Online Virtual-Patient Cases Versus Traditional Problem-Based Learning in Advanced Pharmacy Practice Experiences

Objective. To evaluate the efficacy of faculty-led problem-based learning (PBL) vs online simulated-patient case in fourth-year (P4) pharmacy students. Design. Fourth-year pharmacy students were randomly assigned to participate in either online branched-case learning using a virtual simulation platform or a small-group discussion. Preexperience and postexperience student assessments and a survey instrument were completed. Evaluation. While there were no significant differences in the preexperience test scores between the groups, there was a significant increase in scores in both the virtual-patient group and the PBL group between the preexperience and postexperience tests. The PBL group had higher postexperience test scores (74.8±11.7) than did the virtual-patient group (66.5±13.6) (p=0.001). Conclusion. The PBL method demonstrated significantly greater improvement in postexperience test scores than did the virtual-patient method. Both were successful learning methods, suggesting that a diverse approach to simulated patient cases may reach more student learning styles.

[1]  R. Steadman,et al.  Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills* , 2006, Critical care medicine.

[2]  Jill D. Salisbury-Glennon,et al.  Status of Problem-Based Learning Research in Pharmacy Education: A Call for Future Research. , 2002 .

[3]  Richard C. Fisher,et al.  The Potential for Problem-Based Learning in Pharmacy Education: A Clinical Therapeutics Course in Diabetes , 1994, American Journal of Pharmaceutical Education.

[4]  R W Jones,et al.  Problem-based Learning: Description, Advantages, Disadvantages, Scenarios and Facilitation , 2006, Anaesthesia and intensive care.

[5]  Z. Austin Development and Validation of the Pharmacists' Inventory of Learning Styles (PILS) , 2011 .

[6]  Lindsay B. Curtin,et al.  Computer-based Simulation Training to Improve Learning Outcomes in Mannequin-based Simulation Exercises , 2011, American Journal of Pharmaceutical Education.

[7]  L. Lundquist,et al.  The impact of problem-based learning on students' perceptions of preparedness for advanced pharmacy practice experiences. , 2006, American journal of pharmaceutical education.

[8]  L. L. Velle Constructivist Learning Environments: Case Studies in Instructional Design , 1998 .

[9]  J. Verbeek,et al.  Problem based learning in continuing medical education: a review of controlled evaluation studies , 2002, BMJ : British Medical Journal.

[10]  Andrew A Webster,et al.  A quantitative assessment of a medicinal chemistry problem-based learning sequence. , 2006, American journal of pharmaceutical education.

[11]  Stuart P. Eriksen,et al.  Quantitative Assessment of Assisted Problem-based Learning in a Pharmaceutics Course , 2010, American Journal of Pharmaceutical Education.

[12]  D. Cook,et al.  Virtual patients: a critical literature review and proposed next steps , 2009, Medical education.

[13]  Problem-Based Learning in Residency Education: A Novel Implementation Using a Simulator , 1999, Journal of Clinical Monitoring and Computing.

[14]  K. Simpson,et al.  Incorporating Problem-Based Learning Concepts into a Lecture-based Pharmacoeconomics Course , 1999, American Journal of Pharmaceutical Education.

[15]  Marie A. Abate,et al.  Development and Evaluation of Computerized Problem-based Learning Cases Emphasizing Basic Sciences Concepts , 2000 .

[16]  Neal Benedict,et al.  TEACHERS' TOPICS Virtual Patients and Problem-Based Learning in Advanced Therapeutics , 2010 .

[17]  Maria Wong,et al.  Framework for adopting a problem-based learning approach in a simulated clinical setting. , 2008, The Journal of nursing education.

[18]  Kenneth Oja Using problem-based learning in the clinical setting to improve nursing students' critical thinking: an evidence review. , 2011, The Journal of nursing education.

[19]  B. Wilson Constructivist Learning Environments: Case Studies in Instructional Design , 1995 .