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Extended Practice Pharmacist

Extended Practice Pharmacists complete specialty training to prescribe and manage patient medication therapy within the scope of a specialty practice such as diabetes or respiratory educator. An Extended Practice Pharmacist works in a collaborative practice with other healthcare providers (physicians and nurse practitioners) to enhance the care of shared patients.

Requirements

As pharmaceutical experts, Extended Practice Pharmacists (EPPh) enhance drug therapy management and contribute to better health outcomes for Manitobans. Extended Practice Pharmacists must prescribe within their specialty area of practice and cannot prescribe drugs included under the Canadian Drugs and Substances Act (CDSA).

The professional designation for Extended Practice Pharmacists is EPPh and must be noted on all prescriptions issued by an Extended Practice Pharmacist. The Pharmacist Register indicates if a pharmacist is registered as an Extended Practice Pharmacist.

The required qualifications for an EPPh designation are outlined below. For information on maintaining an EPPh designation, please visit the EPPh Renewal page.

Specialty Qualifications

As outlined by section 96 of the Pharmaceutical Regulation, a member is qualified as a specialist in an area upon providing evidence satisfactory to the registrar that he or she has one or more of the following qualifications:

  • board certification from the American Board of Pharmacy Specialties in one of the following specialties, is currently practising, and has practised for at least 1000 hours in the two years before applying for registration, in a healthcare setting in one of the following specialty areas:
    • ambulatory care pharmacy;
    • nuclear pharmacy;
    • nutrition support pharmacy;
    • oncology pharmacy;
    • pharmacotherapy;
    • psychiatric pharmacy.
  • board certification in geriatric medicine from The Commission for Certification in Geriatric Pharmacy, (now the American Board of Pharmacy Specialties) is currently practising, and has practised for at least 1,000 hours in the two years before applying for registration, in a geriatric healthcare setting;
  • a postgraduate clinical degree of Pharmacy (Pharm D, M.Sc. or Ph.D.) from a program approved by the council, is currently practising, and has practised for at least 1,000 hours in the two years before applying for registration, in a healthcare setting and in the specialty. See the “Council Approved Education and Certification Programs” section below for a list of programs.
  • successful completion of the Canadian Diabetes Educator Certification Board examination, is currently practising, and has practised for at least 5,000 hours in the five years before applying for registration, in a diabetes healthcare setting;
  • successful completion of the Certified Respiratory Educator examination administered by the Canadian Network for Respiratory Care, is currently practising, and has practised for at least 5,000 hours in the five years before applying for registration, in a respiratory healthcare setting;
  • certification by the National Certification Board for Anticoagulation Providers, is currently practising, and has practised for at least 5,000 hours in the five years before applying for registration, in a related healthcare setting;
  • certification from any other program approved by the council as equivalent to a program described in this section, coupled with a similar practising requirement. See the “Council Approved Education and Certification Programs” section below for a list of programs.

Note: The practice hour requirements listed under section 96 of the Pharmaceutical Regulation must be completed after the Extended Practice Pharmacist applicant has finished their clinical degree or certification program.

Council Approved Education and Certification Programs

Pharm.D. Programs

  • Postgraduate Doctor of Pharmacy (Pharm.D.)* : University of British Columbia
  • Postgraduate Doctor of Pharmacy (Pharm.D.): University of Colorado
  • Postgraduate Doctor of Philosophy (Ph.D.) or Master of Science (M.Sc.) in pharmacy:  University of Manitoba
  • Postgraduate Doctor of Pharmacy (Pharm.D.): University of Minnesota
  • Postgraduate Doctor of Pharmacy (Pharm.D.): Purdue University
  • Postgraduate Doctor of Pharmacy (Pharm.D.)*: University of Toronto
  • Postgraduate Doctor of Pharmacy (Pharm.D.): Wayne State University

*Programs were discontinued by the respective universities, but applicants who have completed the programs may still apply for an EPPh designation.

Certification Programs

The following programs require applicants to practice for at least 1,000 hours in the two years before applying for registration:

  • Accredited Canadian Hospital Residency Program (ACPR): Canadian Hospital Pharmacy Residency Board
  • Board certification from the Board of Pharmacy Specialties (BPS) for the following specialty areas:
      • Cardiology Pharmacy
      • Critical Care Pharmacy
      • Geriatric Pharmacy
      • Infectious Diseases Pharmacy
      • Pediatric Pharmacy
      • Solid Organ Transplantation
  • Doctor of Pharmacy (PharmD) for Working Professionals Bridging Program: Memorial University of Newfoundland (MUN)
  • Entry to Practice (ETP) Doctor of Pharmacy (PharmD) program: College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba
  • PharmD for Practicing Pharmacists: University of Alberta
  • PharmD for Practicing Pharmacists: University of Toronto

The following programs require applicants to practice for at least 5,000 hours in the five years before applying for registration:

  • International Society of Travel Medicine (ISTM) Certificate in Travel Health: ISTM Certificate of KnowledgeTM

Collaborative Practice Requirements

Consistent with the Pharmaceutical Regulation definition of collaborative care, applicants for registration as an Extended Practice Pharmacist are required to confirm that they are in a collaborative practice setting by describing how they meet the following criteria:

  • Patients are common to the pharmacist and the physician (or registered nurse extended practice / NP). i.e., both are providing care to the patient(s);
  • The pharmacist and the physician (or registered nurse extended practice / NP) understand and acknowledge that they share decision-making, risks and responsibilities in the care of the patient(s) described in #1;
  • The pharmacist and the physician (or registered nurse extended practice / NP) share and / or have immediate access to relevant diagnostic and health information; and
  • There are established procedures for timely communication between the pharmacist and the physician (or registered nurse extended practice / NP) respecting patient care issues and decisions.

DPIN Pharmacist Prescriber Number

All licensed pharmacists are entered into DPIN as prescribers. Pharmacist prescriber numbers consist of the prefix ‘X’ followed by the pharmacist’s licence number. For example, ‘X12345.’ Pharmacists use this prescriber number when issuing a prescription or entering a prescription into DPIN that has been authorized by a pharmacist prescriber.

Applying for Registration as an Extended Practice Pharmacist

Applicants can submit the Application for Initial Registration as an Extended Practice Pharmacist, Declarations in Support of an Extended Practice Pharmacist Applicant, and all other supporting documents listed on the application to CPhM by email to registration@cphm.ca (preferred method), fax 204.237.3468, or mail 200 Tache Avenue, Winnipeg, MB R2H 1A7.

Pharmacist filling prescription

Extended Practice Pharmacist Renewal

Extended Practice Pharmacists must renew their licence with the College annually to ensure they maintain their skills and qualifications.

Learn more