Milestone map
3 milestones
Learn the structured medication counselling framework and apply in practice
1–2 weeks
Study a structured medication counselling framework — the 'Tell, Show, Do' model, the WHO medication counselling standard, or the equivalent used in your training programme. The framework must cover: what the medicine is and what it's for, how to take it (dose, frequency, timing, route), common side effects and what to do about them, interactions to avoid, what to do if a dose is missed, when to seek urgent advice. Apply the framework in a supervised practice session with a volunteer patient (consenting peer or simulated patient). Observer must be a registered pharmacist or registered nurse with medicines management authority.
Proof required
Submit your 1-page framework summary (naming all components) and your observer's signed feedback confirming they watched the practice session. Feedback must name the communication skills demonstrated and at least one area for improvement.
What gets checked
Common mistakes
Powstik Guide
A one-page framework summary and observed practice.
Steps
Template
Framework: Components: Observer: Signed feedback:
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Document 10 supervised medication counselling encounters
4–8 weeks (dependent on clinical placement)
Under direct supervision of a registered pharmacist or registered nurse with medicines management authority, conduct and document 10 real medication counselling encounters with consenting patients. Encounters should cover at least 4 different medicine types (e.g. inhalers, oral anticoagulants, insulin, antidepressants, cardiovascular medicines). For each encounter, record: medicine counselled, counselling components covered, any patient questions raised and how they were addressed, adherence barrier identified (if any), and supervisor sign-off. All patient data must be fully anonymised.
Proof required
Submit your counselling logbook with 10 anonymised entries, each countersigned by the supervising registered professional. At least 4 different medicine types must be represented.
What gets checked
Common mistakes
Powstik Guide
Ten supervised counselling logs, anonymised and countersigned.
Steps
Template
| # | Date | Medicine topic | Teach-back check done? | Supervisor comment | Signature | |---|------|----------------|------------------------|--------------------|-----------|
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Demonstrate counselling competency in a formal assessed session
1–2 weeks
Complete a formal assessed medication counselling session observed and marked by a registered pharmacist or clinical supervisor — using your training programme's assessment tool or an equivalent structured assessment. The session must cover a medicine or combination of medicines that presents real counselling challenges (e.g. an anticoagulant requiring INR monitoring, an inhaled medicine requiring device technique, or a medicine with complex interaction profile). Receive written feedback on your performance.
Proof required
Submit the completed assessment form with the assessor's marks and written comments, plus your 1-page reflection on the assessment: what went well, what the feedback identified, and what you will do differently in the next counselling session.
What gets checked
Common mistakes
Powstik Guide
A formally assessed session and a one-page reflection.
Steps
Template
Assessor: Date: Mark: Comments: Reflection (1 page):
What gets sent back
Resources
Foundationstart here
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What a verifier looks for
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