Beth Bryles Phillips, Russ H. Palmer, Sharmon P. Osae, Sarah Thompson, Devin L. Lavender, Joshua Caballero, Hanna Kim, Jinae Lee, Lauren Baugh, Chelsea A. Keedy
{"title":"Factors Associated With Interest and Progression to Postgraduate Year Two Residency Training: A Survey of Residency Program Director Perspectives","authors":"Beth Bryles Phillips, Russ H. Palmer, Sharmon P. Osae, Sarah Thompson, Devin L. Lavender, Joshua Caballero, Hanna Kim, Jinae Lee, Lauren Baugh, Chelsea A. Keedy","doi":"10.1002/jac5.70301","DOIUrl":"https://doi.org/10.1002/jac5.70301","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A decrease in postgraduate year 2 (PGY2) match participation has been observed in recent years. This study focuses on postgraduate year 1 (PGY1) Residency Program Director (RPD) perceptions of factors associated with interest in and progression to PGY2 training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study assessed RPD perceptions regarding factors associated with pursuit of PGY2 training by PGY1 residents. In collaboration with the American Society of Health System Pharmacists, a survey was distributed to all PGY1 RPDs of accredited residency programs. The survey collected both quantitative data and qualitative data through encouraged open response questions. Quantitative analysis included descriptive statistics and <i>χ</i><sup>2</sup> test or Fisher's exact test as appropriate. A qualitative thematic analysis was conducted on open-response comments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 410 survey responses were included in the analysis. A majority of respondents (74%) perceived no difference or an increase in PGY1 resident progression to PGY2 training. Observed trends in the number of PGY1 residents pursuing a PGY2 differed based on institution type (<i>p</i> = 0.0055). The most frequently selected reason for not pursuing PGY2 residency was “Not interested in further training” (<i>n</i> = 76; 19.8%), followed by “Perceived lack of need for career goal(s)” (<i>n</i> = 60; 15.7%). Four major themes were identified through qualitative analysis: tradeoffs outweigh potential benefits, lack of need for specialization to enter the workforce, geography drives the decision, and early commitment is a barrier.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>For RPDs that have observed a decrease in progression to PGY2 residency training, the results of the study suggest the benefit of further training may not align with the professional goals of recent graduates and that there is an opportunity to improve the current experience to encourage pharmacy residents to seek PGY2 training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 11","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149176980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helen Berlie, Amber Lanae Martirosov, Brittany Stewart, Candice Garwood
{"title":"A Blueprint for Developing a Concentration in Ambulatory Care Within the PharmD Curriculum","authors":"Helen Berlie, Amber Lanae Martirosov, Brittany Stewart, Candice Garwood","doi":"10.1002/jac5.70303","DOIUrl":"https://doi.org/10.1002/jac5.70303","url":null,"abstract":"<div>\u0000 \u0000 <p>The US healthcare system is grappling with significant challenges, notably a shortage of primary care providers. Ambulatory care pharmacists are increasingly recognized as vital contributors to addressing these challenges. The Accreditation Council for Pharmacy Education Standards 2025 emphasizes preparing Doctor of Pharmacy (PharmD) graduates to be both “practice-ready” and “team-ready,” supporting pharmacists' expanding role in addressing primary care shortages as members of interprofessional ambulatory care teams. The evolving healthcare landscape, local community needs, and directives from national pharmacy organizations underscore the importance of developing ambulatory care-focused curricular concentrations within PharmD programs. In this paper, we describe the development, implementation, and initial evaluation of an ambulatory care concentration (ACC) within a PharmD curriculum and provide a framework adaptable for other pharmacy programs seeking specialized curricular pathways. The purpose of the ACC was to prepare graduates for entry-level ambulatory care practice and postgraduate training. Graduates of the inaugural ACC cohort reported high overall satisfaction with the concentration and enhanced preparedness for ambulatory care practice. Early career outcomes include three graduates currently completing ambulatory care residencies. The seven graduates in practice are in ambulatory care, specialty pharmacy, managed care, clinical community pharmacy, community pharmacy (<i>n</i> = 2), and inpatient clinical practice (post-residency). The ACC was implemented within the PharmD curriculum and was well received by students. Early findings support the purpose of the ACC to prepare graduates for ambulatory care practice and postgraduate training. This model provides an approach that pharmacy programs may adapt to develop practice-focused curricular pathways by leveraging existing institutional resources.</p>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 11","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149176981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to “Pharmacist-Led Remote Patient Monitoring for Hypertension: A Retrospective Evaluation of Blood Pressure Outcomes”","authors":"","doi":"10.1002/jac5.70305","DOIUrl":"10.1002/jac5.70305","url":null,"abstract":"<p>\u0000 <span>C. Brown</span>, <span>S. Chandra</span>, and <span>D. Clark</span>, “ <span>Pharmacist-Led Remote Patient Monitoring for Hypertension: A Retrospective Evaluation of Blood Pressure Outcomes</span>,” <i>Journal of the American College of Clinical Pharmacy</i> <span>9</span>, no. <span>10</span> (<span>2026</span>): e70296, https://doi.org/10.1002/jac5.70296.\u0000 </p><p>The published Results section of the Abstract contains incorrect data for systolic BP:</p><p>Results</p><p>Of 471 patients who actively participated, 209 (44.4%) completed the program and were included in the primary analysis. Propensity score matching identified 201 matched pairs with balanced baseline characteristics. Compared with controls, RPM participants achieved greater reductions in systolic BP (−14.9 vs. −8.2 mmHg; <i>p</i> < 0.001) and diastolic BP (−5.9 vs. −2.2 mmHg; <i>p</i> = 0.002).</p><p>The updated information should read as follows:</p><p>Results</p><p>Of 471 patients who actively participated, 209 (44.4%) completed the program and were included in the primary analysis. Propensity score matching identified 201 matched pairs with balanced baseline characteristics. Compared with controls, RPM participants achieved greater reductions in systolic BP (−11.6 vs. −8.3 mmHg; <i>p</i> =0.048) and diastolic BP (−5.9 vs. −2.2 mmHg; <i>p</i> = 0.002).</p><p>We apologize for this error.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.70305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Letitia N. Warunek, Kelly Sklanka, Morgan McIntyre, Abigail Mendygral, Brenda Gruver
{"title":"Student Perspectives of a Remote Transitions of Care Pharmacy Internship: A Mixed-Methods Study","authors":"Letitia N. Warunek, Kelly Sklanka, Morgan McIntyre, Abigail Mendygral, Brenda Gruver","doi":"10.1002/jac5.70299","DOIUrl":"10.1002/jac5.70299","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Innovative pharmacy internships and experiential learning opportunities in non-traditional practice settings are needed to support student skill development and career exposure. A Transitions of Care (TOC) internship and Advanced Pharmacy Practice Experience (APPE) program, developed through collaboration between a school of pharmacy and a health system, offers students a remote clinical patient care experience. The purpose of this study was to explore pharmacy student perceptions of this unique intern program and APPE and its effect on learning, confidence, and career development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A convergent mixed-methods design was used, incorporating semi-structured interviews with pharmacy interns and de-identified APPE student evaluation data. Eligible participants included pharmacy interns and APPE students who participated in the TOC program between January 2021 and December 2023. Qualitative data were analyzed using an inductive thematic analysis. Quantitative survey data were summarized using descriptive statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight former interns (80% response rate) were interviewed and evaluations from 29 APPE students were analyzed. Seven themes emerged from intern interviews: TOC is a unique area of pharmacy practice; the internship is flexible and independent; confidence in patient chart review; development of clinical knowledge, teamwork, and communication skills; personal growth through navigating challenges; impact on career interests; and exposure to research. Four themes were identified from APPE evaluations: independent work in a unique setting; clear rotation structure and consistent feedback; remote versus in-person learning experiences; and continuous program improvement. The mean APPE evaluation score was 3.92 (standard deviation [SD] 0.27) out of 4, indicating a positive student experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The TOC internship and APPE were described by students as positive experiences that promoted meaningful skill development, increased confidence, and offered exposure to a unique pharmacy practice setting. These findings support the value of and need for innovative, remote experiential learning models in preparing students for evolving pharmacy practice.</p>\u0000 \u0000 <div>\u0000 \u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charles E. Leonard, Lin-Chieh Meng, Ellen C. Caniglia
{"title":"Retrospective Chart Review Is Not a Study Design","authors":"Charles E. Leonard, Lin-Chieh Meng, Ellen C. Caniglia","doi":"10.1002/jac5.70304","DOIUrl":"10.1002/jac5.70304","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian Murray, Jackie Rowe, Duncan X. Dobbins, Phuong Duong, Megan Kunka Fritz, Madison Brooke Grizzle, Steven T. Johnson, Abbie D. Leino, Rajsumeet Macwan, Farah Raheem, Maha Saad, Joseph Twyman
{"title":"Artificial Intelligence Across the Pharmaceutical Life Cycle: Implications for Industry-Based Clinical Pharmacists","authors":"Brian Murray, Jackie Rowe, Duncan X. Dobbins, Phuong Duong, Megan Kunka Fritz, Madison Brooke Grizzle, Steven T. Johnson, Abbie D. Leino, Rajsumeet Macwan, Farah Raheem, Maha Saad, Joseph Twyman","doi":"10.1002/jac5.70300","DOIUrl":"10.1002/jac5.70300","url":null,"abstract":"<div>\u0000 \u0000 <p>Artificial intelligence (AI) is increasingly shaping the pharmaceutical industry. This ACCP commentary examines the implications of AI for industry-based clinical pharmacists across the pharmaceutical life cycle, including drug development, regulatory affairs, medical affairs, health economics and outcomes research, and pharmacovigilance. Artificial intelligence-enabled tools may support target identification, clinical trial design, regulatory intelligence, evidence synthesis, medical content generation, real-world evidence analysis, economic modeling, adverse event processing, and safety signal detection. As these tools mature, the role of the clinical pharmacist is likely to shift from primarily task execution toward clinical interpretation, quality assurance, strategic decision-making, and governance of AI-supported outputs. However, AI implementation also introduces important risks and practical implementation challenges. These limitations reinforce the need for clinical pharmacists to remain actively engaged as human-in-the-loop experts who can assess whether AI-generated insights are scientifically valid, clinically relevant, ethically sound, and appropriate for decision-making. Ultimately, AI may expand the reach and efficiency of pharmaceutical industry functions, but successful integration will depend on pharmacist leadership in evaluation, oversight, and responsible implementation.</p>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Exposure to Guided Participation: Designing Experiential Education as Cognitive Apprenticeships","authors":"W. Anthony Hawkins, Karsin M. Bass, Russ Palmer","doi":"10.1002/jac5.70302","DOIUrl":"10.1002/jac5.70302","url":null,"abstract":"<p>Experiential pharmacy education is expected to develop trainees who can participate in patient care, reason through ambiguity, communicate with interprofessional teams, and progress toward practice-ready or independent performance. Pharmacy practice experiences are often organized around clinical exposure, topic discussions, patient presentations, and summative experiential education (EE) evaluations. While these activities are valuable, they may not reliably reveal how expert pharmacists recognize problems, prioritize information, negotiate uncertainty, and act within local communities of practice. Cognitive apprenticeship is a framework composed of four domains (sociology, content, method, sequencing) and has implications for EE design to move beyond exposure toward guided participation in practice. This paper offers guidance to apply the four domains of cognitive apprenticeship to pharmacy practice experiences, especially for student pharmacists and residents. We further propose an EE-adapted structure of the method domain: model, explore, articulate, coach/scaffold, and reflect. Using an intensive care vignette, the manuscript illustrates how trainees may possess textbook knowledge yet struggle to use that knowledge when context, team roles, institutional routines, and uncertainty shape clinical decisions. Use of the adapted cognitive apprenticeship framework to prospectively design experiential learning may help preceptors examine hidden reasoning, structure participation, calibrate feedback, and intentionally sequence responsibility.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.70302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond Medication: Pharmacists as Age-Friendly Champions","authors":"Amanda Meier, Alice Bonner","doi":"10.1002/jac5.70295","DOIUrl":"https://doi.org/10.1002/jac5.70295","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pharmacist-Led Remote Patient Monitoring for Hypertension: A Retrospective Evaluation of Blood Pressure Outcomes","authors":"Carly Brown, Saurabh Chandra, Donald Clark III","doi":"10.1002/jac5.70296","DOIUrl":"10.1002/jac5.70296","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Uncontrolled hypertension remains a leading risk factor for cardiovascular disease, particularly in rural and medically underserved populations. Remote patient monitoring (RPM) and protocol-driven care models have emerged as promising strategies to improve blood pressure (BP) control. This study evaluated a pharmacist-led RPM program for patients with uncontrolled hypertension integrated into routine clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective chart review was conducted among adults with uncontrolled hypertension enrolled in an RPM program at a large academic medical center between 2018 and 2022. The program incorporated Bluetooth-enabled BP monitors, daily registered nurse (RN) monitoring, and pharmacist-led medication management guided by a standardized treatment protocol. Propensity score matching was used to compare clinic BP outcomes with a control group receiving usual in-clinic care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 471 patients who actively participated, 209 (44.4%) completed the program and were included in the primary analysis. Propensity score matching identified 201 matched pairs with balanced baseline characteristics. Compared with controls, RPM participants achieved greater reductions in systolic BP (−14.9 vs. −8.2 mmHg; <i>p</i> < 0.001) and diastolic BP (−5.9 vs. −2.2 mmHg; <i>p</i> = 0.002).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A pharmacist-led, protocol-driven RPM program was associated with greater reductions in BP compared with those receiving in-clinic care alone. These findings support the integration of pharmacists and structured treatment algorithms in telehealth-enabled hypertension management. Improving patient engagement and addressing reimbursement challenges remain essential for long-term program sustainability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ikhwan Yuda Kusuma, Rian Nurahman, Nelly Maryanti, Muhammad Jayyid Zidan
{"title":"Effectiveness of a Theory-Informed Antimicrobial Stewardship Educational Intervention in Pharmacy Students: A Stepped-Wedge Study","authors":"Ikhwan Yuda Kusuma, Rian Nurahman, Nelly Maryanti, Muhammad Jayyid Zidan","doi":"10.1002/jac5.70298","DOIUrl":"10.1002/jac5.70298","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Developing antimicrobial stewardship (AMS) competencies is an essential priority in pharmacy education. However, stewardship training in many curricula remains largely knowledge-based, with limited implementation of theory-informed learning strategies and longitudinal competency evaluation. The objective of this study is to evaluate the effectiveness of a theory-informed, multicomponent Digital Antimicrobial Stewardship Education Intervention (DASEI) in improving AMS-related knowledge, clinical reasoning, perceptions, and attitudes among undergraduate pharmacy students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cluster stepped-wedge quasi-experimental design with repeated measurements was conducted among undergraduate pharmacy students across eight clusters. The intervention combined webinar-based learning, case-based polling, vignette simulations, and reinforcement microlearning grounded in the Capability, Opportunity, Motivation-Behavior (COM-B) framework. Outcomes were assessed at baseline (T0), postintervention (T1), and follow-up (T2–T4) using validated instruments and were analyzed using linear mixed-effects models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 268 participants (mean age 20.8 ± 1.6 years; 72.4% female) were included. Mean antibiotic knowledge scores increased from 16.08 ± 3.20 at baseline to 20.96 ± 2.70 at follow-up, while vignette-based decision-making scores improved from 3.46 ± 1.10 to 5.01 ± 0.70. Perception and attitude scores increased from 3.82 ± 0.54 to 4.04 ± 0.43 and from 3.70 ± 0.52 to 4.10 ± 0.42, respectively. Mixed-effects analysis demonstrated significant intervention effects across outcomes (<i>p</i> < 0.05), with sustained improvements over time and variation across academic levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The theory-informed DASEI model improved AMS competencies among pharmacy students. Integrating structured digital stewardship training into pharmacy curricula may strengthen experiential learning, clinical reasoning development, and readiness for stewardship practice, particularly, in resource-constrained educational settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 10","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}