RESEARCH ARTICLE: Training students on the Pharmacist Patient Care Process using an electronic health record and simulations

Deepti Vyas, May Chen, Eric G Boyce, Suzanne M Galal, Edward L Rogan, Jenana Maker


Objective: To measure the impact of an electronic health record (EHR) and simulated physician encounters on student knowledge and skills related to the implementation phase of the Pharmacist Patient Care Process (PPCP). Secondary objectives were to measure students’ self-perceived abilities.

Methods: Students enrolled in a therapeutics course worked-up patient cases within an EHR. Students entered orders/ prescriptions into the computerised provider order entry (CPOE) platform. Faculty graded student work using a rubric. Students completed an instructor-developed pre-post attitudes survey and knowledge quiz.

Results: Two hundred students participated in this study and worked-up seven cases. Scores ranged from 67.7% to 88.2% on the case work-ups and 78.6% to 91.1% on the order/prescription-entry components. Individual scores on the quiz improved from 15.3/20 to 17.3/20 (p<0.001). Aggregate ratings on the attitudes survey increased from 23.2 to 31.0 (p<0.001).

Conclusion: Use of an EHR coupled with simulation was well-received and improved student understanding of the PPCP.


Computerised Provider Order Entry; Electronic Health Record; Pharmacist Patient Care Process; Simulation; Virtual Patient Cases

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ACPE [Accreditation Council for Pharmacy Education]. (2015). Accreditation Standards and Key Elements for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree, Standards 2016 (online). Available at: FINAL.pdf Accessed 27th July, 2017

Bennett, M. & Kliethermes, M.A. (2015). How to Implement the Pharmacists’ Patient Care Process. Washington, DC: American Pharmacists Association

Boyce, E.G. (2017). The Pharmacists’ Patient Care Process and More. American Journal of Pharmaceutical Education, 81, Art.62

Institute for Healthcare Improvement. (2017). SBAR communication technique (online). Available at: http:// Pages/default.aspx. Accessed July 27, 2017

JCCP [Joint Commission of Pharmacy Practitioners],. (2014). Pharmacists’ Patient Care Process (online). Available at: files/files/PatientCareProcess.pdf. Accessed 27th June, 2017

Rebitch, C.B., Fleming, V.H., Palmer, R., Rong, H. & Choi, I. (2019). Evaluation of video-enhanced case-based activities guided by the Pharmacists’ Patient Care Process (PPCP) in a second-year Pharm.D. course. American Journal of Pharmaceutical Education, 83(4), 6676. doi: 10.5688/ajpe6676

Rivkin, A. (2016). Thinking Clinically from the Beginning: Early Introduction of the Pharmacists’ Patient Care Process. American Journal of Pharmaceutical Education, 80, Art.164

Skelley, J.W., Wulz, J.L. & Thibodeaux, A.M. (2018). Implementation of an electronic medical record simulation activity aligned with the Pharmacist Patient Care Process in an ambulatory care elective course. Pharmacy Education, 18(1), 91-98


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