McCutcheon Livia R M, Whitcomb Kathryn, Cox Craig D, Klein Mary S, Burley Hansel, Youngblood Terrance, Raehl Cynthia
Wilkes University, Nesbitt College of Pharmacy, Department of Pharmacy Practice, 84 W. South Street, Wilkes-Barre, PA 18766, United States.
Texas Tech University Health Sciences Center School of Pharmacy, Texas Tech University Health Sciences Center School of Nursing, Simulation Center, 1674 Pine Street, #2508, Abilene, TX 79601, United States.
Curr Pharm Teach Learn. 2017 Jul;9(4):605-615. doi: 10.1016/j.cptl.2017.03.023. Epub 2017 Jun 1.
Interprofessional education (IPE) is important in the education of all health care students, yet limited IPE training has been provided to preceptors who train these students in the clinical setting. Simulation using the standardized student model has been used to train health care preceptors in medicine. To our knowledge, there are no reports utilizing interprofessional objective structured teaching exercises (iOSTE) to train pharmacy preceptors. The primary objectives of this pilot study were to evaluate the effects of iOSTE on the pharmacy preceptors' perceived importance of the Interprofessional Education Collaborative (IPEC) core competencies and confidence in precepting interprofessional students. Additionally, data were collected regarding pharmacy preceptors' prior experiences in simulation and debriefing.
Preceptors (n=23) participated in an iOSTE and debriefed with trained standardized nursing and pharmacy students caring for a trained standardized asthma patient.
Pre- versus post-iOSTE survey data showed statistically significant improvements in all self-confidence related items, including the following abilities: precept students from different disciplines (p=0.004), facilitate a simulation activity (p=0.001), conduct the debriefing process (p<0.001), and discuss with students the IPE core competencies (p=0.001). Additionally, responses to post-iOSTE survey questions assessing the learning activity showed high ratings (median=5, interquartile range=4 to 5). Pharmacy preceptors increased their teaching ability and confidence level in communicating with students from other health care professions.
These findings indicate that iOSTE is a useful and well-received method for preceptor development.
跨专业教育(IPE)对所有医护专业学生的教育都很重要,但在临床环境中培训这些学生的带教教师所接受的IPE培训却很有限。使用标准化学生模型的模拟已被用于培训医学领域的医护带教教师。据我们所知,尚无利用跨专业客观结构化教学练习(iOSTE)培训药学带教教师的报道。这项试点研究的主要目的是评估iOSTE对药学带教教师对跨专业教育协作(IPEC)核心能力的感知重要性以及指导跨专业学生的信心的影响。此外,还收集了有关药学带教教师先前在模拟和汇报方面的经验的数据。
带教教师(n = 23)参与了一次iOSTE,并与照顾一名经过培训的标准化哮喘患者的受过培训的标准化护理和药学专业学生进行了汇报交流。
iOSTE前后的调查数据显示,在所有与自信心相关的项目上都有统计学上的显著改善,包括以下能力:指导来自不同学科的学生(p = 0.004)、促进模拟活动(p = 0.001)、进行汇报过程(p < 0.001)以及与学生讨论IPE核心能力(p = 0.001)。此外,对评估学习活动的iOSTE后调查问卷问题的回答显示评分很高(中位数 = 5,四分位间距 = 4至5)。药学带教教师提高了他们在与其他医护专业学生交流时的教学能力和信心水平。
这些结果表明,iOSTE是一种用于带教教师发展的有用且受欢迎的方法。