Pharmacy Practice, The University of Texas at Austin, College of Pharmacy, 2409 University Ave., Austin, TX 78712, United States of America.
Curr Pharm Teach Learn. 2024 Oct;16(10):102139. doi: 10.1016/j.cptl.2024.102139. Epub 2024 Jul 13.
Performance assessments for student pharmacists are required by the Accreditation Council for Pharmacy Education to monitor student knowledge, retention, and professional skill sets. Near the end of their Advanced Pharmacy Practice Experiences (APPEs), fourth-year pharmacy students (P4s) at the University of Texas at Austin College of Pharmacy must pass a milestone exam (P4ME) to graduate. The P4ME contains four sections: adult medicine, ambulatory care, community, and hospital. If a student fails one or more sections of the initial multiple-choice P4ME, they must retake that specific section(s) on the makeup P4ME. If a student fails the makeup multiple-choice P4ME, they participate in a case based oral exam designed to determine whether they meet minimal competencies to pass the P4ME. This report outlines the process undertaken by the faculty to develop a high-stakes P4 milestone oral exam. While only a few students have participated in the process, outcomes differentiated P4s eligible for graduation versus those who needed to repeat an APPE. Lessons learned about the oral exam process include minimizing the number of faculty in attendance, shortening the exam duration, and standardizing the exam process. Positive aspects include remediation led by a subject matter expert and implementation of a unique rubric to assess student performance. Overall, the authors find the P4 oral milestone exam to be a feasible assessment tool for students who perform poorly on the initial and makeup multiple-choice P4MEs.
药学专业学生的表现评估是药学教育认证委员会要求的，旨在监测学生的知识、保留和专业技能。在德克萨斯大学奥斯汀分校药学院的第四年药学专业（P4）学生接近完成高级药学实践经验（APPE）时，必须通过里程碑考试（P4ME）才能毕业。P4ME 包含四个部分：成人医学、门诊护理、社区和医院。如果学生在初始多项选择题 P4ME 的一个或多个部分不及格，他们必须在补考 P4ME 中重新参加该特定部分。如果学生在补考多项选择题 P4ME 中不及格，他们将参加基于案例的口试，以确定他们是否具备通过 P4ME 的最低能力。本报告概述了教师为开发高风险 P4 里程碑式口试所采取的过程。虽然只有少数学生参与了该过程，但结果区分了有资格毕业的 P4 生与需要重复 APPE 的 P4 生。关于口试过程的经验教训包括减少参加的教师人数、缩短考试时间以及标准化考试过程。积极方面包括由主题专家进行的补救措施以及实施独特的评分标准来评估学生表现。总体而言，作者发现 P4 口试里程碑考试是评估初始和补考多项选择题 P4ME 表现不佳的学生的可行评估工具。
