| Summary: | Abstract This module includes an activity-based, small-group learning session which introduces preclinical undergraduate medical students to selected social issues regarding the use of medicines. The session is conducted at the beginning of the small-group learning module in clinical pharmacology. The 2.5 hour session starts with a brief introduction of certain social issues in use of medicines delivered by the chief facilitator. Then students in small groups work on different case scenarios and identify learning issues. The learning issues are presented to the larger group and examined using a discussion with inputs from the facilitators. The student groups then explore two situations connected with the case scenarios using role-plays. The lesson plan, the points to be addressed during the introductory remarks, the case scenarios and role-plays and facilitator's guide are described in this learning resource. Tips for success, using the resource in other schools, a reflective critique and reading resources are also provided. In developing nations like Nepal, social issues in use of medicines are not taught to undergraduate medical students. It is important that students have an understanding of these issues and consider them while prescribing treatment. At KIST Medcial College in Nepal, the session on social issues in use of medicines is presented as the first small-group module in pharmacology. This is followed by a module on medical humanities which deepens students' understanding of these issues. Students generally enjoy the sessions and become familiar with group work, communication skills, and role-plays. The major challenge is limiting the number of issues and/or scenarios to be covered as there are many issues to be addressed in a limited time period. Devoting more than one session to this topic is difficult due to the large number of topics to be covered.
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