PharmDecks

Applied Prescribing Clinics

Categories: MPharm
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About Course

The Applied Prescribing Clinics module is an advanced, practice-focused course designed to bridge the gap between knowing the guidelines and making safe prescribing decisions under pressure. It mirrors how prescribing actually happens in clinical settings—messy histories, incomplete information, competing risks, and time constraints.

Rather than revising conditions in isolation, students work through clinic-style scenarios covering cardiovascular disease, diabetes, respiratory conditions, pain and MSK problems, medicines safety, and behaviour change. Each topic emphasises decision hierarchy, risk management, monitoring, and documentation, reflecting how prescribing is assessed in finals, OSCEs, and early foundation training.

The module begins with a universal clinical decision-making toolkit, centred on the Safety → Efficacy → Practicality framework used implicitly by examiners and clinicians. Students learn how to rapidly screen prescriptions, prioritise risks, recognise high-harm errors, and justify decisions clearly.

From there, the module progresses through specialist clinics including hypertension, heart failure, diabetes (including CKD and CGM interpretation), respiratory disease, spirometry, pain and musculoskeletal conditions, and smoking cessation services. Each clinic combines:

  • Structured clinical reasoning

  • Monitoring and escalation thresholds

  • Drug selection and optimisation

  • Governance, legality, and documentation

  • Case-based workshops reflecting real NHS practice

Significant emphasis is placed on recognising when not to prescribe, when to stop or hold medicines, and how to handle complex or high-risk situations such as abnormal blood results, suspected drug-induced harm, shared care requests, and unsafe hospital charts.

This module is deliberately safety-heavy and reflects the reality of modern pharmacy practice, preparing students not just to pass exams, but to function confidently in prescribing-adjacent roles from day one of practice.

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What Will You Learn?

  • Apply structured clinical decision-making to complex prescribing scenarios
  • Prioritise patient safety over theoretical drug choice
  • Interpret blood results and recognise drug-induced harm
  • Adjust prescribing in the context of renal impairment, frailty, and multimorbidity
  • Manage high-risk medicines and identify serious prescribing errors
  • Conduct clinic-style reviews for hypertension, heart failure, diabetes, respiratory disease, and pain
  • Interpret CGM data and spirometry with confidence
  • Document decisions clearly and defensibly
  • Communicate prescribing decisions under time pressure

Course Content

Clinical Decision-Making Toolkit

  • The “Safety → Efficacy → Practicality” Rule
  • Consultation Structure That Works Across Settings
  • What to Document (and Why It Saves Your Skin)
  • End of Topic Quiz

Legal & Safe Prescribing in the Real World

Prescribing Queries & Governance

Interpreting Bloods + Suspected Drug Harm

Hypertension Clinic (Including CKD/Diabetes/Frailty)

Heart Failure Clinic (Recognise → Treat → Optimise)

Diabetes Clinic (Complex Reviews)

Diabetes Tech Clinic (CGM Interpretation)

Respiratory Clinic (Asthma Review + Acute Presentation)

Spirometry & Breathlessness Clinic

Medicines Safety on Hospital Charts

Pain & MSK Clinic

Behaviour Change Clinic (Stop Smoking Service)

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