North Carolina Medical Board/North Carolina Board of Pharmacy

Clinical Pharmacist Practitioner Joint Subcommittee Meeting

July 19, 2011

Ralph Loomis, MD, Chair (NCMB); William Walker, MD (NCMB); Donald Jablonski, MD (NCMB); Thomas Hill, MD (NCMB); Rebecca Chater (NCBOP); Joey McLaughlin (NCBOP); and Gene Minton (NCBOP)

1.  Welcome

2.  Selection of New Committee Chair

3.  New Business

a.  Two-Year Clinical Experience Requirement – Clarification of Fourth-

Year Pharm.D. Clinical Training
21 NCAC 46.3101(b) provides:
CPP application for approval.

(1) The requirements for application for CPP approval include that the pharmacist:

(A) has an unrestricted and current license to practice as a pharmacist in North Carolina;

(B) meets one of the following qualifications:

(i) has earned Certification from the Board of Pharmaceutical Specialties, is a Certified Geriatric Pharmacist as certified by the Commission for Certification in Geriatric Pharmacy or has completed an American Society of Health System Pharmacists (ASHP) accredited residency program, which includes two years of clinical experience approved by the Boards; or

(ii) has successfully completed the course of study and holds the academic degree of Doctor of Pharmacy and has three years of clinical experience approved by the Boards and has completed a North Carolina Center for Pharmaceutical Care (NCCPC) or American Council on Pharmaceutical Education (ACPE) approved certificate program in the area of practice covered by the CPP agreement; or

(iii) has successfully completed the course of study and holds the academic degree of Bachelor of Science in Pharmacy and has five years of clinical experience approved by the Boards and has completed two NCCPC or ACPE approved certificate programs with at least one program in the area of practice covered by the CPP agreement;

* * *

Clarification is sought concerning fourth-year Pharm.D. clinical training’s credit toward satisfaction of these requirements.

b.  Identification of CPP Practice Site – Use of Single Protocol To Identify

Multiple Practice Sites Within The Umbrella of a Large Healthcare

Organization

As large healthcare organizations consider expansion of CPP practice (which is strongly supported by physician partners), there is a need to consider and develop options for approval of “site and supervising physicians” that will allow a CPP to gain approval (on initial application) to practice in multiple sites/clinics throughout the same healthcare system with colleagues of their supervising physician(s). The CPP application form could be revised to include description of such an option including provisions for countersignature of patient care notes by colleagues of the supervising physician (with an electronic medical record all patient care information is readily accessible 24x7).

4.  Adjourn