Using Small-Scale Feedback OSCE to Enhance the Learning Effectiveness in Pharmacy Students

10.6145/jme201706

Ya-Hui Chang；Chao-Feng Lin；Ching-Chung Lin；Wei-Ying Lee；Min-Shu Wang；Hung-I Yeh

clinical competencies ； objective structured clinical examination (OSCE) ； pharmacy students ； clinical skills

Journal of Medical Education

21卷2期（2017 / 06 / 01）

49 - 58

英文

Background: Objective Structured Clinical Examination (OSCE) provides multidimensional evaluation of the examinees' performance, which is complimentary to traditional tests. However, the effectiveness about small-scale feedback OSCE in Taiwan for paramedical students remains unclear. Here, we reported the implementation for outpatient services training in pharmacy students and the improvement of the training program. Methods: Between 2012 and 2014, 51 students (23.4 ± 1.3 years; 18 males) from 4 schools attended the 3-station OSCE, namely, prescription verification, patient counseling, and medicines delivery, before the end of their internship. After examination, the final scoring and information of students' feedback were analyzed followed by curriculum modification. Results: One student failed. Generally, students reached excellent level more at medicines delivery station than the remaining stations. Female examinees performed better at patient counseling station than males (p = 0.023). At prescription verification and patient counseling stations, the performance in 2014 was better than before (respectively, p = 0.016 and 0.011). The reliability of Cronbach's Alpha was 0.65. The results of content validity index of the 3 stations was an average of 0.8. The discrimination of prescription verification and patient counseling stations were both 0.4, and were classified as excellent test discrimination. All raters and students agreed to the benefit and usefulness of each workstation. Conclusions: Gender difference existed in performance of patient consultation. Prescription verification and patient counseling can be improved by curriculum amendment. This study proved that small-scale feedback OSCE is an effective tool to evaluate and improve the clinical skills and abilities for Taiwanese pharmacy interns.

1. Lin, JL,Hsu, YW,Lin, RL(2014).Small-scale OSCE is useful for evaluation of the ACGME general competencies of PGY1 residents in internal medicine.J Med Educ,18(3),93-102.
   連結：
2. Ahmed, A,Mohamad, HN,Qais Ahmad, MA(2007).Perception of pharmacy students in Malaysia on the use of objective structured clinical examinations to evaluate competence.Am J Pharm Educ,71,118.
3. Awaisu, A,Rahman Abd, NS,Mohamed Nik, MH(2010).Malaysian pharmacy students' assessment of an objective structured clinical examination (OSCE).Am J Pharm Educ,74,34.
4. Harden, RM,Stevenson, WM,Downie, W(1975).Assessment of clinical competence using an objective structured clinical examination (OSCE)..Br Med J,1,447-51.
5. Pell, G1,Fuller, R,Homer, M(2010).How to measure the quality of the OSCE: a review of metrics AMEE guide no. 49.Med Teach,32,802-11.
6. Shirwaikar, A(2015).Objective structured clinical examination (OSCE) in pharmacy education - a trend.Pharm Pract,13(4),627.
7. Townsend, AH,McLlvenny, S,Miller, CJ(2001).The use of an objective structured clinical examination (OSCE) for formative and summative assessment in a general practice clinical attachment and its relationship to final medical school examination performance.Med Educ,35(9),841-6.
8. Trejo-Mejía, JA,Sánchez-Mendiola, M,Méndez- Ramírez, I(2016).Reliability analysis of the objective structured clinical examination using generalizability theory.Med Educ Online,18,31650.
9. Urteaga, EM,Attridge, RL,Tovar, JM(2015).Evaluation of clinical and communication skills of Pharmacy students and Pharmacists with an Objective Structured Clinical Examination.Am J Pharm Educ,79,122.