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委托专业活动分析在早期药学实践经验中的绩效评估作用。

Exploratory Analysis of Entrustable Professional Activities as a Performance Measure During Early Pharmacy Practice Experiences.

机构信息

UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

Am J Pharm Educ. 2019 Mar;83(2):6517. doi: 10.5688/ajpe6517.

Abstract

To examine entrustable professional activities (EPAs) as an assessment tool for student pharmacists completing early practice experiences. Students completed a 2-month practice experience upon conclusion of their first year. Student performance on EPAs was assessed by preceptors and students at the midpoint and conclusion of the experience using a scale that ranged from dependent (1.0) to independent (5.0). Wilcoxon Signed-Rank Test assessed for differences between the midpoint and final evaluations on student self-evaluations and between the midpoint and final evaluation on preceptor-student evaluations. Cronbach's α assessed reliability of the EPAs. From May to August 2016, 147 students completed a practice experience. Student-self and preceptor-student evaluations at the midpoint and final approximated a median score of 3.0 (IQR 2) and 4.0 (IQR 3), respectively, on EPAs 1-14. Analyses revealed statistically significant increases from midpoint to final evaluation for all constructs on both evaluations. Cronbach's α yielded scores of 0.98 for the preceptor evaluations and 0.95 for the student self-evaluation. There was an increase in student performance over time. The EPA statements may be a reliable assessment tool for student performance in pharmacy education.

摘要

为考察可委托专业活动(EPAs)作为评估完成早期实践经验的学生药剂师的工具。学生在第一学年结束时完成了为期两个月的实践经验。在经验的中点和结束时,主管和学生使用范围从依赖(1.0)到独立(5.0)的量表评估 EPAs 中学生的表现。Wilcoxon 签名秩检验评估了学生自我评估的中点和最终评估之间以及主管-学生评估的中点和最终评估之间的差异。Cronbach's α 评估了 EPAs 的可靠性。2016 年 5 月至 8 月,147 名学生完成了一项实践经验。学生自我评估和主管-学生评估在中点和最终评估中,EPAs1-14 的中位数分别接近 3.0(IQR2)和 4.0(IQR3)。分析显示,在两个评估中,所有结构的中点到最终评估都有统计学意义上的增加。Cronbach's α 为主管评估获得了 0.98 的分数,为学生自我评估获得了 0.95 的分数。学生的表现随着时间的推移有所提高。EPA 陈述可能是评估药学教育中学生表现的可靠工具。

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