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Pharmacy Preceptor Judgments of Student Performance and Behavior During Experiential Training
Kerry Wilbur1, Kyle J Wilby2, Shane Pawluk3
1Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.
American Journal of Pharmaceutical Education
|January 16, 2019
Summary
Canadian pharmacy preceptors show inconsistent judgment of trainee performance during clerkships. The same student performance is evaluated differently, leading to varied failure rates across different training levels.
Area of Science:
- Pharmacy education
- Clinical pharmacy training
Background:
- Pharmacy clerkships are crucial for training future pharmacists.
- Preceptor evaluations significantly impact trainee progression.
Purpose of the Study:
- To investigate how Canadian pharmacy preceptors perceive and evaluate diverse trainee performance levels.
- To identify inconsistencies in preceptor judgment during pharmacy clerkships.
Main Methods:
- A modified Delphi technique was employed with 17 Doctor of Pharmacy (PharmD) preceptors across Canada.
- Preceptors categorized 16 student narrative descriptions of performance into exceed, meet, or below expectations.
- Unanimous categorization was achieved for 75% of student profiles in the final round.
Main Results:
- Six out of twelve unanimously categorized narratives were rated as below expectations.
- A significant majority (98%) of post-baccalaureate PharmD students described as below expectations would fail.
- Failure rates decreased for residents (81%) and entry-to-practice PharmD students (76%) with identical performance descriptions.
Conclusions:
- Pharmacy preceptors exhibit non-uniform judgment of identical student performance during clerkships.
- Inconsistent application of failing grades occurs even when performance is perceived as below expectations.
- Evaluation standards for pharmacy trainees require further standardization to ensure fairness and consistency.
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