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Preceptor Perspectives Using Entrustable Professional Activity-Based Assessments During Advanced Pharmacy Practice

Abigail T Elmes-Patel1, Sheila M Allen1, Marlowe Djuric Kachlic1

  • 1University of Illinois Chicago Retzky College of Pharmacy, Chicago, IL, USA.

American Journal of Pharmaceutical Education
|November 16, 2024
PubMed
Summary
This summary is machine-generated.

Advanced pharmacy practice experience (APPE) preceptors can use entrustable professional activity (EPA) assessments. Key recommendations include preceptor education and clear expectations for successful implementation in pharmacy experiential education.

Keywords:
Advanced Pharmacy Practice ExperiencesCompetency-based educationEntrustable professional activitiesEntrustment-supervision scalesWorkplace-based assessment

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Area of Science:

  • Pharmacy Education
  • Assessment in Health Professions Education
  • Entrustable Professional Activities (EPAs)

Background:

  • Pharmacy experiential education relies on effective assessment methods.
  • Entrustable Professional Activities (EPAs) offer a framework for workplace-based assessments.
  • Understanding preceptor perspectives is crucial for successful EPA integration.

Purpose of the Study:

  • To explore advanced pharmacy practice experience (APPE) preceptor views on using EPA assessments.
  • To identify implementation recommendations, barriers, and facilitators for EPA use in pharmacy education.

Main Methods:

  • Virtual focus groups with 11 APPE preceptors from 9 institutions.
  • Semistructured discussions analyzed using inductive thematic analysis.
  • Participants had experience with EPA assessments for at least 4 APPE learners.

Main Results:

  • Implementation recommendations: regular preceptor education, student orientation, clear competency levels, frequent discussions.
  • Barriers: abstractness of entrustability, subjective scales, unclear grading, assessment complexity.
  • Facilitators: defined scales, preceptor/student education, pass/fail grading, shorter assessments.

Conclusions:

  • EPA-based assessments are feasible for workplace-based evaluation in APPEs.
  • Faculty/preceptor development and student orientation are essential for successful EPA implementation.
  • Clear expectations and benchmarking are vital for supporting EPA adoption.