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The Foreign Pharmacy Graduate Equivalency Examination, or FPGEE, is one of the examinations required as part of the FPGEC Certification Program (You must also take and pass the TOEFL iBT, the English-language test administered by Educational Testing Service. Applications submitted after January 1, 2020 must complete the TOEFL iBT requirement prior to sitting for the FPGEE).

The FPGEE is offered once per year, and it is administered at Pearson VUE test sites throughout the continental United States. Only individuals made eligible during the FPGEC application process can take the FPGEE.

You will be notified via your e-Profile that you are eligible to sit for the FPGEE after successfully completing the FPGEC evaluation process. You must pass the FPGEE within two years of having your FPGEC application accepted or your application will expire, and you will need to submit a new FPGEC application.

An overview of FPGEC Certification
FPGEC and ECE application procedures
Documentation of pharmacist credentials
Registering for the FPGEE
FPGEE administration
FPGEE score results

The FPGEE Competency Statements provide a blueprint of the syllabus covered on the examination. A strong understanding of the Competency Statements will aid in your preparation to take the examination. The 200 questions on the FPGEE are divided among four content areas:

Basic biomedical sciences 10%
Pharmaceutical sciences 33%
Social, behavioral, administrative pharmacy sciences 22%
Clinical sciences 35%
The statements can be found in the FPGEC Candidate Application Bulletin.

Foreign Pharmacy Graduate Examination Committee (FPGEC) Certification is required for foreign-educated pharmacists seeking to apply for the pharmacy licensing exams (including the North American Pharmacist Licensing Examination (NAPLEX) and Multistate Pharmacy Jurisprudence Examination (MPJE)) in the United States and NABP member jurisdictions. To obtain FPGEC Certification, a candidate must have their required documentation and application accepted, including a passing score on the Test of English as a Foreign Language Internet-based Test (TOEFL iBT), and pass the Foreign Pharmacy Graduate Equivalency Examination (FPGEE). The information below is provided to guide you through the key steps in applying for FPGEC Certification, including instructions for registering to take the FPGEE. It answers the most frequently asked questions about the FPGEC application process. Please read this information carefully and refer to the appropriate sections of this Application Bulletin for detailed information.

NABP provides the FPGEC Certification Program to document the educational equivalency of a candidates foreign pharmacy education, as well as their license and/or registration to practice pharmacy. To achieve FPGEC Certification, candidates must:
Provide documents that verify their education background.
Provide documents that verify licensure and/or registration to practice pharmacy.
Pass the Test of English as a Foreign Language Internet-based Test (iBT).
Pass the FPGEE.
Candidates who receive an FPGEC Certificate may be qualified to take the pharmacy licensing examination in jurisdictions that accept this Certification. All 50 US states, the District of Columbia, Guam, and Puerto Rico require foreign-trained pharmacists to achieve FPGEC Certification before applying for a license from a state board of pharmacy

- Physiology
- Function of the major body systems and homeostatic impact at organ and system level
- Biochemistry
- Chemistry and utilization of biomacromolecules including proteins, lipids, carbohydrates, nucleic acid, intermediary metabolism of energy and nutritional molecules
- Enzymology and coenzymes and kinetics
- Cell chemistry, signal transduction pathways
- Transport and mobility
- Recombinant DNA and molecular biotechnology
- mRNA translation and protein synthesis
- Microbiology Related to Human Disease
- Structure, function, and characteristics of microorganisms: microbe classification, structure, metabolism, genetics
- Pathogenic microorganisms of humans
- Immunology
- Innate and adaptive immunity
- Principles of antibody actions
- Hypersensitivity and types of reactions

Area 2.0 - Pharmaceutical Sciences (Approximately 33% of Test)
- Medicinal Chemistry
- Physicochemical properties of drugs in relation to drug absorption, distribution, metabolism, and excretion (ADME)
- Chemical basis for drug action
- Fundamental pharmacophores for drugs used to treat diseases
- Structure-activity relationships in relation to drug-target interactions
- Chemical pathways of drug metabolism
- Applicability to making drug therapy decisions
- Pharmacology and Toxicology
- Mechanisms of action of drugs of various categories including biologics
- Pharmacodynamics of drug binding and response
- Adverse effects and side effects of drugs
- Mechanisms of drug-drug interactions
- Drug discovery and development
- Acute and chronic toxic effect of xenobiotics, including drug and chemical overdose and antidotes
- Pharmacognosy and Dietary Supplements
- Concepts of crude drugs, semi-purified, and purified natural products
- Classes of pharmacologically active natural products
- Science and regulation of dietary supplements (vitamins, minerals, and herbals)
- Pharmaceutics/Biopharmaceutics
- Biopharmaceutical principles of drug delivery to the body via dosage forms: liquid, solid, semisolid, controlled release, patches, implants
- Materials and methods used in preparation of drug forms
- Physicochemical properties relating to drug entities and dosage forms
- Principles of drug and dosage form stability, including chemical degradation and physical instability
- Pharmacokinetics
- Basic principles of in-vivo drug kinetics (linear and nonlinear)
- Principles of bioavailability and bioequivalence
- Physiologic determinates of drug onset and duration, including disease and dietary influences on absorption, distribution, metabolism, and excretion
- Pharmacogenomics and Genetics
- Molecular genetics, genomic, proteomic, and metabolomic principles that serve as a foundation for pharmacogenomics and the genetic basis of disease
- Genetic variants affecting drug action and metabolism, adverse drug reactions, and disease risk that influence the practice of personalized medicine
- Sterile and Nonsterile Compounding
- United States Pharmacopeia guidelines on sterile and nonsterile compounding, hazardous drugs, and FDA regulation of compounding
- Techniques and principles used to prepare and dispense individual extemporaneous prescriptions, including dating of compounded dosage forms
- Dosage form preparation calculations
- Sterile admixture techniques, including stability, clean-room requirements, sterility testing, and dating

Area 3.0 Social/Behavioral/Administrative Sciences (Approximately 22% of Test)
- Health Care Delivery Systems and Public Health
- Organization of health care delivery systems at the national, state, and local levels: various settings where pharmacy is practiced and the structure of health care delivery systems such as managed care organizations, accountable care organizations, health departments
- Health care delivery financing in the United States
- Social, political, and economic factors that influence the delivery of health care in the United States
- Public Health and Wellness: chronic disease prevention, health promotion, infectious disease control, demographics, physical, social, and environmental factors leading to disease, comparing and contrasting public health with individual medical care
- The health care delivery system compared and contrasted with that of other industrialized nations
- Population-Based Care and Pharmacoepidemiology
- Data sources and analytic tools that provide an estimate of the probability of beneficial or adverse effects of medication use in large populations
- Application of epidemiological study designs to evaluate drug use and outcomes in large populations
- Methods for continually monitoring unwanted effects and other safety-related aspects of medication use in large populations
- Economic and Humanistic Outcomes of Health Care Delivery
- General microeconomic and general macroeconomic principles
- Pharmacoeconomic analysis and its application to Strengthen the allocation of limited health care resources
- Humanistic outcomes and their application to Strengthen the allocation of limited health care resources
- Pharmacy Practice Management
- Management principles (planning, organizing, directing, and controlling pharmacy resources) applied to various pharmacy practice setting and patient outcomes
- Personnel management
- Planning, including delineation between business and strategic planning
- Marketing of goods and services: product versus service pricing, distribution, promotion
- Accounting and financial management
- Budgeting
- Risk management
- Pharmacy Law and Regulatory Affairs
- Legal and regulatory principles applied to pharmacy practice: dispensing, professional services, drug use control
- Administrative, civil, and criminal liability
- Authority, responsibilities, and operation of agencies and entities that promulgate or administer laws, regulations, or guidances related to practice and prescription and nonprescription medications
- Biostatistics and Research Design
- Research study designs used in medical research
- Application and interpretation of statistical tests and data collection instruments
- Ethical Decision Making
- Principles of biomedical ethics
- Ethical dilemmas in the delivery of patient-centered care including, conflicts of interest, end-of-life decision making, use of codes of ethics, oaths of the pharmacist
- Research ethics
- Professional Communication
- Communication abilities (appropriate verbal, nonverbal, visual, and written) with patient and caregivers, including empathetic communication
- Communication abilities with other health care providers
- Assertiveness and problem-solving techniques in relation to difficult social and professional conflicts and situations
- Measurement and use of health literacy in pharmacy communications
- Development of cultural competency in pharmacy personnel such that services are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patient populations
- Social and Behavioral Aspects of Pharmacy Practice
- Health-, illness-, and sick-role behaviors of patients
- Principles of behavior modification
- Patient adherence to therapies and recommendations
- Caregiving throughout the lifecycle
- Death and dying
- Medication Dispensing and Distribution Systems
- Systems for safe and effective preparation and dispensing of medications in all types of practice settings
- Role of automation and technology: pharmacy informatics, information management
- Continuous quality improvement programs or protocols in the medication-use process, including identification and prevention of medication errors, and establishment of error reduction programs

Area 4.0 Clinical Sciences (Approximately 35% of Test)
- Evidence-based Practice
- Interpret and evaluate drug information
- Apply drug-information skills for the delivery of medication therapy management
- Evaluate the reliability of various sources of information
- Interpret guidelines as they apply in a clinical setting
- Utilize core scientific and systems-based knowledge in the patient care decision-making process
- Utilize basic science principles in the development and/or implementation of drug treatment protocols and clinical practice guidelines
- Evaluate clinical trials that validate clinical appropriateness
- Clinical Pathophysiology
- Apply concepts of pathophysiology to clinical decision making
- Clinical Pharmacokinetics
- Utilize pharmacokinetics to calculate, evaluate, and individualize drug therapy
- Interpret clinical pharmacokinetics of commonly used and low-therapeutic-index drug
s - Clinical Pharmacogenomics
- Utilize pharmacogenomics to calculate, evaluate, and individualize drug therapy
- Disease Prevention and Population Health
- Recognize the proper use of nonpharmacologic therapies, including complementary and alternative medicines
- Describe measures to promote wellness and disease prevention
- Identify the role of immunizations in disease prevention and health promotion
- Patient Assessment
- Describe techniques for obtaining a comprehensive patient history
- Describe how to perform patient physical assessments: inspection, palpation, percussion, auscultation
- Differentiate between normal physical assessment findings and modifications caused by common disease states and drug therapy
- Interpret common clinical laboratory values and diagnostic tests
- Perform calculations related to patient assessment: BMI, CrCl, lab adjustments
- Describe the use of OTC point-of-care testing devices: glucometers, pregnancy tests, home testing for HbA1c, drug screening
- Clinical Pharmacology and Therapeutic Decision Making
- Make therapy recommendations based on dosage calculations, specific uses and indications of drugs and nutritional and support therapy
- Interpret therapeutic drug concentrations
- Assess pharmacotherapy considering contraindications, therapeutic duplications, dietary interactions, adverse drug reactions and interactions, and allergies
- Triage and identify when to refer patients to other health professionals
- Design patient-centered, culturally-relevant treatment plans
- Apply evidence-based decision making to patient care
- Recommend nonprescription and natural product therapies
- Identify and manage drug toxicity, drug-induced diseases, and misuse or abuse
- Monitor drug therapy for misuse, abuse, and non-adherence



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CT Rep. Maria Horn: looking into the state’s future | FPGEE cheat sheet and PDF Dumps

SALISBURY — For state Rep. Maria Horn, the remaining two years have been regular and sudden trade. This year, as she runs for her 2nd time period serving the 64th condominium District, she’s anticipating carrying on with her work for the people she serves.

“there were so many surprising things that took place, particularly this yr,” she spoke of. “We knew they have been going to be facing economic challenges, but they didn’t have COVID-19. So this year, it turned into essential for me to take a gradual hand, and appear towards the longer term.”

Horn, an legal professional, and her husband, retired true property investor Tom Quinn, have three grown infants: Abby, 21, a junior at Bates college; Max 19, a freshman on the institution of Chicago; and Maude, 23, who lives in Minneapolis, Minn.

State Rep. Maria Horn

She is being challenged by means of Republican Brian Ohler of Canaan, who held the seat before she defeated him in 2018.

Her campaign, she mentioned, nevertheless makes a speciality of careful spending, fitness care and legislation. The state’s rainy day fund lately hit a high steadiness — greater than $three billion — which Horn views as an accomplishment and some thing with the intention to aid Connecticut because it recovers from the results of the response to the pandemic on the economic system and employment. Horn sits on the state’s Judiciary, atmosphere and Appropriations committees.

“We’re going to have a tricky road, with complicated choices,” she stated. “We’ve been very fortunate that their predictions for the fiscal fitness of the state had been good — however we’ve obtained unhealthy news forward, too. they now have huge deficits looming over us in 2021.”

a huge situation for the state, she referred to, is health care. “We’re seeing the unraveling, at the federal degree, of fitness care systems,” she observed, referring to President Donald Trump’s efforts to overturn the within your budget Care Act. “Public health in fact came into the forefront right through the pandemic,” she stated.

“inserting things in location to curb costs for residents, as an instance, is whatever thing they need to proceed,” she referred to. “Insulin prices, as an instance, have been controlled. The can charge of insulin by using the pharmaceutical industry is a texbook story of greed, and they pushed again with a very good invoice, however there’s more to be performed.

“We additionally passed a telehealth bill,” Horn introduced. “Telehealth (the use of video or telephones to change in-grownup scientific care visits) has been massive all the way through the pandemic, and in their region, it’s much more vital.”

Horn is also concentrated on election reform. It started this 12 months on account of the pandemic, with absentee ballots. “In 2019 they took the first step towards creating early voting in Connecticut. The way of life of getting an entire election on a single Tuesday in November is a good looking archaic idea,” she stated. “Connecticut has a really traditional mode when it involves elections, and it’s hard to trade that. but they took a step to place early voting on the ballot, and that’s essential within the pandemic. ... individuals don’t are looking to go into a crowded room as a result of they suppose it puts them at risk.”

She credited Secretary of the State Denise Merrill with what she hopes can be a a success first round in a national election, the use of the absentee pollmore than ever earlier than. “i used to be very drawn to the mechanics of making this work,” Horn spoke of. “town clerks have had to installation programs that work to supply protection to everyone, and it’s been advanced.”

searching forward, Horn has set new goals for herself.

“one of the most issues i used to be anticipating working on in 2020, before the pandemic, turned into their waste management and restoration techniques,” she noted. “It’s definitely important — MIRA (materials Innovation Recycling Authority), the waste management device that most towns in my district and the region use, wants $350 million of an funding to make it work, going forward, and the governor isn't inclined to deliver them with that cash. They need to get a hold of new waste management systems; greater composting, for example. a massive percent of their waste is compostable, and if they can get individuals to take part in that, it will make a difference.

“We also need to replace the state’s bottle bill,” Horn mentioned. “It’s from the 1970s and their compensation fee is extraordinarily low.”

another aim is stronger connectivity to the northwest corner, where digital access and repair is complex. “we've true challenges up here,” she mentioned. “we're underconnected to the cyber web in their area. The harm that brings to their communities is worse that ever.

“we've a lot of people who need to move right here and reside right here, but they could’t connect to their jobs at other places in the event that they’re working from home. If they want them to dwell right here and raise their kids right here, to develop into part of the community, they need to enhance that access,” she noted.

She additionally desires to locate a method to “align with Eversource to make them dependable,” she referred to, adding that she changed into angered by the late summer season storm that left thousands of buildings without power for days.

Horn hopes everybody in the nation will find a way to vote on Nov. 3. “We’re inserting out a lot of assistance about absentee ballots, where to make use of the dropbox at town corridor, things like that,” she noted. “There’s nothing extra critical to me than making bound everybody receives to vote, safely and securely.”


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