Ambulatory Care 2021 Review Course

Activity Preview

This 26 credit course is intended for pharmacists preparing for the BPS exam in Ambulatory Care (BCACP). It covers 16 content areas based on the BPS Ambulatory Care Content Outline and features innovative lessons such as virtual patient scenarios, matching exercises, and interactive clinic visits.

Learning Objectives

At the completion of this application-based activity, participants will be able to:

Anticoagulation (1.0 credit hours)
1. Develop an evidence-based anticoagulation care plan for prevention or treatment of VTE based on patientspecific comorbidities, ease of use, and cost of care.
2. Craft an approach to assess and mitigate drug-drug (including prescription, supplement, and herbal therapies) and drug-disease state interactions that can impact the safety and efficacy of anticoagulation therapy.
3. Develop a patient-centered counseling and monitoring plan for patients requiring long-term anticoagulation therapy for treatment or prevention of VTE.
4. Build confidence in approaching interprofessional interactions surrounding VTE therapy.

Cardiology (3.0 credit hours)
1. Describe evidence-based treatment strategies for the primary prevention and secondary prevention of cardiovascular disease
2. Apply recommendations from ACC/AHA guidelines to guide selection of pharmacotherapy for patients with hypertension, hypercholesterolemia, stable ischemic heart disease, peripheral arterial disease, heart failure, and/or atrial fibrillation
3. Recommend treatment and monitoring plans for patients with cardiovascular disease
4. Interpret findings from cardiovascular outcome trials, meta-analyses and cohort studies

Endocrine Disorders (2.5 credit hours)
1. Compare the pathophysiology of at least 6 types of diabetes
2. Explain the appropriate screening and diagnostic criteria used for different types of diabetes
3. Differentiate treatment options for patients with various types of diabetes
4. Formulate patient-centered treatment plans for people with diabetes to reduce cardio-metabolic and renal risk.

Geriatrics (1.0 credit hours)
1. Distinguish patient risk factors for urge incontinence.
2. Develop monitoring recommendations for patients on therapy.
3. Develop recommendations for treatment of urge incontinence, including behavioral and pharmacotherapy options.

GI Disorders (1.0 credit hours)
1. Review and apply guidelines-based treatments for gastrointestinal disorders
2. Evaluate the appropriateness of pharmacologic treatments in the management of gastrointestinal disorders
3. Determine the risks, benefits, and necessary monitoring parameters for selected pharmacologic treatments
4. Apply gastrointestinal disorder guidelines and pharmacotherapy knowledge to patient cases

Infectious Diseases
(2.5 credit hours)
1. Develop a treatment plan for infectious disease diagnoses that are commonly seen in the ambulatory care setting.
2. Identify patients where antibiotic therapy is inappropriate.
3. Develop a plan for non-antibiotic management of a patient who does not currently require antibiotic therapy.
4. Develop a plan to prevent or minimize the impact of future infections in high risk patients

Mental Health (2.0 credit hours)
1. Construct an understanding of the theories behind the most common psychiatric illnesses and their treatments from a psychopharmacologic perspective
2. Explain the methodology of how psychotropic medications are selected in clinical practice and the complexities providers must navigate
3. Describe the effects that psychotropic medications have on patients from a functional perspective in their dayto-day life

Nephrology (1.0 credit hours)
1. Describe risk factors for community-acquired acute kidney injury
2. Assess medication management strategies for common comorbidities associated with chronic kidney disease
3. Choose dietary and pharmacological treatment options for nephrolithiasis and kidney stone recurrence

Neurology (1.0 credit hours)
1. Identify the pathophysiology of seizures and postulated mechanism(s) of action for traditional and newer antiseizure drugs (ASDs).
2. Design a treatment plan for a patient with focal or generalized epilepsy.
3. Distinguish between the mechanisms of action of medications used for the treatment of Parkinson disease (PD).
4. Recommend acute and/or preventative medication treatment options for migraine headache.

Pain Management (1.0 credit hours)
1. Describe various pain pathologies
2. Discuss methods to appropriately assess and approach chronic pain
3. Develop a therapeutic regimen for chronic pain given a patient case
4. Utilize effective methods to communicate with patients about opioid use for chronic pain management

Practice Advancement (2.5 credit hours)
1. Using environmental scan principles, identify unmet needs in your organization or your community.
2. Describe pharmacist care services provided under value-based models.
3. Develop a scope of practice that defines your activities aligned with unmet needs.

Respiratory Disorders (1.5 credit hours)
1. Classify severity and assess control of patients with asthma and chronic obstructive pulmonary disease (COPD).
2. Make patient-specific treatment and monitoring recommendations for patients with asthma and COPD.
3. Provide education to patients with asthma and COPD to help them manage their condition and appropriately use medications and devices.
4. Use the Pharmacists' Patient Care Process to provide patient-specific care to patients with asthma and COPD

Rheumatology (1.0 credit hours)
1. Apply recommendations from the 2020 AACE/ACE Postmenopausal Osteoporosis Guidelines to clinical patient case scenarios
2. Interpret the clinical significance of laboratory findings, imaging results and patient-specific factors as it relates to the diagnosis and management of postmenopausal osteoporosis
3. Develop a pharmacotherapeutic plan (drug and non-drug therapies) for the treatment of postmenopausal osteoporosis

Self Care (1.0 credit hours)
1. Identify symptoms of dry eye disease.
2. Recommend appropriate self-care treatment strategies for the management of dry eye disease.
3. Recommend appropriate self-care treatment strategies for a variety of dermatologic conditions including superficial burns, lice, psoriasis, and acne.
4. Recommend appropriate self-care treatment strategies for the management of allergic rhinitis.

Translation of Evidence (3.0 credit hours)
Gathering Information
1. State the guiding principles of evidence-based practice
2. Identify the most common sources of biomedical literature applicable to ambulatory pharmacy practice including evidence-based treatment guidelines, and consensus statements
3. Distinguish between primary, secondary, and tertiary references 4. Use effective search strategies to retrieve information from the biomedical literature
1. Differentiate the most common study designs used in biomedical research including observational studies and interventional studies
2. Analyze biomedical literature with regard to study methodology, statistical analysis, sources of error, and significance.
3. State the essential elements that should be included when reporting the results of interventional studies
Using, Applying, and Generating Information
1. Appraise the biomedical literature and its application to clinical practice.
2. Interpret a Forest Plot including the estimate of the effect size and heterogeneity.
3. Distinguish between quality improvement and research.
4. Determine when an institutional review board (IRB) should be consulted and a proposal must be submitted for review

Women's Health (1.0 credit hours)
1. Initiate an appropriate contraceptive method considering individual preferences, presence of contraindications and menstrual disorders, and adverse effects.
2. Differentiate between the clinical presentation of PMS/PMDD, dysmenorrhea, and abnormal uterine bleeding and recommend appropriate pharmacologic and nonpharmacologic treatment for each.
3. Design an effective menopause hormone replacement therapy regimen, considering signs and symptoms, available dosage forms and associated adverse drug events.
4. Utilize and apply appropriate resources to assess risks and benefits related to medication safety in pregnancy and lactation

Activity type: Application-based

Target Audience: BCSCP Pharmacists seeking recertification
Learning Level: 2

Accreditation Information


The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. The following activity is approved for 26 contact hours of CPE credit (2.6 CEUs). The ACPE Universal Activity Numbers for this activity are referenced above. 

To obtain credit for completing the Ambulatory Care 2021 BCACP Review Course, complete the activity, evaluation questions, and then CLAIM credit. Participants need to have a valid username and password to claim credit. After credit has been claimed, please visit CPE monitor for your transcript 

ACPE Initial release date: December 15, 2020
ACPE Expiration date: December 15, 2023  No ACPE credit can be claimed after this date.


Ambulatory Care 2021 BCACP Review Course is an online educational activity for pharmacists developed by the American Pharmacists Association. © American Pharmacists Association 2021.


APhA and affiliated faculty declare no conflicts of interest or financial interests in any product or service mentioned in this activity, including grants, employment, gifts, stock holdings, and honoraria. For a complete list of APhA staff disclosures, visit the APhA website at


The fee for this activity is $520 for APhA members and $910 for non-members.

System Requirements

Computer and internet access are required to complete this activity.  Please visit our website to view the Technology System Requirements in order to have a positive learning experience.

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE# 0202-0000-20-332-H04-P 0.3 CEUs October 20, 2020 - October 20, 2023
ACPE# 0202-0000-20-372-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-363-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-368-H04-P 0.3 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-373-H04-P 0.25 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-376-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-369-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-374-H04-P 0.25 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-365-H04-P 0.2 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-370-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-375-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-361-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-366-H04-P 0.25 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-371-H04-P 0.15 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-362-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023
ACPE# 0202-0000-20-367-H04-P 0.1 CEUs December 15, 2020 - December 15, 2023