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Does formative assessment help students to acquire prescribing skills?
Eur J Clin Pharmacol. 2023 Apr; 79(4):533-540.EJ

Abstract

PURPOSE

Formative assessments can help motivate students and ease students' learning through feedback. There is a pressing need for improvement of clinical pharmacotherapy (CPT) education since junior doctors make many prescribing errors. The aim of this study was to determine whether a formative assessment with personalized narrative feedback helps medical students to increase their prescribing skills.

METHODS

This retrospective cohort study was conducted among masters' medical students at Erasmus Medical Centre, The Netherlands. Students made a formative and a summative skill-based prescription assessment, both during clerkships as part of their regular curriculum. Errors in both assessments were categorized by type and possible consequence and compared with each other.

RESULTS

A total of 388 students made 1964 errors in the formative assessment and 1016 in the summative assessment. Most improvements after the formative assessment were seen for mentioning the weight of a child on the prescription (n = 242, 19%). Most new and repeated errors in the summative assessment were missing usage instructions (n = 82, 16% and n = 121, 41%).

CONCLUSIONS

This formative assessment with personalized and individual narrative feedback has helped students to increase the technical correctness of their prescriptions. However, errors repeated after the feedback were predominantly errors showing that only one formative assessment has not yet enhanced the clinical prescribing enough.

Authors+Show Affiliations

Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands. l.kalfsvel@erasmusmc.nl.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Institute of Medical Education Research Rotterdam, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands. Erasmus MC, University Medical Center Rotterdam, Department of Internal Medicine, Rotterdam, The Netherlands.Erasmus MC, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

36811671

Citation

Kalfsvel, L S., et al. "Does Formative Assessment Help Students to Acquire Prescribing Skills?" European Journal of Clinical Pharmacology, vol. 79, no. 4, 2023, pp. 533-540.
Kalfsvel LS, Peeters LEJ, Hoek K, et al. Does formative assessment help students to acquire prescribing skills? Eur J Clin Pharmacol. 2023;79(4):533-540.
Kalfsvel, L. S., Peeters, L. E. J., Hoek, K., Bethlehem, C., van der Sijs, I. H., van der Kuy, P. H. M., van den Broek, W. W., Versmissen, J., & van Rosse, F. (2023). Does formative assessment help students to acquire prescribing skills? European Journal of Clinical Pharmacology, 79(4), 533-540. https://doi.org/10.1007/s00228-023-03456-w
Kalfsvel LS, et al. Does Formative Assessment Help Students to Acquire Prescribing Skills. Eur J Clin Pharmacol. 2023;79(4):533-540. PubMed PMID: 36811671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does formative assessment help students to acquire prescribing skills? AU - Kalfsvel,L S, AU - Peeters,L E J, AU - Hoek,K, AU - Bethlehem,C, AU - van der Sijs,I H, AU - van der Kuy,P H M, AU - van den Broek,W W, AU - Versmissen,J, AU - van Rosse,F, Y1 - 2023/02/22/ PY - 2022/10/27/received PY - 2023/01/14/accepted PY - 2023/2/23/pubmed PY - 2023/2/23/medline PY - 2023/2/22/entrez KW - Education KW - Formative assessment KW - Medical education KW - Medical student KW - Pharmacotherapy KW - Prescribing SP - 533 EP - 540 JF - European journal of clinical pharmacology JO - Eur J Clin Pharmacol VL - 79 IS - 4 N2 - PURPOSE: Formative assessments can help motivate students and ease students' learning through feedback. There is a pressing need for improvement of clinical pharmacotherapy (CPT) education since junior doctors make many prescribing errors. The aim of this study was to determine whether a formative assessment with personalized narrative feedback helps medical students to increase their prescribing skills. METHODS: This retrospective cohort study was conducted among masters' medical students at Erasmus Medical Centre, The Netherlands. Students made a formative and a summative skill-based prescription assessment, both during clerkships as part of their regular curriculum. Errors in both assessments were categorized by type and possible consequence and compared with each other. RESULTS: A total of 388 students made 1964 errors in the formative assessment and 1016 in the summative assessment. Most improvements after the formative assessment were seen for mentioning the weight of a child on the prescription (n = 242, 19%). Most new and repeated errors in the summative assessment were missing usage instructions (n = 82, 16% and n = 121, 41%). CONCLUSIONS: This formative assessment with personalized and individual narrative feedback has helped students to increase the technical correctness of their prescriptions. However, errors repeated after the feedback were predominantly errors showing that only one formative assessment has not yet enhanced the clinical prescribing enough. SN - 1432-1041 UR - https://www.unboundmedicine.com/medline/citation/36811671/Does_formative_assessment_help_students_to_acquire_prescribing_skills DB - PRIME DP - Unbound Medicine ER -