The Medication History: A Small Group Session on Interviewing a Patient Regarding Medication Use
Abstract Introduction Taking a good medication history requires targeted instruction and a practice environment. As a follow-up to a session on the components of a good medication history we created this session to reinforce the prior instruction by allowing students to apply their knowledge regardi...
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| Main Authors: | , , , |
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| Format: | Book |
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Association of American Medical Colleges,
2008-09-01T00:00:00Z.
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| Summary: | Abstract Introduction Taking a good medication history requires targeted instruction and a practice environment. As a follow-up to a session on the components of a good medication history we created this session to reinforce the prior instruction by allowing students to apply their knowledge regarding medication use by interviewing a simulated patient. Methods This 45-60 minute instructional activity is designed for small groups of medical trainees to apply basic information learned about taking a medication history. This interactive teaching uses a simulated-patient format with the session facilitator playing the role of Mr. Parsec, a patient who is having his medications reviewed at a health fair. Mr. Parsec has a number of medical, functional, psychological, social, and economic issues that are impacting this medication use. Students are required to complete three tasks involved in taking a medication history: (1) identifying problems with medication use, (2) formulating a plan to improve medication use, and (3) communicating this plan to the patient. Students use a worksheet to record their findings and the facilitator completes a performance checklist. After the three tasks are completed, the facilitator conducts a formative feedback session with the students. Results This session is used as a formative feedback session for students to practice medication history taking skills. Students are not individually graded; however, group performance data with our first cohort of sophomore medical students showed that the groups (N = 28) identified an average of 16.1 out of 18 possible medication issues (SD = 1.52) and made an average of 15.5 appropriate recommendations (SD = 1.86). Student satisfaction regarding the session, the session learning objectives, and the session preceptors ranks at 4.7 to 4.8 on a Likert scale (1 = strongly disagree; 5 = strongly agree). Discussion This session was designed for medical students but can be used for trainees of other healthcare professions who participate in the evaluation and assessment of older adults. |
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| Item Description: | 10.15766/mep_2374-8265.1112 2374-8265 |