RESEARCH ARTICLE: The impact of Introductory Pharmacy Practice Experience (IPPE) on students' skills during Advanced Pharmacy Practice Experience (APPE)
Keywords:
Advanced Pharmacy Practice Experience, Experiential Education, Introductory Pharmacy Practice Experience, Pharmacy EducationAbstract
Objectives: To evaluate the impact of the Introductory Pharmacy Practice Experience (IPPE) requirement using multiple cohorts of students, including a comparison cohort that did not participate in IPPE. The impact on student experiences in a variety of settings was examined, along with the improvement in confidence with pharmacy practice skills during Advanced Pharmacy Practice Experience (APPE) after participating in IPPE.
Methods: A survey was administered to students from 2010–2015 both pre- and post-completion of their APPE year. The 2010 cohort completed mandatory pharmacy internship experiential hours before starting APPE; however, there was no formal IPPE curriculum. Subsequent cohorts completed a formal IPPE programme. The survey had outpatient (11 items) and inpatient (10 items) pharmacy practice skill scales. Differences between pre- and post-scale scores within cohorts were compared using ANOVA and effect sizes for the change were calculated.
Results: Pre-APPE responses indicated that students had experience in more varied practice settings after IPPE implementation. In 2010, 85% of the students had experience in a chain community pharmacy yet most were lacking experience in other areas. Following implementation of the formal IPPE programme, the percentage of students reporting no experience in other practice settings decreased, for example students reporting no experience in hospital pharmacy decreased from 53% in 2010 to 1%-8% in subsequent cohorts. When comparing pre- to post- mean scores for the outpatient and inpatient scales, there was no statistically significant difference in the 2010 and 2011 cohorts; however, there was a significant difference in the 2012-2015 cohorts with the magnitude of difference increasing over time.
Conclusions: Students completing a formal IPPE programme had experience in more varied practice settings and demonstrated more improvement in confidence across APPE.
References
ACPE [Accreditation Council for Pharmacy Education]. (2006). Accreditation Standards and Guidelines for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree. Available at: https://www.acpe- accredit.org/pdf/S2007Guidelines2.0_ChangesIdentified InRed.pdf. Accessed 1 August, 2019
ACPE [Accreditation Council for Pharmacy Education]. (2011). Accreditation Standards and Guidelines for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree Guidelines 2.0. Available at: https:// www.acpe-accredit.org/pdf/S2007Guidelines2.0_ ChangesIdentifiedInRed.pdf
ACPE [Accreditation Council for Pharmacy Education]. (2016). Accreditation Standards and Key Elements for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree. Available at: www.acpe- accredit. org/pdf/Standards2016FINAL.pdf. Accessed 1 August, 2019
Cohen, J. (1988) Statistical power analysis for the befavioural sciences. 2nd ed. New York, NY: Academic Press
Crill, C.M., Matlock, M.A., Pinner, N.A., & Self, T.H. (2009). Integration of First- and Second-Year Introductory Pharmacy Practice Experiences. American Journal of Pharmaceutical Education, 73(3), 50. doi: 10.5688/aj730350
Devine, P. S. & Darbishire, P. L. (2015). National Trends in IPPE Programs at US Schools of Pharmacy from 2008-2013. American Journal of Pharmaceutical Education, 79(3), 39. doi:10.5688/ajpe79339
Dunning, D. (2011). The Dunning–Kruger Effect: On Being Ignorant of One's Own Ignorance. In Advances in Experimental Social Psychology Volume 44 (Eds. J. Olsen & M. Zanna), San Diego, CA: Academic Press. pp. 247–296. doi: doi.org/10.1016/B978-0-12-385522- 0.00005-6
Fincham, J.E. (2008) Response Rates and Responsiveness for Surveys, Standards, and the Journal. American Journal of Pharmaceutical Education, 72(2), 43. doi:10.5688/aj720243
Galinski, C.N., Horosz, P.J., Spooner, J.J. & Kennedy, D. R. (2014). Comparison of Introductory Pharmacy Practice Experiences Among US Pharmacy Programs. American Journal of Pharmaceutical Education, 78(9), 162. doi:10.5688/ajpe789162
Hailikari, T., Katajavuori, N. & Lindblom-Ylanne, S. (2008). The Relevance of Prior Knowledge in Learning and Instructional Design. American Journal of Pharmaceutical Education, 72(5), 113. doi:10.5688/ aj7205113
Hailikari, T., Nevgi, A. & Lindblom-Ylänne, S. (2007). Exploring
Alternative Ways of Assessing Prior Knowledge, Its Components and Their Relation to Student Achievement: A mathematics based case study. Studies in Educational Evaluation, 33(3), 320-337. doi: https://doi.org/10.1016/j.stueduc.2007.07.007
IBM SPSS Statistics for Windows [computer program]. Version 23.0: IBM Corp.; 2014
FIP [International Pharmaceutical Federation]. (2017). Nanjing Statements: Statements on Pharmacy and Pharmaceutical Scienes Education. Available at: https:// www.fip.org/files/fip/PharmacyEducation/Global_ Conference_docs/Nanjing_Statements.pdf. Accessed 1 August, 2019
Maerten-Rivera, J., Ahn, S., Lanier, K., Diaz, J. & Lee, O. (2016). Effect of a Multiyear Intervention on Science Achievement of all Students Including English Language Learners. Elementary School Journal, 116(4), 600-624
Mort, J.R., Johnson, T.J. & Hedge, D.D. (2010). Impact of an Introductory Pharmacy Practice Experience on Students' Performance in an Advanced Practice Experience. American Journal of Pharmaceutical Education, 74(1), 11. doi:10.5688/aj740111
Mort, J.R., Laible, B.R. & Johnson, T.J. (2011). Implementing Standards 2007 to Improve Students’ Preparation for Advanced Pharmacy Practice Experiences. American Journal of Pharmaceutical Education, 75(4), 74. doi:10.5688/ajpe75474
Nunnaly, J.C. (1978) Psychometric Theory. 2nd ed. New York, NY: McGraw Hill.
Silverstein, S.C., Dubner, J., Miller, J., Glied, S. & Loike, J.D. (2009). Teachers’ Participation in Research Programs Improves Their Students’ Achievement in Science. Science, 326(5951), 440-442. doi:10.1126/ science.1177344
Vovici Software. Available at: http://aussurveys.com/ vovici-overview/. Accessed 1 August, 2019
Wayne, A.J., Yoon, K.S., Zhu, P., Cronen, S. & Garet, M. S. (2008). Experimenting with Teacher Professional Development: Motives and Methods. Educational Researcher, 37(8), 469-479