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Correlating Advanced Pharmacy Practice Experience Exam Scores and Pharmacist Licensure Status in a Single Program
Mabel Truong1, Shane Tolleson1, Nancy D Ordonez1
1Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, Houston, TX, USA.
Advanced pharmacy practice experience (APPE) exam scores can predict pharmacist licensure exam success. A threshold score of 77.8% on APPE exams indicates a higher likelihood of passing the licensure exam.
Area of Science:
- Pharmacy Education
- Licensure Examinations
- Student Performance Assessment
Background:
- Pharmacist licensure exam pass rates have been declining.
- Traditional predictors of exam performance are no longer required.
- There is a need for alternative strategies to predict licensure success.
Purpose of the Study:
- To assess the relationship between advanced pharmacy practice experience (APPE) exam scores and first-time pharmacist licensure exam pass rates.
- To identify a predictive threshold for licensure success based on APPE exam performance.
Main Methods:
- A retrospective, observational analysis was conducted.
- APPE exam scores from 2020-2023 were correlated with Texas licensure data.
- Logistic regression and classification/regression tree analysis were used to identify predictive thresholds.
Main Results:
- The study cohort (2021-2022) had an 80.6% licensure success rate.
- APPE exam scores strongly correlated with licensure success.
- A threshold score of 77.8% on APPE exams differentiated success (82.5%) from failure (16.7%).
Conclusions:
- APPE exam performance is a reasonable predictor of first-time pharmacist licensure exam success.
- This assessment can serve as a valuable risk-stratification tool for students.
- Early identification of at-risk students can facilitate targeted support for licensure.
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