{"title":"Exploring the Role of LLMs Like ChatGPT in Pharmacy Education for Supporting Students' Therapeutic Decision-making","authors":"Paola Carou-Senra , Irene Delgado-Taboada , Carmen Alvarez-Lorenzo , Patricia Diaz-Rodriguez , Alvaro Goyanes","doi":"10.1016/j.ajpe.2025.101462","DOIUrl":"10.1016/j.ajpe.2025.101462","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to evaluate the utility of large-scale language models as training strategies for clinical student pharmacists, exploring their potential use in drug dosage adjustment while analyzing their limitations.</div></div><div><h3>Methods</h3><div>ChatGPT, Gemini, and Copilot were evaluated for predicting the appropriate drug dose using common pharmacokinetic problems. Three narrow therapeutic drugs—tacrolimus, vancomycin, and lidocaine—were selected, and 3 different therapeutic scenarios were tested for each drug with the models. The prompt structure was modified to analyze its impact on the results achieved. The performance of the models in each scenario was rated using a numerical scale from 0 to 2. The potential benefits of the model as support tools for students, as well as the identification of the current limitations, were evaluated.</div></div><div><h3>Results</h3><div>ChatGPT achieved the highest score and had the greatest number of correct answers. Tacrolimus inputs produced the most correct answers, likely because its calculations were less complex. Moreover, modifications in the prompt structure led to significant changes in the results for most models, highlighting the critical role of prompt design.</div></div><div><h3>Conclusion</h3><div>While the results indicate room for improvement, the successful cases highlight promising directions. With more rigorous study of the models, enhanced data quality, and a deeper understanding of prompt design, these artificial intelligence tools could offer substantial support to students. Educating users on these emerging technologies will further enhance their application in health care, maximizing benefits and mitigating potential risks and limitations.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101462"},"PeriodicalIF":3.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pharmacy Law Curriculum Characteristics Associations With First-Time Multistate Pharmacy Jurisprudence Exam Pass Rates","authors":"Kayla Rena Joyner, Thomas M. Ellington","doi":"10.1016/j.ajpe.2025.101461","DOIUrl":"10.1016/j.ajpe.2025.101461","url":null,"abstract":"<div><h3>Objective</h3><div>This study analyzes the association between pharmacy law curricular characteristics and first-quartile first-time Multistate Pharmacy Jurisprudence Exam MPJE(Backspace) pass rates in 2021, 2022, and 2023, and the 3-year average compared with those of the other 3 quartiles.</div></div><div><h3>Methods</h3><div>A list of pharmacy schools in MPJE-utilizing states was generated using the 2023 pass rates by school reports from the National Association of Boards of Pharmacy. School websites were reviewed for law course-related curriculum details, including course timing, credit hours, number of courses, and faculty with law degrees. The number of graduates, the institution type (private or public), and the founding year were collected. Schools were categorized based on first-time MPJE pass rates into the first-quartile or lower 3 quartiles and analyzed using univariable and multivariable logistic regression.</div></div><div><h3>Results</h3><div>Among 125 pharmacy schools, law-curriculum characteristics did not consistently correlate with first-quartile first-time pass rates in the multivariable analysis. However, placing a law course the semester before or the semester of starting Advanced Pharmacy Practice Experiences was associated with first-quartile first-time pass rates in 2023 in both the univariable and multivariable analyses.</div></div><div><h3>Conclusion</h3><div>The study suggests that law-course characteristics were not consistently associated with first-time MPJE pass rates. Law courses the semester before or the semester of starting Advanced Pharmacy Practice Experiences were associated with first-quartile first-time pass rates in 2023. Further research is needed to understand the factors influencing MPJE success.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101461"},"PeriodicalIF":3.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denise H. Rhoney , Nicholas R. Nelson , Robert Hubal , Misty Stutz , Amanda H. Corbett , Scott Singleton , Cindy D. Stowe
{"title":"Pharmacy Is an Applied Discipline: The Baumkuchen Layer Model of Curriculum Design","authors":"Denise H. Rhoney , Nicholas R. Nelson , Robert Hubal , Misty Stutz , Amanda H. Corbett , Scott Singleton , Cindy D. Stowe","doi":"10.1016/j.ajpe.2025.101458","DOIUrl":"10.1016/j.ajpe.2025.101458","url":null,"abstract":"<div><div>Pharmacy education faces significant challenges, particularly in keeping up with the rapidly evolving health care landscape due to the expansion of information and technology. The pressure to \"teach everything\" risks curriculum overload and detracts from defining core knowledge essential for pharmacists. This commentary advocates for a comprehensive definition of pharmacist knowledge as a framework to reorganize pharmacy education, aligning with knowledge domains outlined by the Organization for Economic Cooperation and Development. It proposes the Baumkuchen Layer Model, a metaphor inspired by the German layer cake, to integrate academic discipline classification with a hierarchical knowledge structure. This approach ensures a solid foundation for students, enabling them to engage with increasingly complex concepts, thus preparing them to navigate modern health care complexities, contribute to patient care, and support public health initiatives.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101458"},"PeriodicalIF":3.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diane B. Ginsburg , Lisa Lebovitz , Brookie M. Best , Kathy Giacomini , Kristen L. Goliak , Zhe Han , David P. Nau , William A. Prescott
{"title":"Response to O’Connor and Colleagues Regarding “To Stay or To Go? Debate Regarding US News and World Report Pharmacy Program Rankings”","authors":"Diane B. Ginsburg , Lisa Lebovitz , Brookie M. Best , Kathy Giacomini , Kristen L. Goliak , Zhe Han , David P. Nau , William A. Prescott","doi":"10.1016/j.ajpe.2025.101457","DOIUrl":"10.1016/j.ajpe.2025.101457","url":null,"abstract":"","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101457"},"PeriodicalIF":3.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Rational Drug Use Literacy and Its Influencing Factors Among Pharmacy Students","authors":"Pongpan Suriyong , Titinun Auamnoy , Poonpong Suksawang , Penkarn Kanjanarat , Thawari Khansamrong , Krittayot Supakanjanakanti , Natthaporn Wedvimonrattana , Siwakorn Nobnop","doi":"10.1016/j.ajpe.2025.101456","DOIUrl":"10.1016/j.ajpe.2025.101456","url":null,"abstract":"<div><h3>Objective</h3><div>Irrational drug use remains a global health concern, underscoring the urgent need for a well-prepared health care workforce. Pharmacy students play a vital role in promoting rational drug use literacy (RDUL) to enhance medication safety. This study assessed RDUL among Thai pharmacy students and examined influencing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among Doctorate of Pharmacy Students at Burapha University between January and March 2024, using cluster sampling and the Thai version of RDUL measurement tool for Thai people. Data were analyzed using descriptive statistics, <em>t</em> tests, χ<sup>2</sup> tests, analysis of variance, multiple regression, and structural equation modeling.</div></div><div><h3>Results</h3><div>Among 273 pharmacy students from year 1 to 5 (74.4% female), the mean RDUL score was 44.6 (85.8% of the total), exceeding the general Thai population. However, 19.0% had low RDUL. Academic year, medication use experience, and gender significantly influenced RDUL. Tukey’s Honest Significant Difference analysis showed higher RDUL scores in upper-year students. Multiple regression revealed a significant positive association between the rational drug use learning environment and RDUL. Structural equation modeling confirmed its direct impact (λ = 0.30), with dynamic interactions among 6 RDUL dimensions.</div></div><div><h3>Conclusion</h3><div>Pharmacy students demonstrated higher RDUL than the general population. Academic year, medication experience, and gender were the influencing factors, while the rational drug use learning environment was found to have a direct impact on student’s RDUL.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101456"},"PeriodicalIF":3.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Pilot Study Using Artificial Intelligence to Enhance Efficiency, Accuracy, and Objectivity in Grading Pharmacy Objective Structured Clinical Examinations","authors":"Mariette Sourial , Jeremy C. Hagler","doi":"10.1016/j.ajpe.2025.101455","DOIUrl":"10.1016/j.ajpe.2025.101455","url":null,"abstract":"<div><h3>Objective</h3><div>The goal of this project was to evaluate the feasibility of using artificial intelligence (AI) in grading pharmacy Objective Structured Clinical Examination (OSCE) analytical checklists in terms of accuracy, objectivity and consistency, and efficiency compared to faculty evaluators.</div></div><div><h3>Methods</h3><div>Third-year pharmacy students (<em>n</em> = 39) enrolled in a private Christian university completed a 5-station OSCE as part of the Advanced Pharmacy Practice Experience-readiness plan. Audio recordings from 2 of the interactive stations were de-identified and fed into 2 customized language learning models: a speech-to-text and a tailored transformer model trained on the analytical checklist. A validation set using the analytical checklist was completed by the study investigator. Comparison of AI scoring of the analytical checklist against the validation set and faculty evaluators' scoring was retrospectively reviewed for analysis.</div></div><div><h3>Results</h3><div>The customized AI model demonstrated >96% and 94% accuracy for stations A and B, respectively. There was an observed statistically significant inter-rater variability among the faculty evaluators, with one evaluator scoring on average 4 points higher in one station and another evaluator scoring on average one point higher in the second station. For efficiency, the AI model graded 39 students in <5 min, saving time for faculty grading, along with timely feedback to assist in improving future student performance.</div></div><div><h3>Conclusion</h3><div>Customized AI model outperformed faculty scoring on the pharmacy OSCE analytical checklists of 2 stations in accuracy, objectivity and consistency, and efficiency.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101455"},"PeriodicalIF":3.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Krystal L. Edwards , Rachel A. Allen , Dana A. Strachan , Kayla R. Stover , Jeremy Hughes
{"title":"Adapting the Pharmacists’ Patient Care Process for Faculty to Effectively Support and Meet Student Needs","authors":"Krystal L. Edwards , Rachel A. Allen , Dana A. Strachan , Kayla R. Stover , Jeremy Hughes","doi":"10.1016/j.ajpe.2025.101444","DOIUrl":"10.1016/j.ajpe.2025.101444","url":null,"abstract":"<div><div>Positive interactions between students and both faculty and staff, including those focused on student well-being, career advising, academic advising, and learner accountability, are key to student success in PharmD education and beyond. Many faculty and staff members lack formal training in student support initiatives, resulting in the absence of structured methodologies for addressing student needs. The Joint Commission of Pharmacy Practitioners’ Pharmacists’ Patient Care Process (PPCP) provides a standardized approach for pharmacists to deliver patient care in any setting. Utilizing an adaptation of the PPCP framework, this manuscript proposes a novel Faculty-Student Care Process that incorporates both the PPCP and the diagnostic elements that the new 2025 Accreditation Council for Pharmacy Education Standards outlined to create a systematic process for effective engagement with and support of students. The Faculty-Student Care Process provides faculty and staff with a methodology to support students and/or programmatic needs, whereby they collect, assess, plan, implement, and follow up/monitor challenges or opportunities. By applying this approach, faculty and staff can better understand students’ unique circumstances and provide tailored support, embracing the idea of meeting students where they are and addressing their needs in the most effective ways.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101444"},"PeriodicalIF":3.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Call to Explore Teacher Professional Identity","authors":"Jungeun Lee, Kristin K. Janke","doi":"10.1016/j.ajpe.2025.101454","DOIUrl":"10.1016/j.ajpe.2025.101454","url":null,"abstract":"<div><div>Increased exploration of Teacher Professional Identity (TPI) is needed in pharmacy education. While much attention is given to students' professional identity formation, teacher identity is also important in shaping teaching effectiveness, teacher agency, and overall job satisfaction. Drawing from the literature, this commentary discusses TPI as a dynamic construct shaped by values, beliefs, and experiences related to the teaching profession. Department chairs and mentors are urged to promote TPI exploration, reflection, and discussion. A framework for exploring TPI is presented, along with a tool that can help educators explore their TPI. In addition, areas for research on TPI in pharmacy education are provided.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101454"},"PeriodicalIF":3.8,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Imad F. Btaiche , Lamis R. Karaoui , Kristina Attieh , Bertha Abou Zeid , Roy Kanbar
{"title":"Student Pharmacists’ Satisfaction, Perceptions, and Knowledge in Advanced Pharmacy Practice Experience in the Pharmaceutical Industry","authors":"Imad F. Btaiche , Lamis R. Karaoui , Kristina Attieh , Bertha Abou Zeid , Roy Kanbar","doi":"10.1016/j.ajpe.2025.101452","DOIUrl":"10.1016/j.ajpe.2025.101452","url":null,"abstract":"<div><h3>Objective</h3><div>This study describes an elective advanced pharmacy practice experience (APPE) in the pharmaceutical industry offered to fourth professional year (P4) student pharmacists and reports on the outcomes assessment of students' satisfaction, perceptions, and knowledge during the APPE.</div></div><div><h3>Methods</h3><div>An observational cross-sectional study design was employed to analyze responses from 59 P4 student pharmacists who completed a pharmaceutical industry elective APPE, based on data collected over 10 years of offering the elective. Students completed surveys after the APPE, indicating their levels of agreement regarding the practice site and preceptors, as well as their satisfaction with the APPE in meeting its learning objectives.</div></div><div><h3>Results</h3><div>Most respondents highly rated the quality standards of the practice site and preceptors, with average ratings of 3.39 ± 0.09 and 3.38 ± 0.11 on a 4-point Likert scale, respectively. They also expressed high satisfaction with the coverage of the APPE learning objectives, with an average rating of 3.47 ± 0.09. Moderate-to-strong correlations were observed between the ratings for the practice site and learning objectives, and between the preceptors and learning objectives.</div></div><div><h3>Conclusion</h3><div>The pharmaceutical industry offers pharmacy programs a unique opportunity to conduct nontraditional elective APPEs. This can be effectively implemented through partnership agreements and close collaboration between the programs and pharmaceutical companies, with active involvement from site preceptors in teaching students. Student pharmacists appreciated the nonpatient care industrial APPE, which broadened their knowledge and practice while also expanding the school’s experiential offerings.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101452"},"PeriodicalIF":3.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scaffolding for Problem Solving Using Goldilocks Help in Objective Structured Clinical Examinations","authors":"Shaun W.H. Lee , Angelina Lim , Li Ling Yeap","doi":"10.1016/j.ajpe.2025.101451","DOIUrl":"10.1016/j.ajpe.2025.101451","url":null,"abstract":"<div><h3>Objective</h3><div>Objective Structured Clinical Examinations (OSCEs) can be overwhelming for students due to time constraints and anxiety. Algorithms and scaffolds can assist with problem solving by breaking the process into prompts and steps.</div></div><div><h3>Methods</h3><div>In total, 60 assessment data points based on performance tier (high, middle, and low) from students across Malaysian and Australian institutions were selected. Content and thematic analyses, structured around the Goldilocks Help model steps, were employed to assess students' metacognitive processes that occur during OSCE problem solving.</div></div><div><h3>Results</h3><div>Students from all performance levels initially focused on understanding patient history and medications. Top and middle performers effectively used medical resources for safety checks and decision-making, while lower performers struggled with identifying medication-related problems, reflecting gaps in knowledge application. Emphasis on each step of the Goldilocks model varied across stations. All students prioritized initial patient information gathering, but their ability to analyze and plan interventions differed according to their knowledge level.</div></div><div><h3>Conclusion</h3><div>This study provides evidence that student pharmacists’ natural problem-solving process, as described in post-OSCE reflections, follows through the 5 Goldilocks Help steps during OSCEs. Low performing students struggled with step 2 (Analyze) and spent excessive time on step 3 (Plan). Educators can use Goldilocks Help to support low performing students by guiding their thought processes through a more systematic way until they are able to build their expertise to approach problems in a more flexible manner.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 8","pages":"Article 101451"},"PeriodicalIF":3.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}