Cumulative Medicines

On completion of this activity, you should be able to:

  • Recognise the cumulative risk of harm in patients using multiple medicines

  • Determine which patients would likely benefit from deprescribing

  • Describe the core aspects of a patient centred, stepwise, deprescribing approach.

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ACRRM Activity No: 33398 - RACGP Activity No: 852365 - APC Code: CONL2404

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Accredited CPD Hours for GPs


This activity is available until September 1st 2024

  • Educational Activity - 1.5 hours
  • Reviewing Performance - 2.5 hours
  • Measuring Outcomes - 2.5 hours



To claim GP Accredited CPD hours


To claim accredited CPD hours please complete the following steps:

1. Complete the educational activity (minimum requirement)

2. Review your performance

  • Reflect on your own practice compared to the clinical case scenario.

  • Select up to 5 of your own patients who are taking multiple medicines and may be at risk of medication related harm (note that if you intend to claim measuring outcomes hours you must review a minimum of 5 patients):
    • Consider if there are any changes you would make to your patients’ management based on the educational materials.
    • Follow up with your patients as required. Discuss the patient information brochure with them. Determine if they could benefit from a Medicines Review and/or deprescribing.


3. Measure the Outcomes

  • Keep a record of the five patients you identified and document any changes to management that were made (keep this record securely within your practice).


4. Claim your CPD hours

  • Complete the CPD response form to log your hours.
  • You will be asked to provide responses to the following questions to provide evidence that you have competed the activity:
    • Evidence required for claiming Educational Activity hours:
      • Reflecting upon the educational materials please provide a summary of the issues you would need to discuss with Albert and Josie in the case scenario to implement the tapering plan successfully.
    • Evidence required for claiming Reviewing Performance hours:
      • Thinking of the patients you reviewed please provide a summary of how you recognised patients that were at risk from cumulative medicines harm.
        What did you learn from reviewing these patients?
        How would or did you determine which of these patients would likely benefit from deprescribing?
    • Evidence required for claiming Measuring Outcomes hours:
      • Please outline what data you collected from your patients to determine their risk of cumulative medicines harm and how this compared to best practice in the case scenario? (DO NOT PROVIDE ANY IDENTIFIABLE PATIENT INFORMATION)
      • Did you identify any patterns of treatment or behaviour from the data you collected that will inform your clinical judgement as it applies to reducing adverse effects from cumulative medicines?
      • Please provide a summary of the changes you made to the management of those patients?
  • A certificate confirming your participation and the number of CPD hours awarded will be provided within 30 days.


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^Please note, to claim MO hours you must review a total of five patients and measure the outcomes relative to this practice review. If less than 5 patients have been reviewed, you will only be able to claim partial hours for the EA and RP parts of this activity. If you intend to claim MO hours, it is recommended that you wait until all three required activities have been completed to submit your claim. Any claim for MO hours made separately to claiming the prerequisite EA and RP hours must be made within 30 days of the initial submission. -


Participating in this MAIA topic on Cumulative Medicines Risk is voluntary. It provides you with the opportunity to receive accredited RACGP or ACRRM hours for educational activities, reviewing performance and measuring outcomes. By participating in this topic, you agree to complete our response form which is required as evidence for your continuing professional development hours.


Data collected will be used to inform improvements to MAIA and could also be used in external publications and presentations. Individual responses will remain confidential, and no individuals will be identified in publications or presentations. Data will be securely stored in deidentified format at the University of South Australia. Identified data will be used for the sole purpose of CPD recording only.

Accredited CPD Hours for Pharmacists


Pharmacists can claim CPD points through the PSA, a member of the MAIA consortium.

The following resources and activities are available:

  • Recorded webinar - Reducing the Risk of Cumulative Medicines (Deprescribing)
  • Pharmacist Quick Reference Guide: Cumulative Medicines
  • Pharmacist Case Series: Addressing the hidden risks of cumulative medicines to reduce harm
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On completion of this activity, you should be able to:

  • Recognise the cumulative risk of harm in patients using multiple medicines

  • Determine which patients would likely benefit from deprescribing

  • Describe the core aspects of a patient centred, stepwise, deprescribing approach.