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Leveraging an Implementation Fidelity Framework to Assess Quality in Experiential Education
Laura A Rhodes1, Macary Weck Marciniak2, Jacqueline McLaughlin3
1Palm Beach Atlantic University, Lloyd L. Gregory School of Pharmacy, West Palm Beach, Florida.
American Journal of Pharmaceutical Education
|July 20, 2021
Summary
A new logic model and fidelity framework were developed to assess the implementation of introductory pharmacy practice experiences (IPPEs). This system provides an objective method for evaluating pharmacy education quality assurance.
Area of Science:
- Pharmacy Education
- Experiential Learning
- Curriculum Development
Background:
- Fidelity metrics are crucial for evaluating the successful implementation of designed experiential programs.
- The UNC Eshelman School of Pharmacy introduced a new curriculum with three sequential, two-month introductory pharmacy practice experiences (IPPEs).
Purpose of the Study:
- To design a logic model for the initial IPPE in the series.
- To identify key variables for program implementation.
- To define fidelity indices and benchmarks, and calculate a fidelity score for each IPPE site.
Main Methods:
- Collected data from course syllabi, learning outcomes, assignments, and student/preceptor evaluations for 50 IPPE sites hosting 147 students.
- Developed a logic model outlining inputs, activities, outputs, and outcomes for the IPPE.
- Identified key variables and measures for a fidelity framework and generated site-specific fidelity scores.
Main Results:
- Identified 24 critical variables across three components: patient care activities, preceptor compliance, and site training/evaluation.
- The average fidelity score across all sites was 59.1% (Standard Deviation 16.4%).
Conclusions:
- A logic model and fidelity framework offer an objective approach to evaluating IPPE delivery at practice sites.
- This methodology can assist pharmacy schools in tailoring quality assurance initiatives for their programs.