学生在高级药学实践中的表现自我评估与实习医生评估之间的差异

IF 2 Q3 PHARMACOLOGY & PHARMACY Pharmacy Pub Date : 2024-05-15 DOI:10.3390/pharmacy12030079
Tonya Brim-Dauterman, Shantanu Rao
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摘要

(1) 目的:在高级药学实践经历(APPE)期间,人们注意到学生和实习医生对临床技能的自我评价存在差异。本研究旨在确定学生在 APPE 轮转期间高估临床技能的领域。(2) 方法:分析了 2017-2022 年 APPE 轮转中戒护师指定的成绩,以确定字母等级为 B 或更低的情况。比较学生和戒护员对 APPE 轮转的自我评价和戒护员评价,以确定学生和戒护员之间评价分歧的领域。(3)结果:在 2017 年至 2022 年期间,有 305 名学生的 APPE 轮转被实习医生评为 B 级或以下(约占 14%)。在所有实践环境中,包括门诊病人护理、社区药学、全科病人护理、医院/卫生系统药学和特殊人群病人护理 APPE 轮转,学生自我评分和实习医生指定的字母评分之间存在统计学意义上的显著差异。此外,对这些轮转的自我评价和戒护师评价标准进行检查后发现,在 APPE 评价的所有 9 个领域中,学生对临床技能的高估都具有显著的统计学意义。最后,发现学生和实习医生对临床技能的评价在病人护理的计划和跟踪、疾病知识以及与病人沟通等领域的差异最大。(4) 结论:在 APPE 中未能表现出模范实习准备的学生往往会在 APPE 评价的所有领域高估自己的临床技能。我们的研究结果表明,在 APPE 考试之前,需要有更多的途径来帮助识别学生学习中的不足,以提高他们的自我意识(元认知)。
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The Divergence between Self- and Preceptor-Assessments of Student Performance during Advanced Pharmacy Practice Experiences
(1) Objectives: A divergence in self- and preceptor-evaluations of clinical skills has been noted during Advanced Pharmacy Practice Experiences (APPEs). The goal of this study was to determine the domains of overestimation of clinical skills by students during their APPE rotations. (2) Methods: Preceptor-assigned grades for APPE rotations from 2017–2022 were analyzed to identify instances of letter grade B or lower. The self- and preceptor-evaluations of APPE rotation were compared to determine the domains of divergence in evaluation between students and preceptors. (3) Results: Between 2017 and 2022, 305 student APPE rotations were graded as B or lower (~14%) by the preceptors. A statistically significant difference was noted between self- and preceptor-assigned letter grades across all practice settings including ambulatory patient care, community pharmacy, general medicine patient care, hospital/health system pharmacy, and special population patient care APPE rotations. In addition, examining the self- and preceptor evaluation rubric for these rotations revealed a statistically significant overestimation of clinical skills by students in all 9 domains of APPE evaluation. Finally, the divergence in the rating of clinical skills between student- and preceptor evaluation was found to be highest in the domains of planning and follow-up of patient care, disease knowledge, and communication with patients. (4) Conclusions: Students who fail to exhibit exemplary practice readiness during APPEs tend to overestimate their clinical skills in all domains of APPE evaluation. The results from our study support the need for additional avenues to assist in the identification of deficits in student learning before APPEs to increase their self-awareness (metacognition).
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来源期刊
Pharmacy
Pharmacy PHARMACOLOGY & PHARMACY-
自引率
9.10%
发文量
141
审稿时长
11 weeks
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