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BCMTMS™ Content Outline

This section of the handbook outlines resource materials recommended by NBMTM for examination preparation. The expanded examination content outline provided below is a useful tool for course and curriculum preparation and to judge the relevance of topics to the content of the examination. The below content outline is for the initial certification examination.

2017 Examination Content Outline

Please note: The below content outline is for the initial certification examination.

The BCMTMS™ examination 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

BCMTMS™ Practice Examination

NBMTM offers an online practice examination, available on our website at The BCMTMS™ practice examination is a 30-question multiple choice computer-based test and can be purchased for $50. Once purchased, the practice examination must be taken immediately, and expires three hours after purchase.

The online practice examination allows candidates to familiarize themselves with the testing software. It is an excellent tool for applicants to become comfortable with the computer-based testing format. Please note that this practice examination is not intended as a content-based study tool, and does not accurately reflect the current content on the BCMTMS™ examination. For this reason, the practice examination does not provide answers for the questions after submission, but merely reflects a “pass” or “fail” to the candidate. The practice exam is not proctored online.

Please note: Good performance on this practice examination does not guarantee that candidates will pass the BCMTMS™ exam and should not be used as an assessment of readiness.

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