Test-enhanced learning in a pharmacy therapeutics course


Test-Enhanced Learning, Pharmacy Education, Time Management, Perceived Stress


Objective: To confirm the effect of test-enhanced learning in pharmacy students and to assess students’ perceptions of additional graded tests in a therapeutics course.

Methods: The number of graded tests were increased from two to four in a pharmacy therapeutics course during 2017. The authors compared the median score change from the first to the last test between the 2016 and 2017 student cohorts. The 2017 cohort was surveyed to determine student perceptions of additional graded tests.

Results: The median test score increased significantly from the first to the last test in the 2017 cohort (84.0% vs 76.9%; p<0.0001), but not in the 2016 cohort (76.7% vs 76.3%; p=0.95). Students reported improved time management skills and reduced levels of stress and test anxiety with a greater number of tests.

Conclusions: Increasing the number of graded tests from two to four in a pharmacy therapeutics course may enhance academic performance, improve time management skills, and reduce stress and test anxiety.


Ali, S.H. (2014). Psychometrics and test-enhanced learning in a patient-centered learning curriculum. Dissertation thesis. University of North Dakota.

Bahrick, H.P. (1992). Stabilized memory of unrehearsed knowledge. Journal of Experimental Psychology: General, 121, 112-113

Beall, J.W., DeHart, R.M., Riggs, R.M. & Hensley, J. (2015). Perceived stress, stressors, and coping mechanisms among Doctor of Pharmacy students. Pharmacy (Basel), 25, 344-354

Cepeda, N.J., Pashler, H., Vul, E., Wixted, J.T. & Rohrer, D. (2006). Distributed practice in verbal recall tasks: a review and quantitative synthesis. Psychology Bulletin, 132, 354–380

Custers, E.J. (2010). Long-term retention of basic science knowledge: a review study. Advances in Health Science Education: Theory and Practice, 15, 109-128

Green, M.L., Moeller, J.J. & Spak J.M. (2018). Test- enhanced learning in health professions education: A systematic review: BEME Guide No. 48. Medical Teacher, 40, 337-350

Hernick, M. (2015). Test-Enhanced Learning in an Immunology and Infectious Disease Medicinal Chemistry/Pharmacology Course. American Journal of Pharmaceutical Education, 79, 97

Larsen, D.P., (2013). When I say...test-enhanced learning. Medical Education, 47, 961.

Larsen, D.P., Butler, A.C. & Roediger, 3rd, H.L. (2013). Comparative effects of test-enhanced learning and self- explanation on long-term retention. Medical Education, 47, 674-682

Larsen, D.P., Butler, A.C., & Roediger, 3rd, H.L. (2009). Repeated testing improves long-term retention relative to repeated study: a randomised controlled trial. Medical Education, 43, 1174-1181

Leming, F.C. (2002). The exam-a-day procedure improves performance in psychology classes. Teaching of Psychology, 29, 210-212

Marshall, L.L., Allison, A., Nykamp, D. & Lanke, S. (2008). Perceived stress and quality of life among Doctor of Pharmacy students. American Journal of Pharmaceutical Education, 72, 137

McConnell, M.M., St-Onge, C. & Young, M.E. (2015). The benefits of testing for learning on later performance. Advances in Health Science Education. Theory and Practice, 20, 305-320

Newble, D.I. & Jaeger, K. (1983). The effect of assessments and examinations on the learning of medical students. Medical Education, 17, 165–171

Raupach, T., Andresen, J.C., Meyer, K., Strobel, L., Koziolek, M., Jung, W., Brown, J. & Anders, S. (2016). Test-enhanced learning of clinical reasoning: a crossover randomised trial. Medical Education, 50, 711-720

Sansgiry, S. & Sail, K. (2006). Effect of students' perceptions of course load on test anxiety. American Journal of Pharmaceutical Education, 70, 26

Schuwirth, L.W., & Van der Vleuten, C.P. (2011). Programmatic assessment: From assessment of learning to assessment for learning. Medical Teacher, 33, 478-485

Schuwirth, L.W., Valentine, N. & Dilena, P. (2017). An application of programmatic assessment for learning (PAL) system for general practice training. GMS Journal of Medical Education, 34, Doc56

Shin, J., Tabatabai, D., Boscardin, C., Ferrone, M. & Brock, T.P. (2018). Integration of a Community Pharmacy Simulation Program into a Therapeutics Course. American Journal of Pharmaceutical Education, 82, 6189

Spreckelsen, C. & Juenger, J. (2017). Repeated testing improves achievement in a blended learning approach for risk competence training of medical students: results of a randomized controlled trial.

BMC Medical Education, 17, 177

Wheeler, M.A., Ewers, M. & Buonanno, J.F. (2003). Different rates of forgetting following study versus test trials. Memory, 11, 571-80

Wojcikowski, K. & Kirk, L. (2013). Immediate detailed feedback to test-enhanced learning: an effective online educational tool. Medical Teacher, 35, 915-919




How to Cite

Test-enhanced learning in a pharmacy therapeutics course. (2019). Pharmacy Education, 19(1), p 100–107. Retrieved from https://pharmacyeducation.fip.org/pharmacyeducation/article/view/673



Research Article