Consultant Pharmacist Initial Certification Program

Participant Information

First Name

Last Name

E-mail

Country

State of Residence

Are you affiliated with UF?

YesNo

What is your UF Affiliation?

How did you hear about this course?

Continuing education contact hours can only be used for one of the following:

Initial consultant licensure (credit will not be applied toward your general Florida License). A Certificate of Completion will be provided to the email address provided for you to use in your consultant pharmacist application submitted to the Florida Board of Pharmacy.
General contact hours (credit will be applied to your Florida License and your NABP e-profile ID only and cannot be used for initial or recertification licensure).

Select your continuing pharmacy education credit.

Initial Consultant LicensureGeneral CE Credit

Rate each of the following.

	Excellent	Good	Fair	Poor
The usefulness of the educational materials.
The educational content was evidence-based citing the most current literature and/or treatment guidelines.
The value of the content based on your educational needs.
The effectiveness of the teaching and learning methods.
The active learning techniques were effective. (Active learning is defined as being actively engaged in the learning process, rather than "passively" absorbing lectures.)
The learning assessment activities.
The overall quality of the presentation.

Did this program achieve the following learning objectives?

	Strongly Agree	Agree	Disagree	Strongly Disagree
Describe the regulatory authorities, licensure requirements and facility permits necessary for consultant pharmacy services in the state of Florida.
Understand standards, accreditation and survey processes that apply to hospital consultant pharmacy practice.
Understand federal indicators and survey processes that apply to long term care consultant pharmacy practice.
Perform a Medication Regimen Review and document and communicate findings to the facility health care team.
Describe the administrative roles of the consultant pharmacist and policy and procedures necessary for consultant pharmacy practice settings.
Describe the professional responsibilities and clinical skills of the consultant pharmacist in various practice settings.
Understand Collaborative Practice Agreements in the State of Florida, including laws, regulations, barriers and benefits.
Discuss the skills necessary to perform patient assessments and identify appropriate testing for treatment of specific conditions

Presenter Feedback

Presenter

Provide any additional comments or feedback.

Presenter Feedback

Presenter

Provide any additional comments or feedback.

Presenter Feedback

Presenter

Provide any additional comments or feedback.

Presenter Feedback

Presenter

Provide any additional comments or feedback.

Was the program presented in a fair and unbiased manner?

YesNo

If "No" was selected, please explain.

	Excellent	Good	Fair	Poor
The speaker's knowledge of the topic.
The speaker's organization in the presentation.
The overall quality of the speaker.