Table 2 Summaries of the cases in each OSCE core competency domain
OSCE core competency domains | |||||
|---|---|---|---|---|---|
Patient counseling | Prescription review | Drug information service | OTC counseling | Pharmaceutical care service | |
Title | Counseling and providing information for an inhaler | Medication use review | Drug identification and providing drug information to health care professionals | Selection of OTC products for diarrhea | Corticosteroid dose equivalents |
Format | Interactive station | Non-interactive station | Interactive station | Interactive station | Interactive station |
Objectives | To assess a student’s ability to counsel appropriately for a patient who are using an inhaler | To assess a student’s ability to review prescriptions, identify prescription errors, and solve clinical management problems | To assess a student’s ability to identify the drug information needs of the requestor and to describe the application in formulating responses and recommendations | To assess a student’s ability to identify patient’s symptoms and recommend appropriate OTC medication to help patients deal with their health issues | To assess a student’s ability to evaluate, design, and recommend optimal pharmacotherapy for the management of specific patients |
Time allotted for the task | Total 10 min—preparation for encounter, 2 min; encounter, 7 min; time between groups, 1 min | ||||
Station requirements | Sample prescription and inhaler | Sample prescription and package insert | Sample medicine (Paxil CR tablet 12.5 mg ®), computers, internet, drug information databases and pharmacotherapy textbooks | Nonprescription drugs (OTC) textbook and package inserts | Calculator, corticosteroid dose equivalents table, package inserts of intravenous methylprednisolone and oral prednisolone, and pharmacotherapy textbooks |
Directions to the student | A 25-year-old male comes to the pharmacy with a prescription for fluticasone inhaler. Provide appropriate information and counseling | You are a pharmacist working in a community pharmacy. After reviewing the prescription for the pediatric patient, answer the following questions Q1. Evaluate the legal appropriateness of a prescription. Does the prescription contain all of the information? Q2. Evaluate the appropriate dose for a prescription Q3. What action(s) would you recommend? Explain your answer | You are a clinical pharmacist working at drug information center in a hospital. You are approached by Dr. Lee and he requests a drug identification | A 25-year-old female comes to the pharmacy for diarrhea. Identify the patient’s symptoms and recommend appropriate OTC medication. Provide patient education and counseling | You are a clinical pharmacist working at a teaching hospital who specializes in internal medicine. A physician on your team asks steroid dosing for a patient with ulcerative colitis |
Scenario information | • Name: Mr. Kim • Patient age: 25 years • Past medical history: none • Social history: no smoking, no drinking | NA | • Name: Dr. Lee, MD • Age: NA • Appearance and affect: dressed in white coat, cooperative | • Name: Mr. Park • Patient age: 30 years • Chief complaints: I have diarrhea with abdominal pain. This hasn’t stopped since yesterday and I didn’t eat anything. I had seafood pasta for lunch yesterday. I need to go to work and wish to stop this as quickly as possible • Past medical history: none • Current medication: occasionally pain medication for migraine • Social history: no smoking, no drinking | • Name: Dr. Kim, MD • Age: NA • Appearance and affect: dressed in white coat, cooperative |
Directions to the standardized participant | You came to the pharmacy to be counseled on how to use an inhaler for your asthma. If the student asks if you have any experience in using an inhaler before, answer that you are currently using a salbutamol inhaler. After the student's counseling on how to use the inhaler, you can ask any questions you might have. If the student asks you to demonstrate the use of the inhaler, use it without turning the inhaler lever (wrong usage). If the information is not provided by the student, you will ask the following questions Q1. How many times should I use it? Q2. How do I know if I used the inhaler appropriately? Q3. Do I need to rinse or gargle my mouth with water after using an inhaler? | NA | You are Dr. Lee, an internal medicine resident. Your patient is a 70-year-old female who is taking the following medication. You will ask the following two questions to the student Q1. A 70-year old female patient is taking the following medication. What is the generic or trade name of the medication?
Q2. This patient is taking naproxen for osteoarthritis. Can this medication be taken with naproxen? | You came to the pharmacy for diarrhea medication. If the student asks what you need, reply with medication for your diarrhea. After the student recommends the OTC medication, you will ask the following questions Q1. How can I take this medication? Q2. Can I eat something while taking this medication? Q3. I saw other OTC medication on TV advertisement. What are the differences between this product and the one you recommended? | You are Dr. Kim, an internal medicine resident. Your patient is a 42-year-old male with active ulcerative colitis. This patient is taking intravenous methylprednisolone 40 mg. You will ask the following two questions to the student Q1. We are planning to change the intravenous methylprednisolone to oral prednisolone. What is the equivalent dosing for oral prednisolone? Q2. What is the appropriate strategy for prednisolone tapering? |
