使用客观结构化临床考试（OSCE）评估高级药学实践经验（APPE）门诊护理轮转中实习生的表现。

Use of an objective structured clinical examination (OSCE) to assess intern performance in an advanced pharmacy practice experiences (APPE) Ambulatory Care rotation.

作者信息

Sales Ibrahim, Bawazeer Ghada, Adam Mahmoud Mansour, Aljohani Majidah A, Almalag Haya M, Alhossan Abdulaziz, Alsuwayni Bashayr

机构信息

Department of Clinical Pharmacy, College of Pharmacy, King Saud University, P.O. Box 2454, Riyadh 11451, Saudi Arabia.

Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Mohamed bin Naif Road, Al-Madinah Al-Munawarah, 42353, Saudi Arabia.

出版信息

Saudi Pharm J. 2021 Dec;29(12):1399-1404. doi: 10.1016/j.jsps.2021.10.006. Epub 2021 Oct 25.

DOI:10.1016/j.jsps.2021.10.006

PMID:35002377

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8720698/

Abstract

PURPOSE

Intern assessment during advanced pharmacy practice experiences (APPEs) are generally based upon each individual preceptor's perceptions without an objective measurement of intern understanding and performance. Therefore, we sought to determine whether a pre- and post-OSCE could be used to confirm that interns achieved the goals and objectives of the Ambulatory Care rotation. The aims of this study were to determine whether a pre-rotation OSCE can help pharmacy interns self-assess their clinical strengths and weaknesses and assess whether their knowledge and skills improved after completing a post-rotation OSCE.

METHODS

Pharmacy interns undergoing APPE Ambulatory Care rotations from September 2018 to March 2020 participated in a pre- and post-rotation OSCE to assess their knowledge of various chronic disease states. Interns completed pre- and post-OSCE surveys to assess their perceptions about their knowledge and the OSCE experience.

RESULTS

Pharmacy intern knowledge about diabetes, hypertension, dyslipidemia, and atrial fibrillation significantly improved post-OSCE compared to their pre-OSCE scores (p < 0.001). The mean post-OSCE scores for diabetes (p < 0.001), dyslipidemia (P = 0.046), anticoagulation (P = 0.006), and the overall mean post-OSCE scores (P = 0.005) were significantly higher compared to interns' pre-OSCE scores. Students believed that the post-OSCE significantly highlighted their strengths and weaknesses in skills and knowledge compared to the pre-OSCE (P = 0.008).

CONCLUSION

Pre- and post-APPE OSCE assessments are important tools that can provide interns and preceptors with objective evaluations of student performance. OSCEs can either be used as an alternative to perception-based assessments or integrated into existing preceptor evaluations. Furthermore, OSCEs can help preceptors identify areas that require more emphasis in their rotations.

摘要

目的

高级药学实践经验（APPEs）期间的实习生评估通常基于每位带教老师的个人看法，而没有对实习生的理解和表现进行客观测量。因此，我们试图确定是否可以使用OSCE（客观结构化临床考试）前后评估来确认实习生是否实现了门诊护理轮转的目标。本研究的目的是确定轮转前的OSCE是否有助于药学实习生自我评估其临床优势和劣势，并评估他们在完成轮转后的OSCE后知识和技能是否有所提高。

方法

2018年9月至2020年3月参加APPE门诊护理轮转的药学实习生参加了轮转前后的OSCE，以评估他们对各种慢性病状态的知识。实习生完成了OSCE前后的调查，以评估他们对自己知识和OSCE体验的看法。

结果

与OSCE前的分数相比，药学实习生在糖尿病、高血压、血脂异常和心房颤动方面的知识在OSCE后有显著提高（p<0.001）。糖尿病（p<0.001）、血脂异常（P = 0.046）、抗凝（P = 0.006）的OSCE后平均分数以及OSCE后的总体平均分数（P = 0.005）与实习生的OSCE前分数相比显著更高。学生们认为，与OSCE前相比，OSCE后显著突出了他们在技能和知识方面的优势和劣势（P = 0.008）。