Scott Devin, Cernasev Alina, Kiles Tyler Marie
Teaching and Learning Center, College of Pharmacy, The University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Department of Clinical Pharmacy and Translational Science, College of Pharmacy, The University of Tennessee Health Science Center, 301 S Perimeter Park Dr., Suite 220, Nashville, TN 37211, USA.
Pharmacy (Basel). 2021 Sep 6;9(3):151. doi: 10.3390/pharmacy9030151.
Successful pharmacy curricula expose students to a variety of teaching and assessment methods to prepare students for clinical practice. However, development of clinical decision-making skills is often challenging for learners. To meet this need, the Choose Your Own Adventure (CYOA) Patient Case Format was developed to enhance traditional paper patient cases by integrating problem-based and case-based learning to improve pharmacy student learning. The objectives of this evaluation were to qualitatively evaluate the CYOA case format. The qualitative assessment of the student pharmacist's learning experience utilizing this novel patient case format was used to formulate a template for extrapolation to other disease states.
Focus groups were conducted with second year Pharm.D. students enrolled at the University of Tennessee Health Science Center (UTHSC) College of Pharmacy. The focus groups were conducted in Fall 2020, beginning the week after they were exposed to the CYOA case format. The corpus of data was analyzed thematically to identify themes using inductive coding. To establish the validity of this evaluation, the team met to assess the consistency of the data reduction methods and guard against methodological issues that could influence and affect coding decisions.
Participants were recruited until thematic saturation was achieved. Out of 25 participants, 23 participants provided demographic information, with 74% identifying as female. Thematic analysis identified three themes: (1) (2) Empowering Pharmacy Students through Groupwork: and (3) Meeting the Need for Real-Life Scenarios: Conclusions: The data highlight that there are numerous advantages of adopting the CYOA format for delivering applied pharmacotherapy content. The CYOA format presents students with a realistic scenario that is fun and engaging and challenges students to justify their decisions regarding patient care in a structured group environment.
成功的药学课程会让学生接触到多种教学和评估方法，为学生的临床实践做好准备。然而，临床决策技能的培养对学习者来说往往具有挑战性。为满足这一需求，开发了“选择你自己的冒险”（CYOA）患者病例形式，通过整合基于问题的学习和基于案例的学习来改进传统纸质患者病例，以提高药学专业学生的学习效果。本次评估的目的是对CYOA病例形式进行定性评估。利用这种新颖的患者病例形式对学生药剂师的学习体验进行定性评估，以制定一个可推广到其他疾病状态的模板。
对田纳西大学健康科学中心（UTHSC）药学院的二年级药学博士学生进行了焦点小组访谈。焦点小组访谈于2020年秋季进行，在他们接触CYOA病例形式后的第一周开始。对数据语料库进行主题分析，使用归纳编码来识别主题。为了确定本次评估的有效性，团队开会评估数据简化方法的一致性，并防范可能影响编码决策的方法学问题。
持续招募参与者，直至达到主题饱和。在25名参与者中，23名参与者提供了人口统计学信息，其中74%为女性。主题分析确定了三个主题：（1）[此处原文缺失该主题内容]（2）通过小组合作赋予药学专业学生权力：[此处原文缺失该主题具体内容]（3）满足对现实生活场景的需求：[此处原文缺失该主题具体内容]结论：数据表明，采用CYOA形式来传授应用药物治疗内容有诸多优点。CYOA形式为学生呈现了一个现实的场景，既有趣又引人入胜，并且在结构化的小组环境中挑战学生为其关于患者护理的决策提供正当理由。
