 23
6. Receive a confirmation email a. Details of exam appointment b. Directions to test center c. Instructions on rescheduling and canceling Arrive early Bring appropriate ID Picture ID with signature AND (Second) ID with signature See NABP Registration Booklet for examples You will be provided with a small locker for your personal belongings Wear layers Bring a snack Use your break if you need it 24
Scores available on NABP website for participating states, approximately 7 business days after exam SD, ND, NE, MO Minimum questions answered for score to be reported NAPLEX-162 (of 185) MPJE-80 (of 90) Penalty is applied if answer <185 questions on NAPLEX or <90 on MPJE May request score review All 50 states and DC participate Also Guam, Puerto Rico and Virgin Islands $75 per request Request at time of registration or up to 90 days after taking the exam No refund issued for cancellation Processed whether pass or fail NAPLEX 25
NAPLEX SCORE TRANSFER PROGRAM Awards license by examination Must apply at registration or up to 90 days after taking exam Cost: $75/state + fees paid to board(s) of pharmacy ELECTRONIC LICENSURE TRANSFER PROGRAM (E-LTP ) Awards license by licensure transfer or reciprocity May need to be licensed or practicing for a period of time before applying May have to keep the primary license current Cost: $375 for first state, $75/state for additional states + fees paid to board(s) of pharmacy Must do so at least two days before scheduled exam appointment Can receive a partial refund if you cancel/withdraw before eligibility expiration $360 for NAPLEX and $125 for MPJE Partial refunds are not given After two years from initial registration After eligibility has expired If you miss a scheduled exam appointment Cannot register for another NAPLEX or MPJE for five days 26
Failing score on NAPLEX includes diagnostic section with relative performance in each major competency area Limited to five attempts to pass NAPLEX and MPJE MPJE limit is per jurisdiction States may have individual requirements Must wait before can retake the exams 91 days for NAPLEX 30 days for MPJE 27
Log in to e-profile to request a resit $140 for NAPLEX and $90 for MPJE To retake an exam Five days from cancelled/ missed appointment must have passed Eligibility must expire in no less than ten days If you would like to retake an exam you don t have to re-register, request a resit! Must do so at least two days prior Fee is $50 per appointment for each exam (NAPLEX or MPJE) Contact PearsonVue By telephone if requested testing accommodations 28
Iowa Illinois Minnesota Missouri Nebraska North Dakota South Dakota Wisconsin Iowa Board of Pharmacy http://www.state.ia.us/ibpe/pharmacists/original_licens ure.html Fees Application and licensure: $252 Requirements Notarized application form College of Pharmacy Certification form Proof of 1500 internship hours One photo taken within the last 6 months 29
Illinois Department of Financial & Professional Regulation https://www.idfpr.com/renewals/apply/pharmtech.asp Fees Application and licensure: $200 Continental Testing Service (CTS): $91 (per exam) Requirements Application ED-PHM form completed by the Dean Convicted of Criminal Acts for Healthcare workers Minnesota Board of Pharmacy http://mn.gov/health-licensingboards/pharmacy/licenseregistration/ Fees Application and licensure: $130 + $143 Requirements Eligibility application Certification of attendance and graduation (filled out by your Dean or your Registrar s office) 1600 internship hours Official birth certificate Wallet size photo (graduation or passport okay) Final transcript 30
Missouri Board of Pharmacy http://pr.mo.gov/pharmacists-forms.asp Fees Application and licensure: $150 Fingerprinting: $44.80 Requirements Completed Pharmacist License by Examination Application Proof of fingerprinting www.machs.mo.gov Provide "Registration Number: 0003" 2 x 2 photo Pharmacy College Affidavit Proof of 1500 internship hours Nebraska Board of Pharmacy http://dhhs.ne.gov/publichealth/pages/crl_medical_pha rm_pharmlic_pharmindex.aspx Fees Licensure: $178 $44.50 in specific instances Requirements Completed Application for License to Practice Pharmacy Certificate of pharmacy education OR official transcript Proof of age (driver license, birth certificate) Proof of citizenship or lawful presence 31
North Dakota Board of Pharmacy http://www.nodakpharmacy.com Fees Application: $125 Requirements Completed and notarized Application for Licensure by Examination Recent 2 x3 photo Proof of 1500 internship hours Affidavit of Licensed Pharmacists/Preceptors OR Out-of-State Affidavit South Dakota Board of Pharmacy http://www.pharmacy.sd.gov Fees Initial licensure: $35 Requirements Completed application Passport-style, color photograph With signature and date of photo on back Copy of government-issued photo ID List of internship experiences Certified transcript sent directly from college of pharmacy 32
Wisconsin Board of Pharmacy http://dsps.wi.gov/default.aspx?page=50667d91-727c- 4c8c-9236-a643a06a5bb0 Fees Application and licensure fee: $155 Requirements Completed and notarized application Pharmacist Certificate of Professional Education Sent directly from educational institution Proof of 1500 hours of internship Other applicable forms on Board web site What website would you use to register for the NAPLEX and MPJE? A. State Board of Pharmacy B. American Pharmacists Association (APhA) website C. National Association of Boards of Pharmacy (NABP) website 33
How many questions are on the NAPLEX? A. 185 B. 200 C. 300 Which of the listed resources can help you study for the NAPLEX? A. RxPrep B. APhA PharmPrep C. ASHP Naplex Review: PharmPrep D. All of the above 34
Located in Dubuque, Iowa, Fenelon Place Elevator is the shortest and steepest railroad in the world. http://www.nytimes.com/2005/08/19/travel/escapes/19road.html?pagewanted=all&_r=0 National Association of Boards of Pharmacy (NABP): http://www.nabp.net/ NAPLEX/MPJE Registration Bulletin http://www.nabp.net/programs/examination/naplex/regist ration-bulletin DEA Pharmacist Manual: http://www.deadiversion.usdoj.gov/pubs/manuals/pharm 2/index.html 35
Questions? 36