Tools and Strategies to Enhance Medication Management
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This study addressed the challenges that families face, when caring for chronically ill children, by training new physicians to be sensitive and responsive to parents needs and to proactively provide parents with the support need to successfully care for children with chronic conditions at home. The overarching goal was to develop a curriculum to give residents the knowledge and clinical skills needed to support safe home medication use for children and families in their practice. The curriculum was implemented within three pediatric resident rotations: primary care clinic, inpatient wards, and hematology/oncology. Incorporating photos and testimonials from my home visits, the curriculum included two didactic power point talks, one web-based module, a resident-parent communication tool that will encourage residents to take what they have learned into their clinical encounters, experience teaching parents to give medications, and a “prescribing” Always Event®.
This initiative will provide residents with skills in assessing their continuity patients’ barriers and adherence with medication use. Residents will gain knowledge through a series of seminars and evaluate their own clinical practice through a practice based learning (PBL) exercise. Through an interdisciplinary partnership with a clinical pharmacist, residents will utilize existing resources to assist patients to cope with increasing economic pressures. Development of a self-efficacy process, a patient-centered evaluation instrument, and a PBL exercise dealing with medication and financial issues will provide enduring materials for the residency program. Through a process of self-analysis, residents will reflect on the humanistic aspects of caring for diverse patients with complex medication needs in the face of economic hardship. It is anticipated that residents will utilize the principles learned to enhance health care delivery in future patient encounters.