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. 2023 Jun 16;20(12):6158. doi: 10.3390/ijerph20126158

Table 1.

Current content of the in-house Comprehensive Medication Review Training Program (CMRTP) for clinical pharmacists in HUS Pharmacy.

Credits (ECTS *) Twenty, Split into Two Modules: Pharmacist-Led Medication Reconciliation (Part I) and Comprehensive Medication Review (Part II).
Lectures and workshops Part I: Four four-hour lessons
Topics:

  • Drug interactions;

  • Use of drug information databases supporting medication reviews;

  • Identifying medication-related problems and assessments of clinical significance;

  • Patient interviews;

  • Medicine information and patient counseling on a patient ward;

  • Medication adherence;

  • Drug use in several diseases (e.g., cardiovascular and memory diseases, pain, insomnia, depression) and perioperative care;

  • Pharmacist-led medication reconciliation in practice.
Part II: Six four-hour lessons
Topics:

  • Interpreting laboratory results;

  • Renal and hepatic insufficiency and drug use;

  • Impact of aging and drug use in older patients, PIMs for older adults, deprescribing;

  • Interprofessional collaboration in medication reviews;

  • Comprehensive medication reviews in practice, how to identify patients in need of a CMR.

Assignments

  • Personal learning plan;

  • Learning diary;

  • Reading the literature and professional meetings related to one’s own area of specialty;

  • Self-learning between the live sessions (e.g., current care guidelines);

  • Final reflective report: integrating comprehensive medication reviews in own work tasks.
Case-based medication review training

  • Four pharmacist-led medication reconciliations;

  • Three medication review cases based on patient scenarios;

  • Five comprehensive medication reviews for real patients.

* ECTS = The European Credit Transfer and Accumulation System; PIM = Potentially Inappropriate Medication; CMR = comprehensive medication review.