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Clinical decision-making and dispensing performance in pharmacy students and its relationship to executive function
Greg Scutt1, Sian Williams1, Vivian Auyeung2
1Medicines Optimisation Research and Enterprise Group, School of Applied Sciences, University of Brighton, UK.
Cognitive functions like visuospatial working memory and implicit memory significantly predict pharmacy students' clinical decision-making. Executive functions also influence dispensing accuracy, highlighting the importance of cognitive skills in pharmaceutical care.
Area of Science:
- Cognitive Psychology
- Pharmaceutical Sciences
Background:
- Pharmacists utilize complex decision-making involving information recall and clinical reasoning.
- Executive functions, such as spatial working memory and verbal reasoning, are crucial for effective pharmaceutical care.
Purpose of the Study:
- To determine if executive function and implicit memory markers predict clinical decision-making and dispensing performance in pharmacy students.
- To investigate the role of cognitive abilities in the competence of future pharmacists.
Main Methods:
- Pharmacy students completed cognitive tests measuring executive functions (verbal working memory, visuospatial working memory) and implicit memory.
- Clinical decision-making was assessed via case studies, and dispensing accuracy was evaluated through a prescription screening task.
Main Results:
- Visuospatial working memory and implicit memory performance explained 63% of the variance in clinical decision-making ability.
- Visuospatial working memory and verbal working memory performance accounted for approximately 30% of the variance in dispensing accuracy.
Conclusions:
- Specific cognitive domains are significant predictors of clinical decision-making and dispensing performance in pharmacy.
- These findings underscore the importance of individual cognitive factors in assessing and ensuring clinical competence in pharmacy practice.
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