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Journal of Medical Education

Abstract

Background: Objective Structured Clinical Examination (OSCE) provides multidimensional evaluation of the examinees' performance, which is complimentary to traditional tests. However, the effectiveness about small-scale feedback OSCE in Taiwan for paramedical students remains unclear. Here, we reported the implementation for outpatient services training in pharmacy students and the improvement of the training program. Methods: Between 2012 and 2014, 51 students (23.4 ± 1.3 years; 18 males) from 4 schools attended the 3-station OSCE, namely, prescription verification, patient counseling, and medicines delivery, before the end of their internship. After examination, the final scoring and information of students' feedback were analyzed followed by curriculum modification. Results: One student failed. Generally, students reached excellent level more at medicines delivery station than the remaining stations. Female examinees performed better at patient counseling station than males (p = 0.023). At prescription verification and patient counseling stations, the performance in 2014 was better than before (respectively, p = 0.016 and 0.011). The reliability of Cronbach's Alpha was 0.65. The results of content validity index of the 3 stations was an average of 0.8. The discrimination of prescription verification and patient counseling stations were both 0.4, and were classified as excellent test discrimination. All raters and students agreed to the benefit and usefulness of each workstation. Conclusions: Gender difference existed in performance of patient consultation. Prescription verification and patient counseling can be improved by curriculum amendment. This study proved that small-scale feedback OSCE is an effective tool to evaluate and improve the clinical skills and abilities for Taiwanese pharmacy interns.

First Page

49

Last Page

58

DOI

10.6145/jme201706

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