Team-Based Decision-Making in an Objective Structured Clinical Examination (OSCE)
Autor: | Shane Pawluk, Daniel Rainkie, Renée Dagenais, Kyle John Wilby |
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Rok vydání: | 2018 |
Předmět: |
Licensure
Medical education 020205 medical informatics Descriptive statistics Conceptualization Objective structured clinical examination lcsh:RS1-441 Experiential education Rubric 02 engineering and technology Assessment Collaboration lcsh:Pharmacy and materia medica 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Curriculum 030212 general & internal medicine Evaluation Psychology Pharmacy Education Competence (human resources) |
Zdroj: | INNOVATIONS in Pharmacy, Vol 9, Iss 3 (2018) |
ISSN: | 2155-0417 |
DOI: | 10.24926/iip.v9i3.1255 |
Popis: | Evaluation of pre-licensure students’ competency in team-based decision-making is lacking. The purposes of this study were to evaluate pre-licensure pharmacy students’ competency in team-based decision-making in the context of an objective structured clinical examination (OSCE), and to determine whether performance correlated with reflective assignment scores. Students’ self-assessment and conceptualization of team-based decision-making in practice was also evaluated. Twenty-three pre-licensure pharmacy students’ competency in team-based decision-making was evaluated in an OSCE station and with a reflective journal assignment; rubric scores for both evaluations were compared using Spearman’s rank order analysis. Students completed an 18-item questionnaire regarding attitudes, confidence, and perceptions related to team-based decision-making. Descriptive statistics and construct analysis with open coding were used to analyse questionnaire results. Mean OSCE station and reflective journal scores were 45% and 66.3%, respectively, and were not correlated. Students’ attitudes toward team-based decision-making were positive, and they reported performing associated behaviours during experiential education rotations. Students appropriately defined ‘team-based decision-making’ and were highly confident in performing related activities. However, students’ conceptualization of team-based decision-making did not align with the pharmacy program’s competency framework. Three key themes were identified through the study analyses: 1) student performance is dependent on assessment context when evaluating collaborator-related competencies; 2) there is a mismatch between students’ perceived competency and objectively measured competence when collaborator outcomes were assessed within an OSCE; and 3) students’ perceptions of team-based decision-making do not align with the program’s competency framework. Future research is necessary to assess competency and perceptions of team-based decision-making in students from other healthcare professions, and to further evaluate whether pre-licensure students are “collaborative practice ready”. Article Type: Case Study |
Databáze: | OpenAIRE |
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