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Falling NAPLEX pass rates are cause for concern.

Kamila A Dell1, Laura M Frankart2, Kelechi C Ogbonna2

  • 1Pharmacotherapeutics and Clinical Research, University of South Florida Taneja College of Pharmacy, 12901 Bruce B. Downs Blvd, MDC 30, Tampa, FL 33612, United States of America.

Currents in Pharmacy Teaching & Learning
|December 21, 2023
PubMed
Summary
This summary is machine-generated.

First-time pass rates for the North American Pharmacist Licensure Examination (NAPLEX) have dropped significantly. This decline, affecting over a third of pharmacy schools, requires a comprehensive review of educational and assessment practices.

Keywords:
NAPLEXNAPLEX pass rate

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Area of Science:

  • Pharmacy education
  • Licensure examination performance

Background:

  • First-time pass rates on the North American Pharmacist Licensure Examination (NAPLEX) have declined by 7% between 2019 and 2022.
  • Over one-third of pharmacy schools have observed a pass rate decline of 10% or more.

Purpose of the Study:

  • To identify potential multifactorial causes for the observed decline in NAPLEX first-time pass rates.
  • To prompt a critical evaluation of factors beyond the COVID-19 pandemic impacting licensure examination success.

Main Methods:

  • Analysis of trends in NAPLEX first-time pass rates from 2019 to 2022.
  • Consideration of recent changes to the NAPLEX examination blueprint (2021).
  • Evaluation of curricular revisions aligned with Accreditation Council for Pharmacy Education (ACPE) Standards 2016 and changes in prerequisite course requirements.

Main Results:

  • A notable 7% decrease in NAPLEX first-time pass rates occurred between 2019 and 2022.
  • More than 33% of pharmacy schools reported a decline of 10% or greater in their first-time pass rates during this period.

Conclusions:

  • The decline in NAPLEX pass rates is likely multifactorial, necessitating a review of admissions, curriculum, and assessment processes.
  • Increased transparency from the National Association of Boards of Pharmacy regarding student-level data and passing standards is crucial for addressing this issue.