Integration of a pharmacist led active learning class into the cardiac rehabilitation program at a community hospital

Purpose: To incorporate a pharmacist-led active learning medication class into a cardiac rehabilitation program.

Methods: Monthly one-hour active learning classes given by a pharmacist are currently offered to patients attending cardiac rehabilitation.  The drug classes reviewed include: beta-blockers, angiotensin converting enzyme inhibitors, angiotensin receptor blockers, HMG-CoA reductase inhibitors, nitrates and antiplatelets. Class size is limited to six patients (not including caregivers) to allow adequate opportunity for participation.  Basic mechanisms of action, common side effects, and usual titrations are discussed and dialogue amongst patients regarding experiences with the medications is encouraged.  Patients are expected to bring their medications to the class as they complete a medication list in conjunction with the pharmacist. The session ends with general questions regarding adherence, alternatives to therapy for cost savings, and questions to follow up with their cardiologist.  A short post-test to assess learning and an evaluation are given to the patient for feedback. 

Results: Four classes have been offered in the cardiac rehabilitation program.  Attendance averages four patients/class (not including caregivers). Classes last for a total of 50 minutes with extra time for individual questions.  Post-test results indicate an average of 80% of questions answered correctly.  Suggestions for future classes include: how to reduce a patient’s medication burden, attacking the cough and cold aisle with heart disease, and taking supplements with cardiac medications.

Conclusion: Incorporating a pharmacist into the curriculum of a cardiac rehabilitation program provides more detailed education on common cardiac medications. Future plans include the implementation of one-on-one pharmacist appointments to discuss more detailed medication-related issues and expanding the topics discussed.