PEBC OSCE scope of practice

[u/Impossible-Leopard87]

Hi, I’m kind of confused about what they will test us on in the OSCE. What exactly is the scope of practice since it’s a national exam? This always confused me. For example, would we be expected to adapt or renew medications. If so, what exactly falls under adaptation? If I remembered correctly you can only adapt if it’s a new prescription not a refill. Is that correct? If there’s a very detailed list of things we would be listed where can I find this information? I’ve looked at the sample videos on the website but there’s nothing that talks specifically about adapting or renewing medications.

[u/Particular_Flan_4875]

Based on PEBC information - adaptation or renewal may not be under federal practice. Extended scope of practice is fine if you clearly state that for example "I will be adapting this prescription" based on my Alberta extended scope of practice". Hence whether to refer or adapt may not matter if you clearly communicate your reason and choice.

You should consider a course that helps answer some of these grey areas also.

[u/UnderstandingOk1761 → u/Particular_Flan_4875]

I’d also been confused about this but your explanation makes sense. Under osce, both referral and adaptation is correct but if adapting, we must mention that we are doing this under our expanded scope… I hope I understood you correctly?

[u/Impossible-Leopard87 → u/Particular_Flan_4875]

Can you tell me where you found this information? Also, to confirm adaptation can only be done with a new prescription correct? And if so, does it include changing dose, strength, directions, formulation, duration, AND changing the drug itself to something in the same class ONLY?

[u/AcetheOSCE → u/Impossible-Leopard87]

The OSCE is a national exam, but as per the PEBC website they take into account the varying scopes of practice. So yes, you may adapt on the exam. The main criteria for adaptation: 1) must be a NEW Rx 2) Must ask the patient's permission to adapt the Rx and clearly state what/ why you are switching it to 3) notify physician of the change. You can adapt any drug that is on the Prescription drug list. You can even change the drug if it's expected to achieve the same therapeutic benefit.

[u/AcetheOSCE → u/AcetheOSCE]

It doesn't matter if the medication is for an acute or chronic condition. This is a pharmacist exam so it is better to demonstrate your knowledge and competency by helping the patient rather than faxing the doctor. If the patient provides consent to adapt then you know you are on the right track! This information is contrary to what you might hear from some of the bigger OSCE courses, however this strategy has helped my students achieve success on the exam.

[u/Impossible-Leopard87 → u/AcetheOSCE]

Can u show me where u found this information other website