University of Georgia, College of Pharmacy, Athens, Georgia.
University of Georgia, College of Pharmacy, Augusta, Georgia.
Am J Pharm Educ. 2019 Oct;83(8):7357. doi: 10.5688/ajpe7357.
To develop, implement, and assess student performance and confidence in a pharmacy capstone course that used case-based instruction and the Pharmacist's Patient Care Process (PPCP) to develop patient work-up skills in third-year Doctor of Pharmacy (PharmD) students. A skills-based capstone course was developed by a team of faculty members and instructional designers that focused on patient evaluation skills and applying the steps of the PPCP to complex patient cases housed in a simulated electronic health record (SEHR). The acuity of the cases increased over the course of the semester. For each patient case, students were expected to identify drug-related problems and develop an assessment and plan based on the information provided in the SEHR. Students (n=134) were assessed through weekly quizzes and two practical examinations. The average score for all quizzes was 81%. A significant correlation was found between average quiz scores and performance on the end-of-course practical examination. Student scores significantly improved from the first to the second practical examination (10.4 vs 12.9, respectively), and student confidence with regard to all course objectives significantly improved from the beginning to the end of the semester. A capstone course that applied the PPCP framework successfully taught third-year PharmD students the patient care skills they would need in advanced pharmacy practice experiences.
开发、实施和评估药学博士（PharmD）三年级学生在药学顶峰课程中的表现和信心，该课程使用基于案例的教学和药剂师患者护理流程（PPCP）来培养患者评估技能。一个以技能为基础的顶峰课程由一组教员和教学设计者开发，重点是患者评估技能，并将 PPCP 的步骤应用于模拟电子健康记录（SEHR）中的复杂患者病例。病例的严重程度在学期中逐渐增加。对于每个患者病例，学生应根据 SEHR 中提供的信息识别药物相关问题，并制定评估和计划。学生（n=134）通过每周测验和两次实践考试进行评估。所有测验的平均得分为 81%。平均测验分数与课程结束时的实践考试成绩之间存在显著相关性。学生的分数从第一次实践考试到第二次实践考试显著提高（分别为 10.4 分和 12.9 分），学生对所有课程目标的信心从学期开始到结束都显著提高。一门应用 PPCP 框架的顶峰课程成功地教授了药学博士三年级学生在高级药学实践经验中所需的患者护理技能。
