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Debate activities in U.S. pharmacy education: A scoping review
Berkley R Freund1, Charlotte Farris2, Nephy Samuel2
1Department of Pharmacy Practice, Texas Tech University Health Sciences Center Jerry H. Hodge School of Pharmacy, 1300 Coulter Street, Amarillo, TX 79106, United States.
Background:
Debates have emerged as an active learning strategy in pharmacy education, aiming to enhance critical thinking, communication, engagement, and knowledge acquisition. This review aims to broadly identify and describe debate activities implemented in U.S. Doctor of Pharmacy programs, characterize their design and assessment methods, summarize reported effectiveness on learning and skill development, and identify themes and gaps to inform best practices.
Methods:
A scoping review identified 13 studies conducted in U.S. pharmacy programs that integrated debate activities. Most were implemented in third- and fourth-year coursework, frequently using Lincoln-Douglas or modified formats. Outcomes evaluated included student confidence, skill development, engagement, and knowledge retention, assessed through subjective and objective measures.
Results:
Students consistently reported that debates strengthened confidence in critical thinking, analytical reasoning, and oral communication. Several studies demonstrated significant knowledge gains from pre- to post-debate; however, when compared with alternative methods such as lectures or Journal Clubs, debates were generally non-inferior for knowledge retention. Students valued debates for their engaging format and perceived skill-building benefits. Reported challenges included time demands, logistical complexity, and variability in assessment methods. The lack of standardized evaluation tools limited the ability to draw definitive conclusions about effectiveness.
Implications:
Debates represent a flexible and engaging pedagogical approach with potential to foster higher-order skills and enhance student engagement in pharmacy curricula. Current evidence, however, relies heavily on self-reported outcomes and limited objective measures. Future research should emphasize standardized implementation, development of reliable assessment instruments, and rigorous comparisons with other instructional strategies to clarify the educational impact of debates in pharmacy education.
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