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Foreign Pharmacy Graduate Equivalency
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FPGEE test Format | FPGEE Course Contents | FPGEE Course Outline | FPGEE test Syllabus | FPGEE test Objectives
The Foreign Pharmacy Graduate Equivalency Examination�, or FPGEE�, is one of the examinations required as part of the FPGEC Certification Program (You must also take and pass the TOEFL iBT, the English-language test
administered by Educational Testing Service. Applications submitted after January 1, 2020 must complete the TOEFL iBT requirement prior to sitting for the FPGEE).
The FPGEE is offered once per year, and it is administered at Pearson VUE test sites throughout the continental United States. Only individuals made eligible during the FPGEC application process can take the FPGEE.
You will be notified via your e-Profile that you are eligible to sit for the FPGEE after successfully completing the FPGEC evaluation process. You must pass the FPGEE within two years of having your FPGEC application accepted or your application will expire, and you will need to submit a new FPGEC application.
An overview of FPGEC Certification
FPGEC and ECE application procedures
Documentation of pharmacist credentials
Registering for the FPGEE
FPGEE administration
FPGEE score results
The FPGEE Competency Statements provide a blueprint of the syllabus covered on the examination. A strong understanding of the Competency Statements will aid in your preparation to take the examination. The 200 questions on the FPGEE are divided among four content areas:
Basic biomedical sciences � 10%
Pharmaceutical sciences � 33%
Social, behavioral, administrative pharmacy sciences � 22%
Clinical sciences � 35%
The statements can be found in the FPGEC Candidate Application Bulletin.
Foreign Pharmacy Graduate Examination Committee� (FPGEC�) Certification is required for
foreign-educated pharmacists seeking to apply for the pharmacy licensing exams (including the North
American Pharmacist Licensing Examination� (NAPLEX�) and Multistate Pharmacy Jurisprudence
Examination� (MPJE�)) in the United States and NABP member jurisdictions. To obtain FPGEC
Certification, a candidate must have their required documentation and application accepted, including
a passing score on the Test of English as a Foreign Language Internet-based Test (TOEFL iBT), and
pass the Foreign Pharmacy Graduate Equivalency Examination� (FPGEE�). The information below is
provided to guide you through the key steps in applying for FPGEC Certification, including instructions
for registering to take the FPGEE. It answers the most frequently asked questions about the FPGEC
application process. Please read this information carefully and refer to the appropriate sections of this
Application Bulletin for detailed information.
NABP provides the FPGEC Certification Program to document the educational equivalency of
a candidates foreign pharmacy education, as well as their license and/or registration to practice
pharmacy. To achieve FPGEC Certification, candidates must:
� Provide documents that verify their education background.
� Provide documents that verify licensure and/or registration to practice pharmacy.
� Pass the Test of English as a Foreign Language Internet-based Test (iBT).
� Pass the FPGEE.
Candidates who receive an FPGEC Certificate may be qualified to take the pharmacy licensing
examination in jurisdictions that accept this Certification. All 50 US states, the District of Columbia,
Guam, and Puerto Rico require foreign-trained pharmacists to achieve FPGEC Certification before
applying for a license from a state board of pharmacy
- Physiology
- Function of the major body systems and homeostatic impact at organ and system level
- Biochemistry
- Chemistry and utilization of biomacromolecules including proteins, lipids, carbohydrates, nucleic acid, intermediary metabolism of energy and nutritional molecules
- Enzymology and coenzymes and kinetics
- Cell chemistry, signal transduction pathways
- Transport and mobility
- Recombinant DNA and molecular biotechnology
- mRNA translation and protein synthesis
- Microbiology Related to Human Disease
- Structure, function, and characteristics of microorganisms: microbe classification, structure, metabolism, genetics
- Pathogenic microorganisms of humans
- Immunology
- Innate and adaptive immunity
- Principles of antibody actions
- Hypersensitivity and types of reactions
Area 2.0 - Pharmaceutical Sciences (Approximately 33% of Test)
- Medicinal Chemistry
- Physicochemical properties of drugs in relation to drug absorption, distribution, metabolism, and excretion (ADME)
- Chemical basis for drug action
- Fundamental pharmacophores for drugs used to treat diseases
- Structure-activity relationships in relation to drug-target interactions
- Chemical pathways of drug metabolism
- Applicability to making drug therapy decisions
- Pharmacology and Toxicology
- Mechanisms of action of drugs of various categories including biologics
- Pharmacodynamics of drug binding and response
- Adverse effects and side effects of drugs
- Mechanisms of drug-drug interactions
- Drug discovery and development
- Acute and chronic toxic effect of xenobiotics, including drug and chemical overdose and antidotes
- Pharmacognosy and Dietary Supplements
- Concepts of crude drugs, semi-purified, and purified natural products
- Classes of pharmacologically active natural products
- Science and regulation of dietary supplements (vitamins, minerals, and herbals)
- Pharmaceutics/Biopharmaceutics
- Biopharmaceutical principles of drug delivery to the body via dosage forms: liquid, solid, semisolid, controlled release, patches, implants
- Materials and methods used in preparation of drug forms
- Physicochemical properties relating to drug entities and dosage forms
- Principles of drug and dosage form stability, including chemical degradation and physical instability
- Pharmacokinetics
- Basic principles of in-vivo drug kinetics (linear and nonlinear)
- Principles of bioavailability and bioequivalence
- Physiologic determinates of drug onset and duration, including disease and dietary influences on absorption, distribution, metabolism, and excretion
- Pharmacogenomics and Genetics
- Molecular genetics, genomic, proteomic, and metabolomic principles that serve as a foundation for pharmacogenomics and the genetic basis of disease
- Genetic variants affecting drug action and metabolism, adverse drug reactions, and disease risk that influence the practice of personalized medicine
- Sterile and Nonsterile Compounding
- United States Pharmacopeia guidelines on sterile and nonsterile compounding, hazardous drugs, and FDA regulation of compounding
- Techniques and principles used to prepare and dispense individual extemporaneous prescriptions, including dating of compounded dosage forms
- Dosage form preparation calculations
- Sterile admixture techniques, including stability, clean-room requirements, sterility testing, and dating
Area 3.0 � Social/Behavioral/Administrative Sciences (Approximately 22% of Test)
- Health Care Delivery Systems and Public Health
- Organization of health care delivery systems at the national, state, and local levels: various settings where pharmacy is practiced and the structure of health care delivery systems such as managed care organizations, accountable care organizations, health departments
- Health care delivery financing in the United States
- Social, political, and economic factors that influence the delivery of health care in the United States
- Public Health and Wellness: chronic disease prevention, health promotion, infectious disease control, demographics, physical, social, and environmental factors leading to disease, comparing and contrasting public health with individual medical care
- The health care delivery system compared and contrasted with that of other industrialized nations
- Population-Based Care and Pharmacoepidemiology
- Data sources and analytic tools that provide an estimate of the probability of beneficial or adverse effects of medication use in large populations
- Application of epidemiological study designs to evaluate drug use and outcomes in large populations
- Methods for continually monitoring unwanted effects and other safety-related aspects of medication use in large populations
- Economic and Humanistic Outcomes of Health Care Delivery
- General microeconomic and general macroeconomic principles
- Pharmacoeconomic analysis and its application to Excellerate the allocation of limited health care resources
- Humanistic outcomes and their application to Excellerate the allocation of limited health care resources
- Pharmacy Practice Management
- Management principles (planning, organizing, directing, and controlling pharmacy resources) applied to various pharmacy practice setting and patient outcomes
- Personnel management
- Planning, including delineation between business and strategic planning
- Marketing of goods and services: product versus service pricing, distribution, promotion
- Accounting and financial management
- Budgeting
- Risk management
- Pharmacy Law and Regulatory Affairs
- Legal and regulatory principles applied to pharmacy practice: dispensing, professional services, drug use control
- Administrative, civil, and criminal liability
- Authority, responsibilities, and operation of agencies and entities that promulgate or administer laws, regulations, or guidances related to practice and prescription and nonprescription medications
- Biostatistics and Research Design
- Research study designs used in medical research
- Application and interpretation of statistical tests and data collection instruments
- Ethical Decision Making
- Principles of biomedical ethics
- Ethical dilemmas in the delivery of patient-centered care including, conflicts of interest, end-of-life decision making, use of codes of ethics, oaths of the pharmacist
- Research ethics
- Professional Communication
- Communication abilities (appropriate verbal, nonverbal, visual, and written) with patient and caregivers, including empathetic communication
- Communication abilities with other health care providers
- Assertiveness and problem-solving techniques in relation to difficult social and professional conflicts and situations
- Measurement and use of health literacy in pharmacy communications
- Development of cultural competency in pharmacy personnel such that services are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patient populations
- Social and Behavioral Aspects of Pharmacy Practice
- Health-, illness-, and sick-role behaviors of patients
- Principles of behavior modification
- Patient adherence to therapies and recommendations
- Caregiving throughout the lifecycle
- Death and dying
- Medication Dispensing and Distribution Systems
- Systems for safe and effective preparation and dispensing of medications in all types of practice settings
- Role of automation and technology: pharmacy informatics, information management
- Continuous quality improvement programs or protocols in the medication-use process, including identification and prevention of medication errors, and establishment of error reduction programs
Area 4.0 � Clinical Sciences (Approximately 35% of Test)
- Evidence-based Practice
- Interpret and evaluate drug information
- Apply drug-information skills for the delivery of medication therapy management
- Evaluate the reliability of various sources of information
- Interpret guidelines as they apply in a clinical setting
- Utilize core scientific and systems-based knowledge in the patient care decision-making process
- Utilize basic science principles in the development and/or implementation of drug treatment protocols and clinical practice guidelines
- Evaluate clinical trials that validate clinical appropriateness
- Clinical Pathophysiology
- Apply concepts of pathophysiology to clinical decision making
- Clinical Pharmacokinetics
- Utilize pharmacokinetics to calculate, evaluate, and individualize drug therapy
- Interpret clinical pharmacokinetics of commonly used and low-therapeutic-index drug
s
- Clinical Pharmacogenomics
- Utilize pharmacogenomics to calculate, evaluate, and individualize drug therapy
- Disease Prevention and Population Health
- Recognize the proper use of nonpharmacologic therapies, including complementary and alternative medicines
- Describe measures to promote wellness and disease prevention
- Identify the role of immunizations in disease prevention and health promotion
- Patient Assessment
- Describe techniques for obtaining a comprehensive patient history
- Describe how to perform patient physical assessments: inspection, palpation, percussion, auscultation
- Differentiate between normal physical assessment findings and modifications caused by common disease states and drug therapy
- Interpret common clinical laboratory values and diagnostic tests
- Perform calculations related to patient assessment: BMI, CrCl, lab adjustments
- Describe the use of OTC point-of-care testing devices: glucometers, pregnancy tests, home testing for HbA1c, drug screening
- Clinical Pharmacology and Therapeutic Decision Making
- Make therapy recommendations based on dosage calculations, specific uses and indications of drugs and nutritional and support therapy
- Interpret therapeutic drug concentrations
- Assess pharmacotherapy considering contraindications, therapeutic duplications, dietary interactions, adverse drug reactions and interactions, and allergies
- Triage and identify when to refer patients to other health professionals
- Design patient-centered, culturally-relevant treatment plans
- Apply evidence-based decision making to patient care
- Recommend nonprescription and natural product therapies
- Identify and manage drug toxicity, drug-induced diseases, and misuse or abuse
- Monitor drug therapy for misuse, abuse, and non-adherence
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How three options From Cognitive Psychology Reinvigorated My Math lecture room | FPGEE examcollection and test Questions
If a college baseball coach desires to increase the hitting regular of his team, what should still he do in batting practice? Is it more helpful to have the gamers hit 15 fastballs, then 15 curve balls, then 15 change ups? Or is it better to have them hit a random assortment of forty five pitches consisting of 15 fastballs, 15 curve balls and 15 trade ups?
Researchers at California Polytechnic State school conducted a study in 1994, which confirmed conclusively that the neighborhood that become given a random assortment of pitches did a great deal improved within the submit examine than the neighborhood that got blocked pitches—a couple of of 1 kind adopted by a couple of of an extra—and the handle neighborhood.
here’s the rub: the neighborhood that received the random assortment of pitches didn't consider like they had more suitable. Even once they have been offered with the information to show the development, they nonetheless desired to do extra of the blocked apply.
Cognitive psychologists call this anomaly desirable problem. conveniently put: some practices that consider difficult for inexperienced persons lead to useful and efficient discovering.
So, the place does this come into play for me as a math trainer? For provided that i can bear in mind, I even have cherished every thing about math—chiefly instructing young people and seeing the lightbulb come on of their eyes. however, sadly, after two decades teaching math to core and high schoolers, I actually have experienced the ache of observing students struggle. a few of my most remarkable students have grappled to grasp ideas, to remember approaches and to operate well on assessments. I’ve viewed hardworking, eager, bright-eyed college students lose hope and perform under regular and barely typical in my lecture room.
As an educator, my two biggest challenges were pacing and prepping for state standardized exams. each spring, I delivery gauging the amount of time I have closing unless the exams arrive. i do know I should build in at least three weeks of evaluation time, because as resilient as students are, they have forgotten the cloth that was taught in the starting of the yr. No count how plenty time they spend on the fabric, which is what motives me to fall in the back of, my college students don’t appear to maintain as a whole lot of the suggestions as I’d hoped.
The repeated cycle of scholars forgetting what I labored so difficult to train has been defeating. In 2019, after stepping into a place instructing Algebra I and II at a high college in a new district, I started to seek an answer. I knew there had to be a stronger approach. After exploring new curriculum and sequencing alterations, I wasn’t finding what I obligatory, so I pivoted to dive into analysis regarding cognitive psychology—a box it's involved with intellectual processes (such as belief, pondering, learning and reminiscence). abruptly, once I all started exploring how the brain learns, I discovered my reply. I now incorporate popular retrieval practices in my curriculum, that comprise interleaving the mathematics content material and spacing out when themes exhibit up on the retrievals.
The problem? notwithstanding it’s effective, the manner of established retrievals and discriminating between an identical looking problems is hard to do at all times because it’s tough. It’s a attractive problem.
all through the primary semester of the college yr—when my courses had been assembly face-to-face—I begun putting these practices in motion. Like many educators, I’m nevertheless considering how to foremost adapt my teaching to online learning. The herbal query could be: Will these thoughts work in an internet environment? My reply is yes, I believe so. by way of assigning instruments in Khan Academy that they had already lined just before the closing of their school, I’m incorporating most of the research-based practices mentioned right here. The fact is, these recommendations are sound for guideline in typical, although they might should feel creatively about how to enforce them virtually for maximum impact.
Experimenting With Three techniquesafter I first began exploring how the brain learns top-quality, I attended a presentation about the science of a hit studying all the way through an AP facts working towards in Atlanta. presently after, I examine “Make It Stick,” the e-book the presentation changed into recommended by means of and commenced reviewing academic research regarding the publication.
I discovered that there are certain tactics during which they be taught information and there are three ideas that enrich retention greater than the rest: retrieval follow, spacing and interleaving. The better part became that these ideas are low-cost, and with small tweaks, they can also be utilized to any curriculum. So, as an test, I determined that i might put in force the suggestions of retrieval practice, spacing and interleaving into my existing curriculum.
Retrieval observein keeping with Dr. Pooja Agarwal, a cognitive scientist and skilled on how students study, retrieval practice is “a studying approach the place they focus on getting suggestions out of students’ heads, and never simply cramming counsel in.” It sounded like it might help with bear in mind, but how may I do it and what should it seem like? One illustration that resonated for me is what Agarwal calls a “mind Dump,” meaning on the midpoint of a unit, as an opening or bellringer, I could ask my college students to put in writing all they understand about the unit.
i attempted this out all over a lesson on complicated numbers and their operations, asking my students to write down everything they bear in mind/find out about complex numbers in three minutes. This endeavor served as a evaluation of what the scholar is aware of about complicated numbers devoid of limiting what they should still recollect and showed them what they bear in mind and what they're in doubt about.
I used this as a formative evaluation for my courses. i used to be in a position to lead a discussion in each type on “things they find out about complicated numbers” and have each and every scholar deliver one new truth from their list until the collective advantage of the type had been exhausted and became written out on my Smartboard. next, I asked the college students, “what did they now not point out? And what did they omit?” From there i was capable of ask each of my three Algebra 2 classes, “what will they need to learn next?” This changed into valuable because it allowed me to get a photograph of what each and every class had retained, and what changed into no longer sticking in the middle of the unit.
Interleavingnext up is interleaving, which in math happens when college students are given lots of problems at one time; nearly blended workout routines. This approach isn’t new. truly, the Saxon math curriculum my teachers used when i was in core school over 25 years in the past leveraged interleaving. Cognitive psychologists consider that interleaving is valuable since it allows students to examine the acceptable method to enforce for identical searching problems.
These actions take no greater than 15 minutes and are graded so students are incentivized to try in earnest. The optimum price is that i'm capable of tune which advantage college students are—or are not—maintaining. The potential that don't seem to be retained are reviewed in mini-instructions and reassessed, as are people who students are remembering how to do.
How is this diverse from what I have finished in the past? I used to teach a unit on say, adding advanced numbers after which assign homework on simply that ability. subsequent, i might teach subtracting, multiplying and dividing complex numbers, each and every in isolation. and then i'd supply the students a quiz or unit check and have all 4 kinds of problems combined together on the examine. in the past, I have been puzzled via why my college students struggled through these tests, however now I see that I hadn’t given students an opportunity to differentiate between kinds of identical complications.
I’ve learned my lesson and now, leveraging the interleaving system extra consistently, I make sure that classwork and homework assignments supply alternatives to practice mixed skills. I see now that it is crucial for college students to have practice alternatives to distinguish between equivalent advantage when the stakes are low so that they will also be more a success on high stakes assessments like quizzes and unit exams.
SpacingThe third method is spacing. The spacing impact is when fabric is distributed over a length of time to make stronger discovering. past this yr, as an example, right through a unit on complex numbers, I introduced addition of complex numbers on the primary day. Then as I proceeded through the curriculum to subtracting, multiplying and dividing advanced numbers, i'd take note to put in a bellringer on addition. The leading conception of this technique is to allow students to revisit subject matters over a duration of time, which in turn strengthens learning. The system that i exploit for my retrieval practices and my cumulative assessments allows for me to put in force the spacing effect with none extra planning or effort. This offers an brought enhance to my student’s retention.
Do These techniques basically Work?These innovations sound first rate, but do they in reality support college students be trained? In my type, I’ve viewed consequences. initially of the yr, one in all my students, S.J., advised me that she wasn't really decent at math and then almost immediately after, neglected over a week of faculty for medical reasons. When she lower back,she seemed misplaced and pissed off. I encouraged her to keep working challenging and that the strategies in region would help her to keep in mind extra over time. On one chiefly challenging day, she wrote me a notice explaining that she notion i used to be a fine trainer but that she felt like she would fail the category.
quickly ahead a few months, she ratings at 87 percent on a complete midterm that coated so a good deal suggestions that virtually all of my college students took two days to comprehensive it. She has at all times been a tough worker who will persist and keep trying, so what changed? The commonplace retrieval practice actions featuring interleaving and spacing allowed her to learn the content material from the first semester over the complete 12 months and not simply all the way through one unit.
So if this formula is so respectable why doesn’t everyone start the use of it instantly? This system of standard retrievals that drive students to discriminate amongst a number of recommendations to remedy issues is challenging to do constantly. remember the baseball examine? It’s a beautiful difficulty.
a whole lot like how the baseball gamers had quandary perceiving their development, my college students have challenge sticking with retrieval observe because it's complicated and irritating, and from time to time it doesn’t all the time suppose like it is working. My hardest challenge is to continually enforce the thoughts within the face of their frustration and to persuade them, display them and sell them on the fact that they're certainly improving.
My need to find a solution to my 20-12 months combat to assist kids maintain tips has introduced me to a brand new hurdle: assisting my college students (and parents) believe the method adequate to persist through issue so that it will see the advantages on the different aspect. Coaches do this all the time with scholar athletes, so i am spending time with one of the most coaches at my college to study extra about getting youngsters to persist through challenges—for me, that’s the subsequent piece of the puzzle.
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