P3 Med Rec

Medication Reconciliation Rotation: Overview & Activities

Students complete medication reconciliation rotations at The Ohio State University Wexner Medical Center (OSUWMC), a top-ranked academic health center. Collection and documentation of the home medication list and admission medication reconciliation is an interprofessional process at OSUWMC designed to decrease potential adverse drug events that may occur during transitions in medical care. Through these rotation experiences, students enhance their verbal and written communication skills, gain experience reviewing patients in IHIS, and practice problem-solving and patient advocacy. Students apply their didactic knowledge to directly engage in patient care and act as valued members of the interprofessional healthcare team.

In third year, the medication reconciliation rotation is a 28-hour introductory experience in hospital pharmacy over a 7-shift timeframe (4 hours each shift; generally 1 shift per week for 7 consecutive weeks). Through this experience, students gain exposure to the basic skills, professional attitudes, and daily responsibilities of a hospital pharmacist. Possible rotation sites include: The Richard M. Ross Heart Hospital, The James Cancer Hospital, Critical Care, and OSU East.

Rotation Objectives

  1. Use problem-solving and critical thinking skills, along with an innovative mindset, to address challenges and promote positive change.
  2. Enhance verbal and written communication skills while demonstrating active listening and empathy in a manner that is appropriate for the audience.
  3. Successfully contribute to whole-person care utilizing the Pharmacists’ Patient Care Process.
    • Collect: Obtain necessary patient information to understand relevant medication history and clinical status.
    • Assess: Identify and prioritize strategies to achieve optimal care. Compare and evaluate potential solutions.
  4. Recognize healthcare equity and inclusiveness to provide all patients just and fair opportunities to obtain their highest level of health regardless of their social circumstances, including their zip code.
  5. Identify self-limitations (in knowledge, skills, and scope of practice) and reflect on feedback received from a preceptor in a professional manner to promote and develop.

Road Map

Your schedule of experiences is listed below:

Shift 1 – Trained by peer or APPE student
Shift 2 – Independent
Shift 3 – Independent
Shift 4 – Independent
Shift 5 – Independent
Shift 6 – Independent
Shift 7 – Independent (or training peer)

Third year students function independently beyond the first week of the rotation (except when scheduled to train a peer)

Expectations

Students are required to arrive on time, prepared, and engaged in rotation. Students must maintain professionalism in all interactions with patients, families, preceptors, peers, and other members of the healthcare team. Student groups are responsible to complete a minimum of 3 high quality medication histories each shift (minimum number of medication histories may vary at the discretion of the preceptor based on patient complexity).

Rotation Onboarding

  • Rotation will be scheduled in CORE ELMS by the experiential team.
  • The experiential team will send you an onboarding email before the start of your rotation, and students must comply with all specified requirements.
  • Students are required to review the Policy and Training Presentations resource page:
    1. Read the OSUWMC Medication List Documentation and Reconciliation Policy (5 minutes)
    2. Watch the Admission Medication History & Reconciliation (PharmD Student) presentation (20 minutes)
    3. Watch the Tips & Tricks from an APPE Student: Admission Medication History Workflow presentation (11 minutes)
  • Students are required to review all content on the Med Rec: Admission resource page (60 minutes)

Evaluations

Complete evaluation in CORE ELMS within five days of the completion of rotation.

Dress and Behavior Code

Pharmacy students are required to maintain professionalism in appearance and behavior. Students must be clean and well-groomed and must wear an OSUWMC issued hospital ID badge and a short white coat while in patient care areas.