@article{5248f8eaaee64c09bcef400378b3b16d,
title = "Evaluation of the Prescribing Skills Assessment implementation, performance and medical student experience in Australia and New Zealand",
abstract = "Aims: The UK Prescribing Safety Assessment was modified for use in Australia and New Zealand (ANZ) as the Prescribing Skills Assessment (PSA). We investigated the implementation, student performance and acceptability of the ANZ PSA for final-year medical students. Methods: This study used a mixed-method approach involving student data (n = 6440) for 2017–2019 (PSA overall score and 8 domain subscores). Data were also aggregated by medical school and included student evaluation survey results. Quantitative data were analysed using descriptive and multivariate analyses. The pass rate was established by a modified Angoff method. Thematic analyses of open-ended survey comments were conducted. Results: The average pass rate was slightly higher in 2017 (89%) which used a different examination to 2018 (85%) and 2019 (86%). Little difference was identified between schools for the PSA overall performance or domain subscores. There was low intercorrelation between subscores. Most students provided positive feedback about the PSA regarding the interface and clarity of questions, but an average of 35% reported insufficient time for completion. Further, 70% on average felt unprepared by their school curricula for the PSA, which is in part explained by the low prescribing experience; 69% reported completing ≤10 prescriptions during training. Conclusion: The ANZ PSA was associated with high pass rates and acceptability, although student preparedness was highlighted as a concern for further investigation. We demonstrate how a collaboration of medical schools can adapt a medical education assessment resource (UK PSA) as a means for fulfilling an unmet need.",
keywords = "assessment, clinical pharmacology, education, error, medication safety, prescribing, undergraduate",
author = "Chin, {Paul K.L.} and Kellie Charles and Bridin Murnion and McGuire, {Treasure M.} and Hilmer, {Sarah N.} and Jennifer Martin and David Reith and David Joyce and Catherine Lucas and Nick Holford and Richard Day and Jennifer Schneider and Matthew Doogue and Han, {Catherine H.} and Sarah Herd and Claire Harrison and Deborah O'Mara",
note = "Funding Information: Simon Maxwell, Lynne Bollington, Peter Wright, Alexandrea Cole, David James and Alex Fox from the British Pharmacological Society/Prescribing Safety Assessment. Simone Elliott, Jean-Pierre Calabretto and David Dart from the Australian Medicines Handbook. Sarah Kirk from New Zealand Formulary. Australasian Society of Clinical and Experimental Pharmacologists and Toxicologists (ASCEPT). The contributions of academic, clinical and professional staff in Australia and New Zealand from Australian National University, Bond University, Curtin University, Deakin University, Flinders University, Monash University, University of Auckland, University of Melbourne, University of Newcastle, University of New South Wales, University of Notre Dame (Sydney), University of Otago, University of Queensland, University of Sydney, University of Tasmania, University of Western Australia, University of Wollongong and Western Sydney University. Students who have participated in the Prescribing Skills Assessment and their work to improve competence in medication safety. Open access publishing facilitated by University of Otago, as part of the Wiley - University of Otago agreement via the Council of Australian University Librarians. Publisher Copyright: {\textcopyright} 2023 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.",
year = "2023",
month = oct,
doi = "10.1111/bcp.15814",
language = "English",
volume = "89",
pages = "3105--3115",
journal = "British Journal of Clinical Pharmacology",
issn = "0306-5251",
publisher = "John Wiley & Sons",
number = "10",
}