Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States.
Curr Pharm Teach Learn. 2020 Jun;12(6):751-762. doi: 10.1016/j.cptl.2020.01.031. Epub 2020 Feb 20.
Pharmacists' scope of practice has expanded in several states to include independently prescribing and dispensing hormonal contraceptive products. The objective of this research was to assess student knowledge and confidence with prescribing hormonal contraception following a simulated patient case activity.
This was a descriptive, exploratory, nonexperimental study utilizing educational assessments and survey data from second professional year students during the 2017 to 2018 and 2018 to 2019 academic years. Student performance was assessed using a five-question readiness assurance test at the beginning of class, documented patient assessment and plan, and five-question post-activity quiz. Student confidence with interpreting legal regulations and following protocol instructions, performing a patient assessment, prescribing an appropriate contraceptive product, and providing verbal and written communication to patients and providers was assessed using a nine-question survey at the end of class.
Average student performance was consistent on the readiness assurance test between the two years. Students scored an average of 84.2% and 91.6% on the documented assessment and plan and 96.4% and 91.2% on the post-activity quiz for each year, respectively. Students felt most confident with navigating and interpreting a prescription drug formulary, providing the patient with written documentation, and communicating with the patient's prescriber. Students were less confident with selecting an appropriate product based on patient-specific factors and providing education on missed doses.
This case-based activity demonstrated student knowledge and confidence with prescribing hormonal contraceptives.
在一些州，药剂师的执业范围已经扩大，包括独立开处和分发激素避孕产品。本研究的目的是评估学生在模拟患者案例活动后开处激素避孕药物的知识和信心。
这是一项描述性、探索性、非实验性研究，在 2017 至 2018 学年和 2018 至 2019 学年期间，利用第二专业年学生的教育评估和调查数据进行。学生表现通过在课前进行的五道预备性保证测试、记录的患者评估和计划，以及活动后的五道测试题来评估。学生对解读法律规定和遵循方案指示、进行患者评估、开处合适的避孕产品，以及向患者和提供者提供口头和书面沟通的信心，通过课后的九道调查题来评估。
在这两年的预备性保证测试中，学生的平均表现一致。学生在记录的评估和计划中平均得分分别为 84.2%和 91.6%，在活动后的测试中平均得分分别为 96.4%和 91.2%。学生对浏览和解读处方药清单、为患者提供书面记录以及与患者的处方医生沟通最有信心。学生在根据患者具体情况选择合适的产品和提供关于漏服剂量的教育方面缺乏信心。
该基于案例的活动展示了学生开处激素避孕药物的知识和信心。
