A Proposed Curricular Framework for an Interprofessional Approach to Deprescribing

Barbara Farrell^{1

2

3}, Lalitha Raman-Wilms^{4

5}, Cheryl A Sadowski⁶, Laurie Mallery⁷, Justin Turner^{8

9

10}, Camille Gagnon¹¹, Mollie Cole¹², Allan Grill^{13

14

15}, Jennifer E Isenor¹⁶, Dee Mangin^{17

18}, Lisa M McCarthy^{1

3

19

20

21}, Brenda Schuster²², Caroline Sirois^{23

24}, Winnie Sun^{25

26}, Ross Upshur^{27

28

29

30}

Affiliations

¹ Bruyère Research Institute, 43 Bruyère St, Ottawa, ON K1N 5C8 Canada.
² Department of Family Medicine, University of Ottawa, Ottawa, ON Canada.
³ School of Pharmacy, University of Waterloo, Waterloo, ON Canada.
⁴ College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB Canada.
⁵ Centre On Aging, Winnipeg, MB Canada.
⁶ Faculty of Pharmacy & Pharmaceutical Sciences, University of Alberta, Edmonton, AB Canada.
⁷ Faculty of Medicine, Dalhousie University, Halifax, NS Canada.
⁸ Faculty of Pharmacy, University of Montreal, Montreal, QC Canada.
⁹ Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC Canada.
¹⁰ Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Victoria, Australia.
¹¹ Canadian Deprescribing Network, Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC Canada.
¹² Canadian Gerontological Nursing Association, Calgary, AB Canada.
¹³ Dept. of Family & Community Medicine, University of Toronto, Toronto, ON Canada.
¹⁴ Markham Family Health Team, Markham, ON Canada.
¹⁵ Ontario Renal Network, Toronto, Canada.
¹⁶ College of Pharmacy, Faculty of Health and Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS Canada.
¹⁷ David Braley & Nancy Gordon Chair in Family Medicine, Department of Family Medicine, McMaster University, Hamilton, ON Canada.
¹⁸ Department of General Practice, University of Otago, Christchurch, New Zealand.
¹⁹ Institute for Better Health and Pharmacy Department, Trillium Health Partners, Mississauga, ON Canada.
²⁰ Leslie Dan Faculty of Pharmacy & Department of Family and Community Medicine, University of Toronto, Toronto, ON Canada.
²¹ Women's College Research Institute, Toronto, ON Canada.
²² College of Medicine (Regina Campus), University of Saskatchewan, Regina, Saskachewan Canada.
²³ Centre d'excellence Sur Le Vieillissement de Québec & VITAM - Research Centre On Sustainable Health, Québec, Canada.
²⁴ Faculty of Pharmacy, Université Laval, Québec, Canada.
²⁵ Faculty of Health Sciences, Ontario Tech University, Oshawa, ON Canada.
²⁶ Ontario Shores Centre for Mental Health Sciences, Whitby, ON Canada.
²⁷ Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.
²⁸ Bridgepoint Collaboratory for Research and Innovation, Toronto, ON Canada.
²⁹ Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON Canada.
³⁰ Department of Family and Community Medicine, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.

PMID: 37261023
PMCID: PMC10226933
DOI: 10.1007/s40670-022-01704-9

A Proposed Curricular Framework for an Interprofessional Approach to Deprescribing

Barbara Farrell et al. Med Sci Educ. 2023.

. 2023 Feb 23;33(2):551-567.

doi: 10.1007/s40670-022-01704-9. eCollection 2023 Apr.

Authors

Affiliations

¹ Bruyère Research Institute, 43 Bruyère St, Ottawa, ON K1N 5C8 Canada.
² Department of Family Medicine, University of Ottawa, Ottawa, ON Canada.
³ School of Pharmacy, University of Waterloo, Waterloo, ON Canada.
⁴ College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB Canada.
⁵ Centre On Aging, Winnipeg, MB Canada.
⁶ Faculty of Pharmacy & Pharmaceutical Sciences, University of Alberta, Edmonton, AB Canada.
⁷ Faculty of Medicine, Dalhousie University, Halifax, NS Canada.
⁸ Faculty of Pharmacy, University of Montreal, Montreal, QC Canada.
⁹ Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC Canada.
¹⁰ Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Victoria, Australia.
¹¹ Canadian Deprescribing Network, Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC Canada.
¹² Canadian Gerontological Nursing Association, Calgary, AB Canada.
¹³ Dept. of Family & Community Medicine, University of Toronto, Toronto, ON Canada.
¹⁴ Markham Family Health Team, Markham, ON Canada.
¹⁵ Ontario Renal Network, Toronto, Canada.
¹⁶ College of Pharmacy, Faculty of Health and Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS Canada.
¹⁷ David Braley & Nancy Gordon Chair in Family Medicine, Department of Family Medicine, McMaster University, Hamilton, ON Canada.
¹⁸ Department of General Practice, University of Otago, Christchurch, New Zealand.
¹⁹ Institute for Better Health and Pharmacy Department, Trillium Health Partners, Mississauga, ON Canada.
²⁰ Leslie Dan Faculty of Pharmacy & Department of Family and Community Medicine, University of Toronto, Toronto, ON Canada.
²¹ Women's College Research Institute, Toronto, ON Canada.
²² College of Medicine (Regina Campus), University of Saskatchewan, Regina, Saskachewan Canada.
²³ Centre d'excellence Sur Le Vieillissement de Québec & VITAM - Research Centre On Sustainable Health, Québec, Canada.
²⁴ Faculty of Pharmacy, Université Laval, Québec, Canada.
²⁵ Faculty of Health Sciences, Ontario Tech University, Oshawa, ON Canada.
²⁶ Ontario Shores Centre for Mental Health Sciences, Whitby, ON Canada.
²⁷ Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.
²⁸ Bridgepoint Collaboratory for Research and Innovation, Toronto, ON Canada.
²⁹ Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON Canada.
³⁰ Department of Family and Community Medicine, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.

PMID: 37261023
PMCID: PMC10226933
DOI: 10.1007/s40670-022-01704-9

Abstract

Deprescribing involves reducing or stopping medications that are causing more harm than good or are no longer needed. It is an important approach to managing polypharmacy, yet healthcare professionals identify many barriers. We present a proposed pre-licensure competency framework that describes essential knowledge, teaching strategies, and assessment protocols to promote interprofessional deprescribing skills. The framework considers how to involve patients and care partners in deprescribing decisions. An action plan and example curriculum mapping exercise are included to help educators assess their curricula, and select and implement these concepts and strategies within their programs to ensure learners graduate with competencies to manage increasingly complex medication regimens as people age.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-022-01704-9.

Keywords: Competency; Curriculum; Deprescribing; Education, medical; Geriatrics; Polypharmacy.

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Conflict of interest statement

Competing InterestsThe authors declare no competing interests.

References

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A Proposed Curricular Framework for an Interprofessional Approach to Deprescribing

Affiliations

A Proposed Curricular Framework for an Interprofessional Approach to Deprescribing

Authors

Affiliations

Abstract

Conflict of interest statement

References

LinkOut - more resources

Full Text Sources