RESEARCH ARTICLE: Factors influencing the transition of pharmacy students from pre-clinical to clinical years at university
DOI:
https://doi.org/10.46542/pe.2020.201.336345Keywords:
Clinical Transition, Professional Practice, Professional Training, Student AttitudesAbstract
Introduction: The transition to clinical studies can be a source of stress, though little is known about how pharmacy students manage this transition. This mixed-methods study investigated factors influencing student transition from pre-clinical to clinical years of an Australian pharmacy degree.
Methods: Students rated and discussed their confidence in performing pharmacy-related skills, factors influencing their ability to carry out these skills and key enabling factors and barriers that influenced their transition.
Results: Differences in teaching and assessment style and placement workload affected the transition experience. Self-confidence in the clinical learning environment was enhanced by patient contact, previous pharmacy work experience, case-based learning and supportive placement supervisors. A perceived lack of relevance of pre-clinical learning and heavy workload during placement were major barriers to a smooth transition.
Conclusions: Support systems are essential to foster transition into the clinical learning environment with confidence and effective application of theoretical knowledge to real-world practice.
References
Atherley, A.E., Hambleton, I.R., Unwin, N., George, C., Lashley, P.M., & Taylor, C.G. (2016). Exploring the transition of undergraduate medical students into a clinical clerkship using organizational socialization theory. Perspectives on Medical Education, 5(2), 78-87. https://doi.org/10.1007/s40037-015-0241-5
Australian Pharmacy Council. (2020). Accreditation standards for pharmacy programs in Australia and New Zealand 2020. Australian Pharmacy Council Ltd. Available at: https://www.pharmacycouncil.org.au/standards/accreditation-standards-2020.pdf
Boshuizen, H. (1996). The Shock of Practice: Effects on Clinical Reasoning. Paper presented at the Annual Meeting of the American Educational Research Association; 8-14 April 1996; New York. Available at: https://eric.ed.gov/?id=ED394852
Botelho, M., Gao, X., & Bhuyan, S.Y. (2018). An analysis of clinical transition stresses experienced by dental students: A qualitative methods approach. European Journal of Dental Education, 22(3), e564-e572. https://doi.org/10.1111/eje.12353
Buhl, H.M., Noack, P., & Kracke, B. (2018). The role of parents and peers in the transition from University to work life. Journal of Career Development, 45(6), 523-535. https://doi.org/10.1177%2F0894845317720728
Chaar, B.B., Brien, J.A., Hanrahan, J., McLachlan, A., Penm, J., & Pont, L. (2011). Experimental education in Australian pharmacy: preceptors’ perspectives. Pharmacy Education, 11(1), 166-171
Cooke, M., Irby, D.M., Sullivan, W., & Ludmerer, K.M. (2006). American medical education 100 years after the Flexner report. New England Journal of Medicine, 355(13), 1339-1344. https://www.nejm.org/doi/full/10.1056/nejmra055445
Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory. 4th Edition. Newbury Park, Sage Publications
Crebert, G., Bates, M., Bell, B., Patrick, C.J., & Cragnolini, V. (2004). Developing generic skills at university, during work placement and in employment: graduates' perceptions. Higher Education Research & Development, 23(2), 147-165. https://doi.org/10.1080/0729436042000206636
Credé, M., & Niehorster, S. (2012). Adjustment to college as measured by the student adaptation to college questionnaire: A quantitative review of its structure and relationships with correlates and consequences. Educational Psychology Review, 24(1), 133-165. https://doi.org/10.1007/s10648-011-9184-5
Dolmans, D.H., Loyens, S.M., Marcq, H., & Gijbels, D. (2016). Deep and surface learning in problem-based learning: a review of the literature. Advances in Health Sciences Education, 21(5), 1087-1112. https://doi.org/10.1007/s10459-015-9645-6
Dornan, T., & Bundy, C. (2004). What can experience add to early medical education? Consensus survey. BMJ, 329(7470), 834. https://doi.org/10.1136/bmj.329.7470.834
El-Masry, R., Ghreiz, S.M., Helal, R.M., Audeh, A.M., & Shams, T. (2013). Perceived stress and burnout among medical students during the clinical period of their education. Ibnosina Journal of Medicine and Biomedical Science, 5(4), 179-87. https://doi.org/10.4103/1947-489X.210543
Godefrooij, M.B., Diemers, A.D., & Scherpbier, A.J. (2010). Students' perceptions about the transition to the clinical phase of a medical curriculum with preclinical patient contacts; a focus group study. BMC Medical Education, 10(1), 28. https://doi.org/10.1186/1472-6920-10-28
Harvey, L., Drew, S., & Smith, M. (2006). The first-year experience: A review of literature for the Higher Education Academy. York: The Higher Education Academy, 200(6)
Hayden, L.J., Jeong, S.Y., & Norton, C.A. (2016). An analysis of factors affecting mature age students’ academic success in undergraduate nursing programs: A critical literature review. International Journal of Nursing Education Scholarship, 13(1), 127-138. https://doi.org/10.1515/ijnes-2015-0086
MacLean, S., Kelly, M., Geddes, F., & Della, P. (2017). Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Education Today, 48, 90-98. https://doi.org/10.1016/j.nedt.2016.09.018
Noble, C., Coombes, I., Nissen, L., Shaw, P.N., & Clavarino, A. (2015). Making the transition from pharmacy student to pharmacist: Australian interns' perceptions of professional identity formation. International Journal of Pharmacy Practice, 23(4), 292-304. https://doi.org/10.1111/ijpp.12155
Orsini, C., Binnie, V.I., Fuentes, F., Ledezma, P., & Jerez, O. (2016). Implications of motivation differences in preclinical-clinical transition of dental students: a one-year follow-up study. Educación Médica, 17(4), 193-196. https://doi.org/10.1016/j.edumed.2016.06.007
Perrone, L., & Vickers, M.H. (2003). Life after graduation as a “very uncomfortable world”: An Australian case study. Education+ Training, 45(2). https://doi.org/10.1108/00400910310464044
Pharmaceutical Society of Australia. (2016). 2016 National Competency Standards Framework for Pharmacists in Australia. Pharmaceutical Society of Australia Ltd. Available at: https://www.psa.org.au/wp-content/uploads/2018/06/National-Competency-Standards-Framework-for-Pharmacists-in-Australia-2016-PDF-2mb.pdf
Prince, K.J., Boshuizen, H.P., Van Der Vleuten, C.P., & Scherpbier, A.J. (2005). Students' opinions about their preparation for clinical practice. Medical Education, 39(7), 704-712. https://doi.org/10.1111/j.1365-2929.2005.02207.x
Radcliffe, C., & Lester, H. (2003). Perceived stress during undergraduate medical training: a qualitative study. Medical Education, 37(1), 32-38. https://doi.org/10.1046/j.1365-2923.2003.01405.x
Scheven, B.A.A. (2012). Perceived relevance of oral biology by dental students. European Journal of Dental Education, 16(1), e64-e72. https://doi.org/10.1111/j.1600-0579.2011.00677.x
Soo, J., Brett-MacLean, P., Cave, M.T., & Oswald, A. (2016). At the precipice: a prospective exploration of medical students’ expectations of the pre-clerkship to clerkship transition. Advances in Health Sciences Education, 21(1), 141-162. https://doi.org/10.1007/s10459-015-9620-2
Van Hell, E.A., Kuks, J.B., Schönrock-Adema, J., Van Lohuizen, M.T., & Cohen-Schotanus, J. (2008). Transition to clinical training: influence of pre-clinical knowledge and skills, and consequences for clinical performance. Medical Education, 42(8), 830-837. https://doi.org/10.1111/j.1365-2923.2008.03106.x
Wintre, M.G., & Sugar, L.A. (2000). Relationships with parents, personality, and the university transition. Journal of College Student Development, 41(2), 202-214
Yorra, M.L. (2014). Self-efficacy and self-esteem in third-year pharmacy students. American Journal of Pharmaceutical Education, 78(7), Art. 134. https://doi.org/10.5688/ajpe787134
