A Standardized Patient Counseling Rubric for a Pharmaceutical Care and Communications Course

Abstract

Objective. To restructure a required pharmaceutical care and communications course to place greater emphasis on communication skills and include a high-stakes assessment. Design. A standardized counseling rubric was developed for use throughout the pharmacy curriculum and the counseling laboratory practicals were changed to high-stakes assessments.Assessment. An annual mid-semester and end-of-semester high-stakes patient-counseling objective structured clinical examination (OSCE) conducted prior to and after revision of the course and counseling rubric documented improvements in students' scores. Performance on the post-course annual assessment patient counseling OSCE improved compared to that on the pre-course (p,0.001). Conclusion. The 2010 course revision improved students' medication counseling abilities and readiness to practice. Major course revisions should be undertaken only after input from all stakeholders and with data to support the need for change.

Outcomes of Individualized Formative Assessments in a Pharmacy Skills Laboratory

“…5,6 One pharmacy program created a standardized patient counseling rubric to be used across multiple courses in order to improve performance on an annual assessment, which includes an OSCE. 7 To our knowledge, however, no articles have been published describing specific pharmacy laboratory activities designed to improve performance on OSCEs.…”

A simulação no ensino de competências para a realização de serviços farmacêuticos de âmbito clínico

“…Dentre os estudos recuperados, 4 (22,2%) não obtiveram taxas de participação maiores que 75% a partir da população inicial 28,31,32,34 ; 3 (16,7%) tiveram menos do que 50 participantes 22,30,31 ; 6 (33,3%) tiveram entre 50 e 100 participantes 21,[24][25][26]33,34 ; 9 (50,0%) tiveram mais de 100 participantes 20,23,[27][28][29]32,[35][36][37] ; 6 (33,3%) não utilizaram testes estatísticos 21-23,29,-31 1 (5,6%) relatou dados sobre a confiabilidade interna 26 ; 2 (11,2%) utilizaram o cegamento nos delineamentos dos estudos 20,37 ; e 1 (5,6%) utilizou métodos validados 32 . 15 , as habilidades de comunicação são essenciais para o desenvolvimento do cuidado centrado no paciente e para o ambiente de cuidado em saúde junto a outros profissionais de saúde.…”

“…Os maiores esforços relatados foram para criar uma ficha de avaliação que pudesse ser utilizada em diversos cenários e treinamento adequado de pacientes padronizados e/ou simulados para garantir maior consistência interna 33 . Além disso, a estrutura do tempo das aulas foi alterada para garantir o adequado feedback e atendimento à preocupações e necessidades dos estudantes 28 . Foi comumente relatada uma percepção negativa dos estudantes em relação ao OSCE antes da realização deste com melhora posterior 26 .…”

The use of oral presentations, role-play sessions, and reflective critiques to emphasize the advocate learning outcome in the pharmacy curriculum

“…A previous report has demonstrated that the use of standardized, objective rubrics contributed to improving annual assessment performance. 18 The rubric was designed based on the AFPC definition of an advocate and the associated learning elements (Table 2), providing specific and desired outcomes. 3 The standardized rubric domains and descriptions were evaluated for clarity and design by course coordinators, members of the program learning outcomes committee, and the Associate Dean for Academic Affairs at the College of Pharmacy (n ¼ 7).…”