MCQ Quiz: Forging Ahead

“Forging Ahead” means actively shaping the future of pharmacy, moving beyond traditional roles to embrace innovation, leadership, and new frontiers in patient care. It requires a vision for what the profession can be and the skills to lead that change. This quiz, designed for PharmD students, synthesizes concepts from leadership, biotechnology, and advanced practice models to test your understanding of the principles that will drive the advancement of the pharmacy profession.


1. A core principle of “forging ahead” in pharmacy practice is the shift from a product-centered model to a(n):

  • Dispensing-only model.
  • Sales-focused model.
  • Patient-centered care model.
  • Inventory-management model.

Answer: Patient-centered care model.


2. A pharmacist who creates a compelling vision for a new clinical service and inspires their team to work towards it is demonstrating:

  • A required dispensing function.
  • Leadership essential for advancing practice.
  • Poor time management.
  • A basic technical skill.

Answer: Leadership essential for advancing practice.


3. The field of pharmacogenomics (PGx) represents a major step in forging ahead by enabling:

  • A one-size-fits-all approach to medicine.
  • The use of more generic drugs.
  • Personalized medicine tailored to an individual’s genetic makeup.
  • Faster drug approval by the FDA.

Answer: Personalized medicine tailored to an individual’s genetic makeup.


4. The development and use of monoclonal antibodies and gene therapies are examples of what scientific frontier advancing pharmacy?

  • Medicinal chemistry
  • Pharmaceutical biotechnology
  • Pharmacokinetics
  • Pharmaceutics

Answer: Pharmaceutical biotechnology


5. Forging ahead requires pharmacists to advocate for changes in policy and law, with a primary current goal being:

  • The elimination of pharmacy technicians.
  • Stricter regulation of over-the-counter products.
  • The achievement of “provider status” to allow for billing of clinical services.
  • The reclassification of all drugs to prescription-only status.

Answer: The achievement of “provider status” to allow for billing of clinical services.


6. To forge ahead, a pharmacy leader must be skilled in managing:

  • Only the budget.
  • Only the inventory.
  • Organizational change.
  • Only the daily schedule.

Answer: Organizational change.


7. A key practice for a leader forging ahead with a new initiative is to first:

  • Establish a sense of urgency to overcome inertia.
  • Hire a completely new team.
  • Purchase new equipment.
  • Design a marketing brochure.

Answer: Establish a sense of urgency to overcome inertia.


8. Advanced practice models like Medication Therapy Management (MTM) and ambulatory care are crucial for:

  • Forging ahead by demonstrating the pharmacist’s value in improving patient outcomes.
  • Maintaining the traditional role of the pharmacist.
  • Increasing the speed of the dispensing process.
  • Reducing all patient interaction.

Answer: Forging ahead by demonstrating the pharmacist’s value in improving patient outcomes.


9. The use of telehealth and other digital health technologies is a way for pharmacy to forge ahead by:

  • Increasing barriers to care.
  • Limiting the pharmacist’s role.
  • Improving patient access to care and enabling remote clinical services.
  • Making healthcare more expensive for everyone.

Answer: Improving patient access to care and enabling remote clinical services.


10. A pharmacist who takes the initiative to develop a “test and treat” program for common conditions under a state protocol is:

  • Overstepping their scope of practice.
  • Forging ahead by expanding patient access and the pharmacist’s public health role.
  • Focusing on an outdated practice model.
  • Violating pharmacy law.

Answer: Forging ahead by expanding patient access and the pharmacist’s public health role.


11. The “Five Dysfunctions of a Team” model is important for leaders forging ahead because:

  • A dysfunctional team cannot effectively implement change or new initiatives.
  • It provides a list of reasons to fire team members.
  • It focuses on individual success over team goals.
  • It is not relevant to pharmacy practice.

Answer: A dysfunctional team cannot effectively implement change or new initiatives.


12. The “shifting paradigms” in healthcare reimbursement from fee-for-service to value-based care requires pharmacists to forge ahead by:

  • Focusing only on dispensing volume.
  • Demonstrating how their clinical services improve quality and lower total healthcare costs.
  • Ignoring insurance and billing altogether.
  • Increasing the price of all prescriptions.

Answer: Demonstrating how their clinical services improve quality and lower total healthcare costs.


13. An innovative mindset, a key attribute for forging ahead, involves:

  • A willingness to challenge the status quo and develop new solutions.
  • A strict adherence to traditional workflows.
  • A resistance to all new technologies.
  • A focus on maintaining current practice without change.

Answer: A willingness to challenge the status quo and develop new solutions.


14. The use of “big data” and clinical informatics will allow future pharmacists to forge ahead by:

  • Making patient care more generic.
  • Creating more work for themselves.
  • Identifying populations at risk and providing proactive, data-driven care.
  • Eliminating the need for patient interaction.

Answer: Identifying populations at risk and providing proactive, data-driven care.


15. What is the role of interprofessional collaboration in forging ahead?

  • It hinders progress by slowing down decision-making.
  • It is essential, as future healthcare models rely on integrated, team-based care to manage complex patients.
  • It is optional and only necessary in hospital settings.
  • It allows pharmacists to delegate all of their responsibilities to nurses.

Answer: It is essential, as future healthcare models rely on integrated, team-based care to manage complex patients.


16. The concept of a “pharmacy leadership crisis” suggests that forging ahead requires:

  • Fewer leaders in the profession.
  • A new generation of pharmacists who are willing and able to lead change.
  • Maintaining the current leadership structure without change.
  • Leaders who are resistant to innovation.

Answer: A new generation of pharmacists who are willing and able to lead change.


17. The development of new therapeutic modalities like gene therapy will require pharmacists of the future to:

  • Ignore these new treatments.
  • Understand their complex mechanisms, administration, and monitoring requirements.
  • Defer all knowledge to physicians.
  • Focus only on small molecule drugs.

Answer: Understand their complex mechanisms, administration, and monitoring requirements.


18. Forging ahead into new clinical service areas requires pharmacists to have strong skills in:

  • Business planning and strategic thinking.
  • Dispensing only.
  • Marketing exclusively.
  • Following orders without question.

Answer: Business planning and strategic thinking.


19. A key barrier to forging ahead with new patient care services is often:

  • A lack of patients needing care.
  • The regulatory and reimbursement landscape.
  • The simplicity of modern medications.
  • A lack of support from professional organizations.

Answer: The regulatory and reimbursement landscape.


20. A pharmacist who engages in practice-based research is forging ahead by:

  • Contributing new evidence to support the value of pharmacy services.
  • Wasting time that could be spent dispensing.
  • Violating the principles of evidence-based practice.
  • Performing a task that has no benefit to the profession.

Answer: Contributing new evidence to support the value of pharmacy services.


21. The “empathy project” in the ambulatory care syllabus helps future pharmacists forge ahead by:

  • Developing a deep understanding of the patient experience to guide patient-centered innovation.
  • Practicing their calculation skills.
  • Learning how to manage pharmacy inventory.
  • Memorizing drug side effects.

Answer: Developing a deep understanding of the patient experience to guide patient-centered innovation.


22. According to the leadership syllabus, what is the leader’s most crucial tool for forging ahead?

  • A detailed budget
  • A compelling vision
  • A strict set of rules
  • A powerful title

Answer: A compelling vision


23. The ability to use “omics” technologies (genomics, proteomics) to stratify disease is a key part of forging ahead in:

  • Personalized medicine.
  • Pharmacy law.
  • Health economics.
  • Compounding.

Answer: Personalized medicine.


24. For pharmacists to successfully forge ahead, they must be viewed by other healthcare providers as:

  • Subordinates who only dispense.
  • Collaborative partners and medication experts.
  • Competitors.
  • A source of administrative work.

Answer: Collaborative partners and medication experts.


25. The concept of deprescribing is an example of forging ahead because it:

  • Represents a patient-centered shift from simply adding medications to optimizing the entire regimen, including stopping harmful ones.
  • Involves prescribing more drugs.
  • Is an old, outdated practice.
  • Is not supported by evidence.

Answer: Represents a patient-centered shift from simply adding medications to optimizing the entire regimen, including stopping harmful ones.


26. A pharmacist who learns about new value-based payment models is preparing to:

  • Resist all changes in healthcare.
  • Forge ahead by aligning their practice with new economic incentives.
  • Focus only on dispensing medications.
  • Leave the pharmacy profession.

Answer: Forge ahead by aligning their practice with new economic incentives.


27. To forge ahead, pharmacists must move from being reactive problem solvers to being:

  • Passive observers.
  • Proactive solution-providers and health system leaders.
  • Resistant to all new information.
  • Focused only on individual prescriptions.

Answer: Proactive solution-providers and health system leaders.


28. The expansion of the pharmacist’s role into public health areas like disaster response signifies:

  • A narrowing of the pharmacist’s responsibilities.
  • A way for the profession to forge ahead and demonstrate its value in non-traditional settings.
  • A temporary measure that will not continue.
  • A violation of the pharmacist’s scope of practice.

Answer: A way for the profession to forge ahead and demonstrate its value in non-traditional settings.


29. The personal leadership skill of “self-awareness” is critical for forging ahead because:

  • It allows a leader to understand their own strengths and limitations as they navigate change.
  • It is not a relevant leadership skill.
  • It helps a leader to blame others for failures.
  • It ensures that a leader never makes a mistake.

Answer: It allows a leader to understand their own strengths and limitations as they navigate change.


30. Future advancements in pharmacy practice will heavily rely on the successful integration of:

  • Technology and data analytics.
  • Manual, paper-based systems.
  • A product-focused workflow.
  • A hierarchical management structure.

Answer: Technology and data analytics.


31. The ability to handle “difficult conversations” with colleagues or other providers is a skill needed for forging ahead because:

  • Progress and change often involve navigating disagreements.
  • It allows a leader to avoid all conflict.
  • It is a way to assert dominance.
  • It is not an important skill.

Answer: Progress and change often involve navigating disagreements.


32. Forging ahead with a new service requires an entrepreneurial mindset, which includes:

  • Avoiding all risks.
  • The ability to identify opportunities and create a plan to act on them.
  • A focus on maintaining the status quo.
  • A belief that new services are not necessary.

Answer: The ability to identify opportunities and create a plan to act on them.


33. The concept of “digital health equity” is a forward-thinking consideration that ensures:

  • As pharmacy forges ahead with technology, vulnerable populations are not left behind.
  • Only the wealthiest patients have access to telehealth.
  • All technology is provided for free.
  • Pharmacists do not need to use technology.

Answer: As pharmacy forges ahead with technology, vulnerable populations are not left behind.


34. The ultimate goal of “forging ahead” in pharmacy is to:

  • Increase the prestige of the profession.
  • Improve patient health outcomes and the value of the healthcare system.
  • Increase the salaries of all pharmacists.
  • Automate all pharmacy jobs.

Answer: Improve patient health outcomes and the value of the healthcare system.


35. A pharmacist who actively seeks out and embraces lifelong learning is demonstrating a key trait for:

  • Maintaining a static practice.
  • Forging ahead in an ever-changing profession.
  • Avoiding patient interaction.
  • Minimizing their workload.

Answer: Forging ahead in an ever-changing profession.


36. A key challenge in forging ahead is overcoming “prescribing inertia,” which is the tendency to:

  • Eagerly adopt new evidence-based therapies.
  • Continue with familiar treatments even when better options exist.
  • Stop medications without a clinical reason.
  • Involve patients in all prescribing decisions.

Answer: Continue with familiar treatments even when better options exist.


37. Forging ahead requires pharmacists to be excellent communicators who can articulate their value to:

  • Patients and caregivers.
  • Physicians and other providers.
  • Payers and administrators.
  • All of the above.

Answer: All of the above.


38. The development of specialty pharmacy as a field is an example of how the profession has forged ahead to:

  • Manage simple, low-cost medications.
  • Meet the needs of patients with complex diseases requiring high-cost, complex therapies.
  • Reduce the need for community pharmacists.
  • Simplify the drug distribution process.

Answer: Meet the needs of patients with complex diseases requiring high-cost, complex therapies.


39. A forward-thinking leader encourages their team to view challenges as:

  • Insurmountable obstacles.
  • Reasons to abandon a project.
  • Opportunities for innovation and growth.
  • Someone else’s problem.

Answer: Opportunities for innovation and growth.


40. To successfully forge ahead, the pharmacy education curriculum must evolve to include topics like:

  • Leadership and business management.
  • Pharmacogenomics and biotechnology.
  • Health informatics and data analytics.
  • All of the above.

Answer: All of the above.


41. The ability of a team to engage in healthy, ideological conflict is crucial for forging ahead because it:

  • Slows down all progress.
  • Leads to the best possible ideas and solutions through rigorous debate.
  • Creates a hostile work environment.
  • Is a sign of a dysfunctional team.

Answer: Leads to the best possible ideas and solutions through rigorous debate.


42. Which of the following best represents a forward-thinking practice model?

  • A pharmacy that only fills prescriptions and offers no clinical services.
  • A pharmacy that offers MTM, immunizations, point-of-care testing, and partners with local physician offices.
  • A pharmacy that has not updated its workflow in 20 years.
  • A pharmacy that does not have a computer system.

Answer: A pharmacy that offers MTM, immunizations, point-of-care testing, and partners with local physician offices.


43. The “Harvey A.K. Whitney Lecture Award” is significant because it highlights the careers of individuals who have:

  • Maintained the status quo in pharmacy.
  • Forged ahead and made significant contributions to the advancement of health-system pharmacy.
  • Been successful in pharmaceutical sales.
  • Developed new marketing techniques.

Answer: Forged ahead and made significant contributions to the advancement of health-system pharmacy.


44. A pharmacist who is forging ahead must be comfortable acting as a(n):

  • Follower only.
  • Educator for both patients and other healthcare professionals.
  • Technician.
  • Business consultant.

Answer: Educator for both patients and other healthcare professionals.


45. The future of pharmacy practice will be less about the “drug product” and more about:

  • The pharmacist’s clinical judgment and patient management skills.
  • The physical location of the pharmacy.
  • The brand name of the pharmacy.
  • The speed of the delivery service.

Answer: The pharmacist’s clinical judgment and patient management skills.


46. A critical step in forging ahead with a new service is to:

  • Launch it without any planning.
  • Conduct a pilot program to test the workflow and demonstrate value on a small scale.
  • Assume it will be profitable from day one.
  • Keep the service a secret from other staff members.

Answer: Conduct a pilot program to test the workflow and demonstrate value on a small scale.


47. A “paradigm shift” in healthcare represents:

  • A minor change in procedure.
  • A fundamental change in the approach or underlying assumptions of practice.
  • A new brand of medication.
  • A change in the pharmacy’s hours.

Answer: A fundamental change in the approach or underlying assumptions of practice.


48. Why is resilience a key personal trait for a leader forging ahead?

  • Because leading change is easy and without setbacks.
  • Because they will face resistance, challenges, and failures that they must be able to bounce back from.
  • It is not a necessary trait.
  • Because it helps in managing inventory.

Answer: Because they will face resistance, challenges, and failures that they must be able to bounce back from.


49. Forging ahead into ambulatory care requires pharmacists to be proficient in managing:

  • Acute, inpatient conditions.
  • Chronic diseases over the long term.
  • Sterile compounding.
  • The pharmaceutical supply chain.

Answer: Chronic diseases over the long term.


50. The professional obligation to forge ahead is rooted in the pharmacist’s ultimate responsibility to:

  • Their employer.
  • Their profession.
  • Their patients and public health.
  • Their personal financial goals.

Answer: Their patients and public health.

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