Added value of a competency-based subject catalogue for the first pharmacy state examination in Germany (P1): A survey conducted among pharmacy teachers at German universities
DOI:
https://doi.org/10.46542/pe.2025.251.172190Keywords:
Assessment, Competency-based education, Learning outcome, Online survey, Pharmacy educationAbstract
Background: The subject catalogue (SC) for the First State Examination in Pharmacy (P1) is a nationwide, concise list of subjects covered in the first two years of German pharmacy programmes. In its current form, however, it does not provide any information about the competencies to which knowledge of these subjects contributes.
Methods: The subjects in this catalogue were mapped to competencies that are considered to be achievable within the first two years of the curriculum. On the basis of this draft competency-based catalogue, we conducted an online survey of pharmacy faculty at German universities on the added value of a competency-based SC.
Results: On average, about 75% of the participants (N = 158) agreed or partly agreed with the assumptions made in this survey about the benefits of a competency-based SC. Non-professors and younger teachers are generally more open to the concept than full professors and more experienced teachers. Professors, in particular, expressed their fears of regimentation and infringement of their freedom of teaching.
Conclusion: The attitude of the participating German pharmacy teachers towards a competency-based SC is predominantly positive. Many points of criticism could be addressed in a participatory process of SC development.
References
Alban, S., Bechthold, A., Efferth, T., Fürst, R., Heide, L., Heisig, P., Hensel, A., Kiemer, A. K., Kreis, W., Marschalek, R., Melzig, M. F., Merfort, I., Schmidt, M., Schweder, T., Vollmar, A., Winckler, T., Wink, M., Wölfl, S. & Zidorn, C. (2017). Biogenic substances are the most important source of medicines. The importance of biogenic substances and the role of pharmaceutical biology for the competency-oriented catalog of pharmacy learning objectives (German). PHARMAKON, 5(4), 312–317. https://www.ingentaconnect.com/content/govi/pmakon/2017/00000005/00000004/art00012vv
Austin, Z., Andriole, D. A. & Rhoney, D. H. (2023). Is it Time for Competency-Based Education to Move Forward in Pharmacy Education? American Journal of Pharmaceutical Education, 87(10), 100550. https://doi.org/https://doi.org/10.1016/j.ajpe.2023.100550
Baecker, D., Mai Dung, D. T., Pham-The, H. & Hai-Nam, N. (2022). Comparison of the university pharmacy education programs in Germany and Vietnam. Pharmacy, 10(6), 146. https://doi.org/10.3390/pharmacy10060146
BAG. (2016). Pharmacy learning objectives catalog according to the Medical Professions Act (MedBG) (German). 2nd Ed. Bundesamt für Gesundheit Schweizerische Eidgenossenschaft. https://www.bag.admin.ch/dam/bag/de/dokumente/berufe-gesundheitswesen/medizinalberufe/eidg-pruefungen-universitaerer-medizinalberufe/pharmazie/lernzielkatalog-pharmazie1.pdf.download.pdf/lernzielkatalog-pharmazie-version-2.pdf
BAK. (2017). Competency-oriented catalog of pharmacy learning objectives – perspective paper “Pharmacy 2030“ (German). Bundesapothekerkammer. https://www.abda.de/fileadmin/user_upload/assets/Ausbildung_Studium_Beruf/KLPP/KLP-P_17_11_29_BAK-MV.pdf
Biel, M., Bünemann, M., Culmsee, C., Epe, B., Oetjen, E., Rustenbeck, I., Ruth, P., Schäfer-Korting, M., Schmidtko, A. & Klein, J. (2017). From molecules to patient therapy - thinking and research on multiple levels. The importance of pharmacology and toxicology for pharmacists - a contribution to competency-oriented university training (German). PHARMAKON, 5(6), 466–469. https://www.ingentaconnect.com/content/govi/pmakon/2017/00000005/00000006/art00014v
Biggs, J. (2003). Aligning teaching and assessing to course objectives. In Teaching and learning in higher education: New trends and innovations. University of Aveiro. https://didatticaonline.pfse-auxilium.org/pluginfile.php/9790/mod_glossary/attachment/141/BIGGS_2003_Aligning_Reaching_and_Assessing_to_Course_Objectives_John_Biggs.pdfvv
BMG. (1989). Approval regulations for pharmacists (AAppO), last amended by Art. 1 V of 7.6.2023, No. 148. Bundesministerium für Gesundheit. https://www.gesetze-im-internet.de/aappo/BJNR014890989.html
Bunjes, H., Fischer, D., Friess, W., Keck, C. M., Kleinebudde, P., Mäder, K., Müller, R. H., Müller-Goymann, C., Rein, H., Seidlitz, A., Weitschies, W., Winter, G. & Langguth, P. (2017). A medicine is more than just a drug. The importance of the pharmaceutical product and the role of pharmaceutical technology/biopharmacy for a competency-oriented catalog of pharmacy learning objectives (German). PHARMAKON, 5(3), 232–235. https://www.ingentaconnect.com/content/govi/pmakon/2017/00000005/00000003/art00012
Clement, B., Gmeiner, P., Laufer, S., Stark, H. & Steinhilber, D. (2018). Drugs are compounds whose chemical properties encode all pharmaceutical properties. The importance of the active pharmaceutical ingredient and the role of pharmaceutical/medical chemistry for a competency-oriented catalog of pharmacy learning objectives (German). PHARMAKON, 6(3), 228–233. https://www.ingentaconnect.com/content/govi/pmakon/2018/00000006/00000003/art00012
Duppré, H. J. (1976). Planning, organizing and carrying out the tasks of the IMPP. Institut für medizinische und pharmazeutische Prüfungsfragen: Aufgaben, Entwicklung, Analysen, pp. 29–48. Schmidt & Bödige.
Erikson, M. G. & Erikson, M. (2019). Learning outcomes and critical thinking – good intentions in conflict (English). Studies in Higher Education, 44(12), 2293–2303. https://doi.org/10.1080/03075079.2018.1486813vv
European Centre for the Development of Vocational Training (Cedefop). (2011). Using learning outcomes. European Qualifications Framework Series. https://www.cedefop.europa.eu/de/news/using-learning-outcomes#group-details
FIP. (2020). FIP Global Competency Framework. 2nd Ed. The International Pharmaceutical Federation. https://www.fip.org/file/4805
Fischer, M. R., Bauer, D. & Mohn, K. (2015). Finally finished! National Competence Based Catalogues of Learning Objectives for Undergraduate Medical Education (NKLM) and Dental Education (NKLZ) ready for trial (eng). GMS Journal for Medical Education, 32(3). https://doi.org/10.3205/zma000977
Friedrich, C., Anagnostou, S., Helmstädter, A., Leimkugel, F., Müller-Jahncke, W.-D. & Wahrig, B. (2018). Statement from the History of Natural Sciences specialist group, with particular attention to the history of pharmacy, on the competency-oriented catalog of pharmacy learning objectives - perspective paper “Pharmacy 2030“ (German). PHARMAKON, 6(2), 144–146. https://www.ingentaconnect.com/content/govi/pmakon/2018/00000006/00000002/art00013vv
IMPP. (2019). Catalog of items for the first section of the pharmaceutical examination (German). 5th Ed. Institut für medizinische und pharmazeutische Prüfungsfragen. https://www.impp.de/pruefungen/allgemein/gegenstandskataloge.html?file=files/PDF/Gegenstandskataloge/Pharmazie/GK-Pharmazie-Auflage05.pdf
IMPP. (2020). Competency-based item catalog medicine (German). 1st Ed. Institut für medizinische und pharmazeutische Prüfungsfragen. https://gk-medizin.impp.de/
IMPP. (2021). Competency-based item catalog medicine (German). 1.1st Ed. Institut für medizinische und pharmazeutische Prüfungsfragen. https://gk-medizin.impp.de/
Khalaily, H. (2019). Implementation of alternative teaching methods by teachers: The role of practical experience and the importance of teacher training. University of Haifa Institute of Education. Education Resources Information Center (ERIC). https://eric.ed.gov/?id=ED600709vv
Krathwohl, D. R. (2002). A revision of Bloom's Taxonomy: An overview. Theory into Practice, 41(4), 212–218. https://doi.org/10.1207/s15430421tip4104_2
Laufer, S., Fischer, D., Queckenberg, O. & Busch, A. (2019). Diverse tasks with excellent prospects for pharmacists (German). PHARMAKON, 7(4), 301–304. https://www.ingentaconnect.com/content/govi/pmakon/2019/00000007/00000004/art00013
Mager, R. F. (1997). Preparing instructional objectives: A critical tool in the development of effective instruction, 3rd ed. CEP Press.
Medina, M. S., Plaza, C. M., Stowe, C. D., Robinson, E. T., DeLander, G., Beck, D. E., Melchert, R. B., Supernaw, R. B., Roche, V. F., Gleason, B. L., Strong, M. N., Bain, A., Meyer, G. E., Dong, B. J., Rochon, J. & Johnston, P. (2013). Center for the advancement of pharmacy education 2013 educational outcomes. American Journal of Pharmaceutical Education, 77(8). https://doi.org/https://doi.org/10.5688/ajpe778162
MFT. (2015a). Nationaler Kompetenzbasierter Lernzielkatalog Medizin (NKLM) (German). Medizinischer Fakultätentag der Bundesrepublik Deutschland e.V. http://www.nklm.de/
MFT. (2015b). National competency-based learning objectives catalog for medicine (NKLZ) (German). Medizinischer Fakultätentag der Bundesrepublik Deutschland e.V. http://www.nklz.de/kataloge/nklz/lernziel/uebersicht
MFT. (2021). National competency-based learning objectives catalog for medicine (NKLM) 2.0 (German). Medizinischer Fakultätentag der Bundesrepublik Deutschland e.V. http://www.nklm.de/
Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65(9), S63–S67. https://journals.lww.com/academicmedicine/Fulltext/1990/09000/The_assessment_of_clinical.45.aspxvv
Morshead, R. W., Krathwohl, D. R., Bloom, B. S. & Masia, B. B. (1965). Taxonomy of educational-objectives handbook II - Affective domain. Studies in Philosophy and Education, 4(1), 164–170. https://doi.org/10.1007/Bf00373956
NAPRA. (2014). Professional competencies for Canadian pharmacists at entry to practice. The National Association of Pharmacy Regulatory Authorities. https://www.napra.ca/wp-content/uploads/2022/09/NAPRA-Comp-for-Cdn-PHARMACISTS-at-Entry-to-Practice-March-2014-b.pdf
Nash, R. E., Chalmers, L., Brown, N., Jackson, S. & Peterson, G. (2015). An international review of the use of competency standards in undergraduate pharmacy education. Pharmacy Education, 15(0). https://pharmacyeducation.fip.org/pharmacyeducation/article/view/324
Pharmaceutical Society of Australia (PSA). (2016). National competency standards framework for pharmacists in Australia. https://www.psa.org.au/wp-content/uploads/2018/06/National-Competency-Standards-Framework-for-Pharmacists-in-Australia-2016-PDF-2mb.pdf
Pharmacycouncil. (2015). Competence standards for the pharmacy profession. The Pharmacy Council of New Zealand. https://pharmacycouncil.org.nz/wp-content/uploads/2021/04/CompStds2015Web.pdf
PSI. (2022). Core competency framework for pharmacists. The Pharmaceutical Society of Ireland – The Pharmacy Regulator. https://www.thepsi.ie/sites/default/files/2024-06/PSI_Core_Competency_Framework_0.pdf
Rhoney, D. H. & Meyer, S. M. (2024). Competency-based education: The need to debunk misconceptions and develop a common language. American Journal of Pharmaceutical Education, 88(2), 100637. https://doi.org/https://doi.org/10.1016/j.ajpe.2023.100637
Ritter, C. (2018). Only medicines used correctly benefit the patient and society. The importance of rational drug use and the role of clinical pharmacy in the competency-oriented catalog of pharmacy learning objectives (German). PHARMAKON, 6(1), 68–72. https://www.ingentaconnect.com/content/govi/pmakon/2018/00000006/00000001/art00014
RPS. (2013). The RPS advanced pharmacy framework. Royal Pharmaceutical Society. https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Frameworks/RPS%20Advanced%20Pharmacy%20Framework.pdf
VdPPHI. (2020a). Detailed teaching content and learning objectives of the modules (German). Verband der Professoren an Pharmazeutischen Hochschulen der Bundesrepublik Deutschland. https://www.pharmazie.uni-kiel.de/download/verband/lehrinhalte.htm
VdPPHI. (2020b). Modules from the licensing regulations (German). Verband der Professoren an Pharmazeutischen Hochschulen der Bundesrepublik Deutschland. https://www.pharmazie.uni-kiel.de/download/verband/modulbeschreibungen.htm
