Objective. To determine the impact of an advanced pharmacy practice experience (APPE) to develop skills needed to apply an evidence-based approach to population-level practice decisions. Design. A 4-week evidence-based medicine APPE was implemented that included active-learning techniques and online learning modules, participation in state drug-policy committee meetings, and completion of an evidence-based medicine review for a specific drug agent or class. Assessment. Students' mean score on application of principles related to biostatistics and information mastery on posttests increased 15.8% from pretest to posttest. Students' mean score on a 22-question information mastery quiz was 90.8%. Mean scores for course evaluation components ranged from 4.8 to 5.0 on a 5-point Likert scale. All respondents indicated they would recommend the APPE to other students.Conclusions. An APPE that incorporated content from active drug-policy committees increased students' evidence-based medicine skills and enhanced their understanding of, appreciation for, and confidence in evidence-based practice.Keywords: evidence-based medicine, advanced pharmacy practice experience, literature evaluation
INTRODUCTIONApplying evidence-based medicine principles to patient care decisions ensures the conscientious, explicit, and judicious use of best evidence in practice. 1 Evidencebased medicine is the principle of incorporating information gained from the best available research evidence with clinical expertise and applying it to patient and policy decisions. 2,3 Healthcare providers face the daily challenge of providing the best possible care while controlling cost in today's environment of direct-to-consumer advertising and high-impact marketing. Therefore, pharmacy students must develop evaluative skills that differentiate therapeutic options with high-yield outcomes measures from those with inferred or surrogate endpoints.This course addresses curricular outcomes described in the Accreditation Council for Pharmacy Education (ACPE) Accreditation Standards and Guidelines for the Professional Program in Pharmacy under Standard 12, Professional Competencies and Outcome Expectations. ACPE calls for graduates to be competent to provide evidence-based patient-centered and population-based pharmacy care. Evidence-based practice and decisionmaking are specifically outlined within the clinical sciences content in the pharmacy practice and pharmacist-provided care, and literature evaluation and research design sections for curricular content. 4 Taking an evidence-based approach to practicing pharmaceutical care is one way to ensure that patients and healthcare providers are satisfied that efforts target a therapeutic outcome that is sensitive to the needs and desires of the patient.In addition to the widely practiced 5-step approach for pharmacists to provide drug information to patients and other professionals, 5 information mastery skills aid the health care provider in developing a systematic and rapid approach to identifying the most useful in...