title: Development and evaluation of a medication counseling workshop for physicians: can we improve on 'take two pills and call me in the morning'?
abstract: BACKGROUND
  Physicians often do not provide adequate medication counseling.
  
  
  OBJECTIVE
  To develop and evaluate an educational program to improve physicians' assessment of adherence and their medication counseling skills, with attention to health literacy.
  
  
  METHODS
  We compared internal medicine residents' confidence and counseling behaviors, measured by self-report at baseline and one month after participation in a two-hour interactive workshop.
  
  
  RESULTS
  Fifty-four residents participated; 35 (65%) completed the follow-up survey. One month after training, residents reported improved confidence in assessing and counseling patients (p<0.001), including those with low health literacy (p<0.001). Residents also reported more frequent use of desirable behaviors, such as assessing patients' medication understanding and adherence barriers (p<0.05 for each), addressing costs when prescribing (p<0.01), suggesting adherence aids (p<0.01), and confirming patient understanding with teach-back (p<0.05).
  
  
  CONCLUSIONS
  A medication counseling workshop significantly improved residents' self-reported confidence and behaviors regarding medication counseling one month later.
authors.affiliation: Department of Medicine, Vanderbilt University, Nashville, TN, USA. sunil.kripalani@vanderbilt.edu
authors.forename: Sunil
authors.initials: S
authors.lastname: Kripalani
authors.forename: Chandra Y
authors.initials: CY
authors.lastname: Osborn
authors.forename: Viola
authors.initials: V
authors.lastname: Vaccarino
authors.forename: Terry A
authors.initials: TA
authors.lastname: Jacobson
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003142:Communication; D003479:Curriculum; D004493:Education; D004502:Education, Medical, Continuing / Q000379:methods*; D004521:Educational Measurement; D004522:Educational Status; D005260:Female; D019538:Health Care Surveys; D057220:Health Literacy; D006801:Humans; D007396:Internship and Residency; D008297:Male; D055118:Medication Adherence; D010353:Patient Education as Topic / Q000379:methods*; D055553:Prescription Drugs; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation / Q000379:methods*; D011787:Quality of Health Care; D013223:Statistics as Topic; D055815:Young Adult
chemical_list: D055553:Prescription Drugs