Cornelison Bernadette, Baldry Adam, Axon David R
Department of Pharmacy Practice and Science, Tucson Campus, R. Ken Coit College of Pharmacy, The University of Arizona, Tucson, AZ 85721, USA.
Instructional Technologist, Center for Learning Technology, Northwest Campus, Pima Community College, Tucson, AZ 85741, USA.
Pharmacy (Basel). 2022 Jul 13;10(4):83. doi: 10.3390/pharmacy10040083.
Activities used to evaluate clinical reasoning include the use of standardized patients, role play, and case studies. To provide a standardized student experience at a lower cost than a standardized patient, standardized patients were developed using an interactive video platform. The purpose of this article is to report pharmacy students' perceptions of the interactive video standardized patients used to practice applying clinical reasoning in a self-care therapeutics course. Students participated in the following five methods to assess clinical reasoning: case studies, interactive patient videos, role play, case creation, and Zoom polls. Four of the five methods (case studies, interactive patient videos, role play, and case creation) were used in small breakout groups consisting of two to three students. Upon completion of the small group work, Zoom polls assessed the clinical reasoning of the entire class. Students completed a survey that assessed their level of agreement with 17 statements about the course on a five-point Likert scale and 2 questions that asked the students to rank the activities based on their experiences. There were 127 students that took the self-care therapeutics course, and 112 completed the survey (88%). Overall, the students preferred the Zoom poll activity; however, of the four different methods utilized within the small breakout groups, the findings of our survey indicated that students preferred to receive fully written-out patient cases followed by the interactive patient videos. Additionally, the students thought that the written-out patient cases and interactive patient videos were most efficient for learning and recall. The interactive patient videos may be an alternative activity that allows students to demonstrate and assess their clinical reasoning for each patient case, in addition to seeing how this impacted their patient's outcome.
用于评估临床推理的活动包括使用标准化病人、角色扮演和案例研究。为了以低于标准化病人的成本提供标准化的学生体验,利用交互式视频平台开发了标准化病人。本文的目的是报告药学专业学生对在自我护理治疗课程中用于练习应用临床推理的交互式视频标准化病人的看法。学生通过以下五种方法参与评估临床推理:案例研究、交互式病人视频、角色扮演、案例创建和Zoom投票。五种方法中的四种(案例研究、交互式病人视频、角色扮演和案例创建)在由两到三名学生组成的小型分组讨论中使用。小组工作完成后,通过Zoom投票评估全班的临床推理。学生完成了一项调查,该调查在五点李克特量表上评估了他们对关于该课程的17条陈述的认同程度,以及两个要求学生根据自己的体验对活动进行排名的问题。有127名学生参加了自我护理治疗课程,112名学生完成了调查(88%)。总体而言,学生更喜欢Zoom投票活动;然而,在小型分组讨论中使用的四种不同方法中,我们的调查结果表明,学生更喜欢收到完整写出的病人案例,其次是交互式病人视频。此外,学生们认为完整写出的病人案例和交互式病人视频对学习和记忆最有效。交互式病人视频可能是一种替代活动,除了能看到这对病人的结果有何影响外,还能让学生展示和评估他们针对每个病人案例的临床推理。