DEFINING CANADIAN CERTIFICATION FOR ONCOLOGY PHARMACISTS

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1 DISCLOSURES DEFINING CANADIAN CERTIFICATION FOR ONCOLOGY PHARMACISTS Flay Charbonneau Mark Pasetka 22 April, 2017 Canadian Association of Pharmacy in Oncology Conference Banff, Alberta Flay Charbonneau Speaker s fees or honoraria: Apobiologix, Novartis Advisory boards or consultations: Abbvie, Amgen, Astellas, Celgene, Hoffmann LaRoche, Janssen, Pfizer, Shire, Sunovion Mark Pasetka Speaker s fees/honoraria Apobiologix, Lundbeck Advisory boards or consultations Amgen, Celgene, Eisai, Eli Lilly, Hoffmann LaRoche, Merck, Novartis NEEDSASSESSMENT OF SPECIALIZATION IN PHARMACY IN CANADA (JULY 2015 REPORT)* DEFINITION Pharmacist Specialists maintain an active clinical practice that is limited to a particular type of patient (e.g. geriatrics, ambulatory care) part of the body (e.g. cardiology), medical condition (e.g. infectious disease, oncology), or location of practice (e.g. critical care). Specialties can either be broad (e.g. pharmacotherapy specialists) or focused (e.g. oncology or cardiology). Pharmacy specialization requires an advanced body of knowledge distinct of the general practitioner and a specialized or enhanced depth of competency including knowledge, skills, attitudes and accountabilities based on the physical, social and health sciences, sufficient to manage the most complex of cases and provide clinical leadership in the field. Pharmacist Specialty Certification represents a formal designation to assure a standard of knowledge and qualification in a subject area and/or to perform a job or task. assessment process administered by a NGO that grants a time limited credential in a designated area of specialty to a ph. practitioner whose education, experience, knowledge and skills meet or exceed the predetermined standards and qualifications established by the organization....criteria and standards to maintain continued competence and retain the credential. * HEALTH CAREPROVIDER SPECIALIST CERTIFICATION Medicine (Royal College of Physicians and Surgeons of Canada) Numerous specialty designations, examinations administered by RCPSC Nursing Canadian Nurses Association (CNA) offers RN certification in 20 nursing practice specialties Advanced nursing practice: Clinical Nurse Specialists and Nurse Practitioners Masters or doctoral degree in nursing + extensive nursing knowledge and skills + clinical experience in specialty area Provinces/territories administer NP exams Physiotherapy Canadian Alliance of Physiotherapy Regulators recognizes specialties & administers credentialing examinations Provincial Colleges consider approval of specialty certifications Dentistry (Royal College of Dentists of Canada) Nine recognized dental specialties (e.g. endodontics, oral and maxillofacial surgery, orthodontics, pediatric dentistry, periodontics) 1

2 Specialties Task Force CBPS* suggest merge w PEBC OPQ** looks at specialty recognition; regulations started MILESTONES AND TIMELINE IN EXAMINATION OF PHARMACY SPECIALIZATION IN CANADA Task Group on Specialization in Canada FU CPD/CE summit CPD/CE Policy Summit Advancing Innovation CPhA/CCCEP Task Group circulates consultation document 1976 Board of Pharmacy Specialties established Autonomous division of APhA 1978 Nuclear Pharmacy U.S. EXPERIENCE 1988 Nutrition Support & Pharmacotherapy Mid 1980s s Psychiatric Pharmacy 1996 Oncology Pharmacy STF recommend CBPS* PEBC Comm. on Spec. Certification NAPRA examines AP or specialty areas *CBPS: Canadian Board of Specialties in Pharmacy **OPQ: Ordre des Pharmaciens du Québec QUE renewed effortspharmaco therapy Blueprint for Pharmacy: Project Advisory Group Blueprint releases Needs Assessment report 2009 Ambulatory Care 2013 Pediatric Pharmacy 2013 Critical Care Pharmacy BPS CERTIFIED PHARMACISTS 2015 CAPHO SURVEY 2014: 8% of US pharmacists By 2020: 25% expected In 2015 Oncology was 7.4% of total (24,857) Registrants from many countries OPTIONS IN CANADA Canadian Association of Pharmacy in Oncology (CAPhO) Oncology Basics University of Toronto Continuous Professional Development Essentials of Oncology for Pharmacists Advanced Oncology for Pharmacists Board of Pharmaceutical Specialties* Board Certified Oncology Pharmacist (BCOP) 2

3 CAPHO Oncology Basics Six module program Other educational resources Webinars Oncology Fundamentals Day CAPhO Conference Practice resource links Online forums and resources Department of Continuous Professional Development (CPD) Essentials of Oncology for Pharmacists Uses an holistic approach to cancer patient care Cancer basics and how to navigate the cancer system The pharmacology and common toxicities of treatment, as well as optimal management strategies The basics of cancer pain management, adherence and common drug interactions Complementary therapies for cancer treatment Safe handling of anticancer agents Chemotherapy prescription review Palliative care Advanced Oncology for Pharmacists Part 1 Online learning program 19 interactive modules Part 2 In person workshop spanning three days Didactic and case based format Requirements for entry into the Advanced Oncology for Pharmacists Program Successful completion of the Essentials of Oncology OR Passing the Exemption by Examination Test Advanced Oncology for Pharmacists (Part 1) Pharmacotherapies of cancer treatment (CAPhO) Advanced cancer pain management Oncologic emergencies An evidence informed approach to common natural health products Foundations of cancer disease sites Chemotherapy and biotherapy Caring for a cancer patient with comorbidities Palliative care topics Cannabis use in cancer Health literacy to enhance patient education Controversial topics in solid and hematologic malignancies Advanced Oncology for Pharmacists (Part 2) The pathophysiology and evidence informed treatment modalities of common disease sites: Breast, GI, Lung Gynecologic, GU Hematological malignancies Other key themes: Motivational interviewing Screening and prevention Treatment intent 3

4 BOARD OF PHARMACY SPECIALTIES (BPS) Organizations Involved Arm of the American Pharmacists Association (APhA) American Society of Health System Pharmacists (ASHP) American College of Clinical Pharmacy (ACCP) Hematology/Oncology Pharmacy Association (HOPA) National Commission of Certifying Agencies (NCCA) American Pharmacists Association (APhA) Board of Pharmacy Specialties (BPS) Pharmacists BCPs x 5 Pharmacists Non BCPs x 3 Health Care Professionals x 2 Public Member x 1 Executive Director Board of Trustees Member x 1 STRUCTURE/1 STRUCTURE/2 REQUIREMENTS Board Certified Oncology Pharmacists x 7 1. To grant recognition of appropriate pharmacy practice specialties based on criteria established by the Board of Pharmacy Specialties; 2. To establish standards for certification and recertification of pharmacists in recognized pharmacy practice specialties; 3. To grant qualified pharmacists certification and recertification in recognized pharmacy practice specialties; 4. To serve as a coordinating agency and informational clearing house for organizations and pharmacists in recognized pharmacy specialties; 5. To enhance public/consumer protection by developing effective certification programs for specialty practices in pharmacy. Eligibility Requirements The minimum requirements for this specialty certification are: Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S. that qualifies the individual to practice in the jurisdiction. Current, active license to practice pharmacy in the U.S. or another jurisdiction. Completion of four years of practice experience,* post pharmacist licensure, with at least 50% of time spent in ambulatory care pharmacy activities (as defined by the BPS Ambulatory Care Content Outline) OR Completion of a PGY1 residency** plus one additional year of practice post pharmacist licensure* with at least 50% of time spent in ambulatory care pharmacy activities (as defined by the Ambulatory Care Content Outline) OR Completion of a specialty (PGY2) residency** in ambulatory care pharmacy AND Achieving a passing score on the Ambulatory Care Pharmacy Specialty Certification Examination BPS VISION Vision Statement The Board of Pharmacy Specialties, the premier post licensure certification agency, will ensure that BPS Board Certified Pharmacists are recognized within healthcare delivery systems while serving the needs of the public and the pharmacy profession. BPS MISSION Mission Statement The Mission of the Board of Pharmacy Specialties is to improve patient care by promoting the recognition and value of specialized training, knowledge, and skills in pharmacy and specialty board certification of pharmacists. We accomplish this mission by: Providing leadership for the profession of pharmacy in the discussion, evolution, direction and recognition of specialty board certification of pharmacists; Establishing and promoting, in collaboration with stakeholders, the value of pharmacy specialization and board certification; Establishing the standards for identification and recognition of pharmacy specialties; Establishing standards of eligibility, knowledge and skills for pharmacists as the basis for board certification; Developing and administering a valid process to evaluate the knowledge and skills for recognition of board certified pharmacists; and Assessing and recognizing the continued eligibility, knowledge, and skills of board certified pharmacist specialist through a valid re certification process. bps/vision and mission statement/ bps/vision and mission statement/ 4

5 KEY What elements are required for a Canadianbased certification program in oncology pharmacy practice? Why? How? Who? What? When? Why? Professional growth Employer requirement Recognition Promotion/role change Financial improvement Who? CAPhO CPhA CSHP PEBC NAPRA CAPCA Employers Universities Government Pharmacists What? Content Structure Maintenance program When? Yesterday Tomorrow 5

6 How? Based on existing program? Something unique? Combination of approaches? Single agency? Coalition? Costs? Step wise approach? REQUIREMENTS What elements are required for a Canadianbased certification program in oncology pharmacy practice? Infrastructure Stakeholders Content experts Administrators Regulators Remuneration CAPHO QUESTION CAPhO Involvement Regulator? Administrator? Facilitator? Content expert? Approval? 6