Table 1 Clinical Scenario Interview Prompts

Scenario #1: Deprescribing

Ms. A is an eighty-one-year-old woman with a history of hypertension and hyperlipidemia. She is a lifelong nonsmoker and engages in thirty minutes of moderate physical activity three days a week. Her blood pressure is 118/72, pulse 68 bpm, and body mass index is 28. She’s currently prescribed aspirin 81 mg po daily, Atorvastatin 20 mg daily, Lisinopril 10 mg daily, Carvedilol 12.5 mg bid, Pantoprazole 40 mg daily, Docusate 100 mg bid and takes a Calcium and Vitamin D supplement. The patient reports that she is comfortable on her current medications and does not experience any side effects or financial hardships as a result.

Scenario #2: Prescribing new potentially low-value medication

Mr. S is a sixty-eight-year-old man with a history of hypertension, hyperlipidemia and well-controlled type II diabetes mellitus. You’re seeing him for a fifteen-minute follow-up visit where he complains of fatigue and erectile dysfunction. He continues to have a desire to engage in sexual intercourse but is unable to maintain an erection. He requests a prescription for a testosterone supplement as a friend has similar symptoms and found that testosterone was helpful and improved his overall quality of life.