Brown Bag Simulation to Improve Medication Management in Older Adults

Introduction Medical students must care for aging patients with growing medication lists and need training to address negative patient outcomes associated with polypharmacy. The literature shows that many trainees and practitioners are not confident in their abilities to care for this older populati...

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Autores principales:	Chelsea E. Hawley, Laura K. Triantafylidis, Sarah C. Phillips, Andrea Wershof Schwartz
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Polypharmacy Older Adults Geriatrics Simulation Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/cc599a8f800c4f60a1777512865163d9
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spelling	oai:doaj.org-article:cc599a8f800c4f60a1777512865163d92021-11-22T13:58:44ZBrown Bag Simulation to Improve Medication Management in Older Adults10.15766/mep_2374-8265.108572374-8265https://doaj.org/article/cc599a8f800c4f60a1777512865163d92019-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10857https://doaj.org/toc/2374-8265Introduction Medical students must care for aging patients with growing medication lists and need training to address negative patient outcomes associated with polypharmacy. The literature shows that many trainees and practitioners are not confident in their abilities to care for this older population with complex medical conditions. We created an innovative simulation activity to teach safe, effective, and simplified medication management to second-year medical students. Methods We developed the brown bag medication reconciliation simulation to improve self-efficacy and knowledge for trainees working with older adults. The case example was an older patient who presented with his brown bag of medications and prefilled pillbox for a medication reconciliation with his provider. Teams of medical students identified his medication-management errors and determined strategies for resolution. We assessed learner self-efficacy, knowledge, and satisfaction. Results A class of 137 second-year medical students completed the simulation. The average number of learners confident about medication management in older adults increased overall by 41%, with a significant increase across all four self-efficacy domains (p < .001). The average percentage of correctly answered knowledge questions significantly increased from 85% on the presurvey to 92% on the delayed postsurvey (p = .009). Learner open-ended feedback indicated high satisfaction with the simulation. Discussion The brown bag medication reconciliation simulation increased medical student self-efficacy and knowledge related to medication reconciliation and management for older adults. Interactive simulations like this one may be considered for inclusion in health science curricula to improve skills in medication reconciliation and management.Chelsea E. HawleyLaura K. TriantafylidisSarah C. PhillipsAndrea Wershof SchwartzAssociation of American Medical CollegesarticlePolypharmacyOlder AdultsGeriatricsSimulationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Polypharmacy Older Adults Geriatrics Simulation Medicine (General) R5-920 Education L
spellingShingle	Polypharmacy Older Adults Geriatrics Simulation Medicine (General) R5-920 Education L Chelsea E. Hawley Laura K. Triantafylidis Sarah C. Phillips Andrea Wershof Schwartz Brown Bag Simulation to Improve Medication Management in Older Adults
description	Introduction Medical students must care for aging patients with growing medication lists and need training to address negative patient outcomes associated with polypharmacy. The literature shows that many trainees and practitioners are not confident in their abilities to care for this older population with complex medical conditions. We created an innovative simulation activity to teach safe, effective, and simplified medication management to second-year medical students. Methods We developed the brown bag medication reconciliation simulation to improve self-efficacy and knowledge for trainees working with older adults. The case example was an older patient who presented with his brown bag of medications and prefilled pillbox for a medication reconciliation with his provider. Teams of medical students identified his medication-management errors and determined strategies for resolution. We assessed learner self-efficacy, knowledge, and satisfaction. Results A class of 137 second-year medical students completed the simulation. The average number of learners confident about medication management in older adults increased overall by 41%, with a significant increase across all four self-efficacy domains (p < .001). The average percentage of correctly answered knowledge questions significantly increased from 85% on the presurvey to 92% on the delayed postsurvey (p = .009). Learner open-ended feedback indicated high satisfaction with the simulation. Discussion The brown bag medication reconciliation simulation increased medical student self-efficacy and knowledge related to medication reconciliation and management for older adults. Interactive simulations like this one may be considered for inclusion in health science curricula to improve skills in medication reconciliation and management.
format	article
author	Chelsea E. Hawley Laura K. Triantafylidis Sarah C. Phillips Andrea Wershof Schwartz
author_facet	Chelsea E. Hawley Laura K. Triantafylidis Sarah C. Phillips Andrea Wershof Schwartz
author_sort	Chelsea E. Hawley
title	Brown Bag Simulation to Improve Medication Management in Older Adults
title_short	Brown Bag Simulation to Improve Medication Management in Older Adults
title_full	Brown Bag Simulation to Improve Medication Management in Older Adults
title_fullStr	Brown Bag Simulation to Improve Medication Management in Older Adults
title_full_unstemmed	Brown Bag Simulation to Improve Medication Management in Older Adults
title_sort	brown bag simulation to improve medication management in older adults
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/cc599a8f800c4f60a1777512865163d9
work_keys_str_mv	AT chelseaehawley brownbagsimulationtoimprovemedicationmanagementinolderadults AT lauraktriantafylidis brownbagsimulationtoimprovemedicationmanagementinolderadults AT sarahcphillips brownbagsimulationtoimprovemedicationmanagementinolderadults AT andreawershofschwartz brownbagsimulationtoimprovemedicationmanagementinolderadults
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Brown Bag Simulation to Improve Medication Management in Older Adults

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