Pharmacist Form 2 - Certification Of Professional Education - New York The State Education Department Page 3
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1
2
3Part B Continued
4.
Professional Study – Please check all Content Areas covered in program.
Biomedical Sciences Content Area includes but is not limited to coursework in each of the following areas:
human anatomy
human physiology
microbiology/immunology
biochemistry
pathology
biostatistics
Pharmaceutical Sciences Content Area includes but is not limited to coursework in each of the following areas:
pharmaceutical or medical chemistry
basic pharmaceutics, with compounding and dispensing
biopharmaceutics
pharmacokinetics
pharmacognosy or natural products
pharmacology
pharmacy administration
Clinical Sciences Content Area means coursework in clinical applications using knowledge gained in the biomedical sciences and pharmaceutical
sciences content areas, including but not limited to coursework in each of the following:
clinical and practice foundations
disease processes
clinical pharmacology and therapeutics
drug information and literature evaluation
Clinical Experiences In:
community pharmacies
institutional pharmacies
inpatient settings
outpatient settings
PART C -
CERTIFICATION
To be completed by the Registrar for ALL schools
I hereby certify that to the best of my knowledge and belief the foregoing is a true statement of the education record of the individual named
on this form.
Registrar Signature ___________________________________________________________ Date: ______ / ______ / ______
mo.
day
yr.
Type or print name ___________________________________________________________
Institution ___________________________________________________________________
(COLLEGE
Location ____________________________________________________________________
SEAL)
Telephone __________________________________________________________________
Fax _______________________________________________________________________
E-mail _____________________________________________________________________
New York State Education Department, Office of the Professions, Division of Professional Licensing Services,
RETURN DIRECTLY
Pharmacy Unit, 89 Washington Avenue, Albany, NY 12234-1000.
TO:
FORM 2, Page 3 of 3
Rev. 2/16
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