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Multicentered Study Evaluating Pharmacy Students' Perception of Palliative Care and Clinical Reasoning Using Script
Rabia S Atayee1,2, Kashelle Lockman3, Cara Brock4
11 UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, CA, USA.
The American Journal of Hospice & Palliative Care
|April 26, 2018
Summary
Pharmacy students demonstrated improved confidence and clinical reasoning in palliative care after completing an elective. This highlights the value of specialized education for pharmacists in palliative care teams.
Area of Science:
- Pharmacy Education
- Palliative Care
- Clinical Reasoning
Background:
- The expanding role of pharmacists in palliative care necessitates enhanced training.
- Pharmacy schools need to integrate palliative care and clinical reasoning instruction.
Purpose of the Study:
- To evaluate the impact of a didactic palliative care elective on pharmacy students' skills.
- To assess changes in student confidence and clinical decision-making.
Main Methods:
- Surveys administered pre- and post-elective to 89 second- and third-year pharmacy students.
- Utilized the script concordance test (SCT) to evaluate clinical decision-making.
- Compared student SCT scores against a panel of experts.
Main Results:
- No significant change in perceived importance of palliative care skills.
- Significant increase in student confidence in palliative care skills.
- Significant improvement in clinical reasoning skills across most SCT questions.
Conclusions:
- Students electing palliative care likely recognize its importance.
- Palliative care electives enhance pharmacy students' confidence and clinical reasoning.
- Specialized pharmacy education improves preparedness for palliative care practice.
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