Abstract

Educational strategies to teach pharmacy students about diabetes are necessary to prepare future pharmacists to manage complex patients. The Choose Your Own Adventure (CYOA) patient case format is an innovative activity that presents a patient case in an engaging way. The objectives of this study were (1) to describe the development of the innovative teaching activity and (2) to assess its effect on student knowledge and confidence in outpatient management of diabetes. The CYOA patient case activity was designed by transforming a traditional paper patient case involving outpatient diabetes management into an interactive format utilizing an online platform. The activity was conducted with 186 second-year pharmacy students in a skills-based course. This activity was administered virtually through a combination of small group work and large group discussion. After completion of the activity, students completed an online self-assessment questionnaire. Of 178 completed questionnaires, there was a statistically significant difference in students’ self-ratings after versus before the activity for all survey items (p < 0.001). The CYOA activity improved self-reported knowledge of outpatient diabetes management and increased self-reported confidence in clinical decision-making skills. This format shows promise as an educational tool that may be adapted for other disease states to enhance clinical decision-making skills.

Highlights

  • A traditional paper patient case regarding outpatient diabetes management was transformed into an interactive Choose Your Own Adventure (CYOA) patient case format utilizing a free online survey platform, QuestionPro (Dallas, TX, USA) The activity was designed to allow small groups of students to navigate through the patient case step-by-step, and was created to be visually appealing, incorporating color, images, and gifs to promote student engagement

  • The quantitative findings suggest that the CYOA patient case format was successful in increasing self-reported knowledge and confidence related to outpatient diabetes management

  • The students were engaged in the learning activity and able to better understand the patient experience related to outpatient diabetes management and its effect on clinical decision making

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Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. More than 34 million people in the United States have diabetes, and diabetes is the seventh leading cause of death [1]. A rise in the prevalence of diabetes is occurring worldwide in parallel with an increasing prevalence of obesity in children [1,2]. As the prevalence of diabetes increases, so does the need for appropriate medical management, as poorly controlled diabetes can lead to amputations, vision loss, and kidney damage

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