Table 4 Assessment criteria for clinical performance skills in each OSCE area and assessment results in a pilot study

Patient counseling

1. Perform a brief greeting and self-introduction

50.0

2. Identify the patient

10.0

3. Explain the purpose of patient counseling

31.3 (11.4)^*

4. Explain expected length of the patient counseling session

0

5. Explain the dosage and proper use of inhaled corticosteroids, according to the prescription

47.5 (21.9)^*

6. Explain, both verbally and clearly, how to use the inhaler

6–1. Hold the body horizontally with your left hand, put your right hand in the handle groove, and turn until you hear a snap

53.8 (24.8)

6–2. Turn the operating lever until it makes a “clap” sound

50.0 (18.4)

6–3. Turn your head to the side and exhale all the way to prepare for inhalation

33.8 (18.2)^*

6–4. Hold the inlet in your mouth and inhale it all the way, strong and deep

38.8 (20.7)^*

6–5. Take the inhaler out of your mouth and hold your breath for approximately 5–10 s to ensure that the drug is absorbed as much as possible

42.5 (21.9)^*

6–6. Exhale naturally and slowly through your nose

15.0 (12.7)

6–7. Hold the handle and turn the lid to the left until you hear a snap

37.5 (13.0)^*

6–8. Rinse your mouth and throat with water after inhalation

50.0 (20.3)^*

7. Demonstrate the correct use of the inhaler

23.8 (12.4)^*

8. Let the patient demonstrate the use of the inhaler

23.8 (5.4)

9. Watch the patient’s demonstration and provide appropriate feedback

30.0 (12.2)

10. Ask the patient if they have any questions or concerns

57.5 (5.6)

11. Allow patients to summarize and organize the relevant education and counseling

0

Sub-total

32.1 (22.9)

Prescription review

1. Note that the physician’s signature on the prescription is missing

20.0

2. Note that the prescription expiration date is missing

40.0

3. Check the patient’s age

30.0 (14.6)^*

4. Check the patient’s body weight

77.5 (5.6)

5. Check the appropriate pediatric dosage by referring to the instructions for use

85.0 (6.1)

6. Note the inappropriate dose in the prescription

80.0 (11.2)

7. Note the inappropriate duration of treatment

71.3 (11.4)

8. Suggest the appropriate dosage to the patient

80.0 (5.0)

9. Suggest the appropriate daily dose to the patient

78.8 (6.5)

10. Calculate the proper dose (mg) according to the patient’s body weight

68.8 (8.9)

11. Convert the calculated dose (mg) to volumes (ml)

73.8 (8.9)

12. Use the appropriate terms

73.8 (14.3)

13. Answer with confidence

50.0 (21.2)^*

14. Answer with respect to the other person

95.0 (5.0)

Sub-total

64.8 (23.6)

Drug information service

1. Reconfirm the question clearly

36.3 (34.0)^*

2. Find an appropriate drug information resource for the drug’s identification

90.0 (3.5)

3. Identify the drug using the drug database

91.3 (4.1)^*

4. Check the information about drug interaction with Naproxen by using the appropriate data sources or evidence

73.8 (15.6)^*

5. Provide proper information on the drug identification results

77.5 (17.5)^*

6. Provide proper information on naproxen coadministration

23.8 (12.9)^*

Sub-total

65.4 (31.6)

OTC counseling

1. Identify the patient’s symptoms and needs

90.0 (9.4)^*

2. Ask for more information to provide the best treatment choice

68.8 (23.3)^*

3. Select at least one product and provide information

95.0 (5.0)

4. Provide information about a diarrhea-related diet

65.0 (9.4)

Sub-total

79.7 (18.8)

Pharmaceutical care service

1. Check the current dose of methylprenisonlone

70.0

2. Check the corticosteroid dose equivalents for the dosing conversion from methylprednisolone to oral prednisolone

56.3 (4.1)

3. The converted daily dose of oral prednisolone was designed using the appropriate number of tablets and frequency, considering the formulation and dose of those on the market

37.5 (21.4)^*

4. Inform the patient that after long-term steroid systemic therapy, treatment should be gradually stopped through a tapering process

86.3 (4.1)

Sub-total

62.5 (21.1)

Total

50.8 (29.8)