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T Murzyn

Publications and source records attributed to T Murzyn.

2 recordsLinked to original sources

Integrating the "new" with the "traditional": an innovative education model.

In 1998 the Faculty of Pharmacy and Pharmaceutical Sciences at the University of Alberta, Canada, introduced a new elective semester course entitled "The Pain Module" for pharmacy students in their final year of undergraduate training. The aim was to build on the existing theoretical content related to areas such as pharmacology and therapeutics and to generate opportunities for skill and attitude development, including those related to the management of cancer-related pain. Traditional formats such as classroom-based seminars were integrated with innovative methods such as computer-mediated discussions and conferencing (CMC) and academic bus rounds. The CMC component of the course served to provide continuity of discussion between weekly classroom discussions, gave students access to content experts on an ongoing basis and furthered learning initiated in the classroom. Students were given the opportunity to meet palliative care patients being cared for at home and in hospices. A total of 21 students participated in all the course activities. By the end of the course, there appeared to be a greater appreciation for end-of-life care issues. This highlights the need to incorporate end-of-life care into the undergraduate curriculum of disciplines other than medicine and nursing. Evaluation of the course identified several benefits and limitations of CMC. There was increased access to content experts and increased interaction between students. Limitations of CMC included increased time commitments and an open-ended nature that was uncomfortable for some learners. Other benefits and limitations are described further in this article. Future attempts at integrating new instructional technologies should be systematically evaluated.

Computer-Assisted Instruction↗

Evaluation of a self-medication program.

OBJECTIVE: To determine the effect of an inpatient self-medication program (SMP) on the ability to self-medicate, patient medication knowledge, compliance, and patient morale. DESIGN: Randomized controlled clinical trial. POPULATION: One hundred seven consecutive patients admitted to a geriatric assessment and rehabilitation program were randomized to either participate in the SMP or to receive standard care. INTERVENTION: The SMP was a three-stage program in which patients were given increasing responsibility for the administration of their own medications. MEASUREMENTS: Ability to self-medicate on discharge from hospital; medication compliance at 1 month; patient medication knowledge; Philadelphia Morale Scale. MAIN RESULTS: Participation in the self-medication program did not increase the proportion of patients who were able to self-medicate on discharge from hospital. Compliance was improved by the program. On a proportional basis, the self-medication group made significantly fewer medication errors than the control group at 1-month follow-up (0.045 vs 0.086, P < .001). There were no significant differences in morale or medication knowledge between the SMP and control groups, although both groups made significant gains in knowledge about the names, administration times, and purposes of their medications from admission to follow-up (P < .001). CONCLUSIONS: A SMP can improve compliance in geriatric patients who are discharged to the community. Participation in a SMP does not improve patients' morale nor does it improve their medication knowledge more than pharmacy counselling alone. Participation in a SMP is unlikely to increase the probability that patients will be able to self-medicate on discharge. Cognitive factors limit patients' ability to self-medicate.

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