Table 1 Study characteristics
From: Educating medical trainees on medication reconciliation: a systematic review
Author; year | N | Intervention | Experimental or curriculum-integrated | Level of training | Specialty | Outcomes measured | Results |
|---|---|---|---|---|---|---|---|
Bray-Hall et al. 2010 [26] | 98 | Interactive group sessions, self-directed learning exercises, patient interaction at discharge and home visit | Curriculum-integrated | Undergraduate clerkship | Internal medicine | Confidence in transitional care (5-point scale) | Increased confidence, 2.7 to 4.0 (p<0.01) |
Mann et al. 2011 [30] | 226 | 15 minute standardized patient discharge encounter | Experimental | Residency | Various | Proportion of high performers in discharge counselling domains (includes medication reconciliation) | 37.2% of participants considered high performers in medication reconciliation. Residents from programs with primary care component had more high performers (p=0.031) |
Morgan-Gouveia et al. 2013 [28] | 78 | Reflective exercise and transitions in care workshop | Experimental | Undergraduate clerkship | Internal medicine | N/A (qualitative study) | N/A |
Ouchida et al. 2009 [29] | 103 | Interdisciplinary lectures, educational video, small-group discussion and team-based learning exercise | Curriculum-integrated | Undergraduate clerkship | Internal medicine | Knowledge, attitude, behaviours within domains of transitional care | Significant improvements for all domains assessed |
Weisman et al. 2012 [25] | 20 | Resident phone call within 72 hours of discharge | Experimental | Residency | Internal medicine | Attitude and competence | No change |
Young et al. 2011 [31] | 13 | Home visit to recently discharged patient | Experimental | Residency | Internal medicine | Confidence in transitional care | No change for medication reconciliation skills |
Lindquist et al. 2008 [27] | 158 | Lecture from pharmacist, medication reconciliation simulation | Curriculum-integrated | Undergraduate Year 2 | N/A | Knowledge/ comfort obtaining medication histories | Increase of 27% (p<0.01) in knowledge and increase of 20% (p<.001) in comfort level |