Pharmacy 440: Human Behavior and Communication in Pharmacy

Pharm 440: Human Behavior and Communication in Pharamcy
Role Play Reflection Write-Up

Spring 2007

DUE: June 10. (200 points)

The standardized patient exercise was an opportunity to try the following techniques and skills that were presented this quarter:

  • Show and Tell using an MDI (metered dose inhaler) for a person with asthma
  • PAR
  • Reflecting responses (explicate and elaborate)
  • RIM
  • Universal statements
  • Supportive probes in response to “Pink Flags”
  • Key Symptom Questions
  • Motivational interviewing with a focus on reframing
  • The 5-As (Ask, Advice, Assess, Assist, Arrange)
  • The 5 Rs (Relevance, Risk, Roadblocks, Rewards, Repetition)

All of these techniques have been aimed at helping you develop good communication skills as an introduction to patient counseling and toward the development of therapeutic relationships. Patient counseling is more than simply a provision of information. Counseling is a two-way process that facilitates behavioral change. Professionals who are health care providers have a covenant with their care recipients not simply a contract. The therapeutic relationship is an expression of that covenant. A business relationship expresses a contract.

In your role plays with the standardized patients, you are expected to experiment with using these skills. Your experiment requires that you first recognize when to use a particular skill and second to intentionally performing the skill. You may have felt awkward or that you did not perform smoothly – these are NOT the point. The point is the experiment in recognizing opportunities to practice specific communication skills and then to actually try the skill. Grace, fluency, and polished “performances” only come with practice, with knowledge about the skill, with critical evaluation, and with a commitment to helping people in a thoughtful, nonjudgmental way. Given this background for the skills taught in Pharm 440, evaluate your role-play as directed below.

  1. Review your video tape and answer the following: (170 points)
  1. List the techniques you used and document the evidence that you used that technique. If you did not use the technique, explain why you did not. Use the following table format to document your responses.
  2. For each of the techniques you did NOT use, reflect on why. Use the “Justification” column in the table. For example, if you did not see a reflective statement, consider what limited you from reflecting, (or advising, using universal statements, supportive probes, etc?) Although you may feel that the actors didn’t do a good enough job, this is not an acceptable answer. You are considered equally responsible for creating the opportunities to try the listed communication behaviors/techniques. Therefore, limit your analysis and discussion to what YOU could have done.
  3. Some types of evidence are quotes of the actor and yourself, demonstrating a particular communication behavior or technique. Other evidence may consist of non-verbals such as tone of voice, head nods, demonstrations, etc. Indicate which type of evidence you are using to support your example by noting it in the appropriate column. Be sure that you use the table format as illustrated below.
  4. If your video did not record properly, please indicate this on your report. You will need to recall as best you can to complete this aspect of the assignment.
  1. You did one standardized patient (SP) role-play at the end of the quarter. Reflect back to the feedback session after the role-play. Select ONE thing from this feedback that you think will affect you in future patient encounters. State what this ONE thing is and explain: 1) why this ONE thing is so meaningful to you, and 2) how you will put this information into practice.

roleplayassignment2005.doc

Pharmacy 440: Human Behavior and Communication in Pharmacy

Evidence

/

Justification

/

Assessment

Skill

/ I Said
[List all applicable except where noted otherwise]] / Patient Said
[one example response] / Other Evidence (e.g., body language, demonstration, etc.) / Not Present Because / Discuss the outcome of your experiment.
Show and Tell: List ONE question you used.
PAR: [reflecting response]
RIM:
Universal statement
Pink Flag
[limit to one example]
Supportive probe
[limit to one example]
Key Symptom Questions
The 5-As (Ask, Advice, Assess, Assist, Arrange)
The 5 Rs (Relevance, Risk, Roadblocks, Rewards, Repetition)
[one example]

Grading Rubric:

10 points for correct evidence and 10 points for assessment (assessment generally not be expected to contain errors except for possibly mislabeling concepts or misapplication of course concepts)

Mislabeling or misapplication of concepts: -5 points

10 points for typing in chart format

roleplayassignment2005.doc