Assessment of students' ability to incorporate a computer into increasingly complex simulated patient encounters

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• 作者：Sarah Ray ; PharmD ; BCPS^a ; ^{Sarah.ray@cuw.edu} ; Katie Valdovinos ; PharmD ; BCPS^b
• 关键词：Computer ; Simulation ; Patient communication ; Pharmacy students
• 刊名：Currents in Pharmacy Teaching and Learning
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：9
• 期：1
• 页码：72-77
• 全文大小：251 K
• 卷排序：9

文摘

Pharmacy students should be exposed to and offered opportunities to practice the skill of incorporating a computer into a patient interview in the didactic setting. Faculty sought to improve retention of student ability to incorporate computers into their patient–pharmacist communication.Educational activity and settingStudents were required to utilize a computer to document clinical information gathered during a simulated patient encounter (SPE). Students utilized electronic worksheets and were evaluated by instructors on their ability to effectively incorporate a computer into a SPE using a rubric. Students received specific instruction on effective computer use during patient encounters. Students were then re-evaluated by an instructor during subsequent SPEs of increasing complexity using standardized rubrics blinded from the students.FindingsPre-instruction, 45% of students effectively incorporated a computer into a SPE. After receiving instruction, 67% of students were effective in their use of a computer during a SPE of performing a pharmaceutical care assessment for a patient with chronic obstructive pulmonary disease (COPD) (p < 0.05 compared to pre-instruction), and 58% of students were effective in their use of a computer during a SPE of retrieving a medication list and social history from a simulated alcohol-impaired patient (p = 0.087 compared to pre-instruction).DiscussionInstruction can improve pharmacy students' ability to incorporate a computer into SPEs, a critical skill in building and maintaining rapport with patients and improving efficiency of patient visits. Complex encounters may affect students' ability to utilize a computer appropriately. Students may benefit from repeated practice with this skill, especially with SPEs of increasing complexity.