Gordon Natalie N, Christenberry Emily J, Smith Sara C, Howe Vicki, Mendez Ian A, Loya Amanda M, Frietze Gabriel, Padilla Margie E
University of Texas at El Paso, School of Pharmacy, 500 W University Ave, El Paso, TX 79968, United States of America.
Curr Pharm Teach Learn. 2025 Jan;17(1):102204. doi: 10.1016/j.cptl.2024.102204. Epub 2024 Oct 7.
The Accreditation Council for Pharmacy Education (ACPE) 2025 Standards charge pharmacy programs to assess student readiness for Advanced Pharmacy Practice Experiences (APPEs), but the method of assessment is not defined. This report describes the process of developing, implementing, and refining an APPE readiness assessment (ARA) that can be adapted to individual institutional needs and learning outcomes.
The ARA at The University of Texas at El Paso School of Pharmacy, a Hispanic-serving institution, is comprised of two practice areas: drug information and the Pharmacist Patient Care Process, each with multiple objective structured clinical examinations (OSCEs) to mimic how students will apply these skills in required APPE rotations. The ARA has been adapted for administration both virtually and in-person. Students are required to attain a 70 % average across all five OSCEs, with an opportunity to retest on any failed areas prior to progression into the APPE year.
Since initial implementation in 2021, faculty experience and student performance informed changes to the assessment, rubrics, and integration of skills throughout the curriculum. The average overall ARA score was an 89.13 % in 2021 and ranged from 79.74 to 82.3 % in 2022-2024. Typically, less than 10 % of the class required re-testing, however, in 2023 16 % of the class had an ARA average less than 70 % requiring re-testing. Written skills are consistently the lowest performing area for students, potentially due to language discordance between students' preferred language and the language of the assessment.
药学教育认证委员会（ACPE）2025标准要求药学专业课程评估学生对高级药学实践经验（APPE）的准备情况，但评估方法未作明确规定。本报告描述了开发、实施和完善APPE准备情况评估（ARA）的过程，该评估可根据各机构的需求和学习成果进行调整。
德克萨斯大学埃尔帕索分校药学院是一所服务于西班牙裔的机构，其ARA由两个实践领域组成：药物信息和药师患者护理流程，每个领域都有多个客观结构化临床考试（OSCE），以模拟学生在必修的APPE轮转中应用这些技能的方式。ARA已调整为可通过线上和线下方式进行管理。学生需要在所有五项OSCE中平均达到70%的成绩，并且在进入APPE学年之前，有机会对任何未通过的部分进行重新测试。
自2021年首次实施以来，教师的经验和学生的表现为评估、评分标准以及整个课程中技能的整合带来了变化。2021年ARA的平均总成绩为89.13%，2022 - 2024年的成绩范围为79.74%至82.3%。通常，班级中不到10%的学生需要重新测试，然而，在2023年，16%的学生ARA平均成绩低于70%，需要重新测试。书面技能一直是学生表现最差的领域，这可能是由于学生的首选语言与评估语言之间存在语言差异。
