Interdisciplinary Education

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Interdisciplinary Approach to Teaching Medication Adherence to Pharmacy and Osteopathic Medical Students
Dana L. Singla, PharmD; George E. MacKinnon III, PhD; Karen J. MacKinnon, RPh; Wisam Younis, PharmD; Ben Field, DO†

The purpose of this project was to demonstrate to pharmacy and osteopathic medical students the value of interdisciplinary education through participation in an interdisciplinary medication adherence project. Each pharmacy student, assuming the role of a pharmacist, was paired with a medical student acting as a physician with a needlestick exposure requiring HIV prophylaxis therapy. Medical students were randomized to participate in one of three levels of pharmacist counseling. After completion of
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Further, medication adherence is especially necessary with antiretroviral therapy, in which a 5% to 20% reduction in medication adherence can result in a 60% virologic failure.21 All health professionals need to understand the value of each profession toward improving patient outcomes. The Institute of Medicine suggests that significant improvements in communication among health care providers is necessary to reduce unexpected medical events.22

All third-year pharmacy students (n 92) and all secondyear osteopathic medical students (n 115) at Midwestern University were chosen to participate in the interdisciplinary medication adherence project. Pharmacy education is generally a 4-year professional program to obtain a doctor of pharmacy degree. However, unique to Midwestern University is a 3year doctor of pharmacy professional program. Therefore, all
JAOA • Vol 104 • No 3 • March 2004 • 127

Singla et al • Medical Education

Table 1 Human Immunodeficiency Virus Postexposure Prophylaxis Regimen23 Medications
Zidovudine 100 mg, 2 tablets three times daily for 4 weeks Lamivudine 150 mg twice daily for 4 weeks Indinavir 800 mg, 2 tablets every 8 hours for 4 weeks Total tablets consumed over 4 weeks

Tablets Dispensed, No.

168 84 168 420

students were in their final year of
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