Abstract：
Performance assessments for student pharmacists are required by the Accreditation Council for Pharmacy Education to monitor student knowledge, retention, and professional skill sets. Near the end of their Advanced Pharmacy Practice Experiences (APPEs), fourth-year pharmacy students (P4s) at the University of Texas at Austin College of Pharmacy must pass a milestone exam (P4ME) to graduate. The P4ME contains four sections: adult medicine, ambulatory care, community, and hospital. If a student fails one or more sections of the initial multiple-choice P4ME, they must retake that specific section(s) on the makeup P4ME. If a student fails the makeup multiple-choice P4ME, they participate in a case based oral exam designed to determine whether they meet minimal competencies to pass the P4ME. This report outlines the process undertaken by the faculty to develop a high-stakes P4 milestone oral exam. While only a few students have participated in the process, outcomes differentiated P4s eligible for graduation versus those who needed to repeat an APPE. Lessons learned about the oral exam process include minimizing the number of faculty in attendance, shortening the exam duration, and standardizing the exam process. Positive aspects include remediation led by a subject matter expert and implementation of a unique rubric to assess student performance. Overall, the authors find the P4 oral milestone exam to be a feasible assessment tool for students who perform poorly on the initial and makeup multiple-choice P4MEs.
摘要：
药学教育评审委员会要求对学生药剂师进行成绩评估,以监察学生的知识,保留,和专业技能。在他们的高级药学实践经验（APPE）即将结束时，德克萨斯大学奥斯汀药学院的四年级药学学生（P4s）必须通过里程碑考试（P4ME）才能毕业。P4ME包含四个部分：成人医学，门诊护理,社区,和医院。如果学生未能通过初始多项选择P4ME的一个或多个部分，他们必须重新服用化妆P4ME上的特定部分。如果学生化妆多项选择P4ME失败，他们参加基于案例的口试,旨在确定他们是否满足通过P4ME的最低能力.本报告概述了教师开展高风险P4里程碑口试的过程。虽然只有少数学生参与了这个过程，结果区分有资格毕业的P4与需要重复APPE的人。关于口试过程的经验教训包括最大限度地减少教师的出勤人数，缩短考试时间，并规范考试过程。积极的方面包括由主题专家领导的补救和实施独特的指标来评估学生的表现。总的来说,作者发现P4口语里程碑考试对于在初始和化妆多项选择P4ME上表现不佳的学生来说是一种可行的评估工具.
