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Review
. 2023 Apr 12;23(1):231.
doi: 10.1186/s12909-023-04226-z.

Objective structured clinical examination as a competency assessment tool of students' readiness for advanced pharmacy practice experiences in South Korea: a pilot study

Yun-Kyoung Song  1 , Eun Kyoung Chung  2 , Young Sook Lee  3 , Jeong-Hyun Yoon  4 , Hyunah Kim  5
Affiliations
Review

Objective structured clinical examination as a competency assessment tool of students' readiness for advanced pharmacy practice experiences in South Korea: a pilot study

Yun-Kyoung Song et al. BMC Med Educ. .

Abstract

Background: The assessment of pharmacy students' readiness to begin the education of an advanced pharmacy practice experience (APPE) in clinical pharmacy settings continues to gain increasing attention. This study aimed to develop an objective structured clinical examination (OSCE) in the core domains acquired through an introductory pharmacy practice experience (IPPE), for evaluating its appropriateness as a tool of assessing clinical pharmacist competency for APPEs in Korean pharmacy students throughout a pilot study.

Methods: OSCE's core competency domains and case scenarios were developed through a literature review, ideation by researchers, and external experts' consensus by a Delphi method. A prospective single-arm pilot test was conducted to implement the OSCE for Korean pharmacy students who completed a 60-h course of in-class simulation IPPE. Their competencies were assessed by four assessors in each OSCE station with a pass-fail grading system accompanied by a scoring rubric.

Results: OSCE competency areas including patient counseling, provision of drug information, over-the-counter (OTC) counseling, and pharmaceutical care services were developed with four interactive and one non-interactive cases. Twenty pharmacy students participated in the OSCE pilot test, and their competencies were evaluated by 20 assessors. The performance rate was the lowest in the area of patient counseling for a respiratory inhaler (32.1%) and the highest (79.7%) in OTC counseling for constipation. The students had an average performance rate of 60.4% in their communication skills. Most participants agreed on the appropriateness, necessity, and effectiveness of the OSCE in evaluating pharmacy students' clinical performance and communication skills.

Conclusions: The OSCE model can be used to assess pharmacy students' readiness for off-campus clinical pharmacy practice experience. Our pilot study suggests the necessity of conducting an OSCE domain-based adjustment of difficulty levels, and strengthening simulation-based IPPE education.

Keywords: Advanced pharmacy practice experience; Competency assessment; Introductory pharmacy practice experience; Objective structured clinical examination; Pharmacy students.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
A flowchart for OSCE development
See this image and copyright information in PMC

References

    1. Yoo S, Song S, Lee S, Kwon K, Kim E. Addressing the academic gap between 4- and 6-year pharmacy programs in South Korea. Am J Pharm Educ. 2014;78(8):149. doi: 10.5688/ajpe788149. - DOI - PMC - PubMed
    1. Jung GY, Lee YJ. Examination of clinical pharmacy curriculum in Korea and its comparison to the U.S. curriculum. Korean J Clin Pharm. 2014;24(4):304–10.
    1. Korean Accreditation Council for Pharmacy Education. Accreditation standards for Korean Pharmacy Educational Program leading to the doctor of pharmacy degree. Korean Accreditation Council for Pharmacy Education. 2021. https://www.kacpe.or.kr/kr/news. Accessed 28 Dec 2021.
    1. Mészáros K, Barnett MJ, McDonald K, Wehring H, Evans DJ, Sasaki-Hill D, et al. Progress examination for assessing students’ readiness for advanced pharmacy practice experiences. Am J Pharm Educ. 2009;73(6):109. doi: 10.5688/aj7306109. - DOI - PMC - PubMed
    1. Martin RD, Ngo N, Silva H, Coyle WR. An objective structured clinical examination to assess competency acquired during an introductory pharmacy practice experience. Am J Pharm Educ. 2020;84(4):7625. doi: 10.5688/ajpe7625. - DOI - PMC - PubMed

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