Pharmacy Technician Qualifying Examination Information Bookletmicrosites.pebc.ca/PharmacyTechnicians/English... · Page 4 PEBC Pharmacy Technician Qualifying Examination Information

Pharmacy Technician Qualifying Examination

Information Booklet

The Pharmacy Examining Board of Canada 717 Church Street, Toronto, Ontario

M4W 2M4

Telephone: (416) 979-2431 Fax: (416) 599-9244

Email: [email protected] Website: www.pebc.ca

August 2010

mailto:[email protected]�

Copyright© 2010 by The Pharmacy Examining Board of Canada All rights reserved. No part of this publication may be reproduced in any form, without the prior permission, in writing, of The Pharmacy Examining Board of Canada. The information contained herein is provided solely for personal, non-commercial use.

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Contents

Introduction ................................................................................................................................... 1 Seeking Licensure to Practise as a Registered Pharmacy Technician ................................. 1

General Information....................................................................................................................... 5 Office Hours ........................................................................................................................ 5 Correspondence ................................................................................................................. 5 Examination Dates and Application Deadlines ..................................................................... 5 Examination Fees ............................................................................................................... 6

Pharmacy Technician Qualifying Examination Application Procedure ...................................... 7 Part I (MCQ) and Part II (OSPE) Application Forms ............................................................. 7 Form #100-PT-Q: Acknowledgement of Receipt of Application ..........................................12 Examination Centres ..........................................................................................................13 Assignment to Examination Centres ...................................................................................13 Changing Examination Centres ..........................................................................................14 Bilingual Examination .........................................................................................................15 Special Needs Testing Arrangements.................................................................................15 Withdrawal/Refund Policies ................................................................................................17 Withdrawal/Absence for Special Circumstances .................................................................18

Security of Examination Material (Copyright©) – Parts I and II.......................................................19

Candidate’s Agreement ................................................................................................................20

Improper Conduct During or After the Examination – Parts I and II...........................................21

Comments and Complaints – Parts I and II .................................................................................22

Emergency Procedures – Parts I and II .......................................................................................23 Emergency Building Evacuation .........................................................................................23 Other Extraordinary Circumstances ....................................................................................23

Preparing for the Examination - Parts I and II .............................................................................24

The Day of the Examination - Part I (MCQ) ..................................................................................26 Examination Day Schedule ................................................................................................26 Admission and Identification ...............................................................................................26 Candidate Materials ...........................................................................................................27 During the Examination ......................................................................................................29 At the End of the Examination ............................................................................................29

Taking the Qualifying Examination - Part I (MCQ) ......................................................................30 Using the Answer Sheet .....................................................................................................30 Pretest Questions ..............................................................................................................32 Answering All Questions ....................................................................................................32 Dismissal ...........................................................................................................................32 Sample Answer Sheet ........................................................................................................34

The Day of the Examination - Part II (OSPE) ...............................................................................35 Examination Day Schedule ................................................................................................35 Admission and Identification ...............................................................................................35 Examination Centre Conditions/Environment ......................................................................36 Registering for the Examination ..........................................................................................37 Candidate Materials ...........................................................................................................37 Examination Process .........................................................................................................40

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Taking the Qualifying Examination - Part II (OSPE) ....................................................................43 Registration and Sign-in Procedures ..................................................................................43 Using Bar Code Labels ......................................................................................................44 Exam Stations ....................................................................................................................44 Timing ................................................................................................................................45 Interactive Stations.............................................................................................................45 Standardized Patients/Clients (SP/SCs) .............................................................................46 Standardized Health Professionals (SHPs) .........................................................................46 Assessors ..........................................................................................................................46 Non-interactive Stations .....................................................................................................47 Rest Station and Mid-session Break ...................................................................................47 Sign-out Procedures and Dismissal ....................................................................................48 Leaving the Examination ....................................................................................................49

Examination Results ....................................................................................................................50 Examination Scores ...........................................................................................................50 Quality Assurance Processes for the Examination ..............................................................52 Distribution of Results ........................................................................................................52 Feedback Reports for Unsuccessful Candidates.................................................................53 Re-Scoring of the Examination for Unsuccessful Candidates ..............................................53 Attempts at the Qualifying Examination ..............................................................................54 “No Standing” Status ..........................................................................................................55 Registration........................................................................................................................55 Reprinting of Certificates of Qualification ............................................................................56 Entitlement .........................................................................................................................56

Qualifying Examination Blueprint ................................................................................................57

Qualifying Examination Design and Style ...................................................................................59

Format of Examination Questions - Part I (MCQ) ........................................................................61

Sample Questions - Part I (MCQ) .................................................................................................63

Layout Of Calculator Used For PEBC Written Examinations .....................................................70 Basic Instructions For Calculator Use .................................................................................71

Format of Examination Stations - Part II (OSPE) .........................................................................72

References - Part II (OSPE) Stations............................................................................................73

Sample Stations - Part II (OSPE) ..................................................................................................74

Pharmacy Technician References and Learning Resources ......................................................82

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Acronym Legend: MCQ Multiple-Choice Question OSPE Objective Structured Performance Examination QE-I (MCQ) Qualifying Examination - Part I (MCQ) QE-II (OSPE) Qualifying Examination - Part II (OSPE) NAPRA National Association of Pharmacy Regulatory Authorities

This booklet has been prepared by The Pharmacy Examining Board of Canada. It is reviewed and published annually.

PEBC Pharmacy Technician Qualifying Examination Information Booklet Page 1

Introduction This booklet is an information source for pharmacy technicians who wish to take the Pharmacy Technician Qualifying Examination of The Pharmacy Examining Board of Canada (referred to as "PEBC" or "the Board"). It is available on the PEBC website at www.pebc.ca under the Pharmacy Technician Qualifying Examination section of the home page for pharmacy technicians. A paper copy of this publication will be provided on written request submitted along with a fee of $35.00 (by cheque, money order or international bank draft in Canadian funds only; cash is not accepted) to the PEBC office at 717 Church Street, Toronto, Ontario M4W 2M4. As regulated health care professionals, registered pharmacy technicians will be responsible and ac countable t o pat ients t hrough legislation and t he s tandards and by laws of t he professional regulatory authority in the province in which they practise. Role of PEBC: The Board is responsible for:

• assessing the qualifications of pharmacists and pharmacy technicians on behalf of provincial pharmacy regulatory authorities

• ensuring that entry-level pharmacists and pharmacy technicians have the necessary professional knowledge, skills and abilities to practise pharmacy within their scope of practice, in a safe and effective manner.

More information is available on the PEBC web site. Seeking Licensure to Practise as a Registered Pharmacy Technician Gaining an initial licensure to practise as a registered pharmacy technician (i.e., in an “entry level” position) in those provinces that regulate pharmacy technicians involves the following: Pharmacy Technician training and/or education (which may include on-the-job work

experience or completion of a pharmacy technician education program) PEBC Pharmacy Technician Qualification Examination Certification Fulfilling the requirements of a Provincial Regulatory Authority PEBC Pharmacy Technician Qualifying Examination Certificate PEBC grants a certificate as evidence when you have successfully passed the Pharmacy Technician Qualifying Examination, thus meeting a national evaluation standard of entry-level competence (knowledge, skills and abilities needed to practise safely and effectively). This evaluation is based on the practice competencies defined in “Professional Competencies for Canadian Pharmacy Technicians at Entry to Practice” (NAPRA, 2007; http://napra.ca/pages/Practice_Resources/professional_competencies_for_canadian_pharmacy_technicians_at_ep.aspx ).

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Page 2 PEBC Pharmacy Technician Qualifying Examination Information Booklet

Eligibility for the Pharmacy Technician Qualifying Examination

Pharmacy Technician (PT) Qualifying Examination Eligibility Criteria and Process

The following diagram outlines the eligibility criteria for direct entry into the Pharmacy Technician Qualifying Examination, and the eligibility criteria for indirect entry into the Pharmacy Technician Qualifying Examination through the Evaluating Examination.

Eligibility for direct admission into the Pharmacy Technician Qualifying Examination is any ONE of the following:

Successful completion of a pharmacy technician education program that, at the time of the applicant’s graduation, was accredited by The Canadian Council for Accreditation of Pharmacy Programs (CCAPP)* (i.e., graduating 2008 or later from an accredited program that has achieved either provisional [the initial CCAPP step for existing programs] or full accreditation status); Note: If you are currently part of a graduating class in a Canadian accredited Pharmacy Technician program, apply directly for the Qualifying Examination before the application deadline. However, your examination application will be conditional, pending confirmation of successful completion of all diploma course requirements at least four weeks prior to the examination. If you fail to graduate, you will not be permitted to take the examination.

OR

Pharmacy Technician Evaluating

Examination

Pharmacy Technician Qualifying

Examination

Indirect Eligibility Criteria: 2,000 hours of work and/or teaching

experience in the past 36 months in the field of

pharmacy

Direct Eligibility Criteria: •completion of a PT CCAPP program •pass OCP Cert. Exam (2008) •pass PTCB-AB Cert. Exam (2008) •pass PEBC Pharmacist Evaluating Exam •completion of an accredited pharmacist degree program in Canada or the U.S.


Successful standing and status, gained up to and including December 31, 2008, on the Ontario College of Pharmacists (OCP) Pharmacy Technician Certification Examination;

OR

Successful standing and status, gained up to and including June 30, 2008, on the Pharmacy Technician Certification Board of Alberta (PTCB-AB) Pharmacy Technician Certification Examination; OR Successful completion of the PEBC Pharmacist Evaluating Examination OR

Successful completion of an accredited pharmacist degree program in Canada or the United States.

*The Canadian Council for Accreditation of Pharmacy Programs (CCAPP) initiated an accreditation process for pharmacy technician educational programs in 2008. The CCAPP accreditation process is designed to evaluate programs according to the “Standards for Accreditation of Pharmacy Technician Programs”. For more information, please visit the CCAPP website: www.ccapp-accredit.ca

If you do NOT meet the eligibility requirements (shown above) to directly take the Pharmacy Technician Qualifying Examination (Part I and Part II), you must first have your qualifications evaluated. The evaluation procedure is a two-step process:

• Document Evaluation The first step is the evaluation of your application and accompanying documents to ensure that you possess the qualifications that are acceptable for admission into the Pharmacy Technician Evaluating Examination.

• Evaluating Examination The second step is the successful completion of the Pharmacy Technician Evaluating Examination. The Evaluating Examination is designed to determine if you have the knowledge and skills comparable to that of a graduate of a pharmacy technician education program accredited by The Canadian Council for Accreditation of Pharmacy Programs (CCAPP). It evaluates knowledge in all areas of current pharmacy technician education curricula that are accredited by CCAPP in Canada. Once you pass the Pharmacy Technician Evaluating Examination, you will be eligible to apply for the Pharmacy Technician Qualifying Examination.


All Canadian pharmacy technicians currently in the profession must pass the PEBC Pharmacy Technician Evaluating Examination by Dec 31, 2015 to be eligible to apply for the Qualifying Examination (Please note that the timelines may be earlier for an individual provincial regulatory authority). After this time, only Canadian graduates of a CCAPP accredited program will be eligible to apply for the Qualifying Examination.

Registration and Licensure by a Provincial or Territorial Regulatory Authority

Registration and the granting of a provincial or territorial license provides evidence to the public of the individual's overall qualification, practice training, and readiness to begin practice as a pharmacy technician in that jurisdiction. PEBC certification alone does NOT give an individual the right to practise pharmacy as a pharmacy technician.

For further information regarding registration and licensing requirements contact the authority (PRA) in the province or territory where you are seeking licensure. The addresses of the provincial and territorial pharmacy regulatory authorities are posted on the PEBC website. Although PEBC has no language proficiency requirements, language proficiency does affect candidates’ performance in both the Pharmacy Technician Evaluating Examination and the Pharmacy Technician Qualifying Examination (Part I and Part II). Effective written and verbal communication skills, at levels satisfactory for a health professional, are essential for practice and for success in taking the PEBC examinations.


General Information Office Hours The PEBC office hours are Monday to Friday, 9:00 am to 4:00 pm Eastern Time, for receiving telephone calls and written correspondence by regular mail, email and fax. PEBC is not available for in-person candidate visits. Application forms may not be delivered in person, to the PEBC office. Note that the office is closed for lunch between 12:00 noon and 1:00 p.m. Eastern Time and no telephone calls are received during the lunch break. Correspondence Once you start the PEBC certification process, you will be assigned a PEBC Identification Number. Always include your PEBC Identification Number in any correspondence and when contacting the office, whether by phone, fax or email. Please allow sufficient time to receive a response to any enquiry you make, before contacting the office about the same matter again. Examination Dates and Application Deadlines The Pharmacy Technician Qualifying Examination is administered twice a year. This information booklet applies only to the Pharmacy Technician Qualifying Examination given on the following dates: Part I (MCQ) – Saturday, August 28, 2010 Application Deadline is Friday, June 4, 2010 Part II (OSPE) – Sunday, August 29, 2010 Application Deadline is Friday, June 4, 2010

Part II (OSPE) – Saturday, March 26, 2011 Application Deadline is Friday, January 7, 2011 Part I (MCQ) – Sunday, March 27, 2011 Application Deadline is Friday, January 7, 2011

Please note that late applications will NOT be accepted.

Completed application forms (including checklists) and accompanying documents and fee payment must be received no later than the application deadline date above. Applications that are incomplete or received after the deadline date will not be processed.


Examination Fees The examination fee for each part of the Qualifying Examination is: Part I (MCQ) $ 375 Part II (OSPE) $ 900

Note: If you are applying to take both parts of the Pharmacy Technician Qualifying Examination, you are required to pay the full examination fee of $1,275.

Fees must be paid in Canadian funds by cheque or money order, and dated no later than the application deadline. All payments from outside of Canada must be made in Canadian funds by international bank draft or money order, and drawn on a Canadian bank. A $50 administrative fee will be charged for any returned (NSF, etc.) cheques. This administrative fee must be in the form of a certified cheque or money order. You may also not be assigned to the examination centre of your preference. The Qualifying Examination fee includes registration with PEBC, upon successful completion of both Part I and Part II.

Note: You CANNOT transfer your application or fee from one session to the next. For example, if you have applied to take the August examination and you decide instead to take the examination at the next session, your application and fee for the August examination is treated as a withdrawal and you need to re-apply for the next examination session.

PEBC reserves the right to change fees for either part of the Qualifying Examination, at any time, as required.


Pharmacy Technician Qualifying Examination Application Procedure

Part I (MCQ) and Part II (OSPE) Application Forms You may choose to take one or both parts of the Pharmacy Technician Qualifying Examination in a given session. There are two different application forms for Part I (MCQ) and Part II (OSPE). If you wish to take the full Qualifying Examination (both Parts I and II), you need to complete and submit separate applications for each part. Application forms are available on the PEBC website, www.pebc.ca. The application form for each part of the examination must be completely and accurately filled in each time you apply to take the examination. The Pharmacy Technician Qualifying Examination Application Checklist on page two of each application form must also be completed and signed before the application form is sent to PEBC. Please note that PEBC is developing an online application and payment process. Please visit the PEBC website regularly for updates. Please note that application forms cannot be delivered in person to the PEBC office. Please keep us informed about any changes to your contact information (address, telephone number, email address), by advising us in writing by fax, mail or email. Instructions for first page of application:

1. Enter your name on your application exactly as it appears on your identification (see section on necessary identification on page 8).

2. You must indicate the following: • your chosen examination date • preferred location for each Part, including a second and third choice of location

for Part II (OSPE) [Please note: requests for morning or afternoon OSPE sessions cannot be accommodated unless accompanied by supporting medical documentation]

3. Fill out all other information requested being sure not to miss anything as it is all required. [Please note under the section “Pharmacy Technician Education or Training” – only include your diploma program information; do NOT include information regarding any bridging educational programs that you have completed.]

4. You will need two, identical, passport acceptable photographs (with date taken, stamped or written on back by the photographer), for each application. If you are applying for both Parts I and II, you will need four photographs. They must have been



taken within twelve months of the examination date. They cannot be photocopies or digital prints and must be identical. Staple one photograph to the top, left corner of each application form. Paste one photograph in the box provided in the bottom, right corner of each application form.

5. You will need to find an acceptable witness with any of the following qualifications: -a program director of a pharmacy technician program -a registrar of a Canadian pharmacy regulatory authority -a Canadian pharmacist -a notary public - a commissioner for oaths -a passport guarantor in Canada who has known you for at least two years and is in the following professional categories: lawyer, medical doctor, dentist, chartered accountant, professional engineer, bank manager, school principal, member of parliament or member of provincial government

6. While in the presence of your witness: • Sign and date the application yourself in the space provided • Have your witness fill in city, date, name, signature & title/profession • Have your witness seal, stamp or sign the front of the photograph located in the

bottom, right corner of the application. The signature needs to cover part of the photograph and application

Instructions for submitting necessary identification: PRIMARY IDENTIFICATION: We require a properly witnessed* copy of one of the following showing your name exactly as it appears on your application:

• Your birth certificate • Both sides of your Canadian Citizenship Card • Both sides of your current Permanent Resident Card

IF YOUR NAME HAS CHANGED we require a properly witnessed copy of one of the following for each name change:

• Your marriage certificate • Your change of name certificate

*ACCEPTABLE WITNESSES:

- a program director of a pharmacy technician program -a registrar of a Canadian pharmacy regulatory authority -a Canadian pharmacist -a notary public - a commissioner for oaths -a passport guarantor in Canada who has known you for at least two years and is in the following professional categories: lawyer, medical doctor, dentist, chartered


accountant, professional engineer, bank manager, school principal, member of parliament or member of provincial government

IF YOU ARE UNABLE TO SUBMIT THE REQUIRED IDENTIFICATION, you will need to make a statutory declaration before a Notary Public, Commissioner for Oaths, or a lawyer that states:

• The official name your statutory declaration is representing • Your date of birth • An explanation of the reasons for not being able to submit an acceptable form of

identification When submitting the declaration, notarized photocopies of two official documents showing the complete names with exactly the same spelling are also required. Acceptable documents include a social insurance card, passport, Canadian driver’s license, health card, or major credit card. PLEASE NOTE: If you have been accepted for a previous PEBC examination you do not need to submit your identification again. Please be sure to include your PEBC ID# if this is the case. Checklist (page two of application): A checklist has been provided that you will need to sign, date and include with your application for each Part of the examination. Please go through it carefully in order to double check that you are including all of the information required. If all of these instructions are not followed we may have to ask for documents to be resubmitted which could cause you to miss the deadline.


Receipt of Application: Completed application forms (including checklists) and all supporting documents must be received no later than the application deadline date (see page 5). Applications that are received after the deadline date will NOT be processed.

IMPORTANCE OF MEETING APPLICATION DEADLINE: It is important to ensure that your application form and fee for either part of the Qualifying Examination are received by the deadline date (see page 5), even if your eligibility to take either part of the Qualifying Examination is conditional until receipt of transcripts, confirmation of graduation or required remediation. Please do not wait for PEBC to acknowledge receipt of the above documentation, prior to sending in your application(s). Applications received after the deadline will not be accepted even if the pending documentation has been received prior to the examination dates.

Confirmation of Receipt of Applications Please do NOT contact the PEBC office by telephone, fax or email to confirm receipt of your application or to check your examination location assignment. If you wish to know whether PEBC has received your application, you must do one of the following: • send it by a courier service or by Canada Post (Security Registered), and request an

Acknowledgement of Receipt • send a self-addressed, stamped envelope (within Canada) or a self-addressed envelope

with International Reply coupons (outside of Canada) and the Acknowledgment of Receipt of Application Form #100-PT-Q (form found on page 12 in this booklet) and the form will be returned to you by mail.

Application receipt acknowledgement will NOT be provided by phone, fax or email. Note that the office's return of your Acknowledgment Form #100-PT-Q simply indicates that PEBC has received your examination application, NOT that you have been accepted as a candidate for the examination.


IMPORTANT NOTE REGARDING APPLICATION ACCEPTANCE The only acknowledgment of acceptance of your application will be the issuance of one PEBC Identification / Card of Admission for each Part of the examination for which you have applied. This will be mailed to you approximately 2 to 3 weeks before the examination. You will also be advised of the exact times and location of your assigned placement for each Part, together with other important information. The ID/Cards of Admission for Part I (MCQ) and Part II (OSPE) examinations are each mailed separately. If you do not receive this information at least 1 week before the examination, please contact us in writing, by email to [email protected].



Form #100-PT-Q: Acknowledgement of Receipt of Application

Χ- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

An extra copy has been provided (below) for your convenience.

•

Form #100-PT-Q This confirms that the Pharmacy Examining Board of Canada has received your Qualifying Examination Application for: � Part I (MCQ) � Fee of $________ � Part II (OSPE) � Fee of $________ From: Name:_______________________________________________________________________________ Address: ____________________________________________________________________________ _____________________________________________________________________________________ Please complete the above information and include a self-addressed, stamped envelope (within Canada) or a self-addressed envelope and an International Postage Reply coupon (outside of Canada). Please Note: Application receipt acknowledgement will NOT be provided by phone, fax or email. Application received by PEBC on:____________________________________(to be completed by PEBC)

Form #100-PT-Q This confirms that the Pharmacy Examining Board of Canada has received your Qualifying Examination Application for: � Part I (MCQ) � Fee of $________ � Part II (OSPE) � Fee of $________ From: Name:______________________________________________________________________________ Address: ___________________________________________________________________________ ____________________________________________________________________________________ Please complete the above information and include a self-addressed, stamped envelope (within Canada) or a self-addressed envelope and an International Postage Reply coupon (outside of Canada). Please Note: Application receipt acknowledgement will NOT be provided by phone, fax or email. Application received by PEBC on:____________________________________(to be completed by PEBC)


Examination Centres The Pharmacy Technician Qualifying Examination, Parts I and II, will be held at the following approved locations in Canada:

Vancouver, Edmonton, London (Ontario), Hamilton, Toronto, Ottawa

Note: The Board reserves the right to cancel the examination at any of the stated locations if there are not enough applicants for that location or for other reasons.

Assignment to Examination Centres When you apply for the Qualifying Examination, Part II (OSPE), you must indicate three different choices of examination sites. If you do not indicate three different choices, or if you indicate examination sites not offered for the particular session you are applying for, then your location will be assigned by the PEBC office.

Note: PEBC reserves the right to assign candidates to locations as necessary.

Whenever possible, PEBC will try to assign your first choice location or the site nearest to the address shown on your application. The location may also be determined by the date of receipt of your application. If there are more applicants than space available for a specific location, applicants will be assigned to one of their alternate choices or another reasonable location. In this case, an email or mailed notice of the change of location will be sent at least one month in advance of the examination.

Note: PEBC will contact you if your selected location is not available. Therefore, it is recommended that you NOT make your travel arrangements more than one month in advance of the examination date(s).


Changing Examination Centres Part I (MCQ) To change the Part I examination centre requested on your examination application, you must send a request in writing, with an administrative fee of $50 (cheque, money order or bank draft), to the PEBC office. All payments from outside of Canada must be made in Canadian funds by international bank draft or money order, and drawn on a Canadian bank. Payment must be received no later than:

July 5, 2010 for the August 28, 2010 examination January 31, 2011 for the March 27, 2011 examination

Part II (OSPE) To change the Part II examination centres requested on your application, you must send a request in writing, with an administrative fee of $100 (cheque, money order or bank draft), to the PEBC office. All payments from outside of Canada must be made in Canadian funds by international bank draft or money order, and drawn on a Canadian bank. Payment must be received no later than:

June 30, 2010 for the August 29, 2010 examination January 26, 2011 for the March 26, 2011 examination

Note: A request for a site change will be accommodated only if space is available at the requested location.


Bilingual Examination Due to the phased-in implementation of the Pharmacy Technician Qualifying Examination, it is currently available in English. It will be offered in both official languages (French and English) next year. Special Needs Testing Arrangements

Note: Your request and supporting documentation must be provided with each application form submitted.

If you have a physical impairment, or other disability which substantially limits one or more major life and work activities, you may make a request for special needs accommodation, which must be submitted at the same time as your examination application. All requests for accommodation for special needs testing arrangements should be submitted to the Registrar-Treasurer and are subject to review and approval. Confidentiality will be maintained. In addition, if you use assistive devices such as hearing aids or a wheelchair or any other assistive devices, then you must also submit a written request together with the appropriate documentation and application form. Should the need for an assistive device arise after submission of the application, you must notify PEBC immediately. You must provide a request letter, which clearly states the nature of your disability and its severity, and the nature of special arrangements requested. Your request must be accompanied by an official, original letter (on office stationery) from a qualified professional appropriate for evaluating the disability. It is your responsibility to provide acceptable documentation. The intent of the official documentation is to provide current supporting documentation, including: • details of the disability, including a professionally-recognized diagnosis, diagnostic

procedures, test results and other findings in support of the diagnosis • history, time frame and assessment of current functioning • description of the current functional limitation due to the stated disability and its impact on

daily life and work activities • specific recommendations for testing accommodation and why these are needed • name, address, telephone number and qualifications/credentials of the professional

expert.

Note: An independent medical or other assessment of the candidate’s disability and testing needs may be required by PEBC.


PEBC will assess such requests on an individual basis and, if deemed appropriate, will offer reasonable testing accommodations. However, NO change will be made in the examination date, content or PEBC rules and policies. You will be required to sign an acknowledgement of the agreement reached with PEBC, in advance of the examination date. PEBC reserves the right to assign the examination centre(s) where the accommodations can be offered, as certain accommodations may not be available at some examination centres. This may require that a candidate accept assignment to a centre other than his or her preferred centre choice(s). Since arrangements for some accommodations may have significant cost and other resource implications, a candidate who has signed an agreement to the conditions of an accommodation will be bound by those conditions. Once special testing arrangements have been confirmed, cancellations are not permitted and the examination fee cannot be refunded.


Withdrawal/Refund Policies

Note: You CANNOT transfer your application or fee from one session to the next. For example, if you have applied to take the August examination and you decide instead to take the next examination session, your application and fee for the August examination is treated as a withdrawal and you need to re-apply for the next examination session.

If you withdraw or are absent from the examination, part of the examination fee for each application will be refunded according to the following conditions:

(i) If your notice of withdrawal is received, in writing, by fax or mail (including email), in the PEBC office on or before the application deadline (see page 5), an administrative fee of $100 for each examination application, will be charged. Your full fee less $100 will be refunded for each application.

(ii) If you withdraw after the application deadline and up to 8 weeks before the date of the

examination, an administrative fee of 50% of the fee for each examination application will be charged. 50% of your fee for each application will be refunded.

(iii) If you withdraw less than eight weeks before the examination, your full fee is forfeited

(no refund).

(iv) Absence because of certified illness, emergency, bereavement or failure to graduate, will be considered case by case. Refunds will be considered but are subject to a minimum $100 administrative fee.

When you request a refund, you must return your PEBC Identification / Card of Admission (if issued), along with appropriate supporting documents (e.g., original medical certificate, etc.) within thirty days of the examination. Refunds are processed after the examination session. After a withdrawal, when you re-apply for a future examination session, you must submit a new application form with new photographs and the necessary fee. There is a processing charge of $20 for refunds prepared in the form of a money order (refunds for overseas cannot be processed in the form of a cheque). This amount will be deducted from the total amount of the refund.


Withdrawal/Absence for Special Circumstances If unplanned incidents arise immediately before or during the examination or before dismissal from the examination, the Presiding Officer (Part I) or Chief Administrator (Part II) is authorized by the Board to make decisions regarding admission to, continuation through or leaving the examination, based on PEBC policies or individual circumstances. If you are unable to attend a sitting or complete the examination because of illness or for a compassionate reason (e.g., bereavement), you must immediately notify the PEBC office. If the matter arises on exam day or just before, you must immediately notify all of the following: • the PEBC office • the Presiding Officer/Chief Administrator or examination staff in the assigned examination

centre by calling the emergency contact number on your Notice of Examination included in your Identification/Card of Admission materials

Candidates are strongly encouraged not to attempt the examination and to make an appropriate withdrawal if, prior to the examination, they are ill or have extraordinary circumstances, including bereavement, that may affect their performance in the examination.

Note: Petitions for special consideration received more than seven calendar days after the examination (e.g., upon receipt of a notice of an unsuccessful examination result) will NOT be considered.

Any request for a refund or for another consideration must include documentation verifying the circumstances. A written request with appropriate documentation must be received by the PEBC office no later than 7 calendar days after the examination. If absent due to illness, you must provide an original medical certificate, verifying that you were examined at the time of the illness. The date of the certificate must be appropriate for or match the examination date. If absent due to bereavement, you must provide a copy of the death certificate, verifying that the bereavement was at the same time as the examination. Refunds will be considered for absences due to special circumstances but are subject to a minimum $100 administrative fee.


Security of Examination Material (Copyright©) – Parts I and II

To ensure that the examination provides an equal opportunity for all candidates to demonstrate their levels of knowledge and ability to meet the required competence standards, the Pharmacy Examining Board of Canada maintains the strictest security of the content of its examinations before, during, and after each examination. All examination materials are protected by Copyright© and property right laws. Candidates must strictly follow the rules of conduct for examinations and the signed certification statements made on the examination application forms and signed Candidate's Agreement (for Part II). These rules and statements prohibit: • the giving or receiving of assistance in answering questions in the Qualifying Examination Part I or in completing stations in Part II • access to questions or station content before or after the examination • reproduction of examination content in any manner • disclosure of questions and station content to others at any time (includes discussion of examination content with other candidates or others before, during or after an examination), whether verbally, in writing or through any internet blogs, chat-rooms or other means Contravention of the copyright and/or rules of conduct for examinations and the certification statements may be sufficient cause for the Board to: • bar the candidate from the examination • terminate his/her participation in the examination • invalidate the results of the examination • withhold the results • report the misconduct to professional regulatory and legal authorities • bar the candidate from future examinations • take other action as deemed appropriate, including possible legal prosecution A candidate may be held responsible for all damages and cost-recovery in the event that the examination or any component of it is compromised by his/her action. Part II (OSPE): A sample of the Candidate's Agreement form that candidates must sign when registering at the Part II (OSPE) examination centre is shown on the next page. If you have any questions or concerns regarding the Candidate’s Agreement document, please contact the PEBC office before the examination date.


SAMPLE PEBC PHARMACY TECHNICIAN QUALIFYING EXAMINATION PART II (OSPE)

Candidate’s Agreement

Each candidate must read and sign two copies of this document upon registering for Part II at the examination centre. One signed copy will be returned to the Candidate upon leaving the examination centre. Arrival and Departure Candidates will register at the examination centre during the specified time, and will not depart until the assessment process is completed and all candidates are dismissed from the examination centre. During the Examination Candidates may use washrooms during rest stations, one at a time, with the permission of and escorted by

examination staff. • Candidates will avoid any collaboration or disruptive behaviour during the examination period, which begins at

registration and continues until candidates leave the site. • Candidates will follow directions given by the examination staff explicitly, going directly to each station, starting and

stopping promptly on signal. • Candidates will leave all examination materials, including references provided, in the station. • While at the examination site, candidates will make notes only in the Candidate Notebook provided at registration and

only when in an actual examination station, not during rest stations, breaks or other times. Only one Candidate Notebook will be provided to each candidate.

• Writing on any material other than what is provided by PEBC for the examination will be treated as a breach of conduct.

At the End of the Examination Candidates must: • complete and hand in the Candidate Feedback Questionnaire; • hand in the Candidate Notebook with all pages intact, including the full bar code label sheet with any unused bar code

labels and any other materials, including snack bag; • continue to observe examination rules of conduct until they leave the examination site; • sign out and leave the examination site when instructed to do so, and not re-enter. At Any Time • Examination stations and materials are the property of the Pharmacy Examining Board of Canada (PEBC), protected

under copyright and property rights law, and may not be recorded, divulged, reproduced or relayed in any manner at any time. Candidates must continue to maintain examination confidentiality at all times after the examination and must not discuss the examination content with anyone, including other candidates.

• All examination materials and results are strictly confidential. Only the PEBC may report, publicize or distribute such information.

• Some candidates’ interactions with Standardized Patients/Health Professionals/Clients may be videotaped for PEBC’s use, for quality assurance purposes only.

• In the interest of fairness to all, candidates are obligated to report to the examination staff or the PEBC if any improper conduct or violation of examination security is suspected, before, during and after the examination.

• Any person found in breach of conduct or examination security may be subject to forfeiture of the examination, may be barred from future PEBC examinations, reported to professional and/or legal authorities and/or held responsible for damages and cost-recovery.

I acknowledge that I have read and understood the above terms and provisions of the examination and those included in the Notice to Candidates which I received with my PEBC Examination Identification/Card of Admission, and that I will abide by the content and intent of these terms and provisions. I will, also, declare any hindrance or disability adversely affecting my performance, as directed in the Candidate Feedback Questionnaire which will be provided to me prior to leaving the examination centre. Signed this ____________ day of__________________, 20_____ By ________________________________________ Print Name

________________________________________ Signature

Attach bar code label here


Improper Conduct During or After the Examination – Parts I and II It is assumed that every candidate taking PEBC examinations is doing so for legitimate purposes to become a registered pharmacy technician in Canada and will make their best effort when attempting a PEBC examination. Candidates may be removed from the examination and held under supervision until the end when all candidates are permitted to leave, or have other action taken, including possible legal prosecution, for any of the following reasons: • giving or receiving help during the examination • attempting to take the examination for someone else • using unauthorized notes, books, calculators, wrist watches/timepieces, notations or other

aids • failure to follow the Presiding Officer’s or Examination Staff instructions, • possession or use of photographic, recording or transmission devices • writing on any material other than what is provided by PEBC (i.e., examination booklets

or Candidate’s Notebook) • removal of examination materials or notations of any kind from the examination room • refusal to comply with time allotments or examination administration procedures • disruption of the examination for other candidates • reproduction or disclosure of examination content in any manner (including unauthorized

notations or engaging in discussion of examination content with anyone other than examination personnel during or after an examination, whether verbally, in writing or through any blogs or chat-rooms, or other means)

• behaving in an unprofessional or discourteous manner, when interacting with Pharmacy Examining Board of Canada and examination centre staff

• any other breach of conduct In any such case, an incident report will be filed by the Presiding Officer (Part I – MCQ) or Chief Administrator (Part II – OSPE) and the candidate will be told of this action. The candidate may provide an independent explanation in writing to the PEBC office no later than 7 calendar days following the close of the examination.


Note: If, after consideration of evidence of improper conduct, a candidate is found by the Board to have committed a breach of the above or any stated examination instructions or procedural guidelines, the Board may:

• cancel the candidate's examination score, • bar the candidate from one or more future examination sessions, • report the misconduct to professional regulatory and legal authorities • and take such other action as deemed appropriate, including possible legal prosecution. A candidate may be held responsible for all damages and cost-recovery in

the event that the examination or any component of it is compromised by his/her action.

Comments and Complaints – Parts I and II Any comment or complaint about any aspect of the examination (e.g., process, examination facilities, examination administration) should be made verbally to the Presiding Officer (Part I- MCQ) or Examination Staff (Part II – OSPE) for immediate attention and correction if possible, and documented in writing by letter or email immediately after the exam. For Part II – OSPE, any comments or complaints must be documented in writing on the Candidate Feedback Questionnaire before leaving the examination site. Complaints which are not made or documented on the examination day may not be considered. Any candidate who feels a specific matter requires further consideration or review must make such a request in writing, outlining the reason(s) for the request. The written request must be received by the Registrar-Treasurer within 7 calendar days after the close of the examination. Complaints which are received after this time period will NOT be considered. Note: the content, methodology, standards or assessment criteria of the Qualifying Examination are NOT subject to review or appeal by candidates or their agents.


Emergency Procedures – Parts I and II Emergency Building Evacuation If the need arises for building evacuation due to fire or other emergency during an examination, the Presiding Officer or Chief Administrator, in cooperation with emergency personnel, has full authority to direct and supervise candidates and staff in the emergency evacuation of a building. The guidelines and procedures established by PEBC are based on two underlying principles: 1) personal safety, and 2) security of examination content and materials. Events in an emergency situation may be unpredictable and procedures may require adjustment in a specific situation, however, some general guidelines include the following:

• Assist persons with disabilities in exiting • Do not use elevators in case of fire • Once outside the building, remain in a safe area, indicated by emergency

personnel or the Presiding Officer/Chief Administrator • Do not return to the examination room unless instructed to do so by emergency

personnel or the Presiding Officer/Chief Administrator • Try to remain calm, and always follow the instructions of emergency personnel or

the Presiding Officer/Chief Administrator

Note: Remember that at all times during an emergency evacuation, candidates must NOT converse or otherwise communicate with one another. Candidates continue to be subject to all rules of the examination.

Other Extraordinary Circumstances If at any time before an upcoming PEBC examination administration, there should arise any circumstances including such factors as weather, transportation, strikes, public health issues, or other reasons which may affect the scheduling arrangements and admission procedures for examinations, advisory information will be promptly posted on the PEBC website: www.pebc.ca. You are advised to check the PEBC website (home page directory) before attending an examination, to look for any special notices which may affect your arrangements. You will be required to comply with any health, safety, and security screening procedures, as posted in the examination centre or outlined verbally by examination personnel. PEBC reserves the right to cancel or reschedule any examination administration, if circumstances require that a scheduled examination cannot be administered.


Preparing for the Examination - Parts I and II The Qualifying Examination is based on nine entry-level competencies, required by pharmacy technicians beginning to practise, which were developed by The National Association of Pharmacy Regulatory Authorities (NAPRA). These competencies are assessed through related questions or practice scenarios. On each examination there will be a number of questions (for Part I) or stations (for Part II) relating to these major competency areas:

1. Legal, Ethical, and Professional Responsibilities 2. Professional Collaboration and Team Work 3. Drug Distribution: Prescription and Patient Information 4. Drug Distribution: Product Preparation 5. Drug Distribution: Product Release 6. Drug Distribution: System and Inventory Controls 7. Communication and Education 8. Management Knowledge and Skills 9. Quality Assurance

The detailed competency statements and weighting of each statement (i.e., proportion of the examination related to each competency) is shown in the section "Qualifying Examination Blueprint", on pages 57-58. Both professional education and practice experience in Canada prepare you for the Qualifying Examination and licensure as a pharmacy technician. In order to determine any additional learning needs prior to taking the examination, compare the knowledge and skills that you have already acquired with the competencies as outlined in the Examination Blueprint. Language proficiency at a professional level is essential for your preparedness for the Qualifying Examination. Also, seek feedback from qualified professionals when at work or in training. You are also advised to become familiar with the reference materials (page 73) that may be provided in Part II (OSPE) stations, so that you are able to use them effectively during the examination. Once you have identified your learning needs, it is your responsibility to find suitable reference sources, materials and/or additional experience to prepare for the Qualifying Examination. A partial list of references and learning resources (review guides, textbooks, federal legislation and internet resources) is printed on pages 82-90. This list is not intended to serve as a handbook or complete overview, nor should you assume that these references are the source of the examination questions.


Note: While P EBC may pr ovide information ab out s ome r esources t hat s upport development of pharmacy technician competencies, PEBC does NOT sanction or endorse any particular review course, study guide or textbook as a preparation for the Qualifying Examination.

The sample questions and stations in this booklet are provided as illustrations, to assist you to become familiar with the examination format and phrasing style. NO questions, stations or content from previous examinations are available. Please check the PEBC website from time to time for any additional information about resources and/or updated sample questions or stations.


The Day of the Examination - Part I (MCQ) Examination Day Schedule You will write Part I of the Qualifying Examination over one 4 hour sitting on one day, according to the following schedule. Start times are different across Canada.

15 minutes Admission to examination room (prior to exam start time) Instructions to candidates

4 hours Examination period

Admission and Identification Your PEBC Identification / Card of Admission and a Schedule of Examination (time, place and other examination information) will be sent to you 2-3 weeks before the examination. Your PEBC Identification / Card of Admission must be brought to the examination room for each sitting and placed on your examination desk for inspection by the Presiding Officer and invigilators (examination staff). NEVER write on your PEBC Identification / Card of Admission. If a female candidate cannot be identified due to a veil covering her face, a female Invigilator will be assigned to take the candidate to a private area where the Invigilator can confirm the candidate’s identity. You must arrive 15 minutes before the scheduled start of the examination at the specific location and time listed on your Identification / Card of Admission. During that 15-minute period, the Presiding Officer will distribute answer sheets, PEBC calculators and pencils, and provide examination instructions. After instructions are given and all candidates are seated, the examination booklets will be distributed and the examination will begin. If you are more than one hour late, you will be admitted to the examination only with the consent of the Presiding Officer. You will NOT be granted entry once any candidates have left the examination room. No extra time will be given to compensate for arriving late. Unless otherwise authorized by PEBC, only candidates for the scheduled examination who present their PEBC Identification / Card of Admission will be permitted to enter the examination room. Family members or friends of candidates are NOT permitted to enter the examination area.


Candidate Materials The examination is “closed-book”. No aids are permitted other than a calculator provided by PEBC. You should take a non-digital watch to the examination room in case there is not a clock that you can easily read. No digital watches are permitted. It is your responsibility to monitor and use examination time appropriately. Pencils (with eraser tips) and standardized scientific calculators will be provided to all candidates. Calculator instructions are provided in this booklet (see page 71) and will also be provided in each examination booklet. Please note that no additional time (for calculator “practice”) will be given to the examination administration. PEBC examination calculations do not require complex operations on the calculator, even though the calculator has many advanced capabilities. Provision of calculators to all candidates taking PEBC examinations will eliminate security concerns associated with personal calculators, and will enhance consistency at all examination centres.

Note: During the examination, calculations or other notations may be written only in the examination booklet (NOT on the answer sheet or your ID/Card of Admission or elsewhere).

If you need to take any medication during the examination time, bring it with you and show it to the Presiding Officer before the examination begins. Any packaging, inserts or related written material must be left at home or handed in to examination staff. During the examination period, you will NOT be permitted to have anything on your desk, EXCEPT: • your PEBC Identification / Card of Admission • the examination booklet • answer sheet • pencil (with eraser) supplied by PEBC

PLEASE NOTE: • There is no smoking on examination premises. • Please do not wear scented cosmetics, perfumes or clothing. Some individuals are

very allergic to such substances and you may be refused entry to the examination. • Although PEBC attempts to ensure the comfort of all candidates and personnel, you are

advised to dress for fluctuating temperatures in examination rooms.


• calculator supplied by PEBC • a beverage and/or a small snack (in a clear plastic bag or see-through container; any

wrappers on food products, e.g., chocolate bars, must be removed) • Items such as passports, wallets or small purses may be placed underneath your chairs.

Coats, large bags and ot her b elongings m ust be s tored in t he location des ignated by examination staff.

Surfaces of desks and all candidate materials and belongings are subject to inspection by examination personnel, at any time. You Must NOT Bring into the Examination (these items are strictly prohibited): • books, notes, envelopes, or reference materials of any kind • calculators, rulers, pencil cases • data organizers or other digital or electronic storage devices (including digital

watches/timepieces) • communication devices of any kind including pagers or cellular telephones • computers of any kind, including hand-held devices • photographic, recording or transmission devices of any kind or • paper items of any k ind, whether blank, pr inted, or written upon, including similar i tems

such as wrappers on food. Note:

The Presiding Officer or Examination Invigilator has the authority to inspect any materials brought into the examination and/or to request that candidates remove outerwear, roll up their sleeves and empty all pockets to permit inspection for watches and other prohibited items. Any materials that may compromise the administration or security of the examination will be confiscated and the candidate in possession of such materials may not be permitted to begin the examination, or to continue if it has already begun. Confiscated items will be sent to the PEBC for inspection, together with a report of the incident, and will be kept until any inspection or investigation is completed. During the examination, calculations or other notations may be written only in the examination booklet (NOT on the answer sheet or ID / Card of Admission or elsewhere).


During the Examination Candidates MUST NOT converse or communicate with one another in any manner whatsoever, speak or read out loud or act unprofessionally while the examination is underway. Violation of this rule may result in the cancellation of your standing in the session. You may converse with examination personnel if required, in a discrete, confidential and professional manner. If you wish to use the washroom or when you are ready to hand in your examination materials, raise your hand to indicate this to examination personnel. Candidates s hould be have i n a pr ofessional and c ourteous m anner w hen i nteracting w ith examination personnel. At the End of the Examination At the end of the examination, you must leave the examination premises immediately after handing in your examination booklet and answer sheet and other examination materials. Make all arrangements for transportation before entering the examination site and wait outside the building for friends or transportation, if needed.


Taking the Qualifying Examination - Part I (MCQ)

Using the Answer Sheet For the written examination, you will be provided with a multiple-choice question examination answer sheet. On the answer sheet, you must record your responses to the examination booklet questions. A sample answer sheet is shown on page 34. You will also need to record the following information on the answer sheet: your PEBC Identification Number, the date, the answer sheet number, your signature and the examination form code. As the sample answer sheet illustrates, you first write your PEBC Identification Number in the area marked "I.D. Number"(upper left). On the left side, below the "I.D. Number" area, you then blacken in the numbered ovals corresponding to your PEBC Identification Number. Using ONLY the B (soft grade) pencil provided, mark only inside the oval but COMPLETELY fill it so that the letter or number within can no longer be seen. You then write your name in the area marked “LAST NAME” and also “FIRST NAME”. You must also sign your name in the area marked "Name" (middle of form). You then write the examination date in the area on the answer sheet marked "Date". After all candidates present have completed the identification portion of the answer sheet and the Presiding Officer has given all the instructions, an examination booklet will be distributed to each candidate. Each examination booklet has two security seals. Immediately after receiving the examination booklet, read carefully the "General Instructions to Candidates" on the cover page of the examination booklet. DO NOT open the examination booklet until told to do so. Carefully break the seal on the right edge of the booklet (only on the right edge of the booklet), using your finger or the eraser end of the pencil provided. Count the number of pages, and report any missing pages and/or defects to the Presiding Officer at once. Print your PEBC Identification Number in the space provided (line found at the top) on the cover page of the examination booklet. On your examination booklet, a form code letter (e.g., A, B, C or D) will be printed in the top right corner of the cover page. You must blacken the oval corresponding to the same letter, in the box marked "Test Form" on your answer sheet. Once the examination booklets have been distributed, the Presiding Officer will announce the start of the examination. To record your response to an examination question, you will blacken the corresponding lettered oval on the answer sheet.


If, for example, question 45 was:

The capital of Canada is: a. Halifax. b. Montreal. c. Ottawa. d. Toronto.

Since the correct response is (C), you would c ompletely blacken t hat ov al next to question 45 as shown:

Do not put any stray pencil marks near the numbers or ovals on the answer sheet. If an erasure is necessary, it must be cleanly made so that the oval appears as though no mark has been made. Optical scanners are sensitive and may interpret stray marks as responses. If multiple answers to a question are blackened, they will be rejected by the computer and you will not receive credit for that question. Mark only inside the oval but COMPLETELY fill it so that the letter within can no longer be seen. If an erasure is necessary, it must be cleanly made so that the oval appears as though no mark has been made. Allow enough time to ensure that all your responses are recorded on your answer sheet. Your examination score is based completely on that answer sheet. No additional time will be provided for you to transfer answers from your examination booklet to the answer sheet. The Presiding Officer may refuse to accept the answer sheet of any candidate who fails to observe this time limit.

Note: The examination is computer-marked. You are responsible for properly completing and coding your answer sheets. Sheets which ar e improperly and/or not coded may be r ejected by t he c omputer and y ou m ay not r eceive c redit f or a ll y our responses. I nformation r ecorded i n y our examination b ooklet w ill NOT be considered in the determination of your score.


Pretest Questions Part I consists of a total of 170 questions. Only 140 of the questions will be used to determine your score. The remaining 30 questions are being "pretested" or evaluated for use in future examinations. Your responses to those pretest questions are recorded for statistical purposes and are not used in calculating your score. The pretest questions are not identified and you will not know which 140 questions will be scored. The scored questions on all test forms are identical, but the pretest questions may be different from form to form. Answering All Questions There is only one correct response for each question. Your score is based on the number of questions that you answer correctly. Each question on the Pharmacy Technician Qualifying Examination - Part I is equally weighted. It is therefore not advisable to spend too much time on any particular question. Generally, it is best to review the responses carefully and select the answer that seems best to you. Credit is given for each correct answer and there is no deduction for incorrect answers. If multiple answers for a question are recorded, you will not receive any credit for that question. You should answer as many questions as possible, as the more questions you answer correctly, the higher your score will be. Your time is used most efficiently if you record your response on your answer sheet once you have read the question and decided on an answer. Even though you may not be certain of an answer, it is still best to record it on the answer sheet. You may wish to note those uncertain questions in your examination booklet and, if time permits, you can reconsider your answer choice. When you have completed your examination, re-check to ensure that your PEBC Identification number, answer sheet number and form letter have been properly marked on your answer sheet. Place the answer sheet (DO NOT FOLD OR BEND!) inside the front cover of the examination booklet and return the entire booklet in intact form to the Presiding Officer. Dismissal You may not leave the examination room and return, except to use the washroom facilities and only if accompanied by an Invigilator or Presiding Officer. Once you have completed the examination and have returned your examination booklet, answer sheet, calculator and any other examination material provided, you may exit the examination room. No candidates are permitted to leave during the final ten minutes of the examination. Candidates must remain seated at the close of the examination until all examination booklets are collected and until dismissed by the Presiding Officer (i.e., directed to leave the examination room).


Candidates cannot remove any of the materials supplied by PEBC from the examination room. Once dismissed, you must leave the examination premises promptly; you are not allowed to remain on site (in the building) to wait for rides or other candidates.


Sample Answer Sheet


The Day of the Examination - Part II (OSPE) Examination Day Schedule There are two sittings, one in the morning and one in the afternoon. Candidates will be randomly assigned to the morning OR the afternoon. The schedule follows the same pattern for all sittings, for a total of 3 to 4 hours:

0.5 to 1 hr Admission and registration (may include a wait time) 0.5 hr Candidate briefing regarding the schedule and procedures for the day; escorting of candidates to their first exam station 60 minutes 1st half of exam 15 to 20 minutes Break for assessors and SPs 60 minutes 2nd half of exam 0.5 to 1hr Completion of feedback questionnaire, sign-out, collection of personal belongings and leaving the premises (may include a wait time)

Admission and Identification Your PEBC Identification / Card of Admission and Notice to Candidates (including time, place and other examination information) will be sent to you 2-3 weeks before the examination. Your Card of Admission must be brought to the examination and presented for admission. At that time you will exchange it for your examination Identification Badge. If a female candidate cannot be identified due to a veil covering her face, a female examination staff member will be assigned to take the candidate to a private area where the staff member can confirm the candidate’s identity. You must appear at the place and time listed on your PEBC Identification / Card of Admission.

Notes: • Do NOT attempt to enter the examination site before the time to report for registration

(as shown on your PEBC ID / Card of Admission). You will NOT be permitted to enter early for any reason, including use of the telephone or washroom.

• If you arrive later than half an hour after the scheduled time to report for registration, you will not be permitted to enter that examination without the discretionary consent of the Chief Administrator.

• Family members and friends are NOT permitted to enter the examination site.


• Unless otherwise authorized by PEBC, only candidates for the scheduled examination who present their PEBC Identification / Card of Admission will be permitted to enter the examination site.

Examination Centre Conditions/Environment Although PEBC attempts to ensure the comfort of all candidates and personnel, conditions are sometimes beyond our control (e.g., temperature fluctuations).You are strongly encouraged to dress for fluctuating temperatures in examination rooms. Wear comfortable but appropriate professional attire, as you would for work; lab coats or uniforms are acceptable but not required. Any logos or other identifiers (school, employer, individual) must be removed or securely and fully covered with opaque (duct) tape. PLEASE NOTE: • There is no smoking on examination premises. • Please do not wear scented cosmetics, perfumes or clothing. Some individuals are

very allergic to such substances and you may be refused entry to the examination. • Although PEBC attempts to ensure the comfort of all candidates and personnel, you are

advised to dress for fluctuating temperatures in examination rooms. Snacks • You are encouraged to eat well before arriving; • Light snacks and water will be provided during the 15-minute break.

If you have any dietary restrictions or medical needs, you may make a written request to PEBC to bring your own snack or light lunch into the examination. Please send your request, including the reason for your request, to [email protected], to the attention of the Associate Registrar/Manager, PEBC Qualifying Examination - Part II (OSCE, OSPE). Requests must be received no later than 10 days before the examination. If you receive written permission from PEBC to bring your own snack, it must be packaged in a clear plastic bag with all paper wrappers on food products removed. You must show your snack to examination staff when you register for the examination. Any remaining snack items must be turned in before leaving the examination.



Registering for the Examination When you report for registration, you will sign in at the registration desk and receive the following materials: • your PEBC Identification Badge (to be worn throughout the examination) • a neck wallet (in which to place your Identification Badge and other items that you will

receive during registration) • two copies of the Candidate’s Agreement. (Both copies are to be signed and handed in

during the orientation before the examination. One signed copy will be returned to you before you leave the examination site.)

• a personalized Candidate Notebook • a sheet of bar code labels (attached to the back of your Candidate Notebook) • a pencil with eraser tip • a calculator When you arrive for registration, you must check in all personal belongings, including books, wallets, purses, passports, personal identification, hand-bags or briefcases, paper items, coats and outerwear, all pocket contents and any digital or electronic items such as watches/timepieces, personal data assistants or any other devices. All such personal belongings will be placed in supervised or locked storage during the examination, and will be returned when signing out. Avoid bringing valuables to the examination, as PEBC will NOT assume responsibility for loss or damage. Do not bring large items (such as suitcases) to the examination site, as there will not be any secure storage space for them inside the building. If you must take any medication while at the examination site, bring it with you and show it to the examination staff at registration. Any packaging, inserts or related written material must be left at home or handed in to examination staff when you check in your personal belongings. Candidate Materials • All materials essential for the examination will be supplied to you when you register or

provided in the examination stations.

• The examination is open book, but you may only use the references and examination materials which are provided in the examination stations. No other materials may be used at any time while on the examination premises.

• The CPS, CPS monographs or photocopied reprints or excerpts (of specific chapters or pages) from other references may be provided in some stations. Such copies have been


made with permission, under licence by Access Copyright. References that may be provided are listed on page 73.

• Do NOT mark or deface any of the references or examination materials. Candidates who mark or deface the references or examination materials in any manner may be charged for the cost of replacement.

• You may write only in your Candidate Notebook, on your Candidate Answer Sheets (provided in some stations), and on your Feedback Questionnaire (provided at the end of the examination).

During the examination period, you will NOT be permitted to carry anything with you, EXCEPT: • your PEBC Identification Badge in your neck wallet • your Candidate Notebook containing a sheet of barcode labels • a pencil (with eraser tip) supplied by PEBC • a calculator supplied by PEBC You Must NOT Bring into the Examination (these items are strictly prohibited): • any notes, published references or unpublished materials of any kind • your own calculators, data organizers or other digital or electronic storage devices • watches or any other timepieces of any kind • communication devices of any kind, including pagers or cellular telephones • computers of any kind, including hand-held devices • photographic, recording or transmission devices or • paper items of any kind, whether blank, printed, or written upon If any of the items listed above are brought to the examination centre, they must be turned in at registration and picked up after signing out. Please note that storage space is limited, and examination personnel will NOT be responsible for their security. You are urged not to bring these with you.


Note: The Chief Administrator, Examination Staff and Assessors have the authority

to inspect all pockets on clothing and any materials brought into or used during the examination and/or to request that candidates remove outerwear and roll up their sleeves to permit inspection. At registration, you will be required to hand in all pocket contents and unauthorized items including wrist watches or other timepieces.

Any materials that may compromise the administration or security of the

examination, that were not handed in at registration, will be confiscated and the candidate in possession of such may not be permitted to begin the examination, or to continue it if it has already begun. Confiscated items will be sent to PEBC for inspection, together with a report of the incident, and will be kept until any inspection or investigation is completed.


Examination Process Before Starting the Examination • You will receive a brief orientation to the examination procedures and schedule.

Questions regarding possible examination content or appropriateness of responses will NOT be answered at this time.

• You will be required to read, sign, hand in, and comply with the Candidate’s Agreement

(see sample form on page 20). This is a legal agreement that candidates are required to uphold at all times, both during and after the examination.

• You will receive a Candidate Notebook with an attached sheet of bar code labels. The bar

code labels identify your PEBC Identification Number. You must check the bar code labels to ensure that they match your PEBC Identification Number on your Identification Badge and on your Notebook cover, then sign the Notebook cover to verify that the labels match. The whole Notebook with the attached label sheet must be kept intact throughout the examination and returned intact at the end of the examination.

• You will be instructed to sign your name on your Identification Badge, attach one bar code

label just above your signature, place your Badge in a neck wallet and wear your Badge throughout the examination.

• You will be allowed time to use a washroom before the examination begins.

• In some sites, there may be a wait time before starting the examination. Once the registration, distribution of materials and instructions and any wait times (if applicable) are complete, you will be escorted to your first station to begin the examination. During the Examination • You may converse with examination personnel as required, in a discrete and confidential

manner. • From the time you register until you leave the examination premises, you MUST NOT

converse or communicate with another candidate in any manner, or speak or read out loud except when interacting with Standardized Clients or examination personnel. Violation of this rule may result in not being permitted to finish the examination and the cancellation of your standing in the session.

• You may write in your Candidate Notebook only when you are in an actual examination

station, not during rest stations, breaks or other times.


• You will have scheduled breaks during which time you may request permission to use the washroom facilities, accompanied/supervised by an examination staff member.

At the End of the Examination You must: • complete the Candidate Feedback Questionnaire (provided at the end of the

examination); • hand in the following materials:

• completed Feedback Questionnaire, • Identification Badge and neck wallet, • Candidate Notebook with attached bar code sheet. Your Candidate Notebook must be

intact, including the cover and inside pages, all unused bar code labels and full bar code sheet,

• pencil and calculator, • all other items in your possession;

• collect your PEBC Identification / Card of Admission (official receipt) and one signed copy of your Candidate’s Agreement;

• sign out on the candidates' register; • retrieve any personal belongings that you checked in; • leave only when you are officially instructed to leave by the Chief Administrator or

registration staff; • continue to observe all procedures and Rules of Conduct until you leave the examination

site.

Note: The waiting time is part of the examination period. The examination ends only when candidates are officially instructed to leave the examination premises. You will not be allowed to leave until this time.

All Candidates must: • behave in a professional and courteous manner at all times; • NOT remove any of the material supplied from the examination site; • follow examination procedures, Rules of Conduct and examination staff directions from

registration until instructed to leave the examination site; • leave the examination site promptly after instructed to do so; • continue to maintain examination confidentiality at all times, as agreed to in the

Candidate’s Agreement.

Telephone Use, Messages and Transportation Arrangements You will NOT be permitted to use a telephone at any time while you are at the examination site. An emergency contact name and telephone number are provided in the site information material which is sent with your ID / Card of Admission. This information may be given to


whom it may concern, in order to contact you in the event of an emergency during the examination. Only emergency messages, received in English, will be relayed. Make all arrangements, such as transportation or meeting time and place, before entering the examination building. When arranging a meeting place, it must be outside of the examination building.


Taking the Qualifying Examination - Part II (OSPE) Registration and Sign-in Procedures When you arrive for the examination, you will be admitted only at the time indicated on your PEBC Identification / Card of Admission (not before). When you report to the registration desk you must: • Present your PEBC Identification / Card of Admission to the registration staff. • Exchange your PEBC ID / Card of Admission for your exam Identification Badge,

which you must wear throughout the examination. When you hand in your Identification Badge (at sign-out), your ID / Card of Admission will be returned to you. Please keep this as your receipt for the examination fee, as it will not be re-issued.

• Hand in all personal belongings for storage when you arrive.

• Please leave all texts and reference materials at home; storage space is limited and

references are provided in the stations.

At registration, you will also be given: • two copies of the Candidate’s Agreement, which you must read and sign prior to

entering the examination area (one copy will be returned to you just before leaving the examination)

• a personalized Candidate Notebook for use in the examination (e.g., for making notes when interviewing patients and doing simple calculations)

• a sheet of bar code labels (attached to the back cover of your Notebook)

• a pencil with eraser tip

• a calculator Examination staff will then give a brief orientation to explain the procedures for the day and escort you to the examination area.


Using Bar Code Labels The bar code labels attached to your Candidate Notebook identify your PEBC Identification Number. You will be instructed to check that you have received the correct bar code labels, place one bar code label on your PEBC Identification Badge and then sign your Candidate Notebook, verifying that your set of bar code labels matches the PEBC Identification number on your Identification Badge and the label on your Candidate Notebook. You will also be instructed to attach one bar code label to both copies of your signed Candidate’s Agreement. As you enter each station, give one label to the assessor present or, in stations where there is no assessor, place one label on your answer sheet provided for the station. This bar code labelling is necessary to ensure that you receive credit for your performance in each station. In some stations you will be required to give one barcode label to the assessor (or health professional that is present) and place one on the answer sheet found in the station. The original bar code label sheet with all unused bar code labels must be turned in along with the Candidate Notebook and calculator during Sign-out. Exam Stations The examination consists of eight scored stations. In addition to these scored examination stations, there may be one rest station and one or two pretest stations that will not be scored. You may start the examination at an examination station, a rest station or a pretest station, then you will follow through all stations in numeric order. Each station is set up in a different room or behind a privacy screen in a large room. Each station is furnished with a table or desk, chairs, and the materials and references required to complete the task, e.g., a “patient record” or prescription, medications or devices. Medication packages may not have any actual drug product in them, unless the station task requires that the product be checked. Disregard all expiry dates on station medication materials. Each station consists of one (or more) short task(s) or problem(s). For example, you may be instructed to perform only specific components of the prescription processing or dispensing process (e.g., take a medication history, evaluate the appropriateness of the prescription, check dispensed medication, respond to a patient’s questions and determine if the patient needs to be referred to the pharmacist). Instructions for each station are posted outside the station, to read as you wait for the signal to enter and begin (the same instructions are also provided inside the station.)


You will have 2 minutes between stations to move to the next station and read the Candidate Instructions. Note: Please read the instructions provided at each station very carefully. Some candidates’ station interactions with one or two Standardized Patients/Health Professionals/Clients may be videotaped. These tapes are used by PEBC for quality assurance purposes only. The Candidate’s Agreement (see form, page 20) includes acknowledgement of this procedure. Timing A buzzer system is used to signal the beginning and the end of the station. There is also a signal given to indicate that you have 1½ minutes left to complete the station. You are to remain in the station for the full time, even if you have completed the station early. The timing is coordinated so that you and the other candidates will have another 2 minutes to move to your next station, read the instructions, and re-focus on a new task.

Note: Candidates must adhere to the time signals. Those who disrupt the examination process by not following instructions may be removed from the examination.

Interactive Stations Four stations are interactive, lasting 6 minutes each, and will involve one of the following: • a “Standardized Patient” (SP) • a “Standardized Client” (SC), [e.g., a parent or caregiver] or • a “Standardized Health Professional” (SHP) [e.g., a physician or nurse] The SP or SC or SHP (see next page) is a person trained to present a typical problem or request. You are expected to respond as you would in practice. An assessor is present to observe and record your responses. In some stations, there may be more than one assessor for examination quality assurance purposes. Upon entering the station, hand one of your bar code labels to the assessor (or to each one if there are two assessors present). Take a quick look at the materials and references available for your use in the interaction. Thirty seconds after you enter the station, the SP/SC will enter and seek your assistance, or you may begin to interact with the SHP. You are expected to respond as you would in practice. When the interaction is finished, the SP/SC will leave the station, even if it is before the 6-minute signal. Once that happens, the SP/SC CANNOT be asked to return for further


consultation. Otherwise, the interaction must end at the 6-minute signal, even if you have not finished the task. You may choose to sit or stand when interacting with the SP/SC, as appropriate. You may notice that some SPs/SCs will not shake your hand if you offer to shake hands with them when you greet them. Some SPs avoid hand-shaking to minimize the possibility of transmitting a virus, so it may be best that you do not offer to shake hands with the SP/SC when you greet them. You may use the references provided at any time during the interaction. Keep in mind that you have 6 minutes in total for each interactive station, including any time that you spend using the references. Standardized Patients/Clients (SP/SCs) “Standardized patients” (SPs) and “standardized clients” (SCs) are lay persons who follow a written script and are well-trained to present the station scenarios and to respond to candidates’ questions or advice in a consistent way. Some information may be volunteered by the SP or provided on the patient profile. You may ask the SP (or client) for any additional information you need in order to plan your response. Standardized Health Professionals (SHPs) “Standardized health professionals” (SHPs) are health professionals who follow a written script and are well-trained to present a scenario and/or respond to any concerns/questions you may have about a prescription or a patient. Assessors Assessors are pharmacists or PEBC certified pharmacy technicians who are trained to observe and evaluate your responses. Assessors use standardized scoring criteria and evaluation forms. There will usually be one assessor in each station. An additional assessor may be present in some stations. Assessors are instructed NOT to interact with the candidates. If you have any questions, you must direct them to examination staff, NOT to the assessors.


Non-interactive Stations There will be several stations of varying length that do not involve an SP/SC or SHP. These non-interactive stations require you to respond in writing (e.g., to identify errors or problems on prescriptions, answer a drug information request, etc). One of these stations will require you to perform a technical procedure common to pharmacy technician practice while being evaluated by an assessor. Outside of the non-interactive stations (except for the non-interactive station requiring you to perform a technical procedure) there will be a folder containing candidate answer sheets. Before entering the station, take one answer sheet from the folder and attach a bar code label in the space provided. When the start buzzer sounds you may enter the station and begin immediately. You will find the materials and references laid out on the work surface. Write or record your answers clearly in the space provided on your answer sheet. When you hear the final buzzer, stop writing, leave the answer sheet on the table and leave the station. Video Stations The exam also includes videotaped demonstrations of techniques such as compounding. In this section of the exam you will view video clips, evaluate what you are seeing and record your answers on answer sheets provided for these stations. You must attach one of your bar code labels in the space indicated. An invigilator will provide instructions for how to proceed through this section of the exam. In addition to answering questions about the videotaped procedures, there may be other written questions included in this section. Complete instructions will be provided by the invigilator.

Notes: It is your responsibility to place your bar code label in the designated space and properly complete the answer sheet within the allotted time.

Do NOT write in, or in any way mark, the reference materials

provided. Stop writing and leave the station when the final buzzer sounds. Do not

remove any of the materials.

Rest Station and Mid-session Break After completing the first half of the exam, there will be a 15 to 20 minute break in which you will move to the section of the examination you have not yet completed. During this


mid-session break you may use the rest rooms. Snacks and drinking water will be offered to you by examination staff. During your rest station, you may ask for permission from the examination staff to use the washroom facilities. Water will also be available during these rest stations.

Notes: You may NOT leave an examination station/room and return. You are permitted to use the washroom facilities only during rest

stations and the mid-session break, and only if accompanied by an examination staff person.

Please maintain the cleanliness of the rest stations and washrooms for

the benefit of all.

Sign-out Procedures and Dismissal Once all stations are completed, examination staff will escort you to the Sign-out area where you will be given 15-20 minutes to complete a feedback questionnaire, provided to you at that time. After completing the questionnaire you will be directed to sign out. At Sign-out you will be required to: • hand in your completed feedback questionnaire • turn in your Identification Badge in exchange for your ID / Card of Admission (official

receipt) • return your Candidate Notebook with attached bar code sheet, with no pages missing • hand in all other materials used during the examination • sign the register to indicate that you have completed all stations in accordance with

examination procedures and returned all examination materials • if required, wait for a short time under examination conditions and rules (known as

sequestering), if you are instructed to do so by examination staff** • retrieve your personal belongings when officially dismissed and permitted to leave ** You may be required to wait for an additional ½ to 1 hour before leaving. This is done to ensure that candidates entering the second sitting are admitted before candidates leave the first sitting. During this sequestering time, all examination regulations continue to be in effect: you are not to converse with other candidates, write on anything, use a telephone or leave the waiting area unless escorted.


Leaving the Examination You must leave the examination centre promptly when instructed to do so. You may NOT re-enter the examination centre once you leave. You are not allowed to remain on site to wait for rides, use washrooms or telephones, or for any other reason.


Examination Results Examination Scores Part I (MCQ) Each question is worth one mark. Despite our best efforts to ensure that each new examination has the same level of difficulty, it is inevitable that some examinations will prove to be slightly easier and some slightly more difficult. The specific number of questions that must be answered correctly in order to pass changes according to the difficulty of the examination. The standard setting process (described on the next page) accounts for variations in difficulty from one examination to the next, so that pass-fail standards will be fair and comparable from exam to exam. Part II (OSPE) In Part II, the non-interactive stations are computer-marked. Interactive station scores are based on three global ratings, which are on scales of 1 to 4: • Communications • Outcome • Overall Performance Assessors are trained to follow standardized criteria specific to the station task in providing these ratings. Communications ratings for all interactive stations are based on standard criteria, including: • attending to client’s needs, feelings (includes rapport, respect, empathy, listening) • using an organized approach • effectively using non-verbal communication • using appropriate language and verbal expression Outcome ratings are station-specific, but follow standard guidelines, including: • adequacy of information gathered or provided • identification of a drug-related problem and/or patient’s needs • safety and effectiveness of actions taken • degree of misinformation provided and/or degree of risk to patient Overall Performance ratings used for all stations are based on standard criteria, including: • the degree to which the problem is solved or task performed effectively • the acceptability of communications • clarity and accuracy of documentation, when required • accuracy and thoroughness of information provided by the candidate and the likely

outcome for the patient • whether or not the performance would result in any risk to the patient • quality of overall performance


Your ratings are added up for all stations to arrive at a total score. The passing score and all candidate scores are transformed to a standardized score scale to account for changes in difficulty from exam to exam. This ensures that scores and pass-fail standards will be comparable from exam to exam. Standard Setting for Part I (MCQ) The passing score on the PEBC Pharmacy Technician Qualifying Examination reflects the number of c orrect i tems a c andidate m ust ac hieve t o dem onstrate t he ne cessary knowledge level required to meet the minimum performance standard for the examination. The passing score or cut-score is determined by a pane l of subject matter experts who are selected to ensure that the process benefits from their experience, knowledge of the target population for the exam and diversity of practice. Using a w idely accepted method ( i.e., the Modified Angoff), the panel f irst identifies the characteristics of candidates thought to be “ borderline” or “minimally competent”. These individuals are thought to possess just enough knowledge to ensure that they can practice safely. With t hese c haracteristics in m ind, panel m embers r eview eac h t est item and estimate the proportion of minimally competent candidates that would get the item correct. The p rocess p rovides panel m embers t he oppor tunity t o d iscuss t heir r atings a nd ultimately arrive at a v alue which reflects the di fficulty level of the item for the borderline candidate. These ratings form the basis for establishing the cut-score for the examination. Finally, it is the candidate’s ability or performance compared to the standard set for the examination that determines whether the candidate passes or fails, not a comparison of how the other candidates performed on the exam. There is no built-in passing or failure rate for the examination. Standard Setting for Part II (OSPE) Based on a thorough review of the examination, station by station, a panel of practitioner experts familiar with the examination format and process follows a thorough and standardized process, led by an examination consultant, to determine the score that would be achieved by “borderline qualified” candidates for each scale in each station. The sum of these ratings across all scored stations in the examination becomes the passing score for that examination. This process is repeated for each examination and takes into account the variations in difficulty that may occur from one examination to the next.


Quality Assurance Processes for the Examination The Qualifying Examination questions and stations have been developed, reviewed, and pretested by several independent groups of practising pharmacists and PEBC certified pharmacy technicians. They are then refined and reviewed again to ensure that they function as required for assessing competence. Each form of the Qualifying Examination, Parts I and II, has been prepared according to the examination blueprint. It is then reviewed and approved for administration. PEBC examination staff perform and document quality control checks on each examination administration and scoring, ensuring that all procedures have been followed, that all data is complete and that scoring is accurate. Detailed analyses are conducted of the scoring and standard-setting results to confirm the reliability and validity of the results. Measurement experts review all documentation and analyses to confirm the reliability of the scores and validity of candidates’ final standing. Distribution of Results A letter advising you of your pass-fail results on either or both Parts I and II will be mailed from the PEBC office (to the address shown on your PEBC Identification/Card of Admission) by the following dates: November 30, 2010 for the August examination; May 16, 2011 for the March examination. For reasons of confidentiality, results will not be released by telephone, fax or email. Ensure that you provide PEBC with any change in your mailing address information. If you have not received your result within 2 weeks of the distribution of results date, please contact the PEBC office in writing. There will also be a posting on the PEBC website (www.pebc.ca) of a list of candidates by Identification Number, who have successfully passed either Part I (MCQ) or Part II (OSPE) of the Qualifying Examination, as well as a list of candidates who have passed both Part I (MCQ) and Part II (OSPE) and have achieved PEBC certification. Please note that this website posting will contain only candidates’ PEBC Identification Number and PEBC Registration Number. No other examination information will be posted. Do not contact the PEBC office for your result or if you have problems accessing the website. Board policy does not permit the release of actual overall examination scores or question/station content (including correct/incorrect responses) or passing scores. Scores are not reported for either Part I or Part II. Results are given on a pass/fail basis only indicating that either you have qualified or have not yet qualified for certification.


Note: To speed up the provincial registration of candidates whose licensure is waiting for PEBC certification, a list of successful registrants is forwarded to the provincial regulatory authorities at the same time as the release of individual results by mail.

Feedback Reports for Unsuccessful Candidates The Pharmacy Examining Board of Canada provides unsuccessful candidates with Qualifying Examination - Feedback Reports for either Part I (MCQ) and/or Part II (OSPE). These reports for unsuccessful candidates provide general feedback on a candidate’s performance according to the competency areas tested in the examination. This information is intended to help candidates to identify their areas of weakness so that they can focus further study and remediation accordingly, also keeping in mind the importance and weighting for each competency area in the examination (see Qualifying Examination Blueprint pages 57-58). Feedback reports for unsuccessful candidates are distributed no earlier than six weeks following the release of examination results. Feedback reports are not available for candidates who have passed the examination. The examination is not designed to be educational or diagnostic. Therefore, the Pharmacy Examining Board of Canada is unable to provide more detailed feedback. Re-Scoring of the Examination for Unsuccessful Candidates Unsuccessful candidates may request, in writing, one, final hand-scoring of either part of their examination. In this case, you must provide your PEBC Identification Number and the required fee, paid by cheque or money order (cash is not accepted). All such requests must be addressed to the Registrar-Treasurer and must be received within 60 days of the release of results of the examination. Later requests will NOT be accepted This hand-scoring is only to confirm correct data entry and tabulation of scores. Part I Re-scoring fee of $75 Part II Re-scoring fee of $150


Attempts at the Qualifying Examination

Candidates are permitted a maximum of three (3) attempts for each Part of the Qualifying Examination.

After three unsuccessful attempts, if you are able to present evidence, acceptable to the Board, of successful completion of remediation according to Board specifications, the Board is prepared to consider your petition for one final (fourth) attempt. Documentation confirming completion of remediation must be received at PEBC at least three weeks before the date of the examination.

MEETING THE APPLICATION DEADLINE: It is important to ensure that application form(s) for either part of the Qualifying Examination are received by the deadline dates (see page 5), even if your eligibility to take either part of the Qualifying Examination is conditional upon receipt of required remediation. Please do not wait for PEBC to acknowledge receipt of the above documentation, prior to sending your application(s). Applications received after the deadline will not be processed even if the pending documentation has been received prior to the examination dates.

If you fail your fourth (final) attempt at either part of the Qualifying Examination, you will not be permitted to retake the Qualifying Examination and therefore cannot proceed further toward Board certification. You are not permitted to attempt the PEBC certification process more than once. In other words, you cannot retake the Evaluating Examination and proceed again to retake either Part I (MCQ) or Part II (OSPE) of the Qualifying Examination. If you withdraw before the start of an examination, it does not count as one of your attempts at the examination. Once you have begun an examination sitting, it does count as one of your attempts. If you pass one part of the Qualifying Examination and fail the other, you may re-take the part you failed at a future scheduled examination session. You must submit a new application and fee for the required part.

Both Parts I and II of the Qualifying Examination must be successfully completed within a three-year period of passing one Part of the Qualifying Examination.


If you do not complete the process within this three-year time period, you will be required to apply to the Board asking for the opportunity to take the remaining part. If the examination and blueprint have changed significantly since you started the Qualifying Examination process, you may be required to complete both parts. “No Standing” Status If you must leave the examination early due to illness or another emergency situation and are unable to complete the examination, you may be granted a “no standing” status. The decision will be based on your written request and explanation along with valid documentation acceptable to the Registrar-Treasurer. In such circumstances, the sitting may be waived and not be counted as one of your attempts. Candidates are strongly encouraged not to attempt the examination and to make an appropriate withdrawal if, prior to the examination, they are ill or have extraordinary circumstances, including bereavement, that may affect their performance on the examination. Candidate requests for a no standing on the basis of medical conditions or compassionate grounds (such as bereavement) will NOT be considered, unless received by the Registrar-Treasurer within seven calendar days after the close of the examination. In order for the request to be considered, the appropriate official documentation must be provided. A causal link must be made between the serious medical condition or compassionate circumstances and the effect on the candidate’s performance on the examination.

Note: Petitions for special consideration received more than seven calendar days after the examination (e.g., upon receipt of a notice of an unsuccessful examination result) will NOT be considered.

Registration Once you pass both parts of the Qualifying Examination, your name will be entered into the Register of The Pharmacy Examining Board of Canada and you will receive a Certificate of Qualification printed in either English or French (as you choose). Until your Certificate is prepared, your letter of examination results can serve as official confirmation of your Board registration.


Please notify the PEBC office in writing of any address changes so that your Certificate will not get lost. If you have not received your Certificate within three months of being registered, you should write to the PEBC office to notify them of this. Reprinting of Certificates of Qualification Candidates who require replacement of their Certificate of Qualification, must submit a written request to PEBC, providing a statutory declaration explaining the reason for a reprint, together with a cheque or money order (made in Canadian funds) for $100. All payments from outside of Canada must be made in Canadian funds by international bank draft or money order, and drawn on a Canadian bank. Entitlement Once you are registered with the Board, you are entitled to use the approved official PEBC certificate designation: • in English, "RPEBC-[PT]" (i.e., "Registrant of The Pharmacy Examining Board of

Canada") • in French, "IBEPC [TP]" (i.e., "Inscrit au Bureau des examinateurs en pharmacie du

Canada").


Qualifying Examination Blueprint The following competency statements summarize and outline the knowledge, skills and abilities that you are expected to have acquired before you take the Qualifying Examination and that you are expected to demonstrate in answering the examination questions in Part I (MCQ) and completing the station tasks in Part II (OSPE). All of the Qualifying Examination questions and station tasks are linked to these competency statements. The proportion of each Part that focuses on the nine major competencies is shown, in the two columns on the left, as a percentage (%) of the total score for each Part. These percentages indicate the relative importance of each competency in the overall score and pass-fail standard for each Part of the Qualifying Examination. The statements listed below each Competency provide additional details regarding the competency. The Τ indicates that this component of the Competency is assessed in one or both Parts. The percentage indicates the relative importance of each Competency and the proportion of questions or score points related to the Competency in each Part. Part II percentage weights may vary by 10% from the percentage shown below. Part I (MCQ) %

Part II (OSPE)%

Pharmacy Technician Blueprint Competencies Parts I & II Overall %

7 9 1.Legal, Ethical & Professional Responsibilities 8 Unit 1.1 Meet Legal Requirements Unit 1.2 Uphold and act on ethical principles Unit 1.3 Demonstrate professionalism 4 11 2. Professional Collaboration and Team Work 8 Unit 2.1 Collaborate to meet patient health care needs, goals and

outcomes.

25 12 3. Drug Distribution: Prescription & Patient Information 18 Unit 3.1 Receive a prescription Unit 3.2 Process the prescription Unit 3.3 Transfer prescription authorizations to another pharmacy at

patients’ request

19 14 4. Drug Distribution: Product Preparation 16 Unit 4.1 Select, Prepare and Package products for release 7 23 5. Drug Distribution: Product Release 16 Unit 5.1 Ensure accuracy and quality of the final product

Unit 5.2 Collaborate with the pharmacist in the release of the product


Unit 5.3 Document all aspects of drug distribution activities 12 6 6. Systems & Inventory Control 9 Unit 6.1 Manage the drug distribution system Unit 6.2 Manage inventory 4 13 7. Communication & Education 9

Unit 7.1 Establish and maintain effective communication Unit 7.2 Provide information and education Unit 7.3 Document, in compliance with legislation, standards,

policies and procedures

11 4 8. Management Knowledge and Skills 7 Unit 8.1 Manage operations occurring within their practice

environment

Unit 8.3 Manage financial elements associated with the processing of prescriptions

11 8 9. Quality Assurance 9 Unit 9.1 Participate in quality assurance programs Unit 9.2 Ensure the safety and integrity of pharmaceutical products

100% 100% Total 100%


Qualifying Examination Design and Style Most of the style conventions of the Qualifying Examination will become evident as you work through the sample questions and stations provided in this booklet. Questions about drugs are based on issues that are relevant to practice, and include those most commonly prescribed or those recommended for use in a certain situation. Abbreviations and symbols used will be those an entry-level pharmacy technician should recognize and will be written in accordance with SI and other health care publications. Style Conventions - Part I (MCQ) SI Units: The answers in calculation questions and the majority of values presented will be in SI (metric) units. However, you may be required to convert from the avoirdupois or apothecary systems before performing your calculation in instances where the conversion factor should be commonly known by an entry-level pharmacy technician (e.g., pounds to kilograms). Drug Names: Generally a drug will be referred to by its generic or common name. In those instances where a specific trade name is used, its generic or common name will also generally be given. Language: Negative words, such as NOT, NEVER, and EXCEPT are capitalized and printed in boldface, in order to draw your attention to the kind of response expected. EXAMPLE: All of the following statements are correct, EXCEPT: Numeric Formatting: Decimal Separator In the English language (including Canadian English documents), a period is generally used as a decimal separator. EXAMPLE: two and four-tenths is represented by “2.4". In Canadian French documents, a comma is used as a decimal separator. EXAMPLE: two and four-tenths is represented by “2,4".


For formatting and consistency purposes, some numbers on the examination may include a dec imal point with a t railing zero (e.g., 5.0). In practice, the use of a t railing zero is strongly d iscouraged by t he I nstitute f or S afe M edication P ractices, du e t o t he r isk of misinterpretation. Thousands Separator In the English language (including Canadian English documents), a comma is generally used as a thousands separator. For example, two thousand five hundred is represented by “2,500". Sometimes no thousands separator is seen, for example, “2500". Often, when there are two numbers to the left of the thousands separator, a space is used. For example, twelve thousand five hundred may be represented by “12 500". In Canadian French documents, a space is used as a thousands separator, for example “2 500". PEBC has tried to standardize the numeric format on written examinations to use a comma as a thousands separator; however, as noted in various medical references, the other previously mentioned formats may also be seen.

In Summary: two thousand = 2,000 = 2000 = 2 000 Formulas: No formulas will be supplied. Molecular and atomic weights will be supplied when necessary. Standardized PEBC Calculators A PEBC standardized scientific calculator (SHARP Scientific calculator EL-510R), removed from its case, is provided to all examination candidates in Part I (MCQ). A picture layout of the calculator and basic instructions for use are enclosed in this booklet to assist you in familiarizing yourself with this calculator in advance of the examination date (see pages 70-71). This information will also be printed in each examination booklet. A PEBC standardized basic calculator is provided to all examination candidates in Part II (OSPE).


Format of Examination Questions - Part I (MCQ) The Qualifying Examination - Part I consists entirely of multiple-choice questions. You will be required to select the best answer from the responses listed. In some questions, you may believe there is a better answer than those provided. You should always mark the answer that is best among the responses that accompany the question. Classic Single-Answer Question (Type A) This type of question requires that you answer a question or complete a statement by choosing a single correct response of those provided, as in the following example:

According to the Narcotic Control Regulations of the Controlled Drugs and Substances Act, which of the following practitioners may prescribe narcotic drugs?

a. Veterinarians b. Nurse Practitioners c. Podiatrists d. Midwives ANSWER: a Many questions on the examination are in the format of cases or scenarios that may be encountered by pharmacy technicians in practice. These questions require the application of knowledge and judgement in selecting the single BEST response of those provided. The example below illustrates the thought process for deciding the BEST response for this type of question:

RD presents a prescription for levothyroxine 0.25 mg po once daily to the pharmacy technician. RD is new to the pharmacy but has had this drug before. The most appropriate initial pharmacy technician action is to: a. dispense as 25 mcg tablets once daily. [this is incorrect as 0.25 mg is not the

same as 25 mcg] b. dispense as 125 mcg tablets, take 2 tablets once daily. [this would not be an

appropriate initial action as levothyroxine 0.25 mg is an unusually high dose and should be investigated before dispensing]

c. contact the prescriber. [this would not be the most appropriate initial action as RD has taken this drug before and may be able to provide information on previous dosing]

d. confirm the previous dose with patient. [this is the most appropriate initial action as RD has taken levothyroxine before and may be able to provide information on previous dosing]

A selection of examples of multiple-choice questions (MCQs) is found on pages 63-69.


These examples are representative of the question format and phrasing style used in the examination, and the content of these sample questions is intended to illustrate a variety of the competency areas tested within the examination blueprint.


Sample Questions - Part I (MCQ) The s ample ques tions t hat f ollow ar e NOT intended o r des igned t o be a s ample examination and do NOT represent an exact model of the Qualifying Examination-Part I, in terms of difficulty and proportion of topics. However, individually, these examples are intended to be representative in format and phrasing style of the types of questions found in the Qualifying Examination-Part I. They also illustrate a variety of the competency areas contained in the examination blueprint. 1. RY is an 85 year old male, living alone, who takes 12 different medications. For the past 2

weeks he has telephoned to ask the pharmacy technician what dose of diuretic he should be taking (this medication looks similar to another tablet that he takes). He calls again today with the s ame q uestion. A fter a nswering hi s question, t he next m ost a ppropriate p harmacy technician action would be to: a. call RY’s family doctor to suggest changing the diuretic to something that looks different. b. suggest that RY have the labels on his prescription bottles changed to a bi gger f ont for

easier reading. c. recommend that the pharmacy use a blister packaging Dosett® to dispense RY’s

medications. d. suggest that RY write down the answer to his question so that he does not need to phone

again.

Answer: C Competency: 6.1 2. Auxiliary labelling for clarithromycin suspension should include which of the following? a. Shake well before using. b. Take with plenty of fluids. c. Avoid prolonged exposure to sunlight. d. Keep refrigerated.

. Answer: A Competency:4.1 I.

3. Which of the following drugs requires administration on an empty stomach? a Naproxen b. Levothyroxine c. Prednisone d. Nitrofurantoin

Answer: B Competency:4.1

4. According to the Narcotic Control Regulations of the Controlled Drugs and Substances Act, which of the following practitioners may prescribe narcotic drugs?

a. Veterinarians b. Nurse practitioners c. Podiatrists d. Midwives Answer: A Competency: 1.1


5. The ethical principle of veracity requires that pharmacy technicians: a. respect the rights of others to make choices. b. do good to patients, placing the benefit of the patient over other factors such as cost. c. act with fairness, to allow people to receive that to which they are entitled. d. act with honesty, without deception. Answer: D Competency: 1.2 6. Mr. Jones is working Saturday evening at his community pharmacy in a small village. He is

approached by a p atient w ho needs a r efill p rescription f or hi s phenytoin, and no refill authorization remains. The patient's doctor is out of town. Mr. Jones chooses to not refill the prescription since he feels that he may be at risk of being disciplined by his licensing body if he does not follow the law. Which of the following ethical principles may have been most violated if he does not provide any medication?

a. Confidentiality b. Beneficence c. Veracity d Justice Answer: B Competency: 1.2 7. Which of the following drugs does NOT require witnessed destruction?

a. Ketamine b. Propoxyphene c. Diazepam d. Gabapentin

Answer: D Competency: 1.1

8. The Canada Health Act (1984) embodies all of the following principles, EXCEPT: a. affordability. b. accessibility. c. portability. d. universality. Answer: A Competency: 1.1 9. ST is no longer satisfied with the service she has been getting at Pharmacy X, so she comes

to your pharmacy requesting a refill on a prescription for Ortho 7/7/7® that she originally had filled at Pharmacy X. What is the correct procedure for obtaining the remaining refills? a. The pharmacy must contact Pharmacy X to get the prescription refills transferred, and

document the transfer appropriately. b. The pharmacy cannot refill this prescription without phoning the prescribing physician. c. The pharmacy may refill the prescription and notify Pharmacy X within 24 hours that this

has been done. d. Inform ST that the prescription resides at Pharmacy X and she must return there for refills.

Answer: A Competency: 3.3


10. Which o f t he following ex amples shows a l egally c orrect r efill des ignation o n a w ritten

prescription for dexamphetamine? a. Repeat twice. b. Repeat monthly at 30 day intervals c. Repeat twice as required. d. Repeat twice at 14 day intervals. Answer: D Competency: 1.1 11. According to the Benzodiazepine and Other Targeted Substances Regulations, what is the

expiry date for a prescription for lorazepam? a. One month from the date written b. Six months from the date written c. One year from the date written d. Two years from the date written

Answer: C Competency: 1.1 12. A pharmacy technician is making a presentation on appropriate medication packaging to a

group of clients. Which of the following would be an indicator of the effectiveness of the presentation for an individual? a. Increase in number of prescriptions filled per month b. Reduced number of prescriptions filled per month c. Reduced number of prescription fill dates per month d. Prescription fill dates closer to expected fill intervals

Answer: D Competency: 6.1 13. All of the following are appropriate suggestions for a pharmacy technician to give to a patient

with allergic rhinitis from multiple environmental triggers, to minimize exposure to possible allergens, EXCEPT: a. open windows to get fresh air into the home. b. clean and vacuum on a regular basis. c. use mattress and pillow covers. d. remove any carpets, if possible.

Answer: A Competency: 7.2 14. A vertical laminar flow hood would be the best choice when preparing a parenteral formulation

of: a. aminophylline. b. doxorubicin. c. magnesium sulfate. d. nitroglycerin. Answer: B Competency: 4.1


15. A patient i s c urrently t aking 220 m g of anhydrous z inc s ulphate. T o r eceive the equivalent

amount of elemental zinc, how many milligrams of zinc sulphate heptahydrate (·7 H20) would the patient have to take? (Molecular weights: zinc 65, ZnSO4 161, H20 18)

a. 220 mg b. 300 mg c. 392 mg d. 545 mg Answer: C Competency: 3.2 16. In t he International System of Units (SI), most drug levels are to be reported in the units of

micromoles/litre ( µmol/L). T he t herapeutic c oncentration r ange for t heophylline ( molecular weight 180) is 10-20 µg/mL. The SI equivalent would be:

a. 27 - 55 µmol/L. b. 55 - 110 µmol/L. c. 110 - 220 µmol/L. d. 180 - 360 µmol/L. Answer: B Competency: 3.2 17. Given that 30 g of a mild corticosteroid ointment covers the entire surface of any adult for one

application, how much ointment (in grams) should be dispensed for an 18 year old patient who requires treatment on approximately 20% of her body with twice daily application for 14 days? a. 64 g b. 84 g c. 124 g d. 168 g

. Answer: D Competency: 3.2

18. BV is a 62 year old, obese female who visits a walk-in-clinic while her physician is away on vacation. She presents the following prescription:

Losec® (omeprazole) 30 mg M: 30 Sig. i daily

The pharmacy technician knows that this product is only available in 10 mg, 20 mg or 40 mg strengths and that BV’s profile shows that she was previously on the 20 mg strength of this medication. The most appropriate pharmacy technician response is to: a. tell BV that the physician has made a prescribing error. b. ask BV why she visited the clinic today and what the physician told her about the

prescription. c. dispense using omeprazole 10 mg and adjust the quantity and dose accordingly. d. recommend to BV that she wait to see her regular physician when he returns.

Answer: B Competency: 4.1


19. During a busy period in the pharmacy, a regular patient comes in for refills of amlodipine,

hydrochlorothiazide and atorvastatin. Inadvertently, the vial he receives for atorvastatin contains atenolol instead. If this error is not identified and corrected, what is the most likely effect to be experienced by this patient? a. Diarrhea b. Heartburn c. Blurry vision d. Lightheadedness

Answer: D Competency 3.2 20. Which of the following is LEAST appropriate to consider when a hospital pharmacy manager is

assigning responsibilities for pharmacy technicians in the department? a. Communication and interpersonal skills of the individual b. Advanced training or credentials of the individual c. Individual’s record of sick days taken over the past year d. Willingness of the individual to upgrade learning and skills

Answer: C Competency: 8.1

21. Which of the following pharmaceuticals is regulated federally under the Precursor Control

Regulations of the Controlled Drugs and Substances Act, as a precursor chemical for illicit drug use? a. Dextromethorphan b. Dimenhydrinate c. Diazepam d. Pseudoephedrine

Answer: D Competency1.1 22. A patient has been taking an opioid analgesic for the past three months for back pain resulting

from a workplace injury. All of the following behaviours might indicate a developing addiction disorder, EXCEPT: a. incidents of lost prescriptions. b. frequent requests for early refills. c. prescriptions from multiple family physicians. d. patient concerns regarding side effects.

Answer: D Competency: 1.2 23. MT, a phar macy technician, has w orked i n a c ommunity pharmacy for 5 y ears. He is we ll-

trained and w elcomes new l earning opportunities. H is m anager, now w anting to delegate a new technical project to him, should do all of the following except:

a. discuss suggested steps to accomplish the project. b. negotiate a time schedule for completion of the project. c. provide support and follow-up as required. d. change staff schedules without consultation. Answer: D Competency: 8.1


24. Which financial statement could be used to determine the total value of prescription drug sales for a pharmacy for a period of a year?

a. Balance Sheet b. Statement of investments c. Statement of changes in financial position d. Income statement Answer: D Competency: 8.3 25. Which of the following criteria should be considered when reviewing a medication for addition

to the hospital formulary? a. The amount of samples provided to hospital physicians b. Research funds donated to the hospital by the pharmaceutical company c. National adverse drug reaction reports d. Whether it is a gluten-free oral formulation

Answer: C Competency: 8.3

26. In deciding what medications are appropriate for its formulary, the hospital must consider a drug’s

efficacy, associated workload, and acquisition cost. S everal new intravenous antifungal agents (drug A , dr ug B, dr ug C, and drug D ), all w ith equal e fficacy to drug E , have recently become available. Currently the hospital stocks drug E, which has been available for several years. Data for the medications is as follows:

Drug Cost/day Dosing frequency Treatment Duration (days) A $2.50 QID 14 B $2.25 once daily 14 C $5.00 BID 7 D $2.25 BID 7 The most appropriate choice for the hospital is: a. Drug A. b. Drug B. c. Drug C. d. Drug D. Answer: D Competency: 8.3


The next section includes EXAMPLES OF THE CASE SCENARIO FORMAT, in which there are t wo or m ore qu estions i n sequence, w hich a re r elated t o t he p atient i nformation provided in the (bolded) stem information shown at the top of the case. QUESTIONS 27 TO 28 INCLUSIVE REFER TO THE FOLLOWING: SM is a 34 year old female who, while vacationing in Mexico, began prophylactic treatment for t ravellers' d iarrhea. S hortly t hereafter s he co mplained o f a f eeling o f fullness in he r ears, black stools and a black tongue. 27. Which of the following drugs could be the cause of SM's complaints? a. Bismuth subsalicylate b. Cotrimoxazole c. Diphenoxylate d. Loperamide Answer: A Competency: 3.2 28. Which of the following antibiotics could be prescribed for her to prevent travellers’ diarrhea? a. Ciprofloxacin. b. Tetracycline. c. Erythromycin. d. Amoxicillin Answer: A Competency: 3.2


Layout Of Calculator Used For PEBC Written Examinations

Sharp Scientific Model EL-510R

ON/C (for On or Clear)

This key is framed in red.

2nd F (Second Function)

Press to access a function shown in

yellow above a key.

For Functions such as log ln 10x ex etc. (shown in

yellow above a key)

Press 2nd F key first.

These 3 keys (framed in white)

are used to store and recall memory.

= (Equal Sign)

Press to display answer.


Basic Instructions For Calculator Use To turn on calculator, press ON/C (“on/clear”) key (at top right corner, framed in red). To turn off calculator, first press 2ndF key (circle at top left corner), then press ON/C key. Initial setup (preset for this exam), use Normal Mode selection, that is, to perform arithmetic and function calculations: first press 2ndF (top left corner) key, then press MODE (key second from left which says “DRG”), then press ZERO key (bottom left corner). To clear the visual display window, you have 2 choices of clearing methods:

1. Press ON/C(on/clear) key (top right corner, framed in red). OR:

2. First press 2ndF (top left corner) key, then press CA (second from top right) key. Arithmetic operations (use for addition, subtraction, multiplication, division):

Press desired number, then operation sign, then desired number, then “ = ” (bottom right) e.g., 56 X 2 = (window shows answer of 112)

To use a “Second function” shown in YELLOW colour above a key, first press 2ndF key (circle at top left corner). Note: the location of these second functions may differ from some other models. e.g., Log and Ln operations: (using 2nd F yellow keys above “1" and “2" keys respectively)

e.g., to calculate ln (5.7) Press 2ndF (circle key, top left), then “ln/2" key, then desired number, then “ = ” “2ndF” “ln/2" “5.7" “=” (window shows answer of 1.740466175)

e.g., Antilog (10x) function: (using 2nd F yellow key above “0" key (bottom left corner)

Press 2ndF (circle key, top left), then “0" key (with 10x above it), then desired number, then “ = ” To Edit (i.e., used if you want to change an entry), press either arrow key (top row, centre) to move the cursor forward or back.

To delete a number, move the cursor to the number you wish to delete, then press DEL key (near top right).

To insert a number, move the cursor to the place immediately after where you wish to insert, then enter (type) the number.

To Store and Recall Memory (using set of 3 keys “RCL” “STO” and “M+” shown in white box on right side of third row of keys):

Press desired number or operation, then “STO” and “M+” to store in the memory. e.g., ON/C 8 X 2 STO M+ [stores answer of 16 in memory]

Press desired number or operation, then “RCL” and “M+” to recall from the memory. e.g., 24 ÷ RCL M+ = [gives an answer of 1.5 to the question 24 ÷ (8X2) ]


Format of Examination Stations - Part II (OSPE) The Qualifying Examination - Part II consists of both interactive and non-interactive stations. Each station will require that you complete one or more short tasks such as: • responding to questions from a “Standardized Patient” or “Standardized Client” or

“Standardized Health Professional” • interacting with a “Standardized Patient” or “Standardized Client” or “Standardized

Health Professional” to resolve a drug-related problem or ethical dilemma • responding to a message or request for information or advice • screening / evaluating new prescriptions • checking dispensed prescriptions for accuracy prior to their release In any situation, you are expected to use your professional and/or ethical judgement, and act in the best interests of the patient, in order to provide safe and effective patient care. In most instances, you are required to assist the client while the client is present in the station, NOT simply refer the client to another health professional nor indicate that you will call them back later with your response. Two station examples, which are representative of the formats for three interactive stations and two non-interactive stations, are found on pages 74-81.


References - Part II (OSPE) Stations (The most current edition of the following references or excerpts thereof may be provided in the stations): Compendium of Pharmaceuticals and Specialties (CPS), Canadian Pharmacists

Association (most current or second most current edition) OR relevant e-CPS monographs or excerpts.

Patient Self-Care (PSC), Canadian Pharmacists Association OR excerpts (photocopied pages).

Natural Medicines Comprehensive Database, text or web site: www.NaturalDatabase.com

Health Canada publications

Other professional references, where appropriate.

Reminder: Part II (OSPE) examination is “open book”, but candidates may only use the references which are provided in the stations. Candidates should become familiar with these (listed) references in order to use them efficiently, if provided. Some of the written prescriptions in stations may have only the drug’s trade name or generic name. Note that trade and generic drug names are cross-referenced in the green page section near the front of the CPS.


Sample Stations - Part II (OSPE) Qualifying Examination - Part II (OSPE) SAMPLE STATION #1 Interactive Station (with a Standardized Patient) involving nonprescription medication TITLE: Travellers’ Diarrhea OBJECTIVES • To identify a potential drug allergy and refer patient to pharmacist to discuss the most

appropriate therapy. • To answer a patient’s questions about a nonprescription medication and other options to treat

travellers’ diarrhea. COMPETENCIES TESTED Competency 2 Professional Collaboration and Team Work Unit 2.1 Collaborate to meet patient health care needs, goals and outcomes Element 2.1.2 Participate in the circle of care to promote patient health and wellness. Element 2.1.3 Cooperate with and show respect for all members of the inter-professional team. i. make expertise available to others. ii. share relevant information. iii. contribute to achieving mutually determined goals and objectives. iv. support other professionals and accept their support to optimize health outcomes.

Element 2.1.4 Refer patients to other health care professionals when required. i. determine if referral is necessary. ii. collaborate with the pharmacist to identify the most appropriate health care provider for

referral. iii. recognize and refer situations requiring the knowledge, skills, and abilities of a pharmacist to

the pharmacist. iv. work with other health care providers to achieve the desired health outcomes.

Competency 7 Communication and Education Unit 7.2 Provide information and education Element 7.2.4 Assist patients to select and use drug administration devices, diagnostic and monitoring devices, home health aids, and other non-drug measures.


CANDIDATE’S INSTRUCTIONS A patient is coming in to ask your advice regarding medication for travellers’ diarrhea. She is leaving tomorrow for a tropical vacation. Assist her as you would in practice. Time Frame: You have 6 minutes to complete this station. SCENARIO DESCRIPTION A young woman is busy with last minute preparations for a vacation at a coastal resort in Jamaica where she plans to enjoy the beach and take some tours. The day before leaving she goes to her regular pharmacy to ask about some non-prescription medication to treat travellers’ diarrhea, having been advised by her travelling companion, who has been in Jamaica before, that there is a high risk of getting it. Client: Standardized Patient - Amy Kletchko, female, ambulatory, 22 years old Behaviour, Affect and/or Mannerisms Required: You are pleasant, excited, and have confidence in the pharmacy technician.

Client’s Opening Statement: “Hi...I’m leaving tomorrow morning for a vacation in Jamaica. I’d like to take something along in case I get travellers’ diarrhea. My friend gave me a bottle of Pepto Bismol tablets. Would that be a good choice for me?” Client Information (no patient record – patient gives this information on request): Name: Amy Kletchko Age: 22 years old Allergies: acetylsalicylic acid (ASA, Aspirin) – hives and shortness of breath Current Medications: none Social/lifestyle: • Non-smoker. • Moderate drinker – 3 or 4 drinks per week. History: • Your skin burns quite easily when out in the sun. • You have purchased a good sunscreen and a sun hat. • When you took aspirin (ASA) you broke out in hives and experienced shortness of breath. • It happened when you were 9-10 years old. • You have never had allergy tests because you have not reacted to anything else or

experienced these symptoms since then. • You have a MedicAlert bracelet (for your ASA allergy) – you don’t always wear it. • You try not to take medications unnecessarily – you use pressure points and drink water when

you get a headache. • You have never travelled outside of Canada and the United States before. • You are going to a Jamaican beach resort for a week. • Your travel partner told you to get something to treat travellers’ diarrhea in case you get it,

because it happens quite commonly in Jamaica. • Another friend gave you her unused Pepto Bismol, which she took along with her on a cruise,

and suggested you might be able to use it. • You want to be sure it’s good for travellers’ diarrhea, so you are asking for some information

when in the pharmacy to pick up some last minute supplies.


STANDARDIZED PATIENT (SP) INSTRUCTIONS a) If the candidate says to avoid taking Pepto Bismol but does not explain why, the SP will

ask: “Why is Pepto Bismol not a good choice?”

b) If the candidate only refers the SP to the pharmacist, without identifying other options, the

SP will ask: “What else do you have for travellers’ diarrhea?” c) If the candidate does not discuss non-drug measures to treat travellers’ diarrhea, the SP

will ask: “Is there anything else I should do?”

d) By the 4 1/2-minute mark, if candidate has not answered the opening question about

Pepto Bismol and/or simply recommends something else, the SP will say: “I was just wondering if Pepto Bismol would be okay (instead of buying something else).”

STATION MATERIALS Reference: CPS Nonprescription Medications:

Pepto Bismol tablets Imodium tablets or caplets Kaopectate tablets

ASSESSOR GUIDELINES FOR SCORING CANDIDATES’ PERFORMANCE Problem Solved (full solution) if candidate: Determines ASA allergy. Cautions: do NOT take Pepto Bismol AND links the caution to ASA allergy. Identifies other options: a product without ASA / salicylate (Imodium/Kaopectate) AND non-drug measures (fluids, electrolyte replacement). Refers to the pharmacist: to determine the most appropriate therapy, including other options such as Dukoral, prescription options/antibiotics. Solved/Marginal (partial solution) if candidate: Determines ASA allergy. Cautions: do NOT take Pepto Bismol, but does NOT link to ASA allergy. Identifies other options: a product without ASA / salicylate (Imodium/Kaopectate) OR non-drug measures (fluids, electrolyte replacement), NOT both. Refers to the pharmacist: to determine which product (Imodium or Kaopectate) is the best choice (does not mention other options). Uncertain (unsolved/marginal) if candidate: Determines ASA allergy AND Refers to pharmacist to discuss therapy, but does NOT answer patient’s questions about Pepto Bismol and other options. OR Answers patient’s questions about Pepto Bismol and other options but does not refer to the

pharmacist to discuss therapy.


Unsolved if any of the following apply: Does NOT determine ASA allergy. Agrees that Pepto Bismol can be taken. Simply refers patient to the pharmacist or a doctor (without determining ASA allergy or answering patient’s questions).

CHECKLIST Identify a potential drug allergy and refer patient to the pharmacist to discuss the most appropriate therapy 1. Asks about other medications, medical conditions. 2. Determines/confirms ASA allergy. 3. Cautions : Do NOT take Pepto Bismol.

4. Links Pepto Bismol caution to ASA allergy, explaining that Pepto Bismol:

� contains a salicylate / ASA-like substance □ may also cause an allergic reaction (as occurred previously with ASA)

5. Refers to pharmacist to discuss therapy (after determining ASA allergy) :

� to determine most appropriate therapy including other options such as Dukoral, prescription options/antibiotics

� to determine which product (Imodium or Kaopectate) is best Answer a patient’s questions about a non-prescription medication and other options to treat travellers’ diarrhea 6. Identifies other options :

� a product without ASA/salicylate (Imodium, Kaopectate) � non-drug measures to treat travellers’ diarrhea (increased fluids, electrolyte beverages such as

Gatorade, etc.).

7. Indicates appropriate dosing, as printed on package (for Imodium or Kaopectate). 8. Suggests non-drug measures to prevent diarrhea (e.g., treated water/ice, peeled/washed fresh fruits and

vegetables). 9. Recommends immediate medical attention for (persistent) diarrhea (with fever, blood in stool, abdominal

pain, persistent vomiting). 10. Discusses wearing a MedicAlert bracelet/ tag with (ASA) allergy information (at all times).

11. Simply refers to pharmacist or a doctor (without determining ASA allergy or answering patient‘s questions.

(unsolved)

12. Agrees that Pepto Bismol can be taken. (unsolved)

COMMUNICATION RATING: Final (overall) Communication Rating is based on these four dimensions: 1. Responds to client's needs / feelings – professional / respectful. 2. Organized, logical, flexible approach – focuses the interaction. 3. Nonverbal communication – engages client / enhances dialogue. 4. Language / verbal expression clearly understood by client.


RATINGS (to be based on the Assessor Information above and standard PEBC scoring guidelines)

Communications

Acceptable

Acceptable/Marginal

Unacceptable/Marginal

Unacceptable

Outcome

Problem Solved

Solved/Marginal

Uncertain

Unsolved

Performance

Acceptable

Acceptable/Marginal

Unacceptable/Marginal

Unacceptable

Misinformation

Risk


Qualifying Examination - Part II (OSPE) SAMPLE STATION #2 Non-interactive Station TITLE Checking Dispensed Prescriptions OBJECTIVE To check dispensed medications and identify any corrections that must be made

before the medications can be released. COMPETENCIES TESTED Competency 5 Drug Distribution Unit: Ensure accuracy and quality of the final product. Element: Verify the product against the prescription and /or formulation information. i. using an independent double check. ii. document actions taken. CANDIDATE’S INSTRUCTIONS 1. When you enter the station: ● You will find your exam paper facedown on the desk/table. Turn it over and begin

immediately. ● Attach only one (1) bar code label to the exam paper in the space indicated. ● Find the reference materials, dispensed medications and corresponding written

prescriptions on the desk/table. The following dispensed products have been left for you to check before releasing them to the patient. The written prescriptions and corresponding dispensed products are provided on the desk / table. For each prescription, your tasks are to: I. Check the dispensed products to identify problem(s), if any, to be resolved. Select all that apply from

the choices given. II. Check the prescription label to identify error(s), if any, to be corrected. Select all that apply from the

choices given. III. Select the appropriate auxiliary label(s), if applicable

2. When the final buzzer/signal sounds ● Stop writing immediately ● Place your completed exam paper (exam side out of view) in the folder that is mounted on

the outside of the station door/wall.


Time Frame: You have 6 minutes to complete this station.

WRITTEN PRESCRIPTIONS (only one example is provided; there will be four prescriptions in total) Sample Rx1

Sample Label

For Veda Simmonds 24 Anystreet

Current date

Tylenol #3 Sig: 1 or 2 tablets every 6 hours

if needed for pain Mitte: 30 tablets Assume physician’s Dr. N. Wong signature is original

N. Wong, MD.

Rx1 Dr. N. Wong Vera Simons Current Date Take one or two tablets every six hours if needed for pain. Acetaminophen Compound/codeine 30mg (Tylenol #3) 30 tablets

Important: • You are not to physically correct any problem. Only record the necessary correction(s) in the

space provided on the exam paper. • Do not mark the product labels, reference materials, or written prescriptions in any way. • The prescriptions are correctly written and any therapeutic problems have been resolved. • The omission of auxiliary labels is not to be considered a problem. • Do not write over any bubbles on the answer sheet as it will render the exam sheet invalid.


CANDIDATE ANSWER SHEET FORMAT

Q1.

О О О О О О О

PRODUCT Rx 1 – problem(s): Select all that apply. A. wrong drug B. wrong strength C. wrong dosage form D. wrong ingredient E. wrong quantity F. wrong packaging G. no problem(s) –

product is correct

Q2.

О О О О О О О О

LABEL Rx 1 – error(s): Select all that apply. A. patient name B. physician name C. drug name D. drug strength E. drug dosage form F. drug quantity G. directions H. no error(s) –

label is accurate

Q3.

О О О О

AUXILLARY LABEL Rx 1 – error(s): Select all that apply. A. Take with food B. Refrigerate C. May cause drowsiness D. Take on an empty stomach

STATION REQUIREMENTS CPS Printed prescriptions Dispensed prescriptions and stock bottles


Pharmacy Technician References and Learning Resources • Latest Edition •

General Reference Information The Pharmacy Examining Board of Canada does not endorse any preparatory course of any kind whatsoever, and any pretence by an individual or group in making such a claim is liable to legal prosecution. It is the candidate’s responsibility to utilize suitable reference materials and other resources in preparation for the Pharmacy Technician Evaluating Examination. You should identify your personal learning needs in accordance with the examination blueprint (and consideration, if applicable, of feedback from any previous examination attempt). It is important for pharmacy technicians seeking to become registered to continually stay up to date with current pharmacy technician practice issues. This includes staying current as new developments reach practice and the workplace. It is important for candidates to use current information (including most current textbook editions) when preparing for the Pharmacy Technician Evaluating Examination. From t ime to t ime, addi tional reference and learning resource suggestions may appear on the PEBC website. In addition to your pharmacy technician training and personal learning, the ideal tool for acquiring Canadian pharmacy practice skills is to undertake "hands on" practice experience working in a Canadian pharmacy setting with direct patient care services. Practice experience will offer insights into the role of the pharmacy technician in day-today patient care in the field of pharmacy, the Canadian health system, legal, professional and ethical issues, technical and other practice scenarios. Reference Listings The following listings are intended as a gene ral guide and c over a v ariety of topics and may be hel pful t o y ou as y ou prepare t o t ake t he Pharmacy T echnician Evaluating Examination. This list of references is oriented to the needs of pharmacy technicians and covers a w ide variety of pharmacy topics, but i t is NOT intended to serve as a detailed syllabus nor should it be assumed t hat t hese r esources are t he source of examination questions. Y ou ar e s trongly adv ised t o be f amiliar w ith r eferences t hat y our pr ovincial regulatory authority mandates for all pharmacies in your province. Listings are presented in the following four sections: • pharmacy technician review guides, • pharmacy practice references, • pharmacy technician textbook references, • internet resources (including federal legislation)


Review and Study Guides for Pharmacy Technicians: The following review guides are broad in scope and cover many subject areas related to pharmacy t echnician e ducation an d pha rmacy pr actice issues. N ote t hat f or A merican references drug names and uni ts of measure may be di fferent in Canada. Federal l aw review ques tions m ust be av oided as t hey ar e bas ed on A merican l egislation, not Canadian.

Complete Review for the Pharmacy Technician, by Posey, American Pharmacists Association. Manual for Pharmacy Technicians, by Fred, American Society of Health-System Pharmacists. Pharmacy Practice for Technicians, by Ballington and Anderson EMC/Paradigm Publishing. Pharmacy Technician Certification Quick-Study Guide, by Marks and Hopkins, American Pharmacists Association. Pharmacy Technician Certification Review and Practice Exam, by Fred, American Society of Health-System Pharmacists. Pharmacy Technician Workbook: A Guidebook for Pharmacy Technicians, American Society of Health-System Pharmacists. Certification Review for Pharmacy Technicians, by Reifman, Certification Review The Pharmacy Technician, Morton Publishing Company. The Pharmacy Technician, Foundation and Practices, by Johnston, Pearson Publishing. The Pharmacy Technician Skills-Building Manual, by Snipe, American Pharmacists Association. The Pharmacy Technician Workbook and Certification Review, American Pharmacists Association.


Pharmacy Practice References (current editions) The following references are published by The Canadian Pharmacists Association, Ottawa, ON (www.pharmacists.ca) and may be ordered by phone: 1-800-917-9489 (Canada only) or 613-523-7877

Compendium of Pharmaceuticals and Specialties (CPS), Canadian Pharmacists Association. Useful overview information is found on the front page “CPS At a Glance” and by checking the “Table of Contents” listing of information sections and topics. Guide to Drugs in Canada, ed. by Raman-Wilms, Canadian Pharmacists Association. (This is a home reference guide to help patients with taking medications.) Herbs Everyday Reference for Health Professionals, ed. by Chandler, Canadian Pharmacists Association. Pharmacy Management in Canada, ed. by Bachynsky and Segal, Canadian Pharmacists Association. Safe and Effective: The Eight Essential Elements of an Optimal Medication-Use System, ed. by MacKinnon, Canadian Pharmacists Association.

http://www.pharmacists.ca/�


Reference Listings (current editions) The listings shown here are textbook references some of which are utilized as resources in accredited Canadian pharmacy technician programs. Some of the references are also used by practicing pharmacy technicians in their various workplace settings. Biomedical and Pharmaceutical Sciences

The Human Body in Health and Illness, by Herlihy and Maebius, Saunders. Anatomy and Physiology Made Incredibly Easy, by Springhouse Corporate Staff, Lippincott, Williams and Wilkins. Taber’s Cyclopedic Medical Dictionary, F.A Davis Company. Medical Terminology Essentials, by Ettinger and Burch, EMC/Paradigm Publishing. Medical Terminology: An Illustrated Guide, by Cohen, Lippincott Williams & Wilkins. Core Concepts in Pharmacology, by Holland and Adams, Prentice Hall. Pharmacology for Technicians, by Ballington and Laughlin, EMC/Paradigm Publishing. Hole’s Essentials of Anatomy and Physiology, by Shier, Butler and Lewis, McGraw-Hill. Merck Manual of Medical Information: Home Edition, Merck Publishing Group. Pharmacology for Pharmacy Technicians, Moscou and Snipe, Mosby Elsevier. The Language of Medicine, by Chabner, WB Saunders.

Pharmacy Practice

Clinical Calculations: A Unified Approach, by Daniels and Smith, Thomson Delmar Learning. Complete Math Review for the Pharmacy Technician, by Hopkins, American Pharmacists Association. Pharmaceutical and Clinical Calculations, Khan and Reddy, CRC Press.


Pharmacy Calculations for Technicians, by Ballington and Green, EMC/Paradigm Publishing. Pharmacy Certified Technician Calculations Workbook, American Pharmacists Association. Pharmaceutical Calculations for the Pharmacy Technician, by Lacher, Lippincott Williams and Wilkins.

Compounding and Sterile Products

Art, Science and Technology of Pharmaceutical Compounding, by Allen, American Pharmacists Association. Compounding, The Pharmacy Technician Series, by Johnston, Pearson Prentice Hall. Sterile Products, The Pharmacy Technician Series, by Johnston, Pearson Prentice Hall.

Dispensing and Prescription Processing U.S.P. Dispensing Information (USP DI Drug Reference Guides – 3 volumes), Micromedex Thomson Healthcare Inc. (separate volumes are available in print or Desktop series is available on CD-ROM- Vol. 2: Detailed Drug Information for the Consumer. Martindale The Complete Drug Reference, by Sweetman, The Pharmaceutical Press. Remington: The Science and Practice of Pharmacy, Lippincott Williams and Wilkins.

Social, Behavioural and Administrative Pharmacy

Ethical Practices in Pharmacy: A Guidebook for Pharmacy Technicians, by Buerki and Vottero, American Institute of the History of Pharmacy. Looking Out/Looking In, by Adler and Towne, Harcourt Brace College Publishers. Supervision: A Pharmacy Perspective, by Wick, American Pharmaceutical Association Publications. Pharmacy: An Introduction to the Profession, by Posey, American Pharmacists Association.


Communication Skills in Pharmacy Practice, ed. by Tindall, Beardsley, Curtiss, Lippincott Williams and Wilkins. Focus on Safe Medication Practices, Rantucci, Stewart and Stewart, Lippincott Williams and Wilkins.

A Practical Guide to Contemporary Pharmacy Practice, by Thompson and Davidow, Lippincott Williams and Wilkins. Hospital Pharmacy Procedures, Pharmacy Technician Consultants Public Health and Preventative Medicine in Canada, by Shah, Elsevier. Pharmacy Ethics, by Smith et al, Pharmaceutical Products Press. Pharmacoethics A Problem-Based Approach, by Gettman and Arneson, CRC Press.

Ethical Issues in Pharmacy, by Weinstein, Lippincott Williams and Wilkins.


Internet Resources The following listings include a selection of websites with specific kinds of information such as current legislation, pharmacy practice resources, and other timely topics which are useful to practising pharmacy technicians and those who are seeking licensure as pharmacy technicians in Canada. Note that provincial regulatory authorities other than those listed may offer similar resources that you can access. Government Websites Helpful For Pharmacy Practice Health Canada www.hc-sc.gc.ca

Federal le gislation, w hich gov erns t he D rugs S trategy a nd C ontrolled Substances P rogramme of H EALTH C ANADA’s H ECS “ Healthy E nvironments and C onsumer S afety” d irectorate, includes t he f ollowing ac ts and regulations which pertain to pharmacy practice in Canada: Canada Health Act - From menu at left, click on “Health Care System”, then click on the link for: Canada’s Health Care system: Canada Health Act information.

From main page, use the search button at the top to find information on: • Food and Drugs Act and Regulations (with sections relating to prescription

and nonpr escription dr ugs and c ontrolled s ubstances), a nd S chedules (including Schedule G-Controlled Drugs)

• Controlled Drugs and Substances Act (CDSA) and Regulations (including Precursor Control Regulation)

• Narcotic Control Regulations • Benzodiazepines and Other Targeted Substances Regulations • Marijuana Medical Access Regulations

MedEffect: Advisories, Warnings and Recalls and Canadian Adverse Reaction Newsletter, under Health Canada’s “Drugs and Health Products”, click on “MedEffect”

Canadian Agency for Drugs and Technologies in Health www.cadth.ca

• Useful links include “ Common D rug R eview” and “ Canadian O ptimal Medication Prescribing and Utilization Service”

Privacy Legislation www.priv.gc.ca

• See l ink for P ersonal I nformation P rotection and E lectronic D ocuments A ct (PIPEDA)

http://www.hc-sc.gc.ca/�

http://www.cadth.ca/�

http://www.priv.gc.ca/�


National Association of Provincial Regulatory Authorities www.napra.org

o Useful links include the following: Pharmacy Practice and Regulatory Resources

o Pharmacy Operation Resources o Pharmacy Practice Resources:

Professional Competencies for Canadian Pharmacy Technicians at Entry to Practice

Canadian Adverse Drug Reaction Monitoring Program Drug Information Resources Drug Warnings for Consumers Minimizing Medication Errors Privacy Legislation

Federal Drug Legislation (and recent changes) National Drug Schedules (I, II and III) Licensing/Registration

Canadian Pharmacists Association (CPhA) www.pharmacists.ca

e-CPS (online CPS) e-Therapeutics + (online, current drug and therapeutic information)

Resources and Learning Tools Available on PRA websites:

Please refer to your Provincial Regulatory Authority (PRA) website (see listing on PEBC website) for further information on pharmacy technician resources. Please visit websites regularly, for updates and corrections.

http://www.napra.org/�

http://www.pharmacists.ca/�


Online Professional Practice and Information Resources: Canadian Association of Pharmacy Technicians (CAPT) www.capt.ca Canadian Council for Accreditation of Pharmacy Programs (CCAPP) www.ccapp-accredit.ca Canadian Society of Hospital Pharmacists www.cshp.ca Institute for Safe Medication Practices www.ismp.org click on “Medication Safety Tools and Resources” section National Coordinating Council for Medication Error Reporting and Prevention www.nccmerp.org Canadian Patient Safety Institute www.patientsafetyinstitute.ca From time to time, additional links may be updated on the PEBC website: (www.pebc.ca) For Information about Continuing Education (CE) Learning Canadian Healthcare Network (www.canadianhealthcarenetwork.ca) This website provides access to online CE lessons through Pharmacy Gateway, including Tech Talk CE lessons. Pharmacy Technician’s Letter (www.pharmacytechniciansletter.com ) rx Briefcase (www.rxbriefcase.ca) This website includes links to various CE learning resources, including Pharmacy Gateway and rxBriefCase. When choosing to self-study using CE learning modules, it is important for a candidate to self-assess the wide range of available pharmacy practice learning topics and make selections to ensure that: 1) individual gaps in knowledge will be addressed, and 2) topics selected reflect those seen most frequently in patient care practice settings.

http://www.capt.ca/�

http://www.ccapp-accredit.ca/�

http://www.cshp.ca/�

http://www.ismp.org/�

http://www.nccmerp.org/�

http://www.patientsafetyinstitute.ca/�


http://www.canadianhealthcarenetwork.ca/�

http://www.pharmacytechniciansletter.com/�

http://www.rxbriefcase.ca/�

Documents

Pharmacy Technician Qualifying Examination Information Bookletmicrosites.pebc.ca/PharmacyTechnicians/English... · Page 4 PEBC Pharmacy Technician Qualifying Examination Information