Late Breaking Original Research
Sunday, October 13, 2024
12:45 PM–02:15 PM
Abstract
Introduction: Entrustable Professional Activities (EPAs) are measures of work that, when paired with entrustment-supervision (ES) scales, are used to assess a learner’s performance.
Research Question or Hypothesis: Can EPA-based assessments by preceptors measure growth of pharmacy student performance across a pharmacy experiential curriculum?
Study Design: Retrospective, cohort
Methods: Assessments using the 2016 AACP Core EPAs 1-6 coupled with an expanded ES scale during experiences in the third and fourth professional year UIC PharmD students from fall 2020 to fall 2023 were analyzed. The primary outcome was the change in entrustment (ES growth) across an experiential curriculum of introductory and advanced pharmacy practice experiences (IPPE/APPE) as assessed by preceptors. Secondary outcomes were growth rates across different types of experiences (community, hospital, ambulatory care, inpatient medicine), training environments (academic medical centers [AMC] versus other healthcare settings [non-AMC]), and the order of these experiences. A conditional growth curve model and an ordinal mixed effects model were used to demonstrate the discrete decisions made for entrustment.
Results: A total 12,426 assessments were completed by 557 preceptors evaluating the performance of 509 students during the study period. The raw ES levels and unconditional curves showed growth over time of students from P3 to P4 year across all six EPAs. When comparing care setting, there was lower entrustment in inpatient than outpatient settings and at AMCs compared to non-AMCs across EPAs 1-6. There were no significant differences in P4 ES levels regardless of which P3 IPPE was taken first. However, when the first APPE was inpatient medicine, overall ES levels for EPA 3 during P4 APPEs were significantly higher than when the first APPE was ambulatory care, and significantly higher for EPA 5 when the first APPE was community.
Conclusion: With an expanded ES scale, EPA-based assessments by preceptors document learner growth over a pharmacy experiential curriculum.
Presenting Author
Jennie B. Jarrett PharmD, MMedEd, PhD, FCCPUniversity of Illinois at Chicago
Authors
Sheila Allen PharmD, BCPS
University of Illinois Chicago
Jeffrey Cheung PhD
University of Illinois at Chicago
Marlowe Djuric Kachlic PharmD
University of Illinois Chicago
Tara Driscoll PharmD
University of Illinois at Chicago College of Pharmacy
Abigail Elmes PharmD, BCPS, MHPE
University of Illinois at Chicago College of Pharmacy
Stuart T. Haines PharmD, BCPS, BCACP
Edward Podsiadlik PhD
University of Illinois Chicago
Allison Schriever Pharm.D.
The University of Illinois College of Pharmacy at Rockford
Alan Schwartz PhD
University of Illinois at Chicago
Ara Tekian PhD, MHPE
University of Illinois Chicago