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Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 

Certification
Examination
in
Geriatric
Pharmacy

Sponsored by
Commission for Certification in
Geriatric Pharmacy (CCGP)
March 2010

Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 


Vision Statement
The Vision of CCGP is to ensure that all seniors receive high-quality pharmaceutical care from Certified Geriatric
Pharmacists; and, that CCGP certified pharmacists are recognized as the preferred providers of pharmaceutical
care to seniors.

Mission Statement
In order to achieve our Vision, CCGP commits to the following Mission:
• Protect and serve the public interest through the credentialing of qualified practitioners of
geriatric pharmaceutical care.
• Develop and administer clinically relevant, legally-defensible, and psychometrically-sound
certification programs and processes.
• Promote the value of CCGP credentials to the public, practitioners, employers, and payers.
• Advance the profession by establishing rigorous standards of care based on the most
appropriate medications, therapies, and technologies, to ensure optimum outcomes.
• Ensure that CCGP products, services, organizational structure, and customer relations are
viewed as the benchmark standard for credentialing organizations.
Through a long-term commitment to its Mission, CCGP will become a well recognized organization known as
the leader in providing quality credentials in pharmaceutical care.

Commission for Certification in Geriatric Pharmacy


Board of Commissioners

Chair Pharmacist Member Public Member


Thomas E. Lackner, PharmD, FASCP, Chris Alderman, B Pharm, PhD, CGP, N. Lee Rucker, MSPH
CGP FSHP, BCPP Senior Strategic Policy Advisor
Professor, Department of Experimental Repatriation General Hospital AARP Public Policy Institute
and Clinical Pharmacology School of Pharmacy and Medical Washington, DC
College of Pharmacy Sciences
University of Minnesota University of South Australia Physician Member
Minneapolis, MN Daw Park, South Australia Frederick N. Rowland, MD, PhD, CMD
Saint Francis Hospital and Medical
Vice-Chair Pharmacist Member Center
E. Eldon Armstrong, Jr., RPh, CGP Diane B. Crutchfield, PharmD, FASCP, Hartford, CT
President CGP
The Medication Checkup Center Pharmacy Consulting Care ASCP Board Liaison
Chapin, SC Knoxville, TN Martha M. Little, PharmD, CGP
Quality Improvement Director
Immediate Past Chair Pharmacist Member Omnicare of South Florida
M. Jane Huff, RPh, CGP Lisa A. Hettich, PharmD, FASCP, CGP Lake Worth, FL
Huff Pharmacy Solutions Director of Medicare Part D Programs
Hereford, AZ Wellpoint ASCP Chief Executive Officer
Cloverdale, IN John Feather, PhD, CAE
Secretary/Treasurer Alexandria, VA
Jag K. Khatter, PharmD, CDE, CGP Payer Member
Executive Vice President Kenneth W. Tuell, RPh, CGP CCGP Executive Director
Walgreens Long-Term Care Humana Thomas R. Clark, RPh, MHS, CGP
Aurora, CO Cramerton, NC Alexandria, VA
Ex Officio
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TABLE OF CONTENTS
ABOUT CCGP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 EXAMINATION RESTRICTIONS. . . . . . . . . . . . . . . . . . . 5
ABOUT THIS HANDBOOK . . . . . . . . . . . . . . . . . . . . . . . . . . 2 MISCONDUCT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
STATEMENT OF NONDISCRIMINATION POLICY. . . . . . . . . 2 COPYRIGHTED EXAMINATION QUESTIONS . . . . . . . . 5
CERTIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 PRACTICE EXAMINATION. . . . . . . . . . . . . . . . . . . . . . . 6
TESTING AGENCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 TIMED EXAMINATION . . . . . . . . . . . . . . . . . . . . . . . . . . 6
EXAMINATION POLICIES CANDIDATE COMMENTS. . . . . . . . . . . . . . . . . . . . . . . . 6
GENERAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . 2 FOLLOWING THE EXAMINATION . . . . . . . . . . . . . . . . . 6
ELIGIBILITY REQUIREMENTS. . . . . . . . . . . . . . . . . . . . 2 PASS/FAIL SCORE DETERMINATION . . . . . . . . . . . . . . 6
AUDIT PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 SCORES CANCELLED BY CCGP OR AMP . . . . . . . . . . 7
NAME AND/OR ADDRESS CHANGES. . . . . . . . . . . . . . 2 IF YOU PASS THE EXAMINATION . . . . . . . . . . . . . . . . . 7
FOREIGN TRAINED/FOREIGN LICENSED IF YOU DO NOT PASS THE EXAMINATION. . . . . . . . . . 7
APPLICANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 FAILING TO REPORT FOR AN EXAMINATION. . . . . . . . 7
APPLICATION FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CONFIDENTIALITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CERTIFICATION MAINTENANCE FEE . . . . . . . . . . . . . . 3 RECOGNITION OF CERTIFICATION . . . . . . . . . . . . . . . 7
EXAMINATION ADMINISTRATION . . . . . . . . . . . . . . . . . . . . 3 QUESTIONS ABOUT THE EXAMINATION. . . . . . . . . . . 7
HOLIDAYS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 DUPLICATE SCORE REPORTS . . . . . . . . . . . . . . . . . . . 7
REGISTERING FOR AN EXAMINATION. . . . . . . . . . . . . 3 CONTINUATION OF CERTIFICATION . . . . . . . . . . . . . . 7
SCHEDULING AN EXAMINATION . . . . . . . . . . . . . . . . . 3 RECERTIFICATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ASSESSMENT CENTER LOCATIONS. . . . . . . . . . . . . . . 4 RECERTIFICATION GRACE PERIOD. . . . . . . . . . . . . . . 7
SPECIAL ARRANGEMENTS FOR CANDIDATES EXAMINATION CONTENT. . . . . . . . . . . . . . . . . . . . . . . . . . . 8
WITH DISABILITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
DETAILED CONTENT OUTLINE. . . . . . . . . . . . . . . . . . . 8
TELECOMMUNICATION DEVICES FOR THE DEAF. . . . 4
SAMPLE QUESTIONS. . . . . . . . . . . . . . . . . . . . . . . . . . 13
EXAMINATION APPOINTMENT CHANGES. . . . . . . . . . 4
SELF-ASSESSMENT EXAMINATION . . . . . . . . . . . . . . 14
MISSED APPOINTMENTS AND CANCELLATION . . . . . 4
RECOMMENDED REFERENCES . . . . . . . . . . . . . . . . . 14
INCLEMENT WEATHER, POWER FAILURE OR
EMERGENCY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
EXAMINATION APPLICATION AND INSTRUCTIONS. . . . . . . 15
PREPARING FOR THE EXAMINATION. . . . . . . . . . . . . . 4
REQUEST FOR SPECIAL EXAMINATION
TAKING THE EXAMINATION. . . . . . . . . . . . . . . . . . . . . . . . . 5 ACCOMMODATIONS FORM. . . . . . . . . . . . . . . . . . . . . . . . 17
IDENTIFICATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 DOCUMENTATION OF DISABILITY-RELATED NEEDS. . . . 18
SECURITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

All questions and requests for information about CCGP All questions and requests for information about examina-
Certification should be directed to: tion scheduling should be directed to:
CCGP Applied Measurement Professionals, Inc.
1321 Duke Street 18000 W. 105th Street
Alexandria, VA 22314-3563 Olathe, KS 66061-7543
Voice: 703/535-3036 Voice: 913/895-4600
Fax: 703/739-1500 Fax: 913/895-4651
E-mail: info@ccgp.org E-mail: info@goAMP.com
Website: www.ccgp.org Website: www.goAMP.com

Copyright © 2010. Commission for Certification in Geriatric Pharmacy (CCGP). All rights reserved. No part of this publication may be reproduced or transmitted in any form or by
any means, electronic or mechanical, including photocopy or recording, or any information and retrieval system, without permission in writing from the Commission for Certification
in Geriatric Pharmacy.                                                                                                                          
             03/10
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 2

ABOUT CCGP EXAMINATION POLICIES


The Commission for Certification in Geriatric Pharmacy (CCGP) CCGP offers the Certification Examination in Geriatric Pharmacy
is a nonprofit corporation created in February 1997 by the to individuals in geriatric pharmacy practice. The examination
American Society of Consultant Pharmacists (ASCP) Board of consists of 150 multiple-choice questions. You will be allowed
Directors. CCGP was created to oversee the certification pro- three hours to complete the examination. Individuals passing
gram in geriatric pharmacy by establishing eligibility criteria and the Certification Examination in Geriatric Pharmacy are creden-
other program policies. tialed as Certified Geriatric Pharmacists (CGP).
The CCGP Board of Commissioners is comprised of seven CCGP with the advice and assistance of AMP prepares the
elected pharmacists; three appointed commissioners (con- examinations. Individuals with expertise in geriatric pharmacy
sumer, and payer representative, and a physician with practice write the questions and review them for relevancy, con-
experience and/or credentialing in geriatric practice); one rep- sistency, accuracy and appropriateness.
resentative appointed by the American Society of Consultant
Pharmacists (ASCP) Board of Directors, the ASCP Executive GENERAL INFORMATION
Director, and the CCGP Executive Director (ex officio). The
The office hours for CCGP are Monday through Friday, 9:00
membership of CCGP is comprised of individuals who have
a.m. – 5:00 p.m. (Eastern Time). The offices are closed on all
passed the Certification Examination in Geriatric Pharmacy and
Federal holidays. Applicants are encouraged to submit their
are credentialed.
applications online at the CCGP Web site (www.ccgp.org). A
valid credit card account number is required for all online appli-
ABOUT THIS HANDBOOK cations. The online application process uses a secure server.
This Candidate Handbook is only a guide. The information, pro-
cedures and fees detailed in this publication may be amended, ELIGIBILITY REQUIREMENTS
revised or otherwise altered at any time and without advance To be eligible for the Certification Examination in Geriatric
notice by CCGP. The provision of this handbook does not confer Pharmacy, an applicant must currently be a licensed pharma-
any rights upon the applicant. For the most current version of cist and must have a minimum of two years of experience as a
this handbook, please visit www.ccgp.org or www.goAMP.com. licensed pharmacist. Applications must be accompanied by:
1) a photocopy of current state pharmacy registration certifi-
STATEMENT OF cate/license, and
NONDISCRIMINATION POLICY 2) a check, money order or credit card payment.
CCGP does not discriminate among applicants on the basis For online applications, the pharmacy registration certificate/
of age, gender, race, religion, national origin, disability, sexual license may be submitted in electronic form and payment
orientation or marital status. should be by credit card.

CERTIFICATION AUDIT PROCEDURE


The certification program in geriatric pharmacy is intended CCGP reserves the right to audit any application submitted for
to recognize those pharmacists who demonstrate knowledge the Certification Examination in Geriatric Pharmacy.
of geriatric pharmacotherapy and the knowledge and skills
required to provide pharmaceutical care to the elderly. These NAME AND/OR ADDRESS CHANGES
pharmacists may practice in a variety of settings, including hos- You are responsible for notifying CCGP of any address change
pital, community or long-term care. or legal name change in a timely manner. Failure to do so
may affect admission to the examination, or receipt of impor-
TESTING AGENCY tant information from CCGP about maintenance or renewal of
certification. Notification of a change of e-mail address is also
Applied Measurement Professionals, Inc. (AMP) is the profes-
encouraged. CCGP may be contacted at: info@ccgp.org.
sional testing agency contracted by CCGP to assist in the
development, administration, scoring and analysis of the cer-
tification examination. AMP services also include the reporting FOREIGN TRAINED/FOREIGN
of scores to candidates who take the examination. AMP is a LICENSED APPLICANTS
research and development firm that conducts professional Pharmacists who are not licensed to practice pharmacy in the
competency assessment research and provides examination United States may apply to take the Certification Examination in
services for a number of credentialing programs. Geriatric Pharmacy. However, the practice analysis upon which
the examination is based was conducted in the United States
and CCGP certification is oriented primarily toward pharmacists
licensed and practicing in the United States. Applicants who
are not licensed to practice pharmacy in the United States must
provide notarized documentation of their legal authorization to
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 3
practice pharmacy in another country. Please note that CCGP Failing to schedule and take the examination in one of the two
certification does not confer the privilege to practice pharmacy consecutive windows will result in the Application being placed
in the United States or in any other country. on “Inactive” status. In order to reactivate the application, you
will need to pay a $100 activation fee. The rules for scheduling
APPLICATION FEE and taking the examination will apply – missing two consecutive
windows will again result in the application being designated as
The Application Fee for the examination is $600. Fees may be
“inactive.”
paid by check or money order (made payable to CCGP), or by
credit card (Visa, MasterCard, Discover or American Express).
DO NOT SUBMIT CASH. Online applications require a valid HOLIDAYS
credit card account number. The examinations are not offered on the following holidays:
Application fees are non-refundable. Exceptions to this policy January 1, 2010 – New Year’s Day
will be determined by the executive committee and appeals will January 18, 2010 – Martin Luther King Jr. Day
be considered only on the basis of documented hardships. February 15, 2010 – President’s Day
You must submit the appropriate fee with the application. April 2, 2010 – Good Friday
May 31, 2010 – Memorial Day
Returned checks and/or declined credit card transactions will
July 5, 2010 – Independence Day
be subject to a $25 handling fee. You must send a certified
check or money order for the amount due, including the han- September 6, 2010 – Labor Day
dling fee, to CCGP to cover returned check and/or declined October 11, 2010 – Columbus Day
credit card transactions. November 11, 2010 – Veteran’s Day
November 25-26, 2010 – Thanksgiving Holiday
CERTIFICATION MAINTENANCE FEE December 23-24, 2010 – Christmas Holiday
Candidates who successfully complete the requirements for December 30-31, 2010 – New Year’s Holiday
certification are responsible to pay a certification maintenance
fee. This fee is paid only once during the five-year certification Registering for an EXAMINATION
period and the amount of the fee is $250.00. This fee is used
You should ensure that the CCGP Application has been properly
to provide services to Certified Geriatric Pharmacists, such as
completed and that the information provided is accurate. Your
The Credential, a quarterly electronic newsletter, and a listing of
careful attention will enable prompt and efficient processing.
Certified Geriatric Pharmacists on the CCGP Web site.
Candidates will not be able to schedule an examination appoint-
ment with AMP until the Application has been processed. AMP
EXAMINATION ADMINISTRATION will send written notification to registered candidates with exami-
The examination is delivered by computer at over 170 AMP nation scheduling procedures.
Assessment Centers geographically located throughout the
United States, Canada, Australia, and other countries. The Scheduling an Examination
examination is offered during 4 testing windows: January/ After you have received written confirmation from AMP, there are
February, April/May, July/August, and October/November. two ways to schedule an appointment for the examination.
Deadlines for each window are as follows:
1. Online Scheduling: Go to www.goAMP.com at any time and
Testing Window Deadline select “Candidates.” Follow the simple, step-by-step instruc-
tions to select your examination program and schedule an
January/February December 15 examination.
April/May March 15 OR
July/August June 15 2. Telephone Scheduling: Call AMP at 888/519-9901 to sched-
October/November September 15 ule an examination appointment. This toll-free number is
answered from 7:00 a.m. to 9:00 p.m. (Central Time) Monday
The examination is administered by appointment only Monday through Thursday, 7:00 a.m. to 7:00 p.m. on Friday and 8:30
through Saturday at 9:00 a.m. and 1:30 p.m. Available dates will a.m. to 5:00 on Saturday.
be indicated when scheduling your examination. Candidates are Applicants will be assigned a unique identification number
scheduled on a first-come, first-served basis. by CCGP when the application has been processed. When
Once an Application has been submitted, you will be permitted scheduling an examination, be prepared to confirm a location,
to schedule an examination date in two consecutive windows. a preferred date and time for testing, and to provide your CCGP
For example, if you submit an application by the March 15 dead- identification number. When you contact AMP to schedule
line you can schedule an examination in either the April/May or an examination appointment, you will be notified of the time
July/August window. to report to the Assessment Center. Please make a note of it
because you will NOT receive an admission letter.
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 4

Depending on availability, You must contact AMP by


If you contact AMP by 3:00 your examination may be 3:00 p.m. Central Time to
p.m. Central Time on... scheduled beginning... If your examination reschedule the examination
is scheduled on... by the previous...
Monday Wednesday
Tuesday Thursday Monday Wednesday
Wednesday Friday/Saturday Tuesday Thursday
Thursday Monday Wednesday Friday
Friday Tuesday Thursday Monday
Friday Tuesday

ASSESSMENT CENTER LOCATIONS


AMP Assessment Centers have been selected to provide MISSED APPOINTMENTS AND
accessibility to the most candidates in all states and major CANCELLATION
metropolitan areas. International locations are also offered in You will forfeit the examination registration and all fees paid to
Canada and Australia. A current listing of AMP Assessment take the examination under the following circumstances:
Centers, including addresses and driving directions, may be
viewed at AMP’s website located at www.goAMP.com. Specific • You wish to reschedule an examination but fail to contact AMP
address information will be provided when you schedule an at least two full business days prior to the scheduled testing
examination appointment. session,
• You wish to reschedule a second time,
SPECIAL ARRANGEMENTS FOR • You appear more than 15 minutes late for an examination, or
CANDIDATES WITH DISABILITIES • You fail to report for an examination appointment.
CCGP and AMP comply with the Americans with Disabilities Act A complete Application and appropriate fee are required to re-
and strive to ensure that no individual with a disability is deprived register for the examination.
of the opportunity to take the examination solely by reason of
that disability. CCGP and AMP will provide reasonable accom-
modations for candidates with disabilities. INCLEMENT WEATHER, POWER
Wheelchair access is available at all Assessment Centers. FAILURE OR EMERGENCY
Candidates with visual, sensory or physical disabilities that would In the event of inclement weather or unforeseen emergencies on
prevent them from taking the examination under standard condi- the day of an examination, AMP will determine whether circum-
tions may request special accommodations and arrangements. stances warrant the cancellation, and subsequent rescheduling,
Candidates testing with approved special accommodations of an examination. The examination will usually not be resched-
should schedule their test via AMP’s toll-free number to ensure uled if the Assessment Center personnel are able to open the
their accommodations are confirmed. Be sure to inform CCGP Assessment Center.
and AMP of your need for special accommodations when calling You may visit AMP’s website at www.goAMP.com prior to the
to schedule your examination. examination to determine if AMP has been advised that any
Assessment Centers are closed. Every attempt is made to
TELECOMMUNICATION DEVICES administer the examination as scheduled; however, should an
FOR THE DEAF examination be canceled at an Assessment Center, all sched-
uled candidates will receive notification following the examination
AMP is equipped with Telecommunication Devices for the
regarding rescheduling or reapplication procedures.
Deaf (TDD) to assist deaf and hearing-impaired candidates.
TDD calling is available 8:30 a.m. to 5:00 p.m. (Central Time) If power to an Assessment Center is temporarily interrupted
Monday-Friday at 913/895-4637. This TDD phone option is for during an administration, your examination will be restarted. The
individuals equipped with compatible TDD machinery. responses provided up to the point of interruption will be intact,
but for security reasons the questions will be scrambled.
EXAMINATION APPOINTMENT
CHANGES PREPARING FOR THE EXAMINATION
You may reschedule an examination appointment at no charge Your primary objective in preparing for the examination is to
once by calling AMP at 888/519-9901 by 3:00 p.m. Central Time pass. Other objectives such as learning new material and
at least two full business days prior to the scheduled testing ses- reviewing old material are critical toward this objective. Begin
sion. (See following table.) your study by developing your strategy for success.

A good study strategy includes preparation. To prepare, deter-


mine first what you need to learn, choose your study materials,
and select a quiet, comfortable place that allows you to focus.
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 5
Before you begin, check to make sure you have everything you • Hand-held, silent, non-printing, battery-operated calculators
need. Try to avoid interruptions for any reason. may be used. Candidates may NOT use calculators which
have either word processing or word storage capabilities
Developing a study plan will allow you to learn the most as you (complete A-Z keypad). All calculators will be examined by
study. Include setting goals in your study plan. Review what you the proctor before a candidate is admitted to the examina-
have studied as often as possible. The more you review, the tion area. Candidates are responsible for providing their own
more you will retain. calculators. Candidates cannot share calculators during the
examination.
You may also wish to purchase CCGP’s Self-Assessment
Examination (SAE). The SAE is designed to help pharmacists • No guests, visitors or family members are allowed in the test-
measure their knowledge and skills in geriatric pharmacy ing room or reception areas.
practice. It will help identify those areas where additional con- • No personal items, valuables, or weapons should be brought
tinuing education may be helpful. It will also provide you with to the Assessment Center. AMP is not responsible for items
a simulated experience in undertaking the actual certification left in the reception area.
examination. Please see page 13 for more information concern-
ing the SAE.
EXAMINATION RESTRICTIONS
• Pencils will be provided during check-in.
TAKING THE EXAMINATION • Possession of a cellular phone or other electronic devices is
Your examination will be given by computer at an AMP strictly prohibited and will result in early dismissal from the
Assessment Center. You do not need any computer experience examination.
or typing skills to take your examination. On the day of your • You will be provided with one piece of scratch paper at a time
examination appointment, report to the Assessment Center to use during the examination. You must return the scratch
no later than your scheduled testing time. Look for the signs paper to the supervisor at the completion of testing, or you will
indicating AMP Assessment Center Check-in. IF YOU ARRIVE not receive a score report. No documents or notes of any kind
MORE THAN 15 MINUTES AFTER THE SCHEDULED TESTING may be removed from the examination room.
TIME YOU WILL NOT BE ADMITTED. • No questions concerning the content of the examination may
be asked during the examination.
IDENTIFICATION • Eating, drinking or smoking will not be permitted in the
To gain admission to the Assessment Center, you must present Assessment Center.
two forms of identification, one with a current photograph. Both • You may take a break whenever you wish, but you will not be
forms of identification must be valid and include your current allowed additional time to make up for time lost during breaks.
name and signature. You will be required to sign a roster for
verification of identity.
MISCONDUCT
Acceptable forms of photo identification include a current Individuals who engage in any of the following conduct may
driver’s license with photograph, a current state identification be dismissed from the examination, their scores will not be
card with photograph, a current passport, or a current military reported and examination fees will not be refunded. Examples
identification card with photograph. Employment ID cards, of misconduct are when a candidate:
student ID cards and any type of temporary identification are
• creates a disturbance, is abusive, or otherwise uncooperative;
NOT acceptable as the primary form of identification, but may
be used as secondary identification if they include your name • displays and/or uses electronic communications equipment
and signature. such as pagers, cellular phones, PDAs;
• talks or participates in conversation with other examination
You must have proper identification to gain admission to the candidates;
Assessment Center. Failure to provide appropriate identification
at the time of the examination is considered a missed appoint- • gives or receives help or is suspected of doing so;
ment. There will be no refund of your examination fee. • attempts to record examination questions or make notes;
• attempts to take the examination for someone else; or
SECURITY • is observed with notes, books or other aids.
CCGP and AMP maintain examination administration and secu-
rity standards that are designed to assure that all candidates
are provided the same opportunity to demonstrate their abilities.
COPYRIGHTED EXAMINATION
The Assessment Center is continuously monitored by audio and QUESTIONS
video surveillance equipment for security purposes. All examination questions are the copyrighted property of
CCGP. It is forbidden under federal copyright law to copy, repro-
The following security procedures apply during the examination: duce, record, distribute or display these examination questions
• Examinations are proprietary. No cameras, notes, tape record- by any means, in whole or in part. Doing so may subject you to
ers, Personal Digital Assistants (PDAs), pagers or cellular severe civil and criminal penalties.
phones are allowed in the testing room.
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 6

PRACTICE Examination An examination question may be left unanswered for return later
After your identification has been confirmed, you will be directed in the examination session. Questions may also be bookmarked
to a testing carrel. You will be instructed on-screen to enter your for later review by clicking in the blank square to the right of the
CCGP identification number. You will take your photograph Time button. Click on the hand icon or select the NEXT key to
which will remain on screen throughout your examination ses- advance to the next unanswered or bookmarked question on
sion. This photograph will also print on your score report. the examination. To identify all unanswered and bookmarked
questions, repeatedly click on the hand icon or press the
Prior to attempting the examination, you will be given the oppor- NEXT key. When the examination is completed, the number of
tunity to practice taking an examination on the computer. The examination questions answered is reported. If not all questions
time you use for this practice examination is NOT counted as have been answered and there is time remaining, return to the
part of your examination time or score. When you are com- examination and answer those questions. Be sure to provide an
fortable with the computer testing process, you may quit the answer for each examination question before ending the exami-
practice session and begin the timed examination. nation. There is no penalty for guessing.

TIMED EXAMINATION CANDIDATE COMMENTS


Following the practice examination, you will begin the timed During the examination, comments may be provided for any
examination. Before beginning, instructions for taking the exami- question by clicking on the button displaying an exclamation
nation are provided on-screen. point (!) to the left of the Time button. This opens a dialogue box
where comments may be entered. Comments will be reviewed,
Candidate’s but individual responses will not be provided.
Picture
Here
FOLLOWING THE EXAMINATION
After completing the examination, you are asked to complete
Which of the following is a common adverse effect of pentoxifylline? a short evaluation of your examination experience. Then, if you
took the examination in the United States, you are instructed to
A. lethargy
report to the examination proctor to receive your score report.
B. dyspepsia
If you took the examination outside the United States, you will
C. constipation
receive a score report by mail. Scores are reported in printed
D. hypertension
form only, in person or by mail. Scores are not reported over the
telephone, by electronic mail or by facsimile.
Your score report will indicate a “pass” or “fail.” Your pass/
fail status is determined by your raw score. Additional detail is
provided in the form of raw scores by major content category.
Cover Help A ! Time < < 6 ▼ > >> A raw score is the number of questions you answered correctly.

The computer monitors the time you spend on the examination. PASS/FAIL SCORE DETERMINATION
The examination will terminate if you exceed the time allowed.
Examination scores are reported as raw scores and scaled
You may click on the “Time” box in the lower right portion of
the screen or select the Time key to monitor your time. A digi- scores. A raw score is the number of correctly answered
tal clock indicates the time remaining for you to complete the questions; a scaled score is statistically derived from the raw
examination. The Time feature may be turned off during the score. Your total score determines whether you pass or fail; it is
examination. reported as a scaled score ranging between 0 and 99.

Only one examination question is presented at a time. The ques- The minimum scaled score needed to pass the examination
tion number appears in the lower right portion of the screen. has been set at 75 scaled score units. The reason for reporting
Choices of answers to the examination question are identified scaled scores is that different forms (or versions) of the examina-
as A, B, C, or D. You must indicate your choice by either typing tion may vary in difficulty. As new forms of the examination are
in the letter in the response box in the lower left portion of the introduced each year, a certain number of questions in each
computer screen or clicking on the option using the mouse. To content area are replaced. These changes may cause one form
change your answer, enter a different option by pressing the A, of the examination to be slightly easier or harder than another
B, C, or D key or by clicking on the option using the mouse. You form. To adjust for these differences in difficulty, a procedure
may change your answer as many times as you wish during the called “equating” is used. The goal of equating is to ensure fair-
examination time limit. ness to all candidates.

To move to the next question, click on the forward arrow (>) in In the equating process, the minimum raw score (number of cor-
the lower right portion of the screen or select the NEXT key. This rectly answered questions) required to equal the scaled passing
action will move you forward through the examination question score of 75 is statistically adjusted (or equated). For instance,
by question. If you wish to review any question or questions, if the examination is determined to be more difficult than the
click the backward arrow (<) or use the left arrow key to move previous form of the examination, then the minimum raw passing
backward through the examination. score required to pass will be slightly lower than the original raw
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 7
passing score. If the examination is easier than the previous form RECOGNITION OF CERTIFICATION
of the examination, then the minimum raw score will be higher. If you pass the certification examination you are entitled to use
Equating helps to assure that the scaled passing score of 75 the designation “CGP” for Certified Geriatric Pharmacist. CCGP
represents the same level of competence no matter which form will provide certificants with a certificate of recognition suitable
of the examination a candidate takes. for framing. In addition, certificants will be entitled to additional
In addition to the candidate’s total scaled score and scaled items, such as lapel pins, that display the logo for Certified
score required to pass, raw scores (the actual number of ques- Geriatric Pharmacist. Contact CCGP for additional information.
tions answered correctly) are reported for the major categories
on the content outline. The number of questions answered cor- QUESTIONS ABOUT THE EXAMINATION
rectly in each major category is compared to the total number Candidates may not have access to the examinations or to spe-
of questions possible in that category on the score report (e.g., cific questions except during administration of the examination.
15/20). Content categorical information is provided to assist can- Candidates may comment on any question, the administration of
didates in identifying areas of relative strength and weakness; the examination or the test center facilities on their answer sheet
however, passing or failing the examination is based only on the on the day of the examination. Individual responses to question
candidate’s total scaled score. comments will not be provided.

SCORES CANCELLED BY CCGP OR AMP DUPLICATE SCORE REPORTS


CCGP and AMP are responsible for the validity and integrity Requests for duplicate score reports must be made in writing
of the scores they report. On occasion, occurrences, such as to AMP within one year of the examination date. Your request
computer malfunction or misconduct by a candidate, may cause must include your name, CCGP identification number, mailing
a score to be suspect. CCGP and AMP reserve the right to void address, examination date, test center and signature. The fee
or withhold examination results if, upon investigation, violation of for a duplicate score report is $25; be sure to include a check
its regulations is discovered. or money order made payable to AMP for this amount with your
request.
IF YOU PASS THE EXAMINATION
If you pass the examination, CCGP will request that you sign a CONTINUATION OF CERTIFICATION
Declaration on the Appropriate Use of the Credential and remit a All Certified Geriatric Pharmacists are required to maintain their
five-year certification maintenance fee in the amount of $250.00. certification in good standing with the CCGP. To do so, certifi-
Following receipt of the Declaration and fee, CCGP will send a cants will be requested to submit an annual questionnaire and a
Certificate, in your name, officially designating you as a Certified signed Attestation of a Valid License. Failure to submit a signed
Geriatric Pharmacist. Attestation may jeopardize the certificant’s good standing with
CCGP, ultimately resulting in suspension of their certified stand-
IF YOU DO NOT PASS THE ing.
EXAMINATION
There is no limit to the number of times you may attempt the RECERTIFICATION
examination. If you were unsuccessful in your examination Every five (5) years, certificants will be required to complete a
attempt, you may reregister once every 90 days by completing recertification process. This process involves:
another Application and submitting appropriate fees. The fee to 1) paying the $600 Recertification Application Fee and
retake the examination after an unsuccessful attempt is $300, if achieving a passing score on a multiple-choice objective
the examination is retaken within two years. After two years, the examination, based on the content outline of the Certification
full fee ($600) must be paid. Examination in Geriatric Pharmacy
OR
FAILING TO REPORT FOR AN
2) paying the $600 Recertification Application Fee and suc-
EXAMINATION cessfully completing the Professional Development Program
If you fail to report for an examination, you forfeit all fees paid to for CGP Recertification. Please visit the CCGP website
take the examination. A completed application and examination for further information on this program at www.ccgp.org.
fee are required to reapply for examination. Recertification is required to provide assurance that practi-
tioners are maintaining their knowledge and skills in geriatric
CONFIDENTIALITY pharmacy practice.
Information about candidates for testing and their examina-
tion results are considered confidential. Individual examination RECERTIFICATION GRACE PERIOD
scores are released ONLY to the individual candidate. Questions If a CCGP Certified Geriatric Pharmacist (CGP) fails to suc-
concerning examination results should be referred to the CCGP cessfully complete the recertification process, extension of
Candidate Services Department in writing. certification may be granted for six months while the individual
seeks to successfully complete the process. The recertification
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 8
fee must be paid before the grace period is granted. If a CCGP with closer inspection, can give you specific study direction by
certified pharmacist does not complete the process within that revealing the relative importance given to each category on the
period, then the individual’s status as a CGP will lapse. Once examination.
certification has lapsed, reinstatement can be achieved only by
successfully completing the entire certification process. Note: Medications on the certification examination will be
referred to by the generic name only (USAN or USP name).
Medications which are known by the British Approved Name
EXAMINATION CONTENT outside the United States will have this name in parentheses. For
To begin your preparation in an informed and organized manner, example: albuterol (salbutamol). Laboratory examination results
you should know what to expect from the actual examination in will be presented in both conventional and international units.
terms of the content. Information regarding the content of the The content for the examination is based on a job analysis and
examination is presented in this handbook. The content out- is described in the following detailed content outline.
line will give you a general impression of the examination and,

QUESTIONS
              Certified Geriatric Pharmacist Detailed Content Outline.

Application

TOTAL %
Analysis

TOTAL
Recall
Open cells show an examination could include items from indicated cognitive levels.
An “X” denotes that NO items will be asked at the indicated cognitive level for the task.
Percentages for minor content area are approximate, and based on the number of items in that section.

  I. PATIENT SPECIFIC ACTIVITIES 12 23 21 56 40%


A. Collect and Evaluate Patient-Specific Information 2 4 2 8 14%
  1. Interpret and apply knowledge of the following to the provision of pharmaceutical care for senior
adults:
a. patterns of medication use X
b. causes of morbidity and mortality X
  2. Assess and apply understanding of the following issues to the provision of pharmaceutical care
for senior adults:
a. continuum of care X
b. wellness and health promotion X
c. end of life issues (advance directives, treatment issues, quality of life choices)
d. ethical issues
e. physiological changes that accompany aging (e.g., sensory, body composition, organ system
function, pharmacokinetic and pharmacodynamic changes) X
f. results of standardized assessment tools (MMSE, GDS, etc.) X
  3. Evaluate the social aspects of aging in the provision of pharmaceutical care for senior adults
related to the following:
a. economic issues
b. availability of community based services (referrals and triage) X
c. role of caregiver X
d. cultural X
  4. Communicate with senior patients, their caregivers and healthcare professionals:
a. recognize communication barriers including age-related sensory and cognitive impairments,
illiteracy, and language and cultural differences X X
b. apply strategies to overcome communication barriers X
c. apply privacy and confidentiality principles X
d. ensure patient understanding of prescribed therapy
  5. Interpret and monitor laboratory results and procedures for the senior patient X
  6. Recognize and assess:
a. altered disease state presentations in seniors X
b. altered psychological status in seniors X
  7. Identify and assess compliance/adherence issues affecting potential treatment plans (e.g., memory
loss, sensory changes, hearing, cognition, patient beliefs, economics, and learning disabilities)
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 9

QUESTIONS
              Certified Geriatric Pharmacist Detailed Content Outline.

Application

TOTAL %
Analysis

TOTAL
Recall
Open cells show an examination could include items from indicated cognitive levels.
An “X” denotes that NO items will be asked at the indicated cognitive level for the task.
Percentages for minor content area are approximate, and based on the number of items in that section.
  8. Obtain and evaluate:
a. an accurate drug history including over the counter and alternative/complementary medications X
b. relevant physical assessment information X
c. past medical history
  9. Apply principles of pharmacokinetic and pharmacodynamic changes associated with aging to the
design of the pharmacotherapy regimen
B. Identify, Resolve and Prevent Medication Therapy – Related Problems 2 3 7 12 21%
  1. Untreated or under-treated conditions X
  2. Improper drug selection
  3. Subtherapeutic or Supratherapeutic dosage X
  4. Monitor patient’s compliance/adherence with medications and apply strategies to educate the
patient and/or caregiver, and encourage compliance/adherence with therapy
  5. Adverse drug events
  6. Drug interactions
  7. Drug use without indication X
  8. Treatment failures
C. Determine Patient’s Pharmaceutical and Related Health Care Needs and Integrate into Care Plan 1 2 3 6 11%
D. Select Drug Therapy Goals which Focus on Function and Quality of Life 3 5 0 8 14%
E. Design and Implement a Therapeutic Regimen in Collaboration with the Patient and Other
Health Care Professionals 2 6 2 10 18%
  1. Apply concept of risk: benefit for each drug X
  2. Recommend non-prescription drugs
  3. Educate on therapy options (e.g., generics, alternative therapies, nondrug therapies, formulary
options) X
  4. Educate on medication-related problems (e.g., side effects of medication, drug interactions) X
  5. Recognize need for referral to specialized healthcare provider for further evaluation/treatment
F. Patient Monitoring Plan 2 3 7 12 21%
  1. Design plan to monitor for safety, effectiveness and achievement of therapeutic goals
  2. Implement plan
  3. Evaluate its effects on quality of life issues X
  4. Document steps and outcomes of pharmaceutical care plan X
  II. DISEASE SPECIFIC ACTIVITIES 14 36 13 63 45%
A. Cardiovascular Disorders – e.g., Hypertension, Heart Failure, Ischemic Heart Disease,
Myocardial Infarction, Cardiac Arrhythmias, Hyperlipidemia, Peripheral Vascular Disease 2 4 2 8 13%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
B. Dermatologic Disorders – e.g., Drug Induced Skin Disorders, Xerosis, Fungal Rashes,
Pressure Ulcers, Other Common Skin Disorders 1 1 0 2 3%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 10

QUESTIONS
              Certified Geriatric Pharmacist Detailed Content Outline.

Application

TOTAL %
Analysis

TOTAL
Recall
Open cells show an examination could include items from indicated cognitive levels.
An “X” denotes that NO items will be asked at the indicated cognitive level for the task.
Percentages for minor content area are approximate, and based on the number of items in that section.
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
C. Endocrine and Exocrine Disorders – e.g., Thyroid Disorders, Diabetes Mellitus, SIADH,
Disorders of the Adrenal Gland, Paget’s Disease, Hormone Replacement Therapy 1 4 2 7 11%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
D. Gastrointestinal Disorders- e.g., Peptic Ulcer Disease, Gastro-Esophageal Reflux Disease,
Diarrhea and Constipation, Irritable Bowel Syndrome, Inflammatory Bowel Disease, Hepatitis,
Cirrhosis, Pancreatitis, Cholelithiasis 1 2 1 4 6%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
E. Hematologic Disorders – e.g., Anemias, Disorders of Hemostasis, Thrombocytopenia, Disorders
of White Blood Cells 1 2 0 3 5%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors X
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary X
F. Infectious Diseases – e.g., Pneumonia, Tuberculosis, Herpes Zoster, AIDS, Skin and Soft Tissue
Infections, Bone and Joint Infections, Gastrointestinal Infections, Genitourinary Tract Infections,
Influenza, Ophthalmic Infections, Nosocomial Infections, Drug Resistance, Immunizations 1 4 1 6 10%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
G. Musculoskeletal Disorders – e.g., Osteoarthritis, Rheumatological Diseases, Osteoporosis,
Gout, Acute and Chronic Pain, Foot Disorders 1 4 1 6 10%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 11

QUESTIONS
              Certified Geriatric Pharmacist Detailed Content Outline.

Application

TOTAL %
Analysis

TOTAL
Recall
Open cells show an examination could include items from indicated cognitive levels.
An “X” denotes that NO items will be asked at the indicated cognitive level for the task.
Percentages for minor content area are approximate, and based on the number of items in that section.
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
H. Neurological Disorders – e.g., Cerebrovascular Disease (Stroke, Transient Ischemic Attacks),
Movement Disorders (Parkinson’s Disease, Essential Tremor), Dementias (Alzheimer’s Disease,
Lewy Body Disease, Ischemic Vascular Dementia), Delirium, Seizure Disorders, Neuropathies,
Acute and Chronic Pain Syndromes, Progressive Supranuclear Palsy, Multiple Sclerosis,
Restless Leg Syndrome, Headache 1 4 2 7 11%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
I. Nutrition and Hydration Disorders – e.g., Malnutrition, Weight Loss, Dehydration, Fluid and
Electrolyte Disorders 1 1 0 2 3%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
J. Oncology – e.g., Breast Cancer, Skin Cancer, Prostate Cancer, Lung Cancer, Colorectal Cancer,
Brain Tumors 0 1 0 1 2%
  1. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X X
K. Ophthalmology – e.g., Glaucoma, Dry Eyes, Blepharitis, Macular Degeneration, Cataracts 0 1 0 1 2%
  1. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X X
L. Psychiatric Disorders – e.g., Depression, Bipolar, and Other Mood Disorders, Schizophrenia
and Other Psychotic Disorders, Sleep Disturbances, Anxiety Disorders, Behavioral Disorders,
Substance Abuse 2 4 2 8 13%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
M. Genitourinary Disorders – e.g., Urinary Incontinence/Retention, Benign Prostatic Hyperplasia,
Sexual Dysfunction, Renal Dysfunction 1 2 1 4 6%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 12

QUESTIONS
              Certified Geriatric Pharmacist Detailed Content Outline.

Application

TOTAL %
Analysis

TOTAL
Recall
Open cells show an examination could include items from indicated cognitive levels.
An “X” denotes that NO items will be asked at the indicated cognitive level for the task.
Percentages for minor content area are approximate, and based on the number of items in that section.
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
N. Respiratory Disorders – e.g., Chronic Obstructive Pulmonary Disease, Asthma, Sleep Apnea 1 2 1 4 6%
  1. Recognize common signs and symptoms X X
  2. Apply disease-specific knowledge to management of patients (e.g., epidemiology, risk factors,
pathogenesis and pathophysiology, diagnostic/prognostic issues, clinical course, available
practice guidelines, pharmacoeconomics, quality of life, patient satisfaction) X
  3. Design and recommend patient-specific pharmacotherapy considering comorbidity and other
factors
  4. Evaluate drug response using effectiveness and safety endpoints, quality of life issues and
recommend modifications in therapy as necessary
  III. POPULATION SPECIFIC ACTIVITIES 4 7 10 21 15%
A. Research 2 2 4 8 38%
  1. Design and conduct medication use evaluations (MUE) and drug use review (DUR)
  2. Apply MUE/DUR results to improve the quality of care X
  3. Evaluate and apply quality improvement data (e.g., patient safety, medication utilization/safety,
root cause analysis)
B. Economics and Access 0 1 2 3 14%
  1. Interpret Pharmacoeconomic Data X
C. Health Policy 1 1 1 3 14%
  1. Communicate with healthcare professionals to improve quality of care X
  2. Ensure that privacy and confidentiality standards are maintained X
  3. Optimize the Continuum of Care process (e.g., reconciliation, medication delivery systems
  4. Interpret and apply geriatric practice guidelines X
  5. Develop and implement clinical protocols, policy and procedures, etc.
D. Education 1 3 3 7 33%
  1. Identify educational needs for target audiences X
  2. Design and/or implement educational activities for target audiences
  3. Evaluate outcome of educational activities
                                  TOTAL TEST 30 66 44 140 100%
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 13

SAMPLE QUESTIONS 4. Which of the following is the recommended daily intake


of elemental calcium for postmenopausal women, who
1. Which of the following is a common adverse effect of are not taking hormone replacement therapy?
pentoxifylline?
A. 500 mg
A. lethargy B. 1000 mg
B. dyspepsia C. 1500 mg
C. constipation D. 2000 mg
D. hypertension
5. An elderly man with diabetes mellitus presents with
2. Which of the following drugs is most likely to contribute cellulitis of the lower right leg. The patient is started
to falls in an elderly patient? on cephalexin HCl 500 mg po q6h with no significant
A. aspirin improvement after 5 days of treatment. Which of the
B. alendronate following is the most appropriate antibiotic for this patient?
C. prazosin HCl A. cefixime
D. cefadroxil monohydrate B. ciprofloxacin
C. co-trimoxazole
3. Which of the following should be included in the D. amoxicillin/clavulanate potassium
documentation of a pharmaceutical care plan?
1. the decision-making process that has been used
2. any interventions that have been made
3. a description of patient-specific outcomes

A. 1 and 2 only
Answer Key:
B. 1 and 3 only
C. 2 and 3 only 1. B   2. C   3. D   4. C   5. D
D. 1, 2, and 3
Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook  •  Candidate Handbook 14
SELF-ASSESSMENT EXAMINATION RECOMMENDED REFERENCES
CCGP offers a Self-Assessment Examination (SAE) to help As a credentialing body, CCGP does not provide education.
candidates prepare for the Certification Examination in Geriatric The American Society of Consultant Pharmacists has devel-
Pharmacy. The SAE is available in an online, Web-based format oped a list of resource materials and links to information about
and in paper-and-pencil, booklet format. geriatrics and geriatric drug therapy. This list does not attempt
to include all acceptable references, nor is it suggested that the
WHO SHOULD USE THE SELF-ASSESSMENT EXAMINATION? Certification Examination in Geriatric Pharmacy is necessarily
1. Candidates – Evaluate your readiness for taking the proc- based on these references. Candidates may find this resource
tored certification examination. list to be useful in locating helpful information. This resource list
is on the ASCP Web site at: www.ascp.com/Geriatrics101
2. Employers – Measure your employees’ knowledge and
skills in geriatric pharmacy practice.
3. Pharmacists – Assess your knowledge and skills in geriat-
ric pharmacy practice.
4. Students – Identify weak areas before completing
educational programs to better prepare for licensing exam-
inations.
The SAE consists of 150 multiple-choice questions based on
the current Certification Examination content outline. Candidates
completing the SAE will receive total scores and a summary of
strengths and weaknesses by content area. Both versions of the
SAE (Web-based and paper-and-pencil) contain explanations
for each correct and incorrect answer, helping you to better
understand the reasoning that supports the correct therapy.
For more information about the SAE, please visit www.ccgp.org
and click on the link “Self Assessment Exam.”
CCGP Handbook, page 15

Certification Examination in Geriatric Pharmacy


EXAMINATION APPLICATION

Applicant Status Method of Payment


Please indicate whether you are a NEW APPLICANT,  Check (payable to CCGP)
REAPPLICANT or RECERTIFICATION Candidate for the  Money Order (payable to CCGP)
Certification Examination in Geriatric Pharmacy:
 Credit Card Type:
 NEW APPLICANT
Please select one:      Visa      MasterCard   
 REAPPLICANT: The last time I attempted the   Discover      American Express
Certification Examination in Geriatric Pharmacy was:
_________________________ (mm/dd/yyyy)
 RECERTIFICATION Candidate: Account No.

 By Examination      By Continuing Education


Expiration: Mo Yr
Fees: Indicate the appropriate fee(s).
 New Applicant Examination Fee $600 Name as it appears on Card

 Reapplicant Examination Fee


Signature
(if taken within two years) $300
 Recertification Candidates Fee
(Examination or Continuing Education) $600
 Reactivation Fee $100

Personal Information

Name:______________________________________________________________________________________________________
         (First, Middle Initial, Last, Generation)

Gender:     Male      Female

Former Name: (if applicable)__________________________________________________________________________________

Date of Birth: mm/dd/yy______________________________________________________________________________________

Daytime Phone:_ ______________________________________   Evening Phone:_______________________________________

E-mail:_ ____________________________________________________________________________________________________

Preferred Mailing Address


Is this address:     Home       Business

Address____________________________________________________________________________________________________

Address____________________________________________________________________________________________________

City_______________________________________  State_________  Zip_______________  Country________________________

Special Examination Requests


 Special ADA Accommodation Request (please complete form and submit with your application and fees)

– over –
CCGP Handbook, page 16

Demographic Information 4. Hours Spent in Geriatric Pharmacy

1. Academic Degrees Indicate the number of hours you spend per week in
geriatric pharmacy practice: Please select one
Indicate the highest academic degree(s) you have
completed: Please select one  none
 1 –10
 BS
 11 –20
 PharmD
 21 –30
 BS plus PharmD
 31 or more
 BS plus advanced degree other than PharmD
 PharmD plus other advanced degree 5. Type of Pharmacy Practice
 Other – Please Specify_______________________ Indicate your type of pharmacy practice: Please select
one
2. Pharmacy Experience
 Academia
Indicate the number of years you have practiced as
 Community - chain (four or more stores)
a pharmacist: Please select one
 Community - independent
 less than 2 years  Government (VA, DOD, HHS etc.)
 2 years  Hospital – Community
 3 years  Hospital – University
 4 –5 years  Independent practice
 6 –10 years  Industry
 11 –19 years  Long-term care pharmacy
 20 –29 years  Mail service pharmacy
 30 or more  Managed care pharmacy
3. Geriatric Pharmacy Experience
 Other – Specify
___________________________________________
Indicate the number of years you have practiced geriatric
pharmacy: Please select one Computer-Based Exam
 less than 1 Following processing of this Application, you will receive an
 at least 1 but less than 2 email to make an appointment to undertake the Computer-Based
 2 –3 Examination at more than 170 locations throughout the U.S.,
 4 –5 Australia, Canada and other countries.
 6 –10
 11 or more Select Test Window:
 January/February Exam
 April/May Exam
 July/August Exam
 October/November Exam

Signature
By submitting this application, I certify that I have read all portions of the Candidate Handbook and application. I certify that the
information I have submitted in the application and the documents I have enclosed are complete and correct to the best of my
knowledge and belief. I certify that I have a minimum of two years experience as a licensed pharmacist. I understand that if the
information I have submitted is found to be incomplete or inaccurate, my application may be rejected or my examination results
may be delayed, not released or invalidated by CCGP.

Signature: _________________________________________________________________ Date:_________________________________

Complete this form and submit it to Candidate Services, CCGP, 1321 Duke Street, Alexandria, VA 22314-3563 with the
required fee and a copy of your pharmacist license.
CCGP Handbook, page 17

CCGP Examination

Request for Special


Examination Accommodations

If you have a disability covered by the Americans with Disabilities Act, please complete this form and the Documentation
of Disability-related Needs on the reverse side so your accommodations for testing can be processed efficiently. The
information you provide and any documentation regarding your disability and your need for accommodation in testing will
be treated with strict confidentiality.

Applicant Information
                                      Test Center_ ___________________________
_______________________________________________________________________________________________________________
Last Name First Name Middle Name

_______________________________________________________________________________________________________________
Address

_______________________________________________________________________________________________________________
City State Zip Code

Special Accommodations
I request special accommodations for the ______ / ______ administration of the _________________________________________
examination(s).                          Month      Year

Please provide (check all that apply):


______  Reader
______  Extended testing time (time and a half)
______  Reduced distraction environment
______  Please specify below if other special accommodations are needed.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

Comments:_ ____________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________

Signed:____________________________________________________________________   Date:______________________________

Return this form with your examination application to:


Candidate Services Department, CCGP, 1321 Duke Street, Alexandria, VA 22314-3563.
If you have questions, call the Candidate Services Department at 703/535-3036.
CCGP Handbook, page 18

CCGP Examination

Documentation of
Disability-related Needs

Please have this section completed by an appropriate professional (education professional, doctor, psychologist, psychiatrist) to
ensure that AMP is able to provide the required examination accommodations.

Professional Documentation
I have known _______________________________________________________ since ______ / ______ / ______ in my capacity as a
                                              Candidate Name                                            Date

_____________________________________________________________.
                                   Professional Title                                  

The applicant discussed with me the nature of the examination administered. It is my opinion that because of this applicant’s
disability described below, he/she should be accommodated by providing the special arrangements listed on the reverse
side.

Description of Disability:__________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________

Signed:____________________________________________________________________   Title:______________________________

Date:_ _______________________________________________  License # (if applicable):__________________________________

Return this form with your examination application to:


Candidate Services Department, CCGP, 1321 Duke Street, Alexandria, VA 22314-3563.
If you have questions, call the Candidate Services Department at 703/535-3036.
Commission for Certification Applied Measurement
in Geriatric Pharmacy (CCGP) Professionals, Inc. (AMP)
1321 Duke Street 18000 W. 105th Street
Alexandria, VA 22314-3563 Olathe, KS 66061-7543
703/535-3036 913/895-4600
FAX 703/739-1500 FAX 913/895-4651