M3 Practice Based Learning and Improvement Presentation Guide: Steps 6 & 7

• Prior to providing response, think about how information may be used- reference the background information!
• Inform the requestor of accurate and unbiased clinical literature
• If you are responding to a patient:
  • Provide patient with results from search
  • Educate patient on lifestyle modifications
  • Provide educational materials/articles to requestor

If prescribing a new medication to a patient, remember STEPS.

S    Safety
         T     Tolerability
     E     Effective
P     Price
       S     Simplicity

University of Georgia YouTube site. Athens (GA): Slawson David C; 2010 May 28. [Video], Teaching evidence based medicine: should we be teaching information management instead? [reviewed 2013 Aug 3; cited 2013 Aug 20]; [55 min., 41 sec.]. Available from: http://www.youtube.com/watch?v=w60YNt3deW4.

Preskorn SH. Advances in antidepressant therapy: the pharmacologic basis. San Antonio: Dannemiller Memorial Educational Foundation, 1994

• This step is completed AFTER the verbal communication response is given to requestor
• Follow-up is perceived as good clinical practice and enhances professional relations
• Opportunity to readdress original request when newer literature/outcomes develop

• We all have a responsibility to provide responses to clinical questions from patients and health care providers
• Before providing a response, be sure to utilize the 7-step approach to assure completeness with the response
• Responses are often given in a verbal, fast-paced setting, however, sometimes a written response is needed.  Be aware of your setting.

• Drugs: Consider drug cost, insurance coverage, serious adverse reactions, serious drug interactions, contraindications, ease of administration, etc.
  • Drugs - See the drug monographs in Lexi-Comp Online or MicroMedex
    • Drug Prices - Seethe preparations section of the Lexi-Drugs drug monograph (Lexi-Comp Online)
  • Herbs/Supplements/Vitamins - See the herbal/supplement monographs
    • See the Natural Medicines database or Drug databases (Lexi-Comp Online or MicroMedex)
• Treatments: Efficacy of treatment, treatment cost, insurance coverage, possible complications, etc.
• Geography of where patient lives. For example, some treatments may not be easily available/assessable to patient living in a rural community.
• Transportation
• Diversity, culture, and spirital beliefs of the patient

Include the citation of your article or guideline on your reference slide. Other resources utilized in the presentation should also be cited,