Johnson Ashley E, Barrack Jillian, Fitzgerald Jill M, Sobieraj Diana M, Holle Lisa M
Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
St. Francis Hospital and Medical Center, Hartford, CT 06105, USA.
Pharmacy (Basel). 2021 Feb 27;9(1):48. doi: 10.3390/pharmacy9010048.
Technology is increasingly used to enhance pharmacy education. We sought to evaluate student learning and preparedness for community introductory pharmacy practice experiences (IPPEs) after implementation of "MyDispense" into experiential education.
Both first-year pharmacy students and assigned community IPPE preceptors were eligible. Students were stratified based on previous community pharmacy experience (< or ≥ 50 h), then randomized to complete MyDispense exercises before IPPE (group A) or after 24-32 h of IPPE (group B). We evaluated preceptors' assessment of student readiness using a 6-item Likert scale survey and students' readiness and opinion of MyDispense using an anonymous 9-item survey. Descriptive statistics were used to characterize data. The Mann-Whitney U test was used to compare groups and a -value < 0.05 was considered statistically significant.
Of 177 eligible students, 155 were randomized and 56 completed study. Group A included 32 students; 56.3% had prior community practice experience. Group B included 24 students; 50% had prior community practice experience. Forty-eight preceptors were enrolled. Students who completed exercises before rotation received higher preceptor scores for patient counseling of self-care and of medications ( < 0.05 for both). Students self-assessed their counseling skills lower than all other skills; 30.4% and 42.9% of students felt mostly or always prepared to counsel for self-care and medications, respectively. Students found MyDispense straightforward, realistic, and appreciated the ability to practice in a safe, electronic, community pharmacy, patient-care environment.
Simulation-based software, such as MyDispense, can enhance learner understanding of the prescription fill and counseling process in a community pharmacy practice setting.
技术越来越多地被用于加强药学教育。我们试图评估在体验式教育中实施“MyDispense”后,学生对社区入门药学实践经验(IPPEs)的学习情况和准备程度。
一年级药学专业学生和指定的社区IPPE指导教师均符合条件。学生根据之前的社区药房工作经验(<或≥50小时)进行分层,然后随机分为在IPPE之前完成MyDispense练习(A组)或在IPPE进行24 - 32小时之后完成(B组)。我们使用6项李克特量表调查评估指导教师对学生准备情况的评价,并使用一份9项匿名调查问卷评估学生的准备情况以及对MyDispense的看法。描述性统计用于描述数据。采用曼 - 惠特尼U检验比较组间差异,P值<0.05被认为具有统计学意义。
在177名符合条件的学生中,155名被随机分组,56名完成了研究。A组包括32名学生;56.3%有过社区实践经验。B组包括24名学生;50%有过社区实践经验。招募了48名指导教师。在轮转前完成练习的学生在自我护理和药物治疗患者咨询方面获得了指导教师更高的评分(两者P均<0.05)。学生对自己咨询技能的自我评估低于所有其他技能;分别有30.4%和42.9%的学生认为自己在很大程度上或一直都准备好进行自我护理咨询和药物治疗咨询。学生们发现MyDispense简单易懂、贴近实际,并赞赏能够在安全的电子社区药房患者护理环境中进行练习。
基于模拟的软件,如MyDispense,可以增强学习者对社区药房实践环境中处方调配和咨询过程的理解。