Can I try this scenario before signing up?

Yes. The preview on this page runs the real scenario by voice in your browser for up to five minutes. After the call, you get scored feedback based on the transcript, so you can see how you handled Raymond’s refill gap before signing up. A work email is required to start.

How do you ask about missed doses without sounding accusatory?

Start with a neutral observation and a permission-based question: "I see the refill has not been picked up. Can you tell me what got in the way?" Then follow the first answer once or twice. Patients often say they were busy first when the real issue is side effects, cost, or doubt.

What if Raymond says he is just forgetful?

Treat that as a starting point, not the final explanation. Ask what was happening on the days he skipped, whether the medication feels worth taking, and whether cost or side effects have made the routine harder. The goal is to find the pressure behind the habit, not debate his wording.

Talk through medication adherence concerns

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.

Surfacing real barriers
Non-judgmental problem-solving
Supporting adherence

One of 8 care instructions & adherence scenarios in the library.

Live previewCare instructions & adherence

Raymond Soto

Patient, missed refills

Talk through medication adherence concerns

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.

Skills you'll train

Surfacing real barriers
Non-judgmental problem-solving
Supporting adherence

Don't take our word for it — 5 minutes, live, in your browser

Your brief

PharmacyVoice · ~5 minScored: Percentage

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.

The real barrier is buried
Shame can sound casual
Missed doses are already happening
A vague excuse may be cover

What good looks like

Keep your tone steady and matter-of-fact when Raymond admits skipped doses, so he does not feel scolded for the refill gap.
Reflect the hesitation or frustration you hear, then invite the fuller story instead of stopping at "I was busy" or "I forgot."
Pin down at least one real obstacle with focused follow-up questions, such as side effects, cost, or doubts that the medication is helping.
Turn the barrier into a concrete pharmacy next step, like discussing refill-support options or having him raise side effects or doubts with the prescriber.
Close with a realistic plan Raymond can actually follow, including what happens next about the missed refill rather than ending on vague reassurance.

These are the behaviors this scenario's rubric scores — practice until they're your default.

Frequently asked questions

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.

More care instructions & adherence scenarios

See all →

Alice Monroe

Home-health client

Care instructions & adherenceOngoing

Explain a care plan a client resists

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

Understanding resistance
Explaining the why simply
Workable compromises

Nancy Okafor

Patient, new prescription

Care instructions & adherenceOnboardingOngoing

Counsel a patient on a new prescription

A patient picking up a new medication. Learner must offer counseling, explain how and when to take it, key side effects and what to do, and confirm understanding.

Skills you'll train

Clear medication counseling
Key side-effect guidance
Confirming understanding

Phil Greene

Pharmacy customer

Care instructions & adherenceOngoing

Counsel on an over-the-counter choice

A customer unsure which OTC product to pick and whether it's safe with their meds. Learner must guide appropriately and refer to the pharmacist when needed.

Skills you'll train

Appropriate OTC guidance
Interaction awareness
Knowing when to refer

Where this fits

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.

Roll it out to your whole team

Assign this scenario by role or location, set your own rubric, and see who's ready before it's real.

Start free trial