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A Proposed Curricular Framework for an Interprofessional Approach to Deprescribing.

Barbara Farrell1,2,3, Lalitha Raman-Wilms4,5, Cheryl A Sadowski6

  • 1Bruyère Research Institute, 43 Bruyère St, Ottawa, ON K1N 5C8 Canada.

Medical Science Educator
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Summary

This study proposes a framework to train healthcare professionals in deprescribing, aiming to reduce medication harm and improve patient care. The framework emphasizes interprofessional skills and patient involvement for better medication management in aging populations.

Keywords:
CompetencyCurriculumDeprescribingEducation, medicalGeriatricsPolypharmacy

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Area of Science:

  • Pharmacy Education
  • Geriatric Medicine
  • Patient Safety

Background:

  • Deprescribing, the reduction or cessation of medications, is crucial for managing polypharmacy and preventing medication-related harm.
  • Healthcare professionals face significant barriers in implementing effective deprescribing practices.
  • Aging populations often present complex medication regimens requiring specialized management skills.

Purpose of the Study:

  • To propose a pre-licensure competency framework for interprofessional deprescribing education.
  • To equip future healthcare professionals with essential knowledge, teaching strategies, and assessment methods for deprescribing.
  • To integrate patient and care partner involvement into deprescribing education and practice.

Main Methods:

  • Development of a competency framework outlining knowledge, teaching strategies, and assessment.
  • Inclusion of patient-centered care principles within the framework.
  • Provision of an action plan and curriculum mapping exercise for educators.

Main Results:

  • A structured framework for interprofessional deprescribing education is presented.
  • The framework addresses essential competencies for managing complex medication regimens.
  • Guidance is provided for educators to implement and assess deprescribing curricula.

Conclusions:

  • Implementing this framework can enhance the deprescribing skills of graduating healthcare professionals.
  • Improved deprescribing competencies will contribute to safer medication use and better outcomes for aging patients.
  • The framework supports the integration of patient and care partner engagement in deprescribing decisions.