Medication reconciliation OSCE — complex discharge counselling

Station objectives

1. Build a Best Possible Medication History from multiple sources. [1]
2. Classify intentional versus unintentional discrepancies and prioritise critical omissions. [21] [13]
3. Plan discharge reconciliation, liquid teaching and loop closure. [34] [3]
4. Address polypharmacy burden without blaming the caregiver. [6] [28]
5. Communicate medication changes clearly for handoff. [11]