PTCB Medication History certificate holders have demonstrated the necessary training, experience, and knowledge to be entrusted to collect an accurate medication history from patients in any health-care setting.
A candidate must hold an active PTCB CPhT Certification and fulfill one of the following eligibility pathways:
Pathway 1: Completion of a PTCB-Recognized Medication History Education/Training Program and at least 6 months of experience conducting Medication Histories and/or similar experiences of patient-focused communication.*
Pathway 2: At least 12 months of experience conducting Medication Histories and/or similar experiences of patient-focused communication.*
*Approximately 50% of time spent in work activities should involve patient-focused communication (e.g., intake of new patients/prescriptions, answering patient questions). The intention of the requirement is that pharmacy technicians with full-time work experience in community pharmacies and/or work experience in ambulatory/hospital roles focused on taking medication histories will meet the spirit of the requirement.
Passing the Medication History Exam is required to earn the PTCB Medication History Certificate. The Medication History Exam is a computer-based exam administered at Pearson VUE test centers nationwide. The Medication History Exam is a 1.5-hour, multiple-choice, exam that contains 70 questions. One hour and 20 minutes are allotted for answering the exam questions and 10 minutes for a tutorial and post-exam survey.
Exam Content Outline
The Medication History Exam covers several knowledge areas organized into two domains, as shown in the following table.
|Concepts/Terminology of Medication History (45%)|
|Definitions of key terms in the medication history process (e.g., medication allergy vs. medication intolerance, medication adherence)|
|Translation between patient-friendly terms and medical terminology|
|Adherence metrics and differences between primary and secondary nonadherence|
|Common vaccinations and vaccination schedules|
|Patient Safety and Quality Assurance Strategies (55%)|
|Types of prescription/medication errors (e.g., abnormal doses, incorrect quantity, incorrect strength, incorrect drug, incorrect route of administration, incorrect directions, wrong timing, missing dose, misinterpretation of drug concentration)|
|Potential impact of medication errors, including look-alike/sound-alike medications (e.g., ampicillin/amoxicillin)|
|Patient factors that influence the ability to report medication information accurately and adhere to prescribed dosing schedules|
|HIPAA and best practices to maintain patient confidentiality during patient conversations|
|Techniques or devices to assist with safe and consistent home medication use (e.g., pill boxes, medication calendars, medication alarms)|
|Procedures to verify patient identity, including appropriate identifiers and knowledge of limitations for different identifiers|
A panel of subject-matter experts established a passing score for the Medication History Exam using industry best practices. The method used by the panel, as directed by a psychometrician, is the modified-Angoff method. This method requires experts (panel members) to evaluate individual test questions and estimate the percentage of qualified pharmacy technicians that would be able to answer each question correctly. These estimates were analyzed for consistency and averaged to produce the passing score. The passing score and candidate results are reported as scaled scores. The passing scaled score for the Medication History Exam is 300. The range of possible scores based on the exam content outline is 0 to 400.
Earning your Medication History Certificate takes you one step closer to becoming a PTCB Advanced Certified Pharmacy Technician (CPhT-Adv). Active PTCB CPhTs who have completed at least four of the certificate programs (must include TPV or Medication History), or three certificate programs and the Compounded Sterile Preparation Technician (CSPT) Certification, and 3 years of work experience will be eligible to earn a CPhT-Adv credential.