SmartPrescribe: Principles of Rational Prescribing

Click to visit smartprescribe.org

Authors

Kaycee Sink, MD and Hal Atkinson, MD
Section on Gerontology and Geriatric Medicine

About SmartPrescribe

SmartPrescribe is a web-based lesson on the principles of rational prescribing. It includes three cases and addresses polypharmacy, adverse drug events, and off-label prescribing. The principles apply to all patient populations, but this lesson focuses on older adults because they constitute a large and growing population at high risk of polypharmacy and unwanted side effects of medications.

The lesson utilizes PowerPoint slides, audio, and interactive features including focus questions within the cases and a specially created drug interaction game. Printable resources available for download include the American Geriatrics Society's Beers Criteria Pocket Card and a sample medication grid for patient use.

The lesson is free and requires about 15 minutes to complete. This lesson was first introduced in 2009 and updated in 2013. It is an Editor's Choice selection of the national Portal of Online Geriatrics Education (POGOe).

Educational objectives:

  1. Define polypharmacy and the scope of problems related to drug prescribing in the elderly.
  2. List strategies to avoid drug interactions and adverse drug events in older persons.
  3. List classes of drugs and specific drugs to avoid in older adults.

Intended learners:

  • Medical students (clinical)
  • Residents
  • Fellows
  • Practicing physicians

Visit smartprescribe.org to take the course.

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