Pharmacy students' reflections on a TED talk about difficult conversations

Authors

  • Jennifer Beall Department of Pharmacy Practice, Samford University McWhorter School of Pharmacy, Birmingham, Alabama, United States
  • Melanie Manis Reida Department of Pharmacy Practice, Samford University McWhorter School of Pharmacy, Birmingham, Alabama, United States
  • Michael Thomas Department of Pharmacy Practice, Samford University McWhorter School of Pharmacy, Birmingham, Alabama, United States https://orcid.org/0000-0001-9289-6964
  • Maureen Hillier School of Nursing, MGH Institute of Health Professions, Boston, Massachusetts, United States https://orcid.org/0000-0001-8767-8663
  • Elaine Meyer Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, United States https://orcid.org/0000-0003-2309-8189

DOI:

https://doi.org/10.46542/pe.2026.261.383390

Keywords:

Communication, Difficult healthcare conversation, Pharmacy student, TED talk

Abstract

Background: Educating health professions students in difficult conversations is necessary, and the expanding role of pharmacists necessitates this instruction for pharmacy students.  

Methods: This exploratory qualitative study was modelled after a similar project with undergraduate nursing students. Second- (P2) and third year (P3) pharmacy students were invited to participate. Students watched the TED talk “On Being Present, Not Perfect” about difficult conversations and answered two reflection questions prior to a required lab course session.  Student comments were categorised by a priori themes.    

Results: Fifty-two of 236 total students (23%) agreed to participate in the study; 36 were P2s and 16 were P3s. The themes of Communication, Empathy, and Role Development were consistent across the two reflection questions. No additional themes were identified. Treating the patient as a person was noted across each of the themes. Limitations: This study was conducted at a single, private, faith-based institution; participation was voluntary; data were self-reported; and no objective measures of communication skills were used.     

Conclusion: The students reflected on TED Talk about difficult conversations and the importance of treating patients with respect as a person. The reflective component encouraged students to assimilate the content along with experiences from their professional work or personal life.

References

Accreditation Council for Pharmacy Education (ACPE). (2025). Accreditation standards and key elements for the professional program in pharmacy leading to the Doctor of Pharmacy degree. Accreditation Council for Pharmacy Education. https://www.acpe-accredit.org/pdf/ACPEStandards2025.pdf

de Oliveira, D. R., & Shoemaker, S. J. (2006). Achieving patient centeredness in pharmacy practice: openness and the pharmacist's natural attitude. Journal of the American Pharmacists Association, 46(1), 56–66. https://doi.org/10.1331/154434506775268724

Delisle, M., Grymonpre, R., Whitley, R., & Wirtzfeld, D. (2016). Crucial conversations: An interprofessional learning opportunity for senior healthcare students. Journal of Interprofessional Care, 30(6), 777–786. https://doi.org/10.1080/13561820.2016.1215971

Eukel, H. N., Morrell, B., Holmes, S. M., & Kelsch, M. P. (2021). Simulation design, findings, and call to action for managing difficult patient encounters. American Journal of Pharmaceutical Education, 85(7), 8327. https://doi.org/10.5688/ajpe8327

Fleming, V. (Director). (1939). The Wizard of Oz [Film]. Metro-Goldwyn-Mayer.

Galal, S. M., Vyas, D., Mayberry, J., Caringal, C., Bui, V., Rogan, E., & Ndung'u, M. (2023). Training pharmacy students to deliver bad news using the SPIKES model. Currents in Pharmacy Teaching and Learning, 15(3), 283–288. https://doi.org/10.1016/j.cptl.2023.03.008

Hillier, M., Luff, D., & Meyer, E. C. (2020). Innovative communication learning: Combining TED talks and reflective writing for nursing students. Creative Nursing, 26(3), 182–188. https://doi.org/10.1891/CRNR-D-19-00056

Marken, P. A., Zimmerman, C., Kennedy, C., Schremmer, R., & Smith, K. V. (2010). Human simulators and standardized patients to teach difficult conversations to interprofessional health care teams. American Journal of Pharmaceutical Education, 74(7), 120. https://doi.org/10.5688/aj7407120

Meyer, E. C. (2014a). On being present, not perfect [Video]. TED Conferences. https://www.youtube.com/watch?v=phUUjk_btiY&t=19s

Meyer E. C. (2014b). Courage, brains and heart: Lessons from the Wizard of Oz for difficult healthcare conversations. Australian Critical Care, 27(3), 108–109. https://doi.org/10.1016/j.aucc.2014.03.002

Morgan, D. E. & Hotze, E. (2025). Teaching with TED: A curated set of TED Talks and discussion prompts for microbiology and cellular biology courses. Journal of Microbiology & Biology Education26(1), e0012824. https://doi.org/10.1128/jmbe.00128-24

Religioni, U., Barrios-Rodriguez, R., Requena, P., Borowska, M., & Ostrowski, J. (2025). Enhancing therapy adherence: Impact on clinical outcomes, healthcare costs, and patient quality of life. Medicina (Kaunas), 61(1),153. https://doi:10.3390/medicina61010153

Biden School of Public Policy & Administration. (n.d.). Difficult conversations. University of Delaware. Retrieved September 2, 2025 from https://www.bidenschool.udel.edu/ipa/serving-delaware/crp/difficult-conversations.

Valliant, S. N., Burbage, S. C., Pathak, S., & Urick, B. Y. (2022). Pharmacists as accessible health care providers: Quantifying the opportunity. Journal of Managed Care & Specialty Pharmacy, 28(1),85–90. https://doi.org/10.18553/jmcp.2022.28.1.85

Zilz D. A. (2021). When difficult conversations occur, will you be ready? American Journal of Health-System Pharmacy, 78(17), 1600–1602. https://doi.org/10.1093/ajhp/zxab213

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Published

25-08-2026

How to Cite

Beall, J., Manis Reida, M., Thomas, M., Hillier, M., & Meyer, E. (2026). Pharmacy students’ reflections on a TED talk about difficult conversations. Pharmacy Education, 26(1), p. 383–390. https://doi.org/10.46542/pe.2026.261.383390

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Section

Research Article