,
, Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs.
Change
MULTIPLE CHOICE
1. Which of the following has influenced an emphasis on primary care education in
medical schools?
a. Changes in Medicare reimbursement methods recommended in 1992
b. Competition from non-physicians desiring to meet primary care shortages
c. The need for monopolistic control in the marketplace of primary outclient care
d. The recognition that non physicians have variable success providing primary care
CORRECT ANSWER ✅✅A
The Physician Payment Review Commission in 1992 directly increased financial reimbursement
to clinicians who provide primary care. Coupled with a shortage of primary care providers, this
incentive led medical schools to place greater emphasis on preparing primary care physicians.
Competition from non physicians increased coincidentally as professionals from other
disciplines stepped up to meet the needs.
Non physicians have had increasing success at providing primary care and have been shown to
be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
2. Which of the following statements is true about the prescribing practices of physicians?
a. Older physicians tend to prescribe more appropriate medications than younger
physicians.
b. Antibiotic medications remain in the top five classifications of medications prescribed.
c. Most physicians rely on a “therapeutic armamentarium” that consists of less than 100
drug preparations per physician.
d. The dominant form of drug information used by primary care physicians continues to be
that provided by pharmaceutical companies.
CORRECT ANSWER ✅✅D
Even though most physicians claim to place little weight on drug advertisements,
Pharmaceutical representatives, and client preference and state that they rely on academic
sources for drug information, a study showed that commercial rather than scientific sources of
drug information dominated their drug information materials. Younger physicians tend to