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1. As a pharmacist who is new to an area and wants to initiate an MTM practice, the recommended way to communicate with local medical practitioners is:

A. wait until you have had several MTM sessions and ask the patients to bring letters to their doctors B. communicate ahead of time via letter and/or fax introducing the benefits of your MTM services C. call physicians on the phone while an MTM session is in progress to suggest changes to a patient's medication protocol D. all of the above

2. You see a need for an important change in your patient's diabetes medication protocol, but you don't have access to the patient's full records. The best approach would be:

A. ask the patient if he has ever been on this drug in the past B. tell the physician that you believe this change would be in the patient's best interest C. acknowledge to the physician that you don't know the complete medical history, but this change may be beneficial D. call the physician's office and tell the person answering that the patient has requested to make this change

3. Collaborative Practice Agreements:

A. are agreements in all 50 states that allow pharmacists to initiate of drug therapy B. have basically the same terms in all geographic areas C. are not a requirement for initiation of MTM services D. all of the above

4. According to the Centers for Medicare and Medicaid Services (CMS), collaborative practice agreements between physicians and non-physician providers (e.g., pharmacists):

A. should be in writing between the individual parties B. should be developed by both/all parties in collaboration C. should spell out in broad terms what decisions and actions are allowed by the non-physician collaborator D. all of the above

Evaluation Questions

5. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

6. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

7. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

8. To what extent did the program meet objective #4?

A. Excellent B. Very Good C. Good D. Fair E. Poor

9. To what extent did the program meet objective #5?

A. Excellent B. Very Good C. Good D. Fair E. Poor

10. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

11. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

17. Will the information presented cause you to change your practice?

A. Yes B. No

18. Are you committed to making these changes?

A. Yes B. No

19. As a result of this activity, did you learn something new?

A. Yes B. No

20. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

21. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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