Transcript TSHP - SP Simulation and Assessment in IPPE Poster 0412

Evaluation of the Effectiveness of Standardized Patients and Simulation In
Training and Assessing Ambulatory Patient Screening Skills in IPPE for P-II
PharmD Candidates
Butch Habeger, RPh, MBA, Roland A Patry, MS, DrPH, Jessica M Weis, PharmD
Texas Tech University Health Sciences Center, School of Pharmacy
Introduction
ACPE Accreditation Standards for Schools and Colleges of
Pharmacy curricula require an early introduction to pharmacy
practice experience (IPPE). At TTUHSC School of
Pharmacy Amarillo and Abilene campuses, first and secondyear PharmD Candidates participate in longitudinal IPPE
courses throughout the Academic Year. For second-year
Candidates, the course requires each Candidate to fulfill a
minimum of four hours in providing patient screening in
public health fair events for blood pressure, blood glucose
and cholesterol, for which there has been no previous
didactic or lab instruction for these point-of-care skills. The
faculty course team designed the IPPE-II course for AY 2012
to use training videos, standardized patients (SP’s) and
rubrics with SP simulation to train the students and assess
their performance.
SP’s were trained to provide formative teaching and
assessment of the Candidates’ skills through simulation and
standardized rubrics. Candidates were scheduled for three
30-minute sessions with SP’s to practice each skill (not
including obtaining actual blood samples), followed by a
one-hour session to demonstrate each skill with the SP’s, who
provided a formal assessment and score for each skill.
Methodology
Results
• Assessment rubric scores were summarized into
blinded data tables.
• Individual and composite SP scores were calculated for
the mean and standard deviation. Mean scores for
each SP were compared by to the mean for the
composite SP scores to determine whether there was
consistency or variation in individual SP scores.
• Most individual SP score averages were within the first
deviation of the composite mean.
Statistics
• There is no statistical difference in scores between the
Amarillo and Abilene SP groups.
Discussion
Major limitations to the study are:
• there could be no faculty validation of
the SP scores, nor could there be a
comparison of faculty to SP scores.
• SP training sessions were held
separately for each campus and may
have varied in content and effect.
• Variations in individual SP average
scores may be due to a small sampling.
• Variations in individual SP
interpretation of the rubric elements or
inadequate or inconsistent training of
SP’s in the interpretation and use of the
rubrics may exist.
Objectives
• To evaluate the effectiveness of SP’s and simulation to teach
and assess patient screening skills in blood pressure, blood
glucose and cholesterol for second-year PharmD Candidates.
• To determine assessment consistency between SP groups at
the Amarillo and Abilene campuses.
Acknowledgement: Course team members Mark Haase, PharmD, Jeanie Jaramillo,
PharmD, Celia Lu, PharmD, Sherida Nelson, RPh, Cynthia Raehl, PharmD, Heather Wild,
PharmD, Stephen Wise, PharmD, Shannon Ferrill and Toni Johnson ; also Eric
Maclaughlin, PharmD and Ashleigh Rozzell, BSN for their assistance
Conclusion
• The individual SP mean scores are deemed
to be appropriate and acceptable.
• The use of SP’s and simulation to teach
and evaluate Candidates’ patient screening
skills in IPPE-II is considered to be
effective and is recommended to continue
with improvements for Academic Year
2012-13.