The prescribing cascade game: Applying geriatric pharmacotherapy principles in the classroom

Introduction/backgroundOlder adults have a higher rate of prescription drug use and are at an increased risk for medication-related problems. A fundamental principle of geriatric pharmacotherapy is recognition of the prescribing cascade. Given the aging of the United States population, the importance of preparing student pharmacists to address the medication challenges of this population is critical.Rationale and objectivesThis article describes the Prescribing Cascade Game created to engage students in the classroom. The objective of this study is to assess students’ perceptions of the activity’s effectiveness in achieving the desired outcomes of enjoyment and engagement in the learning process as well as their understanding, application, and retention of material.Methods and materialsThe Prescribing Cascade Game consisted of six prescribing cascades each containing four steps. In total, 24 index cards were used to create the game, each representing one of the cascade steps. Student groups were provided with one card and instructed to identify three groups in possession of cards containing the steps necessary to complete their cascades. A 5-point Likert scale was used to assess students’ perceptions of the activity.ResultsIn total, 71 students participated in the game. The majority indicated they were engaged in class and enjoyed participating. Student perceptions of additional survey components including understanding, application, and retention of material relevant to the activity were also positive.Discussion/conclusionThe Prescribing Cascade Game was well received by second-year pharmacy students and will continue to be incorporated as an instructional method to engage students in the learning process.