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"TMI"... (Too Many Interpretations): Mr. Moore's Medication Misadventures!


"TMI"... (Too Many Interpretations): Mr. Moore's Medication Misadventures!

University of California, San Francisco, School of Medicine
Daphne Lo, MD, Rachael Lucatorto, MD, Marilyn Stebbins, PharmD, Sharya Bourdet, PharmD, Josette Rivera, MD, Brad Monash, MD, Anna Chang, MD, Joan Abrams, MPA
Donald W. Reynolds Foundation
POGOe Id: 
Date Posted: 
Date Reviewed/Updated for Clinical Accuracy: 

This two hour interprofessional curriculum brings together fourth year medical students and third year pharmacy students in a hands-on, interactive small group session. Learners are given a guide briefly describing the case and delineating five health care members and their roles and expertise in Mr. Moore's healthcare team (Mr. Moore's partner, the outpatient pharmacist, the inpatient intern, etc). A pair of interprofessional facilitators guide learners through the case, utilizing different healthcare team members' roles and expertise to explore methods of medication organization and systemic barriers to accurate and safe discharge medication reconciliation. Learners discover and discuss discrepancies in high-risk medications, gain an appreciation of systems hurdles for patients and healthcare providers during transitions of care, complete an exercise in writing discharge medication instructions, and brainstorm action items to personally employ to overcome systemic hurdles for safer discharge medication reconciliation.

Educational objectives: 

By the end of the two-hour session, learners will work collaboratively to:

  1. Describe the roles and expertise of three health professions that can collaborate to reconcile medications and enhance safety of medication orders at the time of hospital discharge. 
  2. List three potential communication barriers between health professionals involved in discharge planning that contribute to medication errors in vulnerable older adults.
  3. Identify key components of discharge medication lists and instructions to communicate information safely to patients, caregivers, primary care providers and others on the healthcare team.
Intended learner audience: 
Estimated time to complete: 
2 hours
Resident Level Competencies: 
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
Already Expired Email Date: 
Saturday, August 31, 2019 - 12:03am
Already Expired Email 1 month date: 
Monday, September 21, 2020 - 11:16am
Expires 6mos Email Date: 
Thursday, June 27, 2019 - 12:09pm
Expired Email Date: 
Wednesday, February 2, 2022 - 10:33pm
Contact Person/Corresponding Author:
Daphne Lo, MD

Suggested Citation:
"TMI"... (Too Many Interpretations): Mr. Moore's Medication Misadventures!. POGOe - Portal of Geriatrics Online Education; 2016 Available from: