RESEARCH ARTICLE: SOAP with self-reflection to improve student confidence regarding clinical reasoning competencies in community pharmacy practice
Keywords:Clinical reasoning, Community pharmacy, Confidence, Reflection, SOAP note
Objectives: Self-reflection has been shown to foster clinical reasoning competencies (CRC). Thus, the SOAP+, which incorporated self-reflection into the SOAP note, has been implemented in community pharmacy clerkship. The aims of this study was to explore the opinion of pharmacy students regarding 1) the confidence in CRC in community pharmacy practice following the SOAP+ writing and 2) the benefits of reflection in SOAP+ writing.
Methods: This was a mixed method study, including a questionnaire survey and focus group discussions of 6th year pharmacy students. The self-rating confidence score before SOAP writing, after SOAP writing, and after reflection writing to complete the SOAP+ were compared using repeated measure ANOVA. The data from the focus group discussions was analyzed using thematic analysis.
Results: Thirty-seven students completed the questionnaire (68.52% response rate). The scores after reflection writing are the highest score with statistically significant difference for every CRC. The perceived benefits of reflection include promoting of self-directed learning, CRC improvement, and improvement of assessment validity.
Conclusions: The student confidence regarding CRC in community pharmacy practice were improved through SOAP+ writing, which promotes self-reflection and learning from student experiences.
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