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Objective: the authors developed and tested the feasibility and utility of a new direct-observation instrument to assess trainee performance of a medication management session.

Methods: the Psychopharmacotherapy-Structured Clinical Observation (P-SCO) instrument was developed based on multiple sources of expertise and then implemented in 4 university-based outpatient medication management clinics with 7 faculty supervising 17 third-year residents. After each observation by a faculty member of a medication management session, residents received feedback in writing (the completed P-SCO) and verbally in person.

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