An evaluation of the implementation of use of supervised learning events within pharmacy teams in practice
DOI:
https://doi.org/10.46542/pe.2026.261.216229Keywords:
Normalisation process theory, Pharmacy education, Professional development, Supervised learning event, Supervision, Workplace-based assessmentAbstract
Background: Supervised Learning Events (SLEs) are formative assessment tools that support professional development through structured feedback and reflection. Their adoption in pharmacy practice aligns with the expanding responsibilities of pharmacy professionals in increasingly complex healthcare settings. This study evaluated the implementation and normalisation of SLEs within primary care pharmacy teams across NHS Greater Glasgow and Clyde, guided by Normalisation Process Theory (NPT).
Methods: A two-phase mixed-methods approach was used. Phase 1 involved a scoping exercise and co-designed educational sessions delivered across eight Health and Social Care Partnerships (HSCPs). Phase 2 assessed implementation through surveys conducted at 6 and 18 months post-intervention. Quantitative data were analysed descriptively, while qualitative responses underwent thematic analysis.
Results: Confidence in supervising and being supervised improved, with average scores increasing from 3.3 to 4.2 for supervising and from 3.4 to 4.0 for being supervised. Engagement with SLEs rose across all pharmacy roles, with more staff completing multiple events. Qualitative feedback highlighted benefits such as enhanced reflection, professional growth, and team cohesion. Barriers included time pressures, complex documentation, and logistical issues.
Conclusion: Following the intervention, increased engagement with SLEs was observed, suggesting greater integration into routine practice. Recommendations include simplifying documentation, providing protected time, and enhancing feedback training to support sustained use and promote a culture of continuous learning.
References
Andreou, V., Peters, S., Eggermont, J., & Schoenmakers, B. (2024). A needs assessment for enhancing workplace-based assessment: a grounded theory study. BMC medical education, 24(1), 659. https://doi.org/10.1186/s12909-024-05636-3
Baboolal, S. O., & Singaram, V. S. (2023). Specialist training: workplace-based assessments impact on teaching, learning and feedback to support competency-based postgraduate programs. BMC medical education, 23(1), 941. https://doi.org/10.1186/s12909-023-04922-w
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Croft, H., Maundu, J., Galbraith, K., Nair, B. R., Wilkinson, G., Clark, B., Spencer, K., & Abeyaratne, C. (2025). Improving the effectiveness of workplace-based assessment for pharmacy interns, an evaluation study. American Journal of Pharmaceutical Education, 89(5), 101390. https://doi.org/10.1016/j.ajpe.2025.101390
Lim, A., Krishnan, S., Singh, H., Furletti, S., Sarkar, M., Stewart, D., & Malone, D. (2024). Linking assessment to real life practice – comparing work-based assessments and objective structured clinical examinations using mystery shopping. Advances in Health Sciences Education: Theory and Practice, 29(3), 859–878. https://doi.org/10.1007/s10459-023-10284-1
Massie, J., & Ali, J. M. (2016). Workplace-based assessment: A review of user perceptions and strategies to address the identified shortcomings. Advances in Health Sciences Education, 21(3), 455–473. https://doi.org/10.1007/s10459-015-9614-0
Miller, A., & Archer, J. (2010). Impact of workplace-based assessment on doctors’ education and performance: A systematic review. BMJ (Clinical research ed.), 341, c5064. https://doi.org/10.1136/bmj.c5064
Murphy, D. J., Bruce, D. A., Mercer, S. W., & Eva, K. W. (2009). The reliability of workplace-based assessment in postgraduate medical education and training: A national evaluation in general practice in the United Kingdom. Advances in Health Sciences Education: Theory and Practice, 14(2), 219–232. https://doi.org/10.1007/s10459-008-9104-8
Murray, E., Treweek, S., Pope, C., MacFarlane, A., Ballini, L., Dowrick, C., Finch, T., Kennedy, A., Mair, F., O'Donnell, C., Ong, B. N., Rapley, T., Rogers, A., & May, C. (2010). Normalisation process theory: A framework for developing, evaluating and implementing complex interventions. BMC medicine, 8, 63. https://doi.org/10.1186/1741-7015-8-63
NHS Health Research Authority. (2025). What approvals and decisions do I need? https://www.hra.nhs.uk/approvals-amendments/what-approvals-do-i-need/
Norcini, J., & Burch, V. (2007). Workplace-based assessment as an educational tool: AMEE Guide No. 31. Medical Teacher, 29(9–10), 855–871. https://doi.org/10.1080/01421590701775453
Patel, M., Agius, S., Wilkinson, J., Patel, L., & Baker, P. (2016). Value of supervised learning events in predicting doctors in difficulty. Medical Education, 50(7), 746–756. https://doi.org/10.1111/medu.12996
Prins, S. H., Brøndt, S. G., & Malling, B. (2019). Implementation of workplace-based assessment in general practice. Education for primary care: an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors, 30(3), 133–144. https://doi.org/10.1080/14739879.2019.1588788
Rees, C. E., Cleland, J. A., Dennis, A., Kelly, N., Mattick, K., & Monrouxe, L. V. (2014). Supervised learning events in the Foundation Programme: A UK-wide narrative interview study. BMJ Open, 4(10), e005980. https://doi.org/10.1136/bmjopen-2014-005980
Scottish Government. (2022). Health and social care: national workforce strategy. https://www.gov.scot/publications/national-workforce-strategy-health-social-care