The MEDMAN project: evaluation of the medicines management training for community pharmacists

Background and Training package: A RCT was conducted to evaluate a community pharmacist-led medicines management service (MEDMAN) for patients with coronary heart disease (CHD). The aim was to evaluate training provided prior to commencement of the service. Method: Questionnaires were mailed to participating English community pharmacists at three time points to assess CHD knowledge, perceived knowledge/skills, and comfort with respect to the new service. Results: Before training (baseline; response rate 63%) pharmacists had good CHD knowledge although 50% reported needing much more knowledge. Fewer (20%) felt training in communication skills/working with GPs was needed. After training (post-training time point 1; response rate 80%), perceived knowledge and skills increased (P <0.001). At post-training time point 2, CHD training was rated highly useful (89%), relevant (91%) and complete (74%). Pharmacists continued to feel comfortable providing the service throughout the three time points. Many (68%) undertook further training. Pharmacists' attitudes to MEDMAN were generally positive and un-related to knowledge, skills or comfort. Conclusion: Baseline CHD knowledge was good. Future training packages should include mentoring and experiential training.