Korayem Ghazwa B, Alboghdadly Amany M
Pharmacy Practice Department, College of Pharmacy, Princess Nourah bint Abdulrahman University, Saudi Arabia.
Saudi Pharm J. 2020 Jul;28(7):837-843. doi: 10.1016/j.jsps.2020.06.004. Epub 2020 Jun 18.
The use of simulation-based education (SBE) in pharmacy education can help students acquire the essential clinical knowledge and skills for practice and can enhance patients' safety. Simulation-based training has been implemented in inter-professional education training, introductory pharmacy practice experiences, pharmacy residency training. Still, there is limited information in the literature that assesses the use of simulation in advanced pharmacy practice experience (APPE).
To evaluate the impact of integrating SBE into APPE on students' learning outcomes, training costs, and satisfaction.
This study presents a new training model of a 5-week clerkship experience where sixth-year pharmacy students alternate between hospital wards and simulation rooms. Student assessment rubrics were used to measure students' achievements and report faculty feedback. Students filled scenario evaluation forms to assess their simulation satisfaction rate.
A total of 57 students completed a full block of simulation-based, followed by hospital-based blocks practicing in the same medical specialty in both blocks. This newly structured experience provided fourteen direct patient care training seats per rotation and saved around 25,000 Saudi Riyals per rotation. The mean grades in both simulation and hospital-based blocks were mostly above 90% in all learning outcomes. Cognitive skills and affect learning outcomes mean grades were higher in the simulation-based group-most of the students being satisfied with the simulation scenarios.
SBE integration into APPE can supplement hospital-based experiential training to achieve the best learning outcomes with improved students' satisfaction.
在药学教育中使用基于模拟的教育（SBE）可以帮助学生获得实践所需的基本临床知识和技能，并可提高患者安全性。基于模拟的培训已在跨专业教育培训、药学实习入门体验、药学住院医师培训中实施。然而，文献中评估模拟在高级药学实践经验（APPE）中的应用的信息有限。
评估将SBE融入APPE对学生学习成果、培训成本和满意度的影响。
本研究提出了一种为期5周的实习体验新培训模式，六年级药学专业学生在医院病房和模拟室之间交替实习。使用学生评估量表来衡量学生的成绩并报告教师反馈。学生填写情景评估表以评估他们的模拟满意度。
共有57名学生完成了一整个基于模拟的实习阶段，随后在两个阶段都在同一医学专业进行了基于医院的实习阶段。这种新构建的体验每次轮转提供了14个直接患者护理培训名额，每次轮转节省了约25,000沙特里亚尔。在所有学习成果中，模拟和基于医院的实习阶段的平均成绩大多高于90%。基于模拟的小组中认知技能和情感学习成果的平均成绩更高——大多数学生对模拟情景感到满意。
将SBE融入APPE可以补充基于医院的体验式培训，以实现最佳学习成果并提高学生满意度。
