COMMUNICATION IN HEALTHCARE: THE IMPORTANCE OF PREPARING STUDENTS TO BE EFFECTIVE COMMUNICATORS

1. Discussion Introduction Objectives & Methods Results & Data Analysis Conclusion COMMUNICATION IN HEALTHCARE: THE IMPORTANCE OF PREPARING STUDENTS TO BE EFFECTIVE COMMUNICATORS ANALYSIS OF STUDENT PERFORMANCE ON IPPE 3 CLINICAL ROTATIONS Matthew Boyd, Mohammed Fredericks, Kelsey Howland, Sean Giese Preceptor: Jennifer Seyfer

2. Introduction Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion • IPPE Clinical acts as an introduction to the APPE rotation for P3 students. • Students are tasked with writing a SOAP note, answering a DI question, and presenting a patient case • Students are then assessed on their ability to complete these task concisely and competently through a case presentation with a faculty grader

3. Introduction Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion • SOAP Note: • Subjective, Objective, Assessment, Plan • Mainstay of communication between health professionals • DI Question: • Succinctly answering drug questions from other professionals • Distilling information from primary and secondary sources • Patient Case Presentation: • Presenting information to other professionals in a confident and competent manner

4. Objectives Introduction Introduction Methods Objectives & Methods Results & Data Analysis Results & Data Analysis Discussion Conclusion Conclusion Discussion • To provide process improvement on evaluation of student performance on IPPE Clinical rotation SOAP notes. • To analyze three years worth of data on student performance on SOAP notes and provide an understanding of what the outcomes were on students’ performance. • To identify ways to empower the students at the College of Pharmacy to become experts at documentation and clear communication.

5. Methods Introduction Objectives & Methods Results & Data Analysis Conclusion • Access the readiness of student in their skills of communicating important patient information. • Collected the past three years of students scores. • Data was collected and divided into: • DI question • SOAP note • Case write-up Discussion

6. Methods: Case Write-up and presentation Introduction Objectives & Methods Results & Data Analysis Conclusion • Student is required to present whole case to evaluator • Components: • reason for visit • past medical history • family history: if relevant • medications • plan • support for plan • ***further discussion about alternative plan • Evaluated: checklist Discussion

7. Methods: DI question Introduction Objectives & Methods Results & Data Analysis Conclusion • Components: • was the question clear and relevant to the case, • was there evidence to support the answer, • did the student come up with an answer to the question, • did the student convey their writing clearly, and • was their references cited in their paper? • Evaluation: • satisfactory /unsatisfactory • Four out of five=acceptable Discussion

8. Methods: SOAP note Introduction Objectives & Methods Results & Data Analysis Conclusion • Components: • overall: • date present • author of note present • chief complaint, PMH, medication list • information in correct sections (eg: subjective) • drug issue: • relavent information • assessment from information accurate • plan with supported information with follow-up • Evaluation: yes/no • Acceptable score: not clear Discussion

9. Results Introduction Objectives & Methods Results & Data Analysis Conclusion • A total of 318 students were evaluated on their IPPE Clinical SOAP note performance in three separate years, 2015-2016 (107 students), 2016-2017 (108 students) and 2017-2018 (103 students). • A high percentage of students were competent in their SOAP note presentation with 91%, 93% and 90% of students being competent for the years of 2015-2016, 2016-2017 and 2017-2018 respectively. Discussion

10. Results Introduction Objectives & Methods Results & Data Analysis Conclusion • Majority of students from each year showed competency in many areas of the SOAP note with 90% and higher in different components of the SOAP note. Discussion

11. Results Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

12. Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

13. Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

14. Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

15. Data Analysis Introduction Objectives & Methods Results & Data Analysis Conclusion Discussion

16. Discussion Discussion Introduction Objectives & Methods Results & Data Analysis Conclusion • Limitations: • Evaluation of presentations varied • No set goal for competency score

17. Discussion Discussion Introduction Objectives & Methods Results & Data Analysis Conclusion • The section of the SOAP note that required the most revision after the presentation to a faculty grader was; Information presented is restricted to that which is relevant to the diseases or problems addressed below.

18. Conclusion Discussion Introduction Objectives & Methods Results & Data Analysis Conclusion • Majority of students showed competence in their IPPE Clinical SOAP Note. • The grading rubric used to analyze student performance were solely focused on a student being competent or not. • Higher focus on relevancy of disease state and problems addressed

19. Citation • Lew V, Ghassemzadeh S. SOAP Notes. [Updated 2018 Feb 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482263/