A Single Academic Site Study of Five Years Evaluating Pharmacy Students' Palliative Care Clinical Reasoning Using Script Concordance Testing.

Introduction: This study aimed to evaluate the impact of a Pain and Palliative Care elective didactic course on enhancing clinical reasoning skills among Doctor of Pharmacy (PharmD) students using the Script Concordance Test (SCT). As palliative care education becomes increasingly vital in pharmacy...

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Publicado en:American Journal of Hospice & Palliative Medicine Vol. 42; no. 12; pp. 1229 - 1234
Autores principales: Labrador, Florence, Edmonds, Kyle P., Ajayi, Toluwalase A., Atayee, Rabia S.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 42
      iid: 12
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/10499091251342625
        188720312
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        atl: A Single Academic Site Study of Five Years Evaluating Pharmacy Students' Palliative Care Clinical Reasoning Using Script Concordance Testing.
      aug:
        au:
          Labrador, Florence
          Edmonds, Kyle P.
          Ajayi, Toluwalase A.
          Atayee, Rabia S.
        affil: Skaggs School of Pharmacy & Pharmaceutical Sciences, UC San Diego Health Sciences, La Jolla, CA, USA
      sug:
        subj:
          Students, Pharmacy
          Palliative Care Education
          Pain Management Education
          Clinical Reasoning Evaluation
          Professional Competence
          Human
          United States
          Adult
          Prospective Studies
          Education, Pharmacy
          Schools, Medical
          Surveys
          T-Tests
          Critically Ill Patients
          Curriculum
          Medical Fellowships
          Ambulatory Care Facilities
          Item Analysis
          Adult: 19-44 years
      ab: Introduction: This study aimed to evaluate the impact of a Pain and Palliative Care elective didactic course on enhancing clinical reasoning skills among Doctor of Pharmacy (PharmD) students using the Script Concordance Test (SCT). As palliative care education becomes increasingly vital in pharmacy training, assessing its effectiveness is essential for curriculum development. Methods: A 5-year prospective study was conducted between 2018 and 2023 at a single academic institution. The elective course was offered six times, covering various palliative care topics such as opioid management, procedural pain, and end-of-life care. A total of 130 third year PharmD candidate students, completed pre- and post-course SCT assessments. The SCT, administered via an online platform, was used to measure clinical reasoning in ambiguous scenarios, with scores compared to a panel of expert responses. Results: The study found a statistically significant improvement in SCT scores from pre- to post-course assessments (P = 0.04), with a mean score increase of 0.09. The 5-year cohort's average score (0.56) outperformed a previous multisite cohort (0.50), although the difference was not statistically significant. Item analysis highlighted areas where students struggled, such as bowel obstruction and CYP interactions, indicating potential areas for curriculum enhancement. Conclusion: This study demonstrates the effectiveness of a targeted palliative care elective in improving clinical reasoning skills among pharmacy students. The findings suggest the need for ongoing curriculum refinement to address specific areas of difficulty and ensure comprehensive palliative care education.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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