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Clinical Reasoning Series in Pharmacotherapy, 2026 Home Study Edition


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The Clinical Reasoning Series in Pharmacotherapy has been approved by the Board of Pharmacy Specialties (BPS) as one component of the professional development programs developed by ACCP for recertification of the Board-Certified Pharmacotherapy Specialist (BCPS).

This educational series explores cutting-edge, contemporary therapeutic topics and demonstrates scientifically sound clinical reasoning and decision-making. It employs learning activities designed to advance the participants' skills and abilities to critically evaluate the scientific evidence and effectively incorporate significant findings into daily practice that lead to effective and safe patient care.

The program will consist of several educational activities and is presented in four parts.

Clinical Reasoning Series in Pharmacotherapy — Program Chair

Faculty Panel Chair Paul M. Boylan, Pharm.D., M.S., BCPS
Paul M. Boylan

Paul M. Boylan, Pharm.D., M.S., BCPS
Associate Professor
The University of Oklahoma
College of Pharmacy
Oklahoma City, Oklahoma

 

Release Date: November 11, 2026
BCPS Deadline: November 11, 2027
ACPE Deadline: October 19, 2029

Technical Requirements:

Contents

Sex, Drugs, and Risk Reduction: Discussing and Debating Estrogen and Testosterone in 2026

Hormone therapy is a cornerstone to manage menopause and age-related hypogonadism; however, decades of conflicting evidence and regulatory warnings have paralyzed board certified clinical pharmacists aiming to balance symptom management against uncertain risks. In 2025, the Food and Drug Administration changed estrogen prescribing information and signaled similar revisions for testosterone, fundamentally altering the narrative that has dominated clinical pharmacy practice since the 1970s and conflicts with the positions of professional organizations in gynecology, endocrinology, and sexual health. Using clinical reasoning sessions (Spilling the T about Testosterone Therapy and Menopausal Hormone Therapy – Is There New Evidence or Just Re-Interpretation?) and an interactive expert panel format, this application-based continuing pharmacy education program addresses a critical gap between board certified pharmacists’ expertise and their ability to critically appraise – without bias or persuasion – conflicting hormone therapy evidence, communicate risk measures, and synthesize evidence from reliable resources to create person centered care plans. This activity will offer 1.5 contact hours of CPE and BCPS recertification credit.

This program will explore the following topics:

  • Cardiovascular risks and benefits of testosterone therapy
  • Evolving evidence and guideline recommendations for testosterone use
  • Evidence-based, patient-centered testosterone treatment decisions
  • Current role and indications for menopausal hormone therapy
  • Individualized management of menopausal symptoms using the latest evidence

Heated Rival-Rx: Opportunities and Interventions in Sports Pharmacy

Athletes and physically active patients increasingly seek pharmacist expertise for medication and supplement management while health systems and academic institutions are creating dedicated sports pharmacist positions and microcredentials to serve collegiate and professional sports organizations. Although BCPS practitioners possess strong clinical expertise, many might lack specialized knowledge needed for athlete-specific decisions, including anti-doping compliance, performance-enhancing substance evaluation, therapeutic use exemptions, and medication optimization aligned with training and competition schedules. This application-based session will summarize key fundamental anti-doping rules and resources for pharmacists and use case-based exercises and discussions to address potential scenarios that clinical pharmacists might encounter when caring for athlete-patients facing specific physiologic demands, performance goals, and regulatory requirements. This activity offers 1.5 contact hours of CPE and BCPS recertification credit.

This program will explore the following topics:

  • Anti-doping rules and regulations relevant to pharmacists caring for athletes
  • Identification and evaluation of prohibited substances and methods
  • Resources available to support pharmacists in athlete care
  • Pharmacist involvement in therapeutic use exemptions (TUEs)
  • Recommendations on supplement use for athletes with risks and benefits

Skin in the Game: Burn and Wound Pharmacotherapy Updates

Burns and wounds are prevalent conditions encountered by board certified pharmacists practicing across the continuum of care. Burn and wound care requires patient-specific pharmacotherapeutic management to optimize healing and prevent complications. While board certified pharmacotherapy specialists possess a strong foundation in comprehensive medication management, it is expected that many lack familiarity with wound classification schema, burn-specific pharmacokinetic considerations, topical therapy knowledge, and pain management strategies unique to burn and wound populations. Using case-based instruction and interactive clinical reasoning, this application-based session addresses a gap between board certified pharmacists’ knowledge of skin disorders and their abilities to develop evidence-based wound and burn pharmacotherapy plans, assess medication-related barriers to healing, and collaborate with interprofessional wound care teams. This activity offers 1.50 contact hours of CPE and/or BCPS recertification credit.

This program will explore the following topics:

  • Assessment and initial management of burn injury severity and fluid resuscitation
  • Pharmacokinetic changes and medication considerations in burn patients
  • Selection of topical antimicrobial therapies for burn wound care
  • Multimodal pain management strategies following burn injury
  • Recognition and treatment of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN)

Beyond the Counter and Into the Crisis: Pharmacist Roles in Disaster Response

Natural disasters, public health emergencies, and mass casualty events are increasingly common, challenge existing health care delivery models, and disrupt pharmacy practice. While board-certified pharmacists possess strong clinical knowledge, many may lack familiarity and confidence managing medication-related needs during disasters when resources are limited, supply chains are disrupted, and standard protocols cannot be followed. Using case-based instruction and interactive clinical reasoning, this application-based session addresses a critical gap between pharmacists’ clinical expertise in controlled environments and their ability to leverage their skills during crises. This activity offers 1.5 contact hours of CPE and BCPS recertification credit.

This program will explore the following topics:

  • Types of disasters and public health emergencies and their impact on pharmacy practice
  • Disaster preparedness resources, training, and certification opportunities for pharmacists
  • Evidence-based medication management strategies during disaster response
  • Development of disaster response plans, policies, and protocols
  • Application of pharmacist disaster readiness skills in emergency scenarios

Sex, Drugs, and Risk Reduction: Discussing and Debating Estrogen and Testosterone in 2026

Faculty

Jimmy Gonzalez, Pharm.D., MPH, BCPS
Clinical Associate Professor
Rutgers, The State University of New Jersey
Piscataway, New Jersey
Karen M. Gunning, Pharm.D., B.S.Pharm, FCCP, BCACP, BCPS
Professor (Clinical) of Pharmacotherapy
Associate Dean
The University of Utah College of Pharmacy
Salt Lake City, Utah

Reviewers

Nicole Campbell, Pharm.D., BCPS
Clinical Assistant Professor of Pharmacy Practice
Fairleigh Dickinson University
College of Pharmacy & Health Sciences​;
Internal Medicine Clinical Pharmacist​
Morristown Medical Center
Florham Park​, New Jersey
Luigi Brunetti, Pharm.D., Ph.D., MPH, FCCP, BCGP, BCPS
Associate Professor and Chair
Ernest Mario School of Pharmacy
Rutgers, the State University of New Jersey
Piscataway, New Jersey
Olga Hilas, Pharm.D., EdS, MPH, BCPS, BCGP, FASCP
Professor, Pharmacy Practice​
St. John’s University
College of Pharmacy and Health Sciences​
Queens, New York

Heated Rival-Rx: Opportunities and Interventions in Sports Pharmacy

Faculty

Marina Suzuki, Pharm.D., Ph.D., BCACP, BCPS
Health Economics Research Manager
Washington State Health Care Authority
Sports Pharmacist
United States Anti-Doping Agency
Seattle, Washington

Reviewers

Rebecca JC Tran, Pharm.D., BCACP, BCCP, BCPS, CLS
Associate Professor
Western University of Health Sciences
College of Pharmacy​
Pomona, California
Micheline Goldwire, Pharm.D., MS, MA, BCPS
Professor, ​Director of Drug Information Services​​
Regis University​
Denver, Colorado

Skin in the Game: Burn and Wound Pharmacotherapy Updates

Faculty

Kaitlin A. Pruskowski, Pharm.D., FCCM, BCCCP, BCPS
Clinical Pharmacist
US Army Institute of Surgical Research
JBSA-Fort Sam Houston
Houston, Texas

Reviewers

Kelly Hoenig, Pharm.D., BCPS
​Clinical Pharmacy Specialist​
University of Iowa Health Care​
Iowa City​, Iowa
Nicole M. Moreno, Pharm.D., BCCCP, BCPS
Clinical Assistant Professor​
​University of Missouri – Kansas City School of Pharmacy​
Springfield, Missouri

Beyond the Counter and Into the Crisis: Pharmacist Roles in Disaster Response

Faculty

Madison L. Adams, Pharm.D., Master of Science in Health Care Administration, BCPS
LCDR, U.S. Public Health Service/Indian Health Service
Antimicrobial Stewardship and Inpatient Clinical Pharmacist
Northern Navajo Medical Center
Shiprock, New Mexico

Reviewers

Ryan C. Costantino, Pharm.D., M.S., BCPS
Chief, Data Science & Innovation​
Enterprise Intelligence & Data Solutions​;
Deputy Pharmacy Consultant to the U.S. Army Surgeon General​
​U.S. Army​
San Antonio​, Texas
Megan A. Corrigan, Pharm.D., MPH, FASHP, BCPS
Director of Pharmacy and Emergency Management
Advocate Good Samaritan Hospital
Downers Grove, Illinois

CPE Credit

The American College of Clinical Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

The American College of Clinical Pharmacy is approved by BPS as a provider for the recertification of BCPS.

BPS is an autonomous division of the American Pharmacists Association. To maintain its strict, independent standards for certification, BPS does NOT endorse or provide review information, preparatory courses, or study guides for board certification examinations. BPS, through its specialty councils, is responsible for specialty examination content, administration, scoring, and all other aspects of its certification programs. BPS is totally separate and distinct from ACCP. For information about BPS specialty recertification the BPS recertification process, go to: www.bpsweb.org/

To receive recertification credit, posttests must be submitted prior to the recertification posttest deadline (see above). Only completed tests are eligible for credit; no partial or incomplete tests will be processed. You may complete one or all available posttests for credit.

The passing point to earn recertification credit is based on an expert analysis of the assessment items in each posttest. Any posttest submitted before the recertification test deadline that meets this passing point will earn recertification credits. These credits will be assigned as of the date of test submission and reported within 48 hours to BPS. For statements of recertification credit, visit www.bpsweb.org.

In accordance with BPS guidelines concerning remediation for products launched in 2024 and after, posttests that do not reach the passing point for recertification credit will generate a second-chance test option. This test will automatically appear in the learner’s My Account page and will have assessment items presented in a different order. To qualify for recertification credit, the second-chance test must be submitted before the recertification deadline stated above.

The ACCP Recertification Dashboard is a free online tool that can track recertification credits as they are earned through ACCP and schedule new opportunities for credits from upcoming ACCP professional development programs. Questions regarding the number of hours required for recertification should be directed to BPS at www.bpsweb.org.

Target Audience: The target audience for Clinical Reasoning Series in Pharmacotherapy is the pharmacist practicing in a clinical setting as a Board-Certified Pharmacotherapy Specialist (BCPS), looking to earn recertification credit, and those clinicians seeking additional information on the topics covered.

Contents

Sex, Drugs, and Risk Reduction: Discussing and Debating Estrogen and Testosterone in 2026

Activity Number: 0217-0000-26-112-H01-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives

1. Critique key historical studies contributing to conflicting perspectives on cardiovascular risk with testosterone therapy.

2. Reconcile discordance between public policy and clinical practice guidelines on testosterone therapy with emerging literature.

3. Formulate evidence-based and patient-centered testosterone therapy recommendations reflective of the latest evidence on cardiovascular risks and benefits.

4. Compare the results and context of the original Women’s Health Initiative studies to the application of studies today.

5. Organize a list of indications for menopausal hormone therapy based on the strength of evidence to support the indications.

6. Given patient specific menopausal symptoms, design an evidence-based person-centered care plan for symptom control.

Heated Rival-Rx: Opportunities and Interventions in Sports Pharmacy

Activity Number: 0217-0000-26-113-H99-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives

1. Interpret key anti-doping rules relevant to clinical pharmacists.

2. Describe athlete experiences and expectations surrounding anti-doping regulations.

3. Evaluate use of prohibited substances and methods.

4. Show resources available to pharmacists providing care to patient-athletes.

5. Assess how pharmacists can help athletes apply for therapeutic use exemptions.

6. Recommend appropriate supplement use for athletes through evidence-based evaluation of risks and benefits.

Skin in the Game: Burn and Wound Pharmacotherapy Updates

Activity Number: 0217-0000-26-114-H01-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives

1. Determine burn injury severity by assessing the size and depth of injury.

2. Recommend an appropriate burn resuscitation strategy for a patient with a large body surface area burn.

3. Compare pharmacokinetic alterations after burn injury to patients without burns.

4. Select topical antimicrobial therapies based on wound characteristics, infection risk, and patient-specific factors.

5. Construct a multimodal analgesic regimen for a patient with a large body surface area burn.

6. Recognize drug-induced Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) to initiate appropriate therapy.

Beyond the Counter and Into the Crisis: Pharmacist Roles in Disaster Response

Activity Number: 0217-0000-26-115-H99-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives

1. Categorize disasters, communicable disease outbreaks, and mass casualty events by their impact on pharmaceutical care and pharmacist involvement opportunities.

2. Identify resources for education and training on preparedness, disaster response frameworks, and certifications that can enhance individual clinical pharmacist readiness.

3. Evaluate disaster response medication management strategies using evidence-based frameworks to determine applicability across pharmacy practice settings.

4. Formulate disaster response plans, policies and procedures, and protocols for your organization and/or practice site.

5. Apply disaster response readiness skills in different clinical scenarios.

Disclosures


Commercial Support

The American College of Clinical Pharmacy does not solicit or accept external commercial/financial support for its continuing pharmacy education activities. No commercial/financial support has been solicited or accepted for this activity.

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Disclosures