SOAP Notes During APPEs: Assessment of Student Performance

2019 ◽  
pp. 089719001988527
Author(s):  
Timothy Nguyen ◽  
Elaine Wong ◽  
Zhe Wang ◽  
Tamara Goldberg

Objectives: To evaluate and compare students’ ability to perform in each area of the subjective, objective, assessment, and plan (SOAP) note during advanced pharmacy practice experiences (APPEs) within an academic year. This study also aimed to compare the quality of SOAP notes between semesters: summer (1-3 rotation blocks), fall (4-6 rotation blocks), and spring (7-9 rotation blocks). Methods: During internal medicine and acute-care APPEs, students were required to submit a minimum of 2 SOAP notes. Each SOAP note was assessed by a full-time faculty member at a College of Pharmacy. Students were rated on the ability to perform in each area of the SOAP note using a rubric with a scale of 1 to 5 (1 = unacceptable/needs significant improvement, 5 = exemplary). This study was granted exempt approval by the Long Island University institutional review board. Results: Quality of the SOAP note summer versus fall versus spring rotations: Thirty-four SOAP notes were assessed during the summer, 48 SOAP notes were assessed during the fall, and 46 SOAP notes were assessed during the spring. Students performed similarly regardless of the semester they took for “subjective/objective, assess, and plan.” All P values were nonstatistically significant. Performance on SOAP note #1 versus SOAP note # 2: On overall rubrics for SOAP notes 1 versus SOAP notes 2, students did better on SOAP notes 2 after feedback, and an opportunity to improve was provided. There were statistically significant differences on all areas of SOAP note “subjective/objective, assess, and plan.” Conclusion: Overall, students performed adequately on the SOAP note activity during APPE rotations. Students performed similarly regardless of the semester/time when students took the APPEs during an academic year.

Author(s):  
Sangita Timsina ◽  
Bhuvan K.C. ◽  
Dristi Adhikari ◽  
Alian A. Alrasheedy ◽  
Mohamed Izham Mohamed Ibrahim ◽  
...  

Community pharmacies in Nepal and other South Asian countries are in a mediocre state due to poor regulation and the fact that many pharmacies are run by people with insufficient training in dispensing. This has led to the inappropriate use of medicines. The problems due to poor regulation and the mediocre state of community pharmacies in South Asia encompass both academia and clinical practice. In this paper, a 2-week community pharmacy internship programme completed by 2 graduating pharmacy students of Pokhara University (a Nepalese public university) at Sankalpa Pharmacy, Pokhara, Nepal is illustrated. During the internship, they were systematically trained on store management, pharmaceutical care, counselling skills, the use of medical devices, pharmaceutical business plans, medicine information sources, and adverse drug reaction reporting. An orientation, observations and hands-on training, case presentation, discussion, and feedback from 2 senior pharmacists were used as the training method. A proper community pharmacy internship format, good pharmacy practice standards, and a better work environment for pharmacists may improve the quality of community pharmacies.


Author(s):  
James B. Martin ◽  
Royce Ann Collins

Teaching is the bedrock of the learning environment; however, few instructors receive formal instruction on how to teach. While the quality of teaching adults can be assessed in numerous ways, these authors used their experience of creating faculty development programs at small, liberal arts universities to discuss instructor selection, student ratings, mentorship, and peer review. Looking through the lens of formative assessment (evaluation for improvement rather than judgment) and faculty development, this chapter looks at creating a faculty evaluation system which will grow instructors. While many of the items discussed in this chapter could be used with full-time faculty, the focus for these authors is the adjunct community who teach in many adult education programs.


Author(s):  
Ahmad Luky Ramdani ◽  
Raidah Hanifah ◽  
Okta Pilopa

Improving the quality of learning is one of the things that must be achieved in the college academic process. To achieve this, monitoring and evaluation of the results of the learning process is needed, namely by looking at student performance. Based on this, the research aims to develop a university data warehouse with student performance objects that will be used by the board application for the monitoring process. The application was successfully developed with several main features, namely: a) displaying the number of students based on year, region and the entrance to college, b) displaying a comparison of the number of students in each academic year based on student status , d) display student performance every academic year and e) KPI values based on needs analysis. These features have been tested using the blackbox approach and the test results show that the features work properly and produce outputs in corresponding to the test scenario.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S351-S351
Author(s):  
Bruce M Jones ◽  
Kelly Gamble ◽  
Summer Sizemore ◽  
Christopher M Bland

Abstract Background Antimicrobial stewardship programs (ASP) play an important role in the assessment of patients with a reported history of penicillin allergy. Full-time pharmacists performing antimicrobial stewardship face many time barriers and limited resources to interviewing and investigating self-reported allergies. Pharmacy students on Advanced Pharmacy Practice Experience (APPE) rotations during their fourth year can potentially play an important role in this evaluation if properly trained, but data are limited. This study evaluated APPE student interventions on hospital inpatients self-reporting a penicillin allergy. Methods This quasi-experimental study assessed patients with a self-reported penicillin allergy who were interviewed by APPE students from October 2018 through March 2019. Students on a 5-week infectious diseases rotation were trained in allergy assessment and interview skills by their preceptor and given a daily list of all inpatients with a self-reported penicillin allergy. After reviewing patients with the preceptor, the electronic health record was updated with specifics of the allergy, including the range, reaction, and any β-lactams tolerated since. Interventions included penicillin re-challenge, graded challenge, penicillin skin testing, desensitization, or removal or the allergy. The primary outcome was interventions attributed to APPE student patient interviews. Results A total of 12 APPE students participated in the study. Reported reactions ranged from mild allergies (itching, rash) or adverse reactions (nausea, vomiting) to intermediate or severe allergies (hives, anaphylaxis). For the primary outcome there were 162 interventions performed, with 154 verbal, 2 re-challenges, and 6 skin tests. For the verbal interventions, 95 had their allergy updated, 34 removed, and 33 confirmed. None of the 8 patients who were skin tested or re-challenged had a subsequent reaction. Conclusion Pharmacy students can expand ASP allergy reconciliation services for patients with penicillin allergies in settings with limited resources. After proper training, students were effective in multiple aspects of allergy reconciliation with a significant number able to have their penicillin allergy removed. Disclosures All authors: No reported disclosures.


2018 ◽  
Vol 8 (1) ◽  
pp. 7-13
Author(s):  
Jolene R. Bostwick ◽  
Gillian P. Leung ◽  
Tawny L. Smith ◽  
Uzma Ahmed ◽  
Jacquelyn L. Bainbridge ◽  
...  

Abstract Introduction: Introductory pharmacy practice experiences (IPPEs) are 1 requirement schools and colleges of pharmacy must fulfill to meet accreditation standards. The purpose of this manuscript is to report existing IPPEs in psychiatry and neurology across the United States. Methods: Two separate electronic surveys were administered to individual College of Psychiatric and Neurologic Pharmacists members with board certification in psychiatric pharmacy with an academic affiliation and academic institutions in the 2014-15 academic year to assess the neuropsychiatric curriculum in pharmacy programs. Results focusing on IPPEs were summarized using descriptive statistics. Results: Academic institutional data reveal only 37.3% offered IPPEs in psychiatry, and 6.7% offered neurology. The number of available IPPEs is low even if a program offered an available rotation. The majority of College of Psychiatric and Neurologic Pharmacists member respondents (69.9%) did not offer IPPEs in psychiatry in the 2014-15 academic year, and none offered an IPPE in neurology. More than half of individual respondents feel their institution should increase IPPEs in psychiatry and neurology in order to enhance their curriculum. Discussion: To expand IPPE availability, pharmacy programs should increase early exposure of pharmacy students to patients with psychiatric and neurologic conditions. Longitudinal experiences may allow students to engage in hands-on experiences, which may impact future career aspirations and reduce stigma. Current example IPPEs at the authors' institutions are included to stimulate discussion and action among readers on how IPPEs in these practice areas may be developed. Implementation of IPPEs in psychiatry and neurology is needed for students to gain experience working with these patients.


2007 ◽  
Vol 74 (3) ◽  
pp. 161-171 ◽  
Author(s):  
Susan Mulholland ◽  
Michele Derdall

Background. Fieldwork at the University of Alberta traditionally occurred at the end of the academic year after substantial coursework. This model for fieldwork was challenged when the University of Alberta instituted a new curriculum in 2001 which included a four week, full-time Level 1 fieldwork placement early in the first semester. Purpose. The focus of this study was to evaluate an early placement by gathering feedback from the primary stakeholders. Methods. A mail survey comprised of open-ended and closed questions was conducted. Results. Sixty-four student and 82 preceptor surveys were returned. Overall, the feedback from students and preceptors was positive about the value and quality of the placement. However, responses varied regarding the timing and duration of the experience. Both students and preceptors gave suggestions for improvements to these placements. Practice Implications. The results of this study will provide useful information for curriculum planning and for student and preceptor preparation for fieldwork.


2002 ◽  
Vol 3 (1) ◽  
pp. 43-50
Author(s):  
J. Verstraete ◽  
D. P. Huyskens

Background and purpose: Due to the increased complexity of the radiotherapy process in recent years, many QA procedures have been introduced to improve the quality of the treatment preparation and the treatment delivery. Most of these procedures give no direct information on the efficiency of the overall process in the radiotherapy department. It is quite evident that the frequency of errors will affect the efficiency of the process (for instance manpower to solve the detected problems), but also affect more generally the patients' experience.Material and methods: To make some objective assessment of the erroneous entries in the process of radiotherapy, a pilot study was initiated to report all problems during a period of 2 months on a dedicated QA form. By registration of these errors, the QA group could trace the main sources of the decrease in efficiency and increased waiting time for patients.Results and conclusions: For 46% of the patients during the two months at least one QA forms was filled in. With these QA forms 198 erroneous entries including 33 erroneous treatments were reported. Regarding the origin of the problems, the majority (60%) were generated in the planning process, while 56% of the errors were detected at the treatment unit before or during delivery of the first fraction. In total 461 actions were undertaken to recover all the reported errors. This generated time delay for 145 patients. Extrapolating these results to a year, a 0.7 full time equivalent person is spent to recover these errors, while the total patient population waits for about 140 hours. Corrective actions have been undertaken to optimise the overall process.


Author(s):  
S. G. Grigoriev ◽  
M. V. Kurnosenko ◽  
A. M. Kostyuk

The article discusses possible forms of educational STEM projects in the field of electronics and device control using Arduino controllers. As you know, the implementation of such STEM projects can be carried out not only using various electronic constructors, but also using virtual modeling environments. The knowledge obtained during modeling in virtual environments makes it possible to increase the efficiency of face-to-face practical training with a real constructor, and to improve the quality of students’ knowledge. The use of virtual modeling environments in combination with the use of real constructors provides links between distance and full-time learning. A real constructors can be used simultaneously by both the teacher and the student, jointly practicing the features of solving practical problems. The article provides examples of using a virtual environment for preliminary prototyping of circuits available in the documentation for electronic constructors, to familiarize students with the basics of designing and assembling electronic circuits using the surface mounting method and on a breadboard, as well as programming controllers on the Arduino platform that control electronic devices. This approach allows students to accelerate the assimilation of various interdisciplinary knowledge in the field of natural sciences using STEM design.


2007 ◽  
Vol 148 (43) ◽  
pp. 2033-2041
Author(s):  
Éva Belicza ◽  
Erika Takács

A nemzetközi szakirodalom egyre gyakrabban foglalkozik azzal a kérdéssel, hogy a minőségi indikátorokra támaszkodó nyilvános minőségértékelésnek mi a hatása az ellátás minőségére és az érintettek döntésére vonatkozóan, illetve melyek azok a kritériumok, amelyek mentén nyilvános minőségértékelési rendszereket célszerű kialakítani. A nemzetközi szakirodalom alapján a dolgozat hat témakört mutat be: (1) az indikátorok képessége a szolgáltatók megkülönböztetésére; (2) az eredményindikátorok alkalmassága a szolgáltatók megítélésére; (3) a bajnoki tabellák képessége a szolgáltatók rangsorolására; (4) a lakosság viselkedése a szolgáltatók választása során; (5) az indikátorokra támaszkodó nyilvános minősítések hatásai; (6) ajánlások minősítési rendszerek kidolgozására. A szakirodalmi kutatások szerint elsősorban a kockázatkiegyenlítési problémák miatt az indikátorok képessége a szolgáltatók megkülönböztetésére a nyújtott ellátás minősége szempontjából kérdéses; az elért ellátási eredmények nem feltétlenül utalnak vissza az ellátási folyamatok minőségére; a több indikátorból komponált intézményi sorrendek (bajnoki tabellák) nem megbízhatóak; a lakosság a szolgáltatók kiválasztásakor elsősorban a környezet véleményét és a távolságot veszi figyelembe; és a nyilvános közlések hatására igazoltan romlik az ellátás átfogó minősége. A szolgáltatók értékelésében alkalmazott mérési eredmények közzétételét eszköznek kell tekinteni. A lakosság intézményválasztásának elősegítésére az ő preferenciáik mentén végzett betegelégedettségi vizsgálatok nyilvánossá tétele hozhatja meg a kívánt eredményt. A minőségfejlesztési célokat igazoltan segítik a szolgáltatói körben végzett közvetlen visszajelzések az indikátorok mért értékeiről, illetve pontosabb kép kapható az ellátási és szervezési folyamatok, standardok egységes felülvizsgálatára alapozott eljárások külső értékelési rendszerekbe történő beemelésével.


2011 ◽  
Vol 15 (3) ◽  
Author(s):  
Jay Alden

The use of team projects has been shown to be beneficial in higher education. There is also general agreement that team efforts should be assessed and that the grading ought to represent both (1) the quality of the product developed jointly by the team as well as (2) the degree of participation and quality of contribution by each individual student involved in the group process. The latter grading requirement has posed a challenge to faculty so the question addressed in this paper is “How should individual team members in online courses be assessed for the extent and quality of their contributions to the group project?” To answer this question, four common team member evaluation practices were reviewed and compared to seven criteria representing positive attributes of an assessment practice in an online learning environment. Whereas the Peer Assessment practice received the greatest support in the literature in face-to-face courses, this study that considered the perceptions of graduate faculty and students recommended the Faculty Review practice as the default assessment


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