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Updated: May 8, 2026

Problem-Solving Before Instruction (PS-I): A Protocol for Assessment and Intervention in Students with Different Abilities
Published on: September 11, 2021
Incremental development of an integrated assessment method for the professional curriculum
Melissa S Medina1, Mark L Britton, Nancy A Letassy
1University of Oklahoma College of Pharmacy, 1110 N. Stonewall, Oklahoma City, OK 73190, USA. melissa-medina@ouhsc.edu
Integrated knowledge and skills examinations were successfully embedded into pharmacy curricula. This initiative improved assessment quality and student understanding of learning expectations over a three-year period.
Area of Science:
- Pharmacy Education
- Curriculum Development
- Assessment in Higher Education
Background:
- Pharmacy programs require robust assessment strategies to evaluate student competency.
- Integrating knowledge and skills assessments into existing coursework can enhance learning outcomes.
- Accreditation standards necessitate effective formative and summative assessments.
Purpose of the Study:
- To develop and implement biannual integrated knowledge and skills examinations in the first three years of a pharmacy curriculum.
- To embed these examinations into final course assessments, contributing 10% to the final grade.
- To enhance the college's assessment culture and meet accreditation requirements.
Main Methods:
- Forming an integrated examination committee to guide the process.
- Establishing year-specific committees to identify key content and develop measurable objectives.
- Creating and refining multiple-choice and performance-based questions based on integrated objectives.
- Implementing an iterative review process involving faculty and student performance data.
Main Results:
- Achieved all eight performance objectives for the integrated examinations.
- Secured participation from 64% of the college's faculty, enhancing examination quality.
- Minimized faculty burden through incremental development over three years.
- Improved student comprehension of knowledge and skill retention expectations.
Conclusions:
- Biannual integrated examinations strengthened the assessment culture within the pharmacy college.
- The developed examinations effectively addressed accreditation guidelines for student knowledge and skills assessment.
- The program demonstrated a successful model for continuous refinement and improvement of pharmacy education assessments.
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