Ambulatory Care 2018 Online Recertification Course

ACPE Numbers: Various – see listing below
Release Date:
Expiration Dates: 1/1/2022
Activity Type: Application-based
CE Credits: 16 hours (ACPE)
Activity Fee:  $320 (member), $550 (non-member)

Accreditation for Pharmacists

APhA is accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education.

These activities were recorded during a live educational event on March 15-16, 2018 in Nashville, Tennessee. Learners who claimed credit for the live educational event, should not claim credit for this home study activity.

Target Audience 

These activities are intended for Board Certified Ambulatory Care Pharmacy Specialists in need of recertification credit. 

Activity Overview

This course is intended for BCACPs in need of recertification credit and is designed based on the content outline developed by the Board of Pharmacy Specialties (BPS) to provide an overview of recent standards and guidelines that specialists should be familiar with in practice.  The course uses a case-based approach to discuss patient care issues. In this series, faculty will:

  • Review pertinent clinical topics and practice skills
  • List valuable resources for further self-study 

This online course consists of 10 activities (see table below) and provides up to 16 hours of continuing pharmacy education and/or recertification credit. These activities are part of the ASHP and APhA professional development programs for BCACP recertification approved by the BPS.

* Please note: Review and Recertification Courses may only be completed for recertification credit up to two times, in nonconsecutive years, during the 7-year recertification cycle


Recertification Credit

Board certified pharmacists are eligible to receive up to 16 hours of recertification credit for completing this course. To earn recertification credit, learners must review the course content and successfully complete the online assessments by the deadline. Only completed assessments will be eligible for credit; no partial or incomplete assessments will be processed.  You are allowed only one attempt to successfully complete each assessment.

Participants who pass the assessments by the deadline will be eligible for recertification credit in the year in which the assessment was completed.

This course is not intended for those preparing to take the BPS Ambulatory Care Pharmacy Specialty Examination. To prepare for the examination, please visit:

Learning Objectives

After participating in this CPE activity, learners should be able to:

Practice Management
ACPE Number: 0202-0000-19-109-H04-P

  • Explain how to identify the need for and establish ambulatory clinical pharmacy services in response to patient care needs and/or business potential.
  • Apply skills needed to perform evaluations of quality, value, and need to justify, modify, disband, or expand ambulatory care pharmacy services.
  • Explain how to organize a practice in a manner that supports efficient work flow, and integration of care, and assures timely patient visits and follow-up as well as assuring time, space, and resources necessary to provide patient care services.
  • Explain how to manage a financially viable practice.
  • Explain how to develop systems to obtain reimbursement for ambulatory clinical pharmacy services.
  • Summarize key points pertaining to scope of practice and other guidelines.
  • Discuss quality as it relates to pharmacy practice.
  • Identify different quality improvement methods.
  • Provide successful examples of pharmacist quality improvement initiatives.
  • Differentiate between various quality organizations.
  • Explain the role of performance measurement.
  • Identify appropriate care for patients affected by public health threats and disasters.
  • Explain effective disaster response preparation and planning.
  • Identify methods for effectively managing transition of care issues.

Complex Case: Cardiovascular Disease 1
ACPE Number: 0202-0000-19-115-H04-P

  • Correctly answer case-based questions about appropriate ambulatory treatment for a complex patient with multiple medical problems, including dyslipidemia, gout, hypertension, obesity, and sexual dysfunction.
  • Identify effective methods of managing affordability and cost-effectiveness issues for an underserved patient.
  • Identify and recommend appropriate resource organizations/groups to assist a specific patient.

Complex Case: Chronic Pain
ACPE Number: 0202-0000-19-108-H04-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex patient with multiple conditions including chronic pain, constipation, chronic kidney disease, peptic ulcer, and sinusitis.
  • Explain how to conduct symptom analysis using effective interviewing techniques.
  • Identify and make appropriate referrals when a given patient’s needs are beyond the scope of the ambulatory care pharmacy specialist.
  • Explain effective systems to track medication errors and determine possible interventions.

Complex Case:  Cardiovascular Disease 2
ACPE Number: 0202-0000-19-116-H04-P

  • Correctly answer case-based questions about appropriate management, including follow-up assessment and treatment, of a complex patient with multiple conditions and needs, including coronary artery disease, diabetes, electrolyte abnormalities, heart failure, and smoking cessation.
  • Identify and explain how to interpret pertinent physical and diagnostic assessments of a given patient’s current condition and/or therapies.
  • Assess a patient’s self-management knowledge, understanding, skills, and willingness and ability to actively participate in his/her own care.
  • Explain disease-related patient education / counseling needed by a specific patient.
  • Explain focused and integrated disease-state management for a specific patient.

Research Design, Evidence-Based Medicine, and Statistical Analysis
ACPE Number: 0202-0000-19-110-H04-P

  • Analyze biomedical literature with regard to study methodology, statistical analysis, and significance.
  • Explain the use of evidence-based treatment guidelines and protocols in the ambulatory care environment.
  • Interpret the biomedical literature and its application to ambulatory care pharmacy practice.
  • Identify appropriate sources of information to use in addressing questions that arise in one’s practice or from patients and other health care professionals.
  • Explain how to provide education on principles and practices of evidence-based medicine to current and future health care professionals.

Complex Case: Geriatric Patient
ACPE Number: 0202-0000-19-117-H04-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex geriatric patient with multiple conditions, including osteoarthritis, osteoporosis, dementia, glaucoma, incontinence, and thyroid disorder.
  • Identify patient-specific barriers to successful drug therapy.
  • Determine a patient’s ability and willingness to pay for services (e.g., insurance coverage, out-of-pocket expenses).
  • Explain and incorporate information from community screenings into patient assessment and care.
  • Resolve formulary issues to ensure access to cost-effective drug therapy.

Complex Case: Anticoagulation
ACPE Number: 0202-0000-19-111-H04-P

  • Correctly answer case-based questions about appropriate treatment of a complex patient with multiple conditions and needs, including atrial fibrillation (AF), deep vein thrombosis (DVT), hypothyroidism, anticoagulation, and stroke prevention.
  • Interpret pharmacogenetic data to make warfarin dosing decisions.
  • Apply the principles of formulary management in the selection of anticoagulant drugs.
  • Describe how to manage point-of-care testing in accordance with regulatory requirements.
  • Formulate a quality improvement plan based on well-established quality improvement frameworks.
  • Discuss the pharmacist’s scope of practice under the specifications of a collaborative practice agreement.
  • Identify clinically significant drug-drug, drug-food, and drug-disease interactions involving warfarin.
  • Apply the principles of adult education to a preceptor-trainee scenario.

Complex Case: Pulmonary
ACPE Number: 0202-0000-19-113-H04-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex patient with multiple conditions and needs, including chronic obstructive pulmonary disease (COPD), lower respiratory tract infection, benign prostatic hyperplasia (BPH), anemia, hepatitis C virus (HCV) infection, and gastroesophageal reflux disease (GERD).
  • Given a medication profile, recognize medications classified by the Institute for Safe Medication Practices (ISMP) as leading to potential misuse or patient harm.
  • Evaluate the patient’s administration technique for medications that are not administered orally (for example nasal inhalers, oral inhalers).
  • Recommend immunizations indicated based on current Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) adult immunization schedules.  

Complex Case: Pediatric Patient
ACPE Number: 0202-0000-19-112-H04-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex pediatric patient with multiple conditions and needs, including lice, asthma, attention deficit hyperactivity disorder (ADHD), skin infection, and poisoning.
  • Identify appropriate drug-related patient education/counseling.
  • Evaluate the patient’s administration technique for medications that are not administered orally (for example nasal inhalers, oral inhalers).
  • Identify appropriate resource groups, organizations, and agencies that would be helpful to a specific patient.
  • Recommend immunizations indicated based on current CDC and ACIP immunization schedules for children and adolescents.
  • Recommend appropriate vaccine administration techniques (route, site).

Complex Case: Women’s Health
ACPE Number: 0202-0000-19-114-H04-P

  • Correctly answer case-based questions about appropriate ambulatory treatment of a complex patient with multiple conditions and needs, including contraception, emergency contraception, urinary tract infection, vulvovaginitis, sleep disorder, and pregnancy.
  • Explain appropriate patient-specific wellness and prevention education and counseling.
  • Identify appropriate patient-specific education and counseling about nonprescription (over-the-counter or OTC) products, including herbal supplements.
  • Identify appropriate screening tests for a given patient.
  • Identify resource groups, organizations, and agencies that may be helpful to a given patient.
  • Identify an appropriate response to a drug information request.

Faculty Information

Kelly Epplen, Pharm.D., BCACP, FASHP**
Associate Professor of Clinical Pharmacy
James L. Winkle College of Pharmacy, University of Cincinnati
Clinical Specialist
St. Elizabeth Physicians
Edgewood, Kentucky

Stuart T. Haines, Pharm.D., BCACP, BCPS, BC-ADM, FASHP**
Professor and Director, Professional Pharmacy Development
University of Mississippi School of Pharmacy
Jackson, Mississippi

Nicholas Leon, Pharm.D., BCACP, BCPS, FCPP
Associate Professor of Pharmacy Practice
Thomas Jefferson University, College of Pharmacy
Philadelphia, Pennsylvania

Joel C. Marrs, Pharm.D., ASH-CHC, BCACP, BCPS-AQ-Cardiology, CLS, FASHP, FCCP**
Associate Professor
University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences
Aurora, Colorado
Clinical Pharmacy Specialist
Denver Health Medical Center
Denver, Colorado

Joseph Saseen, Pharm.D., BCACP, BCPS
Professor and Vice Chair
University of Colorado Skaggs School of Pharmacy & Pharmaceutical Sciences
Aurora, Colorado
Clinical Pharmacy Specialist
University of Colorado Hospital, Department of Family Medicine
Denver, Colorado

Betsy Shilliday, Pharm.D., BCACP, CDE, CPP, FASHP
Associate Professor of Medicine
University of North Carolina School of Medicine
UNC Health Care
Chapel Hill, North Carolina

Michael L. Thiman, Pharm.D., BCPS
Clinical Assistant Professor
University of Georgia College of Pharmacy
Athens, Georgia

C. Brock Woodis, Pharm.D., BCACP, BCPS, BC-ADM, CDE, CPP
Associate Professor/Clinical Pharmacist Practitioner
Campbell University College of Pharmacy & Health Sciences
Duke Family Medicine
Durham, North Carolina

**Content matter experts


In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support and the Accreditation Council for Pharmacy Education’s Standards for Commercial Support, APhA requires that all individuals involved in the development of activity content disclose their relevant financial relationships. A person has a relevant financial relationship if the individual of his or her spouse/partner has a financial relationship (e.g. employee, consultant, research grant recipient, speakers bureau, or stockholder) in any amount occurring the in the last 12 months with a commercial interest whose products or series may be discussed in the educational activity content over which the individual has control. The existence of these relationships is provided for the information of participants and should not be assumed to have an adverse impact on the content.

All faculty and planners for APhA education activities are qualified and selected by APhA and required to disclose any relevant financial relationships with commercial interests. APhA identifies and resolves conflicts of interest prior to an individual’s participation in development of content for an educational activity. Anyone who refuses to disclose relevant financial relationships must be disqualified from any involvement with a continuing pharmacy education activity.

  • All faculty and planners report no financial relationships relevant to this activity.

Methods and CE Requirements

Activities consist of audio/video/PDF files, an attestation statement, and activity evaluation. Learners must review all content and complete the attestation statement and course evaluation to receive continuing pharmacy education credit for each activity.

Follow the prompts to claim, view, or print the statement of credit immediately after completing the activity.

System Technical Requirements

Learning activities are delivered via your Web browser and Acrobat PDF. For all activities you should have a basic comfort level using a computer and navigating web sites.

Hardware Requirements

  • 128 MB of RAM 16-bit video card capable of 1024x768 screen resolution or better
  • Speakers or headphones

Software Requirements

    • Microsoft Windows Users
      • Microsoft Windows 98 SE, Windows NT 4.0 SP6a, Windows 2000 SP4, or Windows XP Service Pack 1,Service Pack 2, or Service Pack 3, Windows Vista, or Windows 7
      • Internet Explorer 9.0 or later, Firefox 1.5 or later, or Chrome
    • Apple Users
      • Mac OS X 10.3 or later
      • Safari, Firefox, or Chrome
    • Additional software (for both Windows and Mac OS)
      • Adobe Flash Player Version 10
      • Adobe Acrobat Reader
    • Key Settings

To ensure that you have the best learning experience possible. Please make sure your browser of choice is configured to allow for the following:

      • Pop-ups Windows. Some security settings prevent pop-up windows from launching or open them in a "tab." In order to view learning activities at the optimal size, your system should allow pop-up windows to open as a free-standing window.
      • Javascript. Make sure Javascript is enabled. Most web sites use Javascript and it is enabled in as a default. However, if you customized this setting and disabled Javasacript, make sure you enable Javascript prior to launching an activity.
      • Screen Space. Our multimedia activities require at least 990 pixels of side-to-side space and 650 of top-to-bottom space in the viewing window in order to display the content. Most systems with a screen resolution of 1024 x 768 meet this requirement. However, if you have multiple tool bars or other custom features you might not have enough screen space. The solution is to hide the toolbars or increase your screen resolution while participating in an activity.


These activities were developed by APhA.

To maintain its strict, independent standards for certification, BPS does NOT endorse or provide review information, preparatory courses, or study guides for Board Certification Examinations.