A competency-based medical student curriculum: taking the medication history in older adults

Journal of the American Geriatrics Society
Maria H van ZuilenMichael J Mintzer

Abstract

Older adults are the largest consumers of prescription medications. Taking multiple medications, which interact with medical, psychological, and socioeconomic factors, increases a person's risk of nonadherence and adverse events. A curriculum was developed to train medical students to identify these risks and make recommendations for improving medication safety. The curriculum, consisting of a self-study computer tutorial, a small-group simulated-patient (SP) experience, and an online competency assessment, was implemented in the students' second year of training. Groups (N = 28) of five to seven students interviewed the SP and were assessed on their ability to identify medication concerns (N = 18) and make recommendations (N = 18) on improving medication safety. On average, student groups identified 16.1 concerns and made 15.4 recommendations. On the competency assessment several months later, students were given a case scenario and again asked to identify concerns (N = 7) and make recommendations (N = 7). Students (N = 176) were required to achieve a preset performance standard on the assessment. A high percentage (97.2%) of students achieved the standard (a score of 8/14) on their first attempt; the remainder achieved the st...Continue Reading

References

Mar 8, 2003·JAMA : the Journal of the American Medical Association·Jerry H GurwitzDavid W Bates
Aug 18, 2006·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Donna Young
Nov 30, 2006·Psychology, Health & Medicine·UNKNOWN The National Institute Of Mental Health Multisite HIV Prevention Trial Group
Dec 26, 2008·JAMA : the Journal of the American Medical Association·Dima M QatoStacy Tessler Lindau
Aug 26, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Rosanne M LeipzigRainier P Soriano
Dec 8, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shane Sinclair
Jan 29, 2011·Journal of the American Dietetic Association·Louis VernacchioAllen A Mitchell

❮ Previous
Next ❯

Citations

Dec 30, 2015·BMC Medical Education·Kelly D KarpaShou Ling Leong
Jun 21, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Hayley CroftJennifer Schneider
Jun 22, 2019·American Journal of Pharmaceutical Education·Kathy Komperda, Kelly Lempicki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Aging (Keystone)

This feed focuses on cellular aging with emphasis on the mitochondria, autophagy, and metabolic processes associated with aging and longevity. Here is the latest research on cell aging.

© 2022 Meta ULC. All rights reserved