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Examination Content Outline (Updated in 2017)

The following table identifies the proportion of questions from each domain that will appear on the examination. These percentages are used to determine the number of questions related to each domain that should appear on the multiple-choice format examination.

The examination for board certification in medication therapy management (MTM) addresses the following subject matter. Candidates are required to demonstrate proficiency by answering examination questions that evaluate their knowledge of facts, concepts, and processes required to complete the tasks described below.

    1. Defining MTM – 10%
      1. Basic steps to plan and implement MTM services
        1. Core Elements of an MTM Service Model in Pharmacy Practice
          1. Medication Therapy Review (MTR)
          2. Comprehensive Medication Record (CMR)
          3. Medication-Related Action Plan (MAP)
          4. Intervention and/or Referral
          5. Documentation and follow-up
        2. URAC Accreditation Provisions
          1. URAC Standards – Pharmacy Core Standards, Version 3.1
          2. URAC Measurements
            1. Mandatory Measures (4)
            2. Exploratory Measures (2)
      2. Basic Medicare Provisions with MTM
        1. Knowledge of Medicare Part D criteria for enrollment in MTM
        2. Patient’s situations that would indicate potential benefit from MTM services
        3. Techniques in targeting potential MTM candidates
      3. Applying MTM in today’s complex healthcare System
      4. Different methods/forms of MTM used in current practice
    2.  Medication Therapy Management Pharmacotherapy – 70%
      1. Clinical Epidemiology, Biostatistics, and Literature Evaluation
        1. Interpret elements of clinical trial design
        2. Interpret how to critically analyze clinical trials and discuss strengths and limitations both statistically and clinically
        3. Application of primary literature in clinical decision making
      2.  Cardiovascular Disorders
        1. Therapeutic approaches to chronic cardiovascular conditions
          1. Hypertension
          2. Systolic and Diastolic Heart Failure
          3. Ischemic Heart Disease
          4. Arrhythmias
          5. Venous Thromboembolism
          6. Stroke
          7. Dyslipidemia
          8. Peripheral Arterial Disease
      3.  Pulmonary Disorders
        1. Therapeutic approaches to chronic pulmonary conditions
          1. COPD
          2. Asthma
          3. Pulmonary Hypertension
        2. Difference between acute vs. maintenance therapies
      4. Endocrine Disorders
        1. Therapeutic approaches to common endocrine conditions
          1. Diabetes Mellitus
          2. Thyroid Disorders
          3. Adrenal Disorders
        2. Administration, Monitoring, and Patient counseling on major Diabetes drug classes
      5. Gastrointestinal Disorders
        1. Therapeutic approaches to common GI conditions
          1. Gastroesophageal Reflux Disease (GERD)
          2. Peptic Ulcer Disease (PUD)
          3. Inflammatory Bowel Disease (IBD)
          4. Viral Hepatitis
        2. Understand the risk, benefits, and appropriate use of OTC acid reflux medications
      6. Urologic Disorders
        1. Therapeutic approaches to common urologic disorders
          1. Erectile dysfunction
          2. Benign prostatic hyperplasia
          3. Urinary incontinence
      7. Psychiatric Disorders
        1. Therapeutic approaches to common Psychiatric disorders
          1. Major depressive disorder
          2. Bipolar disorder
          3. General Anxiety
          4. Insomnia
          5. Eating disorders
          6. Schizophrenia
          7. Substance Abuse
        2. Smoking Cessation techniques
      8. Bone, Joint Disease, and Women’s Health
        1. Therapeutic approaches to Bone and Joint Diseases
          1. Osteopenia and Osteoporosis
          2. Rheumatoid and Osteoarthritis
          3. Gout
        2. Women’s Health
          1. Hormone Replacement
          2. Post-Menopausal Management
    3. Patient Care Advocacy in Medication Therapy Management – 10%
      1. Patient Assessment
        1. Assessing patient’s compliance to medication therapy regimen
        2. Assessing patient’s willingness to change (Motivational Interviewing)
        3. Assessing patient’s barrier to appropriate pharmacotherapy care
      2. Overcoming Barriers
        1. Cultural competency and how it may impact care of the patient
        2. Pharmacoeconomic implications for the patient
      3. Executing Change
        1. Applying humanistic factors when developing MTM plan of action
        2. Appropriate communication techniques to other healthcare providers
        3. Appropriate visual/written techniques to patient according to patient’s educational level
    4. Medication Therapy Management Billing and Documentation – 10%
      1. Billing Codes
        1. ICD-9
        2. ICD-10
        3. HCPCS
      2. Medical Terminology

Related File

BCMTMS® Examination Content

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