1. Using a Pharmacy Aisle as the Final Exam Cindy Wuller, M.S. and Miranda Wilhelm, Pharm.D. School of Pharmacy

2. Course Background PHEL 779 – Advanced Self-Care Elective 3 rd Professional Year Pharmacy Students 2 credit elective course in Spring semester Meeting time: 2 hours once a week Maximum enrollment: 20 students

3. Final Exam Components Honesty Pledge Patient Case Optional Written Component

5. Players Instructors Pharmacy Residents Other Faculty Student Graders Simulated patient Timekeeper, Gatekeeper Student

6. Classroom Preparation Introduce first day of class Use cases and scenarios during semester Assignment –Students pair up to create a case and simulate a counseling session –Instructor uses the rubric to grade the encounter –Encounter worth ½ point value as the final

7. Set Up for the Exam Contact pharmacy with dates –Early morning works best Identify target areas for exam, write case Write script for patient Recruit pharmacy residents and faculty to assist Assemble supplies –Stop watch –Paper, pens, clipboards –Products to be used for exam –Select specific aisle and area for writing

8. Preparation on Day of Exam Instructors, other faculty and residents meet at site one hour before exam Go over duties and specific places for events Pull products and set up “area” for exam Set up writing area

9. Events on Exam Day Student comes to pharmacy Greeted by gatekeeper Signs Honesty Pledge Gatekeeper sends student down aisle to meet with “patient” Instructor and time keeper observe encounter

10. Exam Components Time Limit = 5 minutes Student greets “patient” and begins to assess the problem by asking questions Looks over limited products available Determines best product for the problem Counsels “patient” on use of the product

12. Grading Use of rubric –Introduction –Problem Assessment –Action Plan and Counseling –Communication skills Aisle time – 5 minutes Written portion – 5 minutes

13. After the Exam Student can go to a designated area and write down anything about the exam –Questions forgot to ask –Counseling points missed Can write for up to 5 minutes Can earn up to 10 points back with written material Must leave the area after 5 minutes

14. Questions?

15. Question? Can you use this style of exam in your discipline?

16. Our Take Nursing - communication encounter at bedside Engineering – real life project to find good/bad points Computer science – solve a simple real life issue