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Introduction

The purpose of this activity is to allow students to practice motivational interviewing skills in a simulated patient interaction. In this case, the patient being seen in an ambulatory care setting is nonadherent to a prescribed diabetes medication regimen. Students will use the information collected during the patient interaction to create an evidence-based assessment and plan. Students will then compare their developed plan with the simulated patient’s plan.

Learning Objectives

  1. Demonstrate advanced listening skills with a patient who is nonadherent to a medication plan.

  2. Use PEARLS to articulate understanding a patient’s perspective.

  3. Respond to a patient’s emotion1 in a limited time.

  4. Create a dialog using motivational interviewing skills2 to negotiate an individualized, patient-centered approach to a medication-related problem.

  5. Assess and confirm a patient’s ability to carry out the care plan using motivational interviewing skills.2

  6. Compare and contrast simulated patient, peer and self-evaluations to improve communication skills and growth opportunities.

  7. Create patient education plan that includes disease management, maintenance, and/or preventive medicine.

Foundational Knowledge Required

Patient interviewing skills, patient assessment, patient presentation skills, Pharmacists’ Patient Care Process (PPCP), pharmacotherapy and disease state guidelines related to type 2 diabetes mellitus, use of drug information resources, motivational interviewing, and writing SOAP notes.

Suggested Resources
  • Chou C, Cooley L. Communication Rx. McGraw-Hill Education; 2018.

  • Berger BA, Villaume WA. Motivational Interviewing For Health Care Professionals: A Sensible Approach. American Pharmacists Association; 2013.

  • Cipolle RJ, Strand LM, Morley PC. Acquiring and applying the knowledge and clinical skills required to manage drug therapy. In: Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management. 3rd ed. McGraw-Hill Education, LLC; 2012.

  • Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2019 | Diabetes Care. https://care.diabetesjournals.org/content/42/Supplement_1/S90

Assignment Instructions

This activity requires four students and one simulated patient instructor (SPI)—one student-pharmacist to play the role of the pharmacist, 3 student-pharmacists to observe and give feedback during a facilitated debrief, and one SPI to play the role of the patient.

Intern Pharmacist

Patient

Utilize the Medical Chart with Case Introduction (SPI Version) provided to answer questions the intern pharmacist may have during the interview portion.

Intern Pharmacist

Use the information obtained from the patient as well as the information from the Medical Chart with Case Introduction (Student Version) to formulate a SOAP note. Evaluate your SOAP note by comparing it with the SOAP Note “Key” and write a reflection using the Student-Pharmacist Reflection Form. All work will be completed individually.

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