the optimal prescribing of medication? What kind of educational experiences would allow students to achieve those learning objectives? The framework in which this discussion took place was the six core principles recommended by the Accreditation Council for Graduate Medical Education: medical knowledge, patient care, interpersonal communication skills, professionalism, practice-based learning and improvement, and systems-based practice.

A number of suggestions were made, including the need for multidisciplinary involvement, particularly when students and house officers make rounds. It was pointed out that a number of medical schools do not have pharmacy schools associated with them, which is a barrier. Another barrier is the dwindling number of clinical pharmacology divisions.

In response to a question from the floor, Egorin stated that the AAMC is willing to play a leadership role in issues of drug labeling and counseling.


Sandra Guckian, from the National Association of Chain Drug Stores, said that the association had been working closely with the American Pharmacists Association to develop educational materials and templates for community pharmacists, both for chain pharmacists and independents. These materials could be used by ambulatory care centers as well. Much effort has focused on medication management and the role of the community pharmacist, particularly with patient populations that suffer from multiple chronic conditions and take multiple medications.

One of the core components of the concept of medication therapy management is the personal medication record, which includes more than the prescription label. Information can be inserted for the patient such as when to take medication and reminders to match a patient’s drug regimen to his or her particular lifestyle. The pharmacy can play a key role in developing and maintaining this record.

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