Pharmacy practice simulations: performance of senior pharmacy students at a University in southern Brazil

  • Dayani Galato
  • Graziela M. Alano
  • Silvana C. Trauthman
  • Tainã F. França

Abstract

Objective: A simulation process known as objective structured clinical examination (OSCE) was applied to assess pharmacy practice performed by senior pharmacy students.

Methods: A cross-sectional study was conducted based on documentary analysis of performance evaluation records of pharmacy practice simulations that occurred between 2005 and 2009. These simulations were related to the process of self-medication and dispensing, and were performed with the use of patients simulated. The simulations were filmed to facilitate the evaluation process. It presents the OSCE educational experience performed by pharmacy trainees of the University of Southern Santa Catarina and experienced by two evaluators. The student general performance was analyzed, and the criteria for pharmacy practice assessment often identified trainees in difficulty.

Results: The results of 291 simulations showed that students have an average yield performance of 70.0%. Several difficulties were encountered, such as the lack of information about the selected/prescribed treatment regimen (65.1%); inadequate communication style (21.9%); lack of identification of patients’ needs (7.7%) and inappropriate drug selection for self-medication (5.3%).

Conclusions: These data show that there is a need for reorientation of clinical pharmacy students because they need to improve their communication skills, and have a deeper knowledge of medicines and health problems in order to properly orient their patients.

 

Keywords: Education, Pharmacy, Graduate. Clinical Competence. Brazil.

 

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References

1. Galato D, Alano GM, França TF, Vieira AC. Exame clínico objetivo estruturado (ECOE): uma experiência de ensino por meio de simulação do atendimento farmacêutico. Interface – Comunic., Saude, Educ., 2010;15:309-320.

2. Rushforth HE. Objective structured clinical examination (OSCE): review of literature and implications for nursing education. Nurse Educ Today. 2007;27(5):481-490.

3. Newble D. Techniques for measuring clinical competence: objective structured clinical examinations. Med Educ. 2004;38(2):199-203.

4. Carraccio C, Englander R. The objective structured clinical examination: a step in the direction of competency-based evaluation. Arch Pediatr Adolesc Med. 2000;154(7):736-741.

5. Townsend AH, McLlvenny S, Miller CJ, Dunn EV. 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. 2001;35(9):841-846.

6. Medina MS, Stark JE, Vesta KS, Lockhart SM. Evaluating the impact of a pre-rotation workshop on student preparation for clinical advanced pharmacy practice experiences. Pharm Pract. 2008;6(4):219-223.

7. Troncon LEA. Utilização de pacientes simulados no ensino e na avaliação de habilidades clínicas. Medicina (Ribeirão Preto), 2007; 40: 180-191.

8. Galato D, Galafassi LM, Alano GM, Trauthman SC. Responsible self-medication: a reflection on the process of pharmaceutical intervention: review of the process of pharmaceutical attendance. Rev Bras Cienc Farm. 2009;45:625-633.

9. Covington TR. Non-prescription drug therapy: Issues and Opportunities. Am J Pharm Educ. 2006;70(6):137.

10. Nimmo CM, Holland RW. Transitions in pharmacy practice, part 2: who does what and why. Am J Health Syst Pharm. 1999;56(19):1981-1987.

11. Galato D, Alano GM, Trauthman SC, Vieira AC. A dispensação de medicamentos: uma reflexão sobre o processo para prevenção, identificação e resolução de problemas relacionados com a farmacoterapia. Rev Bras Cienc Farm. 2008; 44:465-475.

12. Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 8 ed. São Paulo, SP: Hucitec; 2008.

13. Mazzoni CJ, Moraes MAA. A avaliação prática estruturada de habilidades clínicas na Famema: fundamentos para construção e aplicação. Gestão Univ. [Internet periodic] Jun 2006. http://www.gestaouniversitaria.com. php/edicoes/68-99/321-a-avaliacao-pratica-estruturada-de-habilidades-clinicas-na-famema--fundamentos-para-construcao-e-aplicacao.html (Accessed Set 22, 2009).

14. Brasil. Ministério da Educação. Curso de Graduação em Farmácia: proposta de diretrizes curriculares. [Internet document] http://portal.mec.gov.br/cne/arquivos/pdf/Farm.pdf (Accessed jul 04, 2011).

15. World Health Organization. Adherence to long-term therapies: evidence for action. Geneve:World Health Organization;2003.

16. Hepler CD. The third wave in pharmaceutical education and the clinical movement. Am J Pharm Educ. 1987;51(4):369-385.

17. Cipolle RJ, Strand, Morley PC. El ejercicio de La atención farmacéutica. Madrid:McGraw-Hill;2000.

18. Sabater D, Silva Castro MM, Faus MJ. Programa Dáder: Guía de seguimento farmacoterapéutico. Granada: Grupo de Investigación en Atención Farmacéutica (CTS-131). 2007.

19. Puspitasari HP, Aslani P, Krass I. A review of counselling practices on prescription medicines in community pharmacies. Res Social Adm Pharm. 2009;5(3):197-210.

20. da Silva LM, Brasil VV, Guimarães HC, Savonitti BH, da Silva MJ. Comunicação não-verbal: reflexões acerca da linguagem corporal. Rev Lat Am Enfermagem. 2000;8(4):52-58.
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