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From dispensing to caring: Enhancing patient-provider relationships through parallel chart writing in a pharmacist-managed clinic.

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Title: From dispensing to caring: Enhancing patient-provider relationships through parallel chart writing in a pharmacist-managed clinic.
Authors: Peng, Tzu-Rong1,2,3 (AUTHOR), Yu-Lu, Yu1 (AUTHOR), Wu, Ta-Wei1,4 (AUTHOR) tawei@tzuchi.com.tw
Source: Currents in Pharmacy Teaching & Learning. Jul2026, Vol. 18 Issue 7, pN.PAG-N.PAG. 1p.
Subject Terms: *Empathy, *Pharmacy education, Narrative medicine, Pharmacy, Physician-patient relations, Narration, Therapeutic alliance
Abstract: Narrative medicine and reflective writing, specifically parallel charts, are established tools for fostering empathy in medical education; however, empirical evidence in clinical pharmacy education remains limited. This study evaluated the feasibility and educational impact of integrating parallel chart writing into a pharmacist-managed outpatient clinic. A convergent mixed-methods study was conducted from May 2024 to December 2025 involving 40 pharmacy trainees [27 interns and 13 Post-Graduate Year (PGY) pharmacists]. Feasibility was assessed via completion rates and a 5-point Likert satisfaction survey. Quantitative evaluation of narrative competence used faculty-assigned scores (0–100 scale), analyzed with Welch's t -test and Cohen's d effect sizes. Qualitative data from 40 parallel charts, 40 reflections, and 24 semi-structured interviews were subjected to inductive thematic analysis. The primary objective of feasibility was met, with a 100% completion rate and high trainee satisfaction (4.75 ± 0.31), particularly regarding the enhancement of patient-provider relationships (4.93 ± 0.27). The mean score for parallel charts was 86.28 ± 5.54. Subgroup analysis revealed that prior narrative experience was the sole factor influencing performance (91.50 ± 1.52 vs. 85.35 ± 5.48; p < 0.001; Cohen's d = 1.15), whereas clinical seniority showed minimal impact (d = 0.49). Four qualitative themes emerged: (1) awakening and deepening of empathy; (2) facilitation of deep reflection; (3) professional identity shift from "dispenser" to "caregiver"; and (4) positive acceptance of narrative pedagogy as a supplementary clinical tool. Parallel chart writing is a feasible and effective pedagogical tool in pharmacy education. Since narrative competence does not automatically improve with clinical seniority, structured training is essential. This intervention bridges the gap between technical proficiency and holistic care, potentially strengthening therapeutic alliances and medication adherence. [ABSTRACT FROM AUTHOR]
Copyright of Currents in Pharmacy Teaching & Learning is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
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PubType: Academic Journal
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  Data: From dispensing to caring: Enhancing patient-provider relationships through parallel chart writing in a pharmacist-managed clinic.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Currents+in+Pharmacy+Teaching+%26+Learning%22&quot;&gt;Currents in Pharmacy Teaching &amp; Learning&lt;/searchLink&gt;. Jul2026, Vol. 18 Issue 7, pN.PAG-N.PAG. 1p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Narrative medicine and reflective writing, specifically parallel charts, are established tools for fostering empathy in medical education; however, empirical evidence in clinical pharmacy education remains limited. This study evaluated the feasibility and educational impact of integrating parallel chart writing into a pharmacist-managed outpatient clinic. A convergent mixed-methods study was conducted from May 2024 to December 2025 involving 40 pharmacy trainees [27 interns and 13 Post-Graduate Year (PGY) pharmacists]. Feasibility was assessed via completion rates and a 5-point Likert satisfaction survey. Quantitative evaluation of narrative competence used faculty-assigned scores (0–100 scale), analyzed with Welch&#39;s t -test and Cohen&#39;s d effect sizes. Qualitative data from 40 parallel charts, 40 reflections, and 24 semi-structured interviews were subjected to inductive thematic analysis. The primary objective of feasibility was met, with a 100% completion rate and high trainee satisfaction (4.75 &#177; 0.31), particularly regarding the enhancement of patient-provider relationships (4.93 &#177; 0.27). The mean score for parallel charts was 86.28 &#177; 5.54. Subgroup analysis revealed that prior narrative experience was the sole factor influencing performance (91.50 &#177; 1.52 vs. 85.35 &#177; 5.48; p &lt; 0.001; Cohen&#39;s d = 1.15), whereas clinical seniority showed minimal impact (d = 0.49). Four qualitative themes emerged: (1) awakening and deepening of empathy; (2) facilitation of deep reflection; (3) professional identity shift from &quot;dispenser&quot; to &quot;caregiver&quot;; and (4) positive acceptance of narrative pedagogy as a supplementary clinical tool. Parallel chart writing is a feasible and effective pedagogical tool in pharmacy education. Since narrative competence does not automatically improve with clinical seniority, structured training is essential. This intervention bridges the gap between technical proficiency and holistic care, potentially strengthening therapeutic alliances and medication adherence. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Currents in Pharmacy Teaching &amp; Learning is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1016/j.cptl.2026.102629
    Languages:
      – Code: eng
        Text: English
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        PageCount: 1
        StartPage: N.PAG
    Subjects:
      – SubjectFull: Empathy
        Type: general
      – SubjectFull: Pharmacy education
        Type: general
      – SubjectFull: Narrative medicine
        Type: general
      – SubjectFull: Pharmacy
        Type: general
      – SubjectFull: Physician-patient relations
        Type: general
      – SubjectFull: Narration
        Type: general
      – SubjectFull: Therapeutic alliance
        Type: general
    Titles:
      – TitleFull: From dispensing to caring: Enhancing patient-provider relationships through parallel chart writing in a pharmacist-managed clinic.
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            NameFull: Peng, Tzu-Rong
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            NameFull: Yu-Lu, Yu
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            – D: 01
              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
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              Value: 18
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            – TitleFull: Currents in Pharmacy Teaching & Learning
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