Background and purpose Pharmacist-patient communication has traditionally been unidirectional, 1-3 with numerous studies illustrating that pharmacists use technical jargon, 4 display feeble responses to emotional prompts, 5 and control the interaction and content by using close-ended questions. 6-8 There is also minimal effort to engage with or elicit feedback from patients about their preference or concerns with regard to their medication. 5,6,9,10 Indeed, pharmacists tend to focus on transferring information to patients based on what they perceive to be important. 11,12 This approach to communication has thus impeded effective engagement with patients, and could affect adherence. 6,10 With the shift from the traditional biomedical model of care long adopted by pharmacists, to a patient-centered model which facilitates the provision of pharmaceutical care, 13-17 there is a need for pharmacists to similarly move away from communication styles which focus on the transmission of information, to one that adopts a transactional model. 1,12,17 The importance of pharmacists as communicators is underlined in the World Health Organization's seven-star concept, which states that pharmacists should be active communicators who employ verbal, non-verbal, and listening skills. 18 This has been echoed by the International Pharmaceutical Federation, who stipulate that educational programs should prepare future pharmacists to have adequate social and communication skills. 19 Indeed, research has shown that effective communication can lead to increased adherence, better health outcomes, increased patient satisfaction, a better understanding of treatment, and increased patient engagement in therapeutic decisions. 2,6,9,17,20-24 A number of pharmacy curricula, however, focus on developing students' medication-related competencies, as opposed to their relational or social skills-skills which would have a greater bearing on patient engagement. 1,8,9 There has also been a reliance on didactic teaching methods to teach communication skills, 8,16 which may not be as effective as active-learning approaches. 24 Patient-pharmacist interactions are not scripted communications, and are instead a dynamic exchange occurring in an equally dynamic environment. 12 While not discounting the effectiveness of using simulated or standardized patients (SPs) to teach communication skills, 22,25-27 SPs nonetheless give scripted responses to students, which belie the true nature of the interactions which take place in a pharmacy or at the bedside. 12,28 It has also been noted that for deep-learning to occur, there should be Fonteyn ME, Kuipers B, Grobe SJ. A Description of Think Aloud Method and Protocol Analysis.