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Use of Faux Medical Charts as a Tool to Prepare Students for Clinical Rotations

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Abstract:

Introduction: The current standard at most schools of pharmacy to practice the application of the didactic information is to use a brief case summary as a springboard for case discussions and/or SOAP notes. However, case summaries do not offer the opportunity to learn how to review medical charts, which is how cases are presented during rotations and in practice.

Model: Western University’s College of Pharmacy, Pomona, CA, utilizes a block system in the 2nd and 3rd years. The last block prior to rotations is used for curricular review and evaluation of content and skills. Four faux medical charts were created by 4th yr rotation students and edited by a faculty member. Two cases each were inpatient and outpatient, and were designed to present realistic, multi-disease state patients. Student teams were offered an opportunity to do a focused review of the chart, and then each student individually wrote a chart note based upon additional information provided by the course facilitator.

Outcomes: Each student had an opportunity to write four chart notes, and each note was hand graded by the same faculty member (involving 40-45 hrs of time). Overall grades improved from chart 1 through 3 (91%, 92%, 95%, p<0.001) but decreased with chart 4, which involved a more complicated case (89%, p<0.001 compared to charts 1 – 3).

Future directions: Overall students found the exercises helpful and productive. Proper training of required chart note structure and a consistent rubric for grading is essential to ensure a productive learning exercise.
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Association:
Name: American Association of Colleges of Pharmacy
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http://www.aacp.org


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URL: http://www.allacademic.com/meta/p193923_index.html
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MLA Citation:

Scott, James., McCrory, Michael. and Murray, Wallace. "Use of Faux Medical Charts as a Tool to Prepare Students for Clinical Rotations" Paper presented at the annual meeting of the American Association of Colleges of Pharmacy, Disney’s Yacht & Beach Club Resort, Lake Buena Vista, Florida, Jul 14, 2007 <Not Available>. 2009-05-24 <http://www.allacademic.com/meta/p193923_index.html>

APA Citation:

Scott, J. D., McCrory, M. E. and Murray, W. J. , 2007-07-14 "Use of Faux Medical Charts as a Tool to Prepare Students for Clinical Rotations" Paper presented at the annual meeting of the American Association of Colleges of Pharmacy, Disney’s Yacht & Beach Club Resort, Lake Buena Vista, Florida <Not Available>. 2009-05-24 from http://www.allacademic.com/meta/p193923_index.html

Publication Type: Abstract
Abstract: Introduction: The current standard at most schools of pharmacy to practice the application of the didactic information is to use a brief case summary as a springboard for case discussions and/or SOAP notes. However, case summaries do not offer the opportunity to learn how to review medical charts, which is how cases are presented during rotations and in practice.

Model: Western University’s College of Pharmacy, Pomona, CA, utilizes a block system in the 2nd and 3rd years. The last block prior to rotations is used for curricular review and evaluation of content and skills. Four faux medical charts were created by 4th yr rotation students and edited by a faculty member. Two cases each were inpatient and outpatient, and were designed to present realistic, multi-disease state patients. Student teams were offered an opportunity to do a focused review of the chart, and then each student individually wrote a chart note based upon additional information provided by the course facilitator.

Outcomes: Each student had an opportunity to write four chart notes, and each note was hand graded by the same faculty member (involving 40-45 hrs of time). Overall grades improved from chart 1 through 3 (91%, 92%, 95%, p<0.001) but decreased with chart 4, which involved a more complicated case (89%, p<0.001 compared to charts 1 – 3).

Future directions: Overall students found the exercises helpful and productive. Proper training of required chart note structure and a consistent rubric for grading is essential to ensure a productive learning exercise.

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