Quality improvement analysis in a pharmacy skills laboratory course to enhance student pharmacists’ education

Authors

  • Lauren Caldas Department of Pharmacotherapy & Outcomes Science, Virginia Commonwealth University School of Pharmacy, Virginia, United States
  • Krista Donohoe Department of Pharmacotherapy & Outcomes Science, Virginia Commonwealth University School of Pharmacy, Virginia, United States https://orcid.org/0000-0003-0016-2512
  • Tyler D. Wagner Department of Pharmacotherapy & Outcomes Science, Virginia Commonwealth University School of Pharmacy, Virginia, United States
  • Simran K. Rohatgi Virginia Commonwealth University School of Pharmacy, Virginia, United States
  • Teresa M. Salgado Department of Pharmacotherapy & Outcomes Science, Virginia Commonwealth University School of Pharmacy, Virginia, United States

DOI:

https://doi.org/10.46542/pe.2025.251.115120

Keywords:

Education, Learning outcome, Pharmacist, Pharmacy, Work experience

Abstract

Background: When students are admitted to pharmacy school, the intention is for an equitable learning environment. However, students with prior pharmacy work experience may be at an advantage in their pharmacy education compared to those without.     

Objective: To assess the changes made to a skills laboratory course to resolve unintended inequities in course marks between students with and without prior pharmacy work experience.   

Methods: This retrospective, observational, cross-sectional study assessed the impact of previous pharmacy work experience on the outcomes of five class cohorts on scores from: The top 300 exam, pharmacy dispensing activities, and overall marks Course improvements included team dispensing activities and increasing marked prescriptions from nine to fifteen. Wilcoxon ranked sum test and multivariable logistic regression were used to assess the relationship between prior work experience and course outcomes.   

Results: Over 50% of students in all cohorts had pharmacy work experience. Bivariate analysis showed no significant differences in Top 300 marks or dispensing activity marks between students with and without prior experience, except in Fall 2020.     

Conclusion: Unintended course inequities were addressed through modifications that fostered teamwork among students with diverse work experiences and increased the number of dispensing activities.

References

Anderson, A. N., Patterson, J. A., Donohoe, K., Matulewicz, A. T., Frankart, L. M., Peron, E. P., & Caldas, L. M. (2021). Lessons learned: Assessing team creation by personality inventories in pharmacy students. Currents in Pharmacy Teaching and Learning, 13(11), 1538–1543. https://doi.org/10.1016/j.cptl.2021.09.014

Begley, K., Monaghan, M. S., & Qi, Y. (2013). Repeated testing to improve skills in a pharmacy practice laboratory course. American Journal of Pharmaceutical Education, 77(6), 130. https://doi.org/10.5688/ajpe776130

Bloom, T. J., Smith, J. D., & Rich, W. (2017). Impact of pre-pharmacy work experience on development of professional identity in student pharmacists. American Journal of Pharmaceutical Education, 81(10), 6141. https://doi.org/10.5688/ajpe6141

Burgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Team-based learning: Design, facilitation and participation. BMC Medical Education, 20(Suppl 2), 461. https://doi.org/10.1186/s12909-020-02287-y

Carpenter, R. E., Silberman, D., & Takemoto, J. K. (2022). The student engagement effect of team-based learning on student pharmacists. American Journal of Pharmaceutical Education, 86(5), 8567. https://doi.org/10.5688/ajpe8567

Choi, A. N., Dayer, L. E., Stafford, R. A., Dunn, E. B., & Li, C. (2023). Prior pharmacy work experience as a predictor of clinical and didactic performance for admissions Committees. American Journal of Pharmaceutical Education, 87(5), 100053. https://doi.org/10.1016/j.ajpe.2022.12.010

Fitzgerald, J. (2013). Pharmacy and the evolution of a family-friendly occupation. The Digest. National Bureau of Economic Research. https://www.nber.org/digest/feb13/pharmacy-and-evolution-family-friendly-occupation

Gladwell, M. (2013). Complexity and the ten-thousand-hour rule. The New Yorker. https://www.newyorker.com/sports/sporting-scene/complexity-and-the-ten-thousand-hour-rule

Gladwell, M. (2017). Outliers (1st ed.). Back Bay Books. https://www.hachettebookgroup.com/titles/malcolm-gladwell/outliers/9780316017930/

Greene, J. B., Nuzum, D. S., & Boyce, E. G. (2010). Correlation of pre-pharmacy work experience in a pharmacy setting with performance in a top 200 drugs course. Currents in Pharmacy Teaching and Learning, 2(3), 180‒185. https://doi.org/10.1016/j.cptl.2010.04.005

Gums, T. H., Kleppinger, E. L., & Urick, B. Y. (2014). Outcomes of individualized formative assessments in a pharmacy skills laboratory. American Journal of Pharmaceutical Education, 78(9), 166. https://doi.org/10.5688/ajpe789166

Halat, D. H., Safwan, J., Akel, M., & Rahal, M. (2022). Pharmacy education shift during times of pandemic and collapse: A perspective from a school of pharmacy in Lebanon. Pharmacy Education, 22(1), 33–40. https://doi.org/10.46542/pe.2022.221.3340

Kiles, T. M., Zhao, A. V., Wanat, M. A., Garey, K. W., & Hatfield, C. L. (2021). Knowledge and self-perception comparisons between students with and without prior technician experience in community pharmacy lab courses. Currents in Pharmacy Teaching & Learning, 13(3), 279–287. https://doi.org/10.1016/j.cptl.2020.10.004

Koles, P. G., Stolfi, A., Borges, N. J., Nelson, S., & Parmelee, D. X. (2010). The impact of team-based learning on medical students’ academic performance. Academic Medicine, 85(11), 1739–1745. https://doi.org/10.1097/acm.0b013e3181f52bed

Mar, E., Barnett, M. J., Tang, T. T.-L., Sasaki-Hill, D., Kuperberg, J. R., & Knapp, K. (n.d.). Impact of previous pharmacy work experience on pharmacy school academic performance. American Journal of Pharmaceutical Education, 74(3), 42. https://www.ajpe.org/article/S0002-9459(23)04295-X/fulltext

Oermann, M. H., & Heinrich, K. (2005). Annual review of nursing education. Volume 3, Strategies for teaching, assessment, and program planning. Springer.

Parmelee, D. X., Michaelsen, L., Cook, S., & Hudes, P. D. (2012). Team-based learning: A practical guide: AMEE Guide No. 65. Medical Teacher, 34(5), e275–e287. https://doi.org/10.3109/0142159X.2012.651179

Selznick, L. A., Salgado, T. M., Alotaibi, F., & Caldas, L. M. (2019). Evaluation of the impact of prior pharmacy experience on performance in a first-year skills laboratory course. American Journal of Pharmaceutical Education, 85(5), 1081. https://doi.org/10.5688/ajpe7654

Valdez, C. (2013). Impact of pharmacy experience, GPA, age, education, and therapeutic review on knowledge retention and clinical confidence. Currents in Pharmacy Teaching and Learning, 5(5), 358–364. https://doi.org/10.1016/j.cptl.2013.06.010

Watling, C. J., & Ginsburg, S. (2019). Assessment, feedback and the alchemy of learning. Medical Education, 53(1), 76–85. https://doi.org/10.1111/medu.13645

Wheeler, S., Valentino, A. S., Liston, B. W., Li, J., & McAuley, J. W. (2019). A team-based learning approach to interprofessional education of medical and pharmacy students. Currents in Pharmacy Teaching and Learning, 11(11), 1190–1195. https://doi.org/10.1016/j.cptl.2019.07.010

Yang, B. W., Razo, J., & Persky, A. M. (2019). Using Testing as a Learning Tool. American Journal of Pharmaceutical Education, 83(9), 7324. https://doi.org/10.5688/ajpe7324

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Published

27-02-2025

How to Cite

Caldas, L., Donohoe, K., Wagner, T., Rohatgi, S., & Salgado, T. (2025). Quality improvement analysis in a pharmacy skills laboratory course to enhance student pharmacists’ education. Pharmacy Education, 25(1), p.115–120. https://doi.org/10.46542/pe.2025.251.115120

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Section

Research Article