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Assessment of Medication Management Competency Among Medical Students Using Standardized Patients

Adverse drug events (ADEs) are a leading cause of morbidity and mortality among older adults and are associated with increasing emergency roomvisits and hospital admissions. ADEs are linked to medication errors; many are considered preventable. Prevention strategies include proper medication reconciliation: obtaining information regarding medication indication, dosing accuracy, adherence, and ADEs, and developing a prescription plan. To reduce ADEs and inappropriate prescribing, education about medication management should start early in medical school and be emphasized during clinical rotations. Three of 26 American Association of Medical Colleges geriatrics competencies formedical students focus onmedication reconciliation. Objective assessment of medication reconciliation and management skills among medical students is needed to assess for achievement of competency and to inform curricular redesign. We describe an objective assessment of medication reconciliation and management skills among third-year medical students using standardized patients (SPs) to complement an interactive didactic curriculum in a 6-week Ambulatory Care– Geriatrics (ACG) clerkship.