薬学の客観的臨床能力試験（ＯＳＣＥ）における独自課題「処方鑑査」の有用性

Abstract

For the objective structured clinical examination (OSCE) used in pharmaceutical education,it is necessary to assess students’skills and attitudes before their clinical practice.Five typical assignments that have been used to evaluate examinee’s performance in the OSCE are as follows : medical interviews,dispensing medicines,aseptic dispensing,dispensing audit and drug counseling.We added prescription audit as a new assignment,with an error included in it.The prescription audit materials consisted of prescriptions for 2 drugs and their package inserts.In this study,we evaluated the scores obtained in the 1st trial OSCE at Hoshi University,which had the following 3 assignments :“prescription audit”,“dispensing audit”and“aseptic dispensing”.We also examined the degree of difficulty and validity of evaluation questionnaires used in the two-stage item-based rating scale of the“prescription audit”.The results of the two-stage item-based rating evaluation suggested that the“prescription audit”was more difficult than“dispensing audit” and“aseptic dispensing”,and the evaluation questionnaires for“prescription audit”were mostly rated as valid,though the basis of evaluation for a questionnaire concerning“manner of writing of references”was ambiguous to persons doing the evaluation.On the other hand,overall evaluation scores for“prescription audit”were similar to those for“dispensing audit” and“aseptic dispensing”.We feel that the difficulty of the“prescription audit”would be manageable and based these results,conclude that it would be a good assignment for pharmaceutical OSCE.