Original Publication
Open Access

Geriatrics Medication History Objective Structured Clinical Exam

Published: February 22, 2011 | 10.15766/mep_2374-8265.8274

Included in this publication:

  • The Medication History OSCE for MedEdPORTAL.doc

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Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: This 12-15 minute performance-based assessment is designed in the format of an OSCE and measures student’s clinical competency in taking a comprehensive geriatrics medication history. This assessment is intended for students who have received instruction on how to take a medication history with older patients and who have some clinical experience allowing them to practice this skill. Methods: Students are asked to interview a simulated patient (SP) regarding their medications and to make appropriate recommendations for problems identified. The SP brings to the assessment a brown bag including all their prescription medications. A faculty rater observing the interview completes a performance checklist which includes individual items as well as two global ratings of performance. Results: We have successfully implemented this OSCE with the entire class of MS3 students (N = 168) in the spring of 2009 during our annual OSCE weekend. As rated by faculty, 73.8% of students at least met expectations for collecting accurate medication histories, and 79.3% of students at least met expectations for delivering an effective analysis, synthesis, and set of recommendations. Discussion: Although this OSCE is designed primarily as a summative assessment tool and is used at our institution at the end of the third year of training, the format allows the activity to be easily adapted into a formative assessment tool.


Educational Objectives

By the end of this session, learners will be able to:

  1. Take a medication history and to gather information regarding the patient’s understanding of their medications, and problems and factors influencing adherence.
  2. Outline a patient plan with steps that can be taken to reduce medication problems and obstacles to adherence.

Author Information

  • Maria van Zuilen, PhD: University of Miami Leonard M. Miller School of Medicine
  • Jose Gonzalez, MD: University of Miami Miller School of Medicine
  • Enrique Aguilar, MD: University of Miami Miller School of Medicine
  • Juan Carlos Palacios, MD: University of Miami Miller School of Medicine
  • Michael Mintzer, MD: University of Miami Miller School of Medicine

Disclosures
None to report.

Funding/Support
None to report.



Citation

van Zuilen M, Gonzalez J, Aguilar E, Palacios J, Mintzer M. Geriatrics medication history objective structured clinical exam. MedEdPORTAL. 2011;7:8274. https://doi.org/10.15766/mep_2374-8265.8274