Abstract
BackgroundPharmacy practice education requires the development of proficiencies and an understanding of clinical microbiology. Learning in this area could be delivered using practical laboratory exercises, or potentially, simulation-based education. Simulation has previously successfully enhanced learning in health professional education. The current global climate due to COVID-19 has further highlighted the important role of technology-enhanced learning in delivering outcomes that meet the requisite learning objectives of a course. The aim of the present study was to compare the impact of a commercially available virtual microbiology simulation (VUMIE™) with a traditional wet laboratory (wetlab) on learner knowledge, skills and confidence in a second-year integrated pharmacotherapeutics course for Bachelor of Pharmacy students.MethodsA randomised, crossover study was employed to determine whether the simulation intervention (VUMIE™) improves learning outcomes (knowledge, skills and confidence) of pharmacy students, when compared to a traditional wetlab intervention. Each student completed three 1–2 h length sessions, for both the wetlab and VUMIE™ interventions (6 sessions total). Data was collected using surveys deployed at baseline (pre-interventions), post-intervention 1 or 2 (VUMIE™ or wetlab) and endpoint (post-interventions 1 and 2). Statistical analysis was conducted using SPSS Statistics 25 and Instat™ software.ResultsResponse rates were approximately 50% at initial survey and approximately 25% at endpoint survey. VUMIE™ produced higher post-intervention knowledge scores for the multiple-choice questions compared to the wetlab, however, the highest score was achieved at endpoint. Both interventions produced statistically significant differences for mean scores compared to baseline (pre-VUMIE™ and wetlab) across the domains of knowledge, skills and confidence. VUMIE™ produced higher post-intervention mean scores for knowledge, skills and confidence compared to post-intervention mean scores for the wetlab, however there was no statistical significance between the mean score for the two interventions, thus the VUMIE™ activity produced learning outcomes comparable to the wetlab activity.ConclusionThese findings suggest VUMIE™ provides similar effects on students’ knowledge, skills, and confidence as a wetlab. The simulation’s implementation was not cost-prohibitive, provided students with a physically and psychologically safe learning environment, and the benefit of being able to repeat activities, supporting deliberate practice.
Highlights
Pharmacy practice education requires the development of proficiencies and an understanding of clinical microbiology
Pharmacy practice mostly involves the clinical aspect of microbiology, core knowledge of the skills and practice underpinning antibiotic selection and use should be demonstrated by graduates
We have demonstrated that the VUMIETM software is a useful tool for teaching clinical microbiology to second-year Bachelor of Pharmacy students, as is the case with many commercial simulation products, there are components that users might wish to alter
Summary
Pharmacy practice education requires the development of proficiencies and an understanding of clinical microbiology. Learning in this area could be delivered using practical laboratory exercises, or potentially, simulation-based education. Replacement or adjunct use of simulations or technology-enhanced learning activities is becoming more common in clinical programs to reduce laboratory associated costs, relieve placement sites and facility burden, and to provide flexible, repeatable delivery options for students to acquire mastery of the content, skills, and capabilities [2, 3]. The information regarding practical areas (not taken on in a typical pharmacy practice role) could be achieved using practical laboratory exercises, or potentially, simulation-based digital education modalities. Educators have been afforded very little time to prepare for such online learning, so an awareness of available software programs is beneficial when facilitating delivery of learning that is not able to be conducted face-to-face [8, 9]
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