A Longitudinal Integrative Course Series to Prepare Students for Advanced Pharmacy Practice Experiences

Joelle Ayoub

Western University of Health Sciences College of Pharmacy

Doreen Pon

Western University of Health Sciences College of Pharmacy

Huan Mark Nguyen

Western University of Health Sciences College of Pharmacy

Anne J. Kugler

Western University of Health Sciences College of Pharmacy

Hyma P. Gogineni

Western University of Health Sciences College of Pharmacy

Jenny H. Kang

Western University of Health Sciences College of Pharmacy

Donald I. Hsu

Western University of Health Sciences College of Pharmacy

Eunice P. Chung

Western University of Health Sciences College of Pharmacy

DOI: https://doi.org/10.24926/iip.v13i2.4561

Keywords: capstone course, curricular integration, pharmacy education, high-stakes assessment, curriculum design


Abstract

Background: This paper describes a series of integrative courses intentionally designed to prepare students for Advanced Pharmacy Practice Experiences (APPEs) in a block system curriculum. 

Innovation:  Three integration blocks are interspersed throughout the didactic curriculum to serve as checkpoints to ensure competency as students progress in the curriculum, rather than waiting until the end to determine competency. Complex patient case discussions and a series of high-stakes assessments are used to reinforce and evaluate cumulative retention of knowledge, skills, and attitudes. 

Findings:  Class of 2022 exam results showed that in the cohort of students who failed the high-stakes comprehensive knowledge assessment (CKA) and pharmacy calculations exams during the first integration block (IB), failure rates decreased in subsequent IBs, indicating early detection of knowledge deficiencies and either exam performance improvement in each IB or failure to progress to the next IB. A survey of the same cohort indicated that the final integration block prior to advanced pharmacy practice experiences (APPEs) helped improve confidence in applying key knowledge and skills into practice. 

Conclusion:  The series of integration blocks designed and implemented at WesternU provides opportunities to reinforce knowledge and skills while requiring students to demonstrate maintenance of core competency as they progress through the curriculum.

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