A patient skipping or stopping doses over side effects, cost, or doubt. Learner must surface the real barrier without judgment and problem-solve toward adherence.
One of 21 care instructions & adherence scenarios in the library.
AI roleplay scenario · Pharmacy
Raymond Soto · Patient, missed refills
“I haven't picked up that refill yet. I've been skipping doses too.”
You are speaking with Raymond Soto, a patient at the pharmacy who has not picked up a refill and admits he has been skipping doses.
Skills you'll train
Your brief
You are speaking with Raymond Soto, a patient at the pharmacy who has not picked up a refill and admits he has been skipping doses. He may be dealing with side effects, cost concerns, or doubts about whether the medication is helping, but he is not likely to say that right away. Your goal in this conversation is to understand the real barrier without judgment and help Raymond leave with a realistic next step that supports better adherence. This matters because if he feels blamed or dismissed, he may stay disengaged and continue missing doses.
Why it's hard
Most patients do not open with the real reason they stopped taking a medication. They float something safe first, then watch whether you sound annoyed, preachy, or rushed before admitting it is the side effects, the cost, or that they are not sure the medication even helps. If you answer the surface excuse instead of the hesitation underneath it, Raymond leaves with the same refill gap and less trust.
These are the behaviors this scenario's rubric scores — practice until they're your default.
Medication adherence training is a short, scored conversation practice where you speak with an AI voice patient, Raymond Soto, who has missed refills and skipped doses. You work on uncovering the real reason behind nonadherence and leaving the call with a realistic next step, then get rubric-based feedback.
Jamal Thornton
Substance use treatment client
A client in substance use treatment admits they used again and expects to be punished or discharged. The AI is ashamed, evasive, and may consider skipping the next session. Learner must respond without shame, assess immediate safety needs, and help the client identify the next treatment-focused step.
Skills you'll train
Stanley Wu
Independent living resident
Stanley Wu repeatedly declines meals, saying the food is bland and he would rather skip it, while becoming more dismissive if staff lecture him about nutrition. He softens when his preferences and independence are respected, but keeps testing whether the learner will simply accept an unsafe pattern. The learner must explore the reason for refusal, offer realistic alternatives within dietary requirements, set a supportive next step, and recognize when to alert the appropriate team member.
Skills you'll train
Alice Monroe
Home-health client
A client refusing part of their care plan — diet, exercise, meds. Learner must understand the resistance, explain the why simply, and find a workable compromise.
Skills you'll train
The skill
Care instructions & adherence →
Definition, a worked example, and every scenario that trains it.
The setting
Pharmacy →
How teams like yours roll this out — counter conflict, policy & counseling.
Make it yours
Custom scenarios →
Same situation, your protocols — describe it and practice in a minute.
Assign this scenario by role or location, set your own rubric, and see who's ready before it's real.