Development of an Objective Structured Clinical Examination (OSCE) to assess formulation and extemporaneous dispensing skills in MPharm undergraduates
Keywords:
OSCE, Undergraduate, Assessment, Pharmacy, Chemistry, FormulationAbstract
Background: The use of Objective Structured Clinical Examination (OSCE) in Pharmacy has been explored; however this is the first attempt in Queen’s University School of Pharmacy, Belfast to assess students via this method in a module where chemistry is the main discipline.
Aims: To devise an OSCE to assess undergraduate ability to check extemporaneously dispensed products for clinical and formulation errors. This activity also aims to consider whether it is a viable method of assessment in such a science-based class, from a staff and student perspective.
Method: Students rotated around a number of stations, performing a check of the product, corresponding prescription and formulation record sheet detailing the theory behind the formulation. They were assessed on their ability to spot intentional mistakes at each one.
Results: Of the 79 students questioned, 95% indicated that OSCE made them aware of the importance of the clinical check carried out by the pharmacist. Nearly all of the undergraduates (72 out of 79) felt that OSCE made them aware of the type of mistakes that students make in class. Most (5 out of 7) of the academic team members strongly agreed that it made students aware of ‘point of dispensing’ checks carried out by pharmacists, in addition to helping them to prepare for their exam.
Conclusion: OSCE assesses both scientific and formulation skills, and has increased the diversity of assessment of this module, bringing with it many additional benefits for the undergraduates since it measures their ability to exercise professional judgement in a time- constrained environment and, in this way, mirrors the conditions many pharmacists work within.
References
Ashcroft, D., Hall, J., Harrison, S., Hassell K. & Schafheutle E. (2010) Learning professionalism through practice exposure and role models. Pharmaceutical Journal, 285, 164-165.
Awaisu, A. & Mohamed, M. (2010) Advances in pharmaceutical education: An experience with the development and implementation of an objective structured clinical examination (OSCE) in an undergraduate pharmacy program. Pharmacy Education, 10 (1), 32-38.
Awaisu, A., Bux, S., Mohamed, M., Nazar, N., & Rahman, N. (2010) Malaysian Pharmacy Students’ Assessment of an Objective Structured Clinical Examination (OSCE). American Journal of Pharmaceutical Education, 74 (2), 1-9.
Batchelor, H. (2004) The importance of a mathematics diagnostic test for incoming Pharmacy undergraduates. Pharmacy Education, 4, 69-74.
Beck, D., Boh, L. & O’Sullivan, P. (1995) Evaluating student performance in the experimental setting with confidence. American Journal of Pharmaceutical Education, 59, 236-247.
Biggs, J. (2002) Aligning the curriculum to promote good learning. Learning and Teaching Support Network Generic Centre, p.1-7.
Black, P. & Mills, E. (2009) Self-directed learning and advanced practice development in pharmacy. Pharmaceutical Journal, 283, 535-536.
Bloxham, S. & Boyd, S. (2007) Developing effective assessment in higher education – a practical guide. Maidenhead: OUP/McGraw Hill.
Brown, S. & Knight, P. (1994) Assessing Learners in Higher Education, Kogan Page.
Donnelly, R.F., Barry, J. & McNally, M. (2008) Is extemporaneous dispensing really in the best interests of patients? Pharmaceutical Journal, 280, 251.
Fitzgerald, P. & Reid, C. (2010) Contemporary issues in assessment in health sciences and practice education. M. Hammick & C. Reid (Eds), London, HEA.
Francioni-Proffitt, D., Hindle, M., Kadi, A. & Soine, W. (2005) Evaluation of basic compounding skills of pharmacy students. American Journal of Pharmaceutical Education, 69 (4), 508-515.
GPhC (2010) Consultation on standards for the education and training of pharmacist (online). Available: http:// www.pharmacyregulation.org/ pdfs/consultations/gphcconsultationresponsedocumentstandardsfortheeducationandtrainingofpharmacistsnov2010.pdf. Accessed August 2011.
GPhC (2010) Future pharmacists Standards for the initial education and training of pharmacists.
Gibbs, G. & Simpson, C. (2004) Conditions under which assessment supports learning. Learning and Teaching in Higher Education, 1, 3-31.
Gibbs, G., & Simpson, C. (2004) Does your assessment support your students’ learning? London: Centre for Higher Education Practice. Open University Press.
Grady, A., Monaghan, M., Turner, P. & Vanderbush, R. (2000) Traditional Student, Non-traditional Student, and Pharmacy Practitioner Attitudes Toward the Use of Standardized Patients in the Assessment of Clinical Skills. American Journal of Pharmaceutical Education, 64, 27-32.
Harden, R., Stevenson, M., Wilson Downie W. & Wilson, G. (1975) Assessment of clinical competence using objective structured examination. British Medical Journal, 1, 447-451.
Jay, A. (2007) Student perceptions of the OSCE: a valid assessment tool? British Journal of Midwifery, 15 (1), 32-37.
Jesson, J., Hatfield, K., Langley, C. & Wilson, K. (2006) Science or practice? UK undergraduate experiences and attitudes to the MPharm degree. Pharmacy World and Science.
Lowey, A. & Jackson, M. (2008) How to ensure the quality and safety of unlicensed oral medicines. The Pharmaceutical Journal, 281, 240.
Munoz, L., Austin, Z., O’Byrne C. & Pugsley, J. (2005) Reliability, validity and generalizability of an objective structured clinical examination (OSCE) for assessment of entry -to-practice in pharmacy. Pharmacy Education, 5 (1), 33-43
Quality Assurance Agency (2002) Pharmacy Subject Benchmark Statements, Pharmacy (online). Available: http:// www.qaa.ac.uk/ academicinfrastructure/benchmark/honours/ pharmacy.asp. Accessed August 2011.
The Quality Assurance Agency for Higher Education (2006) Code of Practice for the assurance of academic quality and standards in higher education, Section 6: Assessment of students (online). Available: http://www.qaa.ac. uk/academicinfrastructure/code/OfPractice/section6/default.asp. Accessed August 2011.
Rutter, P. (2001) The introduction of observed structured clinical examinations (OSCEs) to the MPharm degree pathway. Pharmacy Education, 1, 173-180.
Sturpe, D. (2010) Objective Structured Clinical Examinations in Doctor of Pharmacy Programs in the United States. American Journal of Pharmaceutical Education, 74 (8), 1-6.
Wass, V., Jones, R., Shatzer, J. & Van der Vleuten, C. (2001) Assessment of clinical competence. The Lancet, 357, 945-949.
