Self-assessment of competency and curriculum alignment among undergraduate pharmacy students and graduates in Iran
DOI:
https://doi.org/10.46542/pe.2026.261.339349Keywords:
Competency-based education, Pharmacy education, PharmD curriculum, Self-assessment, Workplace relevanceAbstract
Background: Competency-based education is essential in pharmacy training globally, but aligning curricula with professional needs is challenging, especially in low- and middle-income countries. This study examines self-reported competencies among final-year pharmacy students and graduates at Ardabil School of Pharmacy and evaluates their relevance to professional practice.
Methods: A cross-sectional survey of 185 final-year pharmacy students and graduates involved completing a self-assessment questionnaire on competencies in knowledge, skills, communication, and research, as well as their workplace relevance. Descriptive statistics, independent t-tests, and ANOVA were conducted, with effect sizes reported, following STROBE guidelines.
Results: Relative to maximum scores, lower scores were observed in the knowledge, skills, and research domains, whereas communication competencies had the highest scores. No significant differences were found between students and graduates in most areas, although graduates reported slightly higher self-assessed research scores (t = 2.05, p = 0.04, Cohen's d = 0.33). Communication competencies were perceived as most relevant to the workplace, with no significant differences across GPA categories.
Conclusion: Final-year pharmacy students and graduates perceived moderate competence across various domains, with communication skills deemed most relevant to practice. These findings, based on self-assessments from a single institution, reflect perceived rather than objectively measured readiness. Future multi-institutional studies with objective assessments are needed to comprehensively evaluate graduates' preparedness for professional practice.
References
Abeyaratne, C., Nhu, T., & Malone, D. (2022). Self-assessment of therapeutic decision-making skills in pharmacy students. American Journal of Pharmaceutical Education, 86(4), 8696. https://doi.org/10.5688/ajpe8696
Abu Farha, R., Elayeh, E., Zalloum, N., Mukattash, T., Alefishat, E., Suyagh, M., & Basheti, I. (2021). Perception of pharmacy students towards their community pharmacy training experience: a cross-sectional study from Jordan. BMC Medical Education, 21(1), 161. https://doi.org/10.1186/s12909-021-02596-w
Arakawa, N., Akel, M., Anderson, C., Bajis, D., Darwish, R., Koster, A., . . . Morris, M. (2023). Developing a FIP handbook for implementing competency-based education in pharmacy education. Pharmacy Education, 22(4), 150–154. https://doi.org/10.46542/pe.2022.224.150154
Arakawa, N., Bruno-Tomé, A., & Bates, I. (2020). A Global Comparison of initial pharmacy education curricula: An exploratory study. Innovations in Pharmacy, 11(1). https://doi.org/10.24926/iip.v11i1.2093
Atayee, R. S., Awdishu, L., & Namba, J. (2016). Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. American Journal of Pharmaceutical Education, 80(5), 86. https://doi.org/10.5688/ajpe80586
Bartlett, A., Pace, J., Arora, A., & Penm, J. (2023). Self-reflection and peer-assessments effect on pharmacy students’ performance at simulated counselling sessions. Pharmacy, 11(1), 5. https://doi.org/10.3390/pharmacy11010005
Brim-Dauterman, T., & Rao, S. (2024). The divergence between self- and preceptor-assessments of student performance during Advanced Pharmacy Practice Experiences. Pharmacy (Basel), 12(3). https://doi.org/10.3390/pharmacy12030079
Brownie, S., Yap, J. R., Blanchard, D., Amankwaa, I., Pearce, A., Sampath, K. K., . . . Broman, P. (2024). Tools for self- or peer-assessment of interprofessional competencies of healthcare students: a scoping review. Frontiers in Medicine, 11, 1449715. https://doi.org/10.3389/fmed.2024.1449715
Doloresco, F., Maerten-Rivera, J., Zhao, Y., Foltz-Ramos, K., & Fusco, N. M. (2019). Pharmacy students' standardized self-assessment of interprofessional skills during an Objective Structured Clinical Examination. American Journal of Pharmaceutical Education, 83(10), 7439. https://doi.org/10.5688/ajpe7439
Echeverri, M., Unni, E., Harpe, S. E., Kavookjian, J., Alkhateeb, F., Ekong, G., & Law, A. (2021). Identifying areas of improvement for cultural competence in pharmacy curricula: A multi-school study using the self-assessment of perceived level of cultural competence (SAPLCC) questionnaire. Currents in Pharmacy Teaching and Learning, 13(10), 1278–1287. https://doi.org/10.1016/j.cptl.2021.07.013
Etukakpan, A., Uzman, N., Ozer, O., Tofade, T., Leite, S. N., Joda, A., . . . Altiere, R. J. (2023). Transforming pharmaceutical education: A needs-based global analysis for policy development. Exploratory Research in Clinical and Social Pharmacy, 9, 100234. https://doi.org/10.1016/j.rcsop.2023.100234
Farland, M. Z., Feng, X., Franks, A. S., Sando, K. R., & Behar-Horenstein, L. S. (2018). Pharmacy resident teaching and learning curriculum program outcomes: Student performance and quality assessment. Currents in Pharmacy Teaching and Learning, 10(6), 680–686. https://doi.org/10.1016/j.cptl.2018.03.015
Garira, E. (2014). The development of a school self-evaluation framework for classroom quality in Zimbabwean primary schools: University of Pretoria (South Africa).
Khabaz Mafinejad, M., Hadizadeh, N., Doostkamel, D., Sayarifard, A., & Rezaie Shirmard, L. (2022). Exploring the undermined: Pharmacy students' perceptions of their role models’ core competencies. Pharmacy Education, 22(1), 856–865. https://doi.org/10.46542/pe.2022.221.856865
Kholghipour, H., Dehshahri, A., & Mahmoodian, H. (2018). Professionalism ethics in pharmacy education: Do students have acceptable knowledge or it is a white paper in pharmacy education curriculum? Journal of advances in medical education & professionalism, 6, 190–191. https://doi.org/10.30476/jamp.2018.41033
Lempicki, K. A., Mazan, J. L., D'Souza, J. J., & Harpe, S. E. (2021). Analysis of pharmacy student communication self-evaluation skills during standardized patient encounters. Currents in Pharmacy Teaching and Learning, 13(10), 1332–1338. https://doi.org/10.1016/j.cptl.2021.07.006
Lingow, S., Jeon, M., & Richter, S. K. (2023). Evaluation of student peer- and self-grading in an integrated Ppharmacotherapy course. American Journal of Pharmaceutical Education, 87(12), 100618. https://doi.org/10.1016/j.ajpe.2023.100618
Meštrović, A., Al-haqan, A., El Akel, M., Arakawa, N., Mukhalati, B., Bader, L., . . . Duggan, C. (2022). Connecting the dots in pharmacy education: The FIP International Pharmaceutical Federation Global Competency Framework for Educators and Trainers in Pharmacy (FIP-GCFE). Pharmacy Education, 22, 100–109. https://doi.org/10.46542/pe.2022.224.100109
Moezzi, I., Nadimi, S., Abbasi, H., Azadi, A., Mohagheghzadeh, A., & Hamidi, M. (2021). The necessity of revision and reform in Iran pharmacy education: Finding a way for evolution. Trends in Pharmaceutical Sciences, 7, 7. https://doi.org/10.30476/tips.2021.92405.1111
Mort, J. R., & Hansen, D. J. (2010). First-year pharmacy students' self-assessment of communication skills and the impact of video review. American Journal of Pharmaceutical Education, 74(5), 78. https://doi.org/10.5688/aj740578
Motycka, C. A., Rose, R. L., Ried, L. D., & Brazeau, G. (2010). Self-assessment in pharmacy and health science education and professional practice. American Journal of Pharmaceutical Education, 74(5), 85. https://doi.org/10.5688/aj740585
Naser, O., Mehdi, M., Kheirollah, G., Soleyman, A., Soha, N., & Sholeh, E. (2021). Designing, implementation, and evaluation of an online modular course on patient education and counseling at the community pharmacy. Journal of Pharmaceutical Care, 9(1). https://doi.org/10.18502/jpc.v9i1.6031
United Nations Development Programme. (n.d.). The 17 goals| sustainable development. Department of Economic and Social Affairs| Sustainable Development. 2015. Retrieved September 10, 2025, from https://www.undp.org/sustainable-development-goals
Naughton, C. A., & Friesner, D. L. (2012). Comparison of pharmacy students’ perceived and actual knowledge using the pharmacy curricular outcomes assessment. American Journal of Pharmaceutical Education, 76(4), 63. https://doi.org/10.5688/ajpe76463
Nezhad, M. T., Shayanfar, A., Yaqoubi, S., Hamedeyazdan, S., Kazemi, M., Garjani, A., & Dizaji, N. M. (2024). Implementation of an integrated pharmacy education system for pharmacy students: a controlled educational trial. BMC Medical Education , 24(1), 1272. https://doi.org/10.1186/s12909-024-06277-2
Nisly, S. A., Sebaaly, J., Fillius, A. G., Haltom, W. R., & Dinkins, M. M. (2020). Changes in pharmacy students' metacognition through self-evaluation during Advanced Pharmacy Practice Experiences. American Journal of Pharmaceutical Education, 84(1), 7489. https://doi.org/10.5688/ajpe7489
Nunes-da-Cunha, I., Arguello, B., Martinez, F. M., & Fernandez-Llimos, F. (2016). A Comparison of Patient-Centered Care in Pharmacy Curricula in the United States and Europe. American Journal of Pharmaceutical Education, 80(5), 83. https://doi.org/10.5688/ajpe80583
Pires, C., & Cavaco, A. (2019). Scoping pharmacy students' learning outcomes: Where do we stand? Pharmacy (Basel), 7(1). https://doi.org/10.3390/pharmacy7010023
Pitkä, K., Airaksinen, M., & Pohjanoksa-Mäntylä, M. (2018). Use and accessibility of health and medication information sources among pharmacy students during their community pharmacy internship. Currents in Pharmacy Teaching and Learning, 10(8), 1041–1047. https://doi.org/10.1016/j.cptl.2018.05.010
Reshadatjoo, H., Jamaali, A., & Nikfar, S. J. E. S. i. M. S. (2019). Determine the dimensions and components of improving the quality of education in pharmacy and determine the gap between the existing and the desired situation. Education Strategies in Medical Sciences, 11(6), 65–72.
Thamby, S. A., & Subramani, P. (2014). Seven-star pharmacist concept by World Health Organization. Journal of Young Pharmacists, 6(2), 1. https://doi.org/10.5530/jyp.2014.2.1
Wathoni, N., Lestari, K., Iftinan, G. N., Rahayu, S. A., Nurlatifah, A., Khairinisa, M. A., & Elamin, K. M. (2023). Knowledge, perception, and readiness of Indonesian pharmacists for the implementation of telepharmacy-based pharmaceutical services in Indonesia. Integrated Pharmacy Research and Practice, 12, 213–225. https://doi.org/10.2147/IPRP.S434790
Westerholm, A., Leiman, K., Kiiski, A., Pohjanoksa-Mäntylä, M., Mistry, A., & Airaksinen, M. (2023). Developing medication review competency in undergraduate pharmacy training: A self-assessment by third-year students. International Journal of Environmental Research and Public Health, 20(6), 5079. https://doi.org/10.3390/ijerph20065079