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1. You are asked by a pharmacist to contact Dr. Wallace's office to clarify the date when a particular antithrombotic medication was originally prescribed. Dr. Wallace _________:

A. must comply with the request immediately B. does not need to provide this information C. may comply as long as the patient has a HIPAA form on file allowing for sharing of patient information D. will need to call the patient to ask permission in order to give you that information

2. You are able to reach Mr. Roberts by phone to remind him about his MTM appointment with the pharmacist this Tuesday. He says he has made a written list of all the medications he takes. You respond:

A. “Thank you, but we won't need it. We have a list of your current medications right here.” B. “That's great. A written list is the most efficient way to work.” C. “That's great. If you think of it, please bring in the containers as well.” D. “Thank you. Would you also bring along the pill bottles and pill organizers, any vitamins or supplements, OTC medications, ointments or patches, and lab reports? I can send or email you a checklist if you like.”

3. When preparing records for an MTM session with Ms. L., you see that two of the medications she was prescribed after a recent discharge from the hospital were never filled by your pharmacy. You assume that she filled the prescription somewhere else. This would be an example of:

A. omission error B. commission error C. medical records error D. pharmacist's error

4. In the above example, what questions could the technician research to provide valuable information for the MTM session?

A. Did the patient refill these prescriptions at a different pharmacy? B. Was the medication intended to be taken long-term after her discharge? For how long? C. Does the primary physician have a record of this prescription? 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. Rate the effectiveness of how well the program related to your educational needs:

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

9. 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

10. Rate the quality of the faculty:

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

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

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

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

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

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

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

14. 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

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

A. Yes B. No

16. Are you committed to making these changes?

A. Yes B. No

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

A. Yes B. No

18. 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

19. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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