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Evaluating Pharmacy Student Consultations with Standardized Patients on Opioid Medication Use and Opioid-Specific

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Third-year pharmacy students often fail to discuss crucial opioid risks like addiction and overdose. Enhanced communication training is needed to improve patient education on sensitive opioid topics.

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Area of Science:

  • Pharmacy Education
  • Communication Skills Training
  • Opioid Stewardship

Background:

  • Effective patient communication is vital for safe opioid management.
  • Third-year pharmacy students are nearing entry-level practice and require proficiency in discussing sensitive health information.
  • Opioid consultations present unique challenges due to the nature of the medication and potential risks.

Purpose of the Study:

  • To evaluate the communication skills of third-year pharmacy students during simulated opioid consultations.
  • To assess students' ability to address sensitive topics, including opioid risks, with standardized patients.
  • To identify areas for improvement in pharmacy curricula regarding opioid communication.

Main Methods:

  • Seventy-one third-year pharmacy students participated in video-recorded consultations.
  • Standardized patients received oxycodone for lower back pain.
  • Consultations were quantitatively coded for discussed topics, terminology, eye contact, and filler words.

Main Results:

  • Most students discussed common opioid side effects but rarely identified the medication as an opioid (30%) or initiated discussions on dependence, addiction, or overdose risk (23%).
  • Increased use of filler words was observed when students addressed addiction, dependence, or overdose risks.
  • Students reported discomfort and a need for more training and resources for opioid communication.

Conclusions:

  • Pharmacy students demonstrate a need for enhanced confidence and skills in educating patients about opioid-specific risks.
  • Pharmacy schools should evaluate and potentially expand their curricula to include comprehensive training on communicating sensitive opioid information.
  • Standardized patient simulations are effective tools for assessing and improving student communication skills in pharmacy practice.