Results & Data Analysis COMMUNICATION IN HEALTHCARE: THE IMPORTANCE OF PREPARING STUDENTS TO BE EFFECTIVE COMMUNICATORS ANALYSIS OF STUDENT PERFORMANCE ON IPPE 3 CLINICAL ROTATIONS Matthew Boyd, Mohammed Fredericks, Kelsey Howland, Sean Giese Preceptor: Jennifer Seyfer Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Introduction IPPE Clinical acts as an introduction to the APPE rotation for P3 students. Students are tasked with writing a SOAP note, answering a DI question, and presenting a patient case Students are then assessed on their ability to complete these task concisely and competently through a case presentation with a faculty grader Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Introduction SOAP Note: Subjective, Objective, Assessment, Plan Mainstay of communication between health professionals DI Question: Succinctly answering drug questions from other professionals Distilling information from primary and secondary sources Patient Case Presentation: Presenting information to other professionals in a confident and competent manner Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Results & Data Analysis Objectives To provide process improvement on evaluation of student performance on IPPE Clinical rotation SOAP notes. To analyze three years worth of data on student performance on SOAP notes and provide an understanding of what the outcomes were on students’ performance. To identify ways to empower the students at the College of Pharmacy to become experts at documentation and clear communication. Introduction Methods Results & Data Analysis Discussion Conclusion Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Methods Access the readiness of student in their skills of communicating important patient information. Collected the past three years of students scores. Data was collected and divided into: DI question SOAP note Case write-up Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Methods: Case Write-up and presentation Student is required to present whole case to evaluator Components: reason for visit past medical history family history: if relevant medications plan support for plan ***further discussion about alternative plan Evaluated: checklist Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Methods: DI question Components: was the question clear and relevant to the case, was there evidence to support the answer, did the student come up with an answer to the question, did the student convey their writing clearly, and was their references cited in their paper? Evaluation: satisfactory /unsatisfactory Four out of five=acceptable Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Methods: SOAP note Components: overall: date present author of note present chief complaint, PMH, medication list information in correct sections (eg: subjective) drug issue: relavent information assessment from information accurate plan with supported information with follow-up Evaluation: yes/no Acceptable score: not clear Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis A total of 318 students were evaluated on their IPPE Clinical SOAP note performance in three separate years, 2015-2016 (107 students), 2016-2017 (108 students) and 2017-2018 (103 students). A high percentage of students were competent in their SOAP note presentation with 91%, 93% and 90% of students being competent for the years of 2015-2016, 2016-2017 and 2017-2018 respectively. Competency was identified as not having to redo a section Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Majority of students from each year showed competency in many areas of the SOAP note with 90% and higher in different components of the SOAP note. Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Information presented is restricted to that which is relevant to the diseases or problems addressed below Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

Results & Data Analysis Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Discussion Limitations: Evaluation of presentations varied No set goal for competency score The students’ presentations on their SOAP note were evaluated by different faculty graders, allowing for some variability in the scores received. Based on the fourteen areas highlighted in the grading rubric on the SOAP note, there was not a single score categorized as achieved competency. Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Discussion The section of the SOAP note that required the most revision after the presentation to a faculty grader was; Information presented is restricted to that which is relevant to the diseases or problems addressed below. Meaning, there was additional information on certain sections of the SOAP note that were required, or not needed. Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Results & Data Analysis Conclusion Majority of students showed competence in their IPPE Clinical SOAP Note. The grading rubric used to analyze student performance were solely focused on a student being competent or not. Higher focus on relevancy of disease state and problems addressed Introduction Objectives & Methods Results & Data Analysis Discussion Conclusion

Citation Lew V, Ghassemzadeh S. SOAP Notes. [Updated 2018 Feb 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482263/