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American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        AACP REPORT
                                                                                                                        Trainee Poster Competition Abstracts Presented at the 122nd Virtual Annual
                                                                                                                        Meeting of the American Association of Colleges of Pharmacy, July 19-22, 2021
                                                                                                                        "Alohomora!" Unlocking Student Engagement in an                        A Before-After Evaluation of the Impact of Remote
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                                                                                                                        Elective Course Through Themed Competition                             Proctoring on Academic Performance
                                                                                                                        Abigail M. Alexander, University of South Carolina                     MadisonB.Roberts, TheUniversityofTennessee, Elizabeth
                                                                                                                        College of Pharmacy, Caitlin M.Musgrave Mardis,Univer-                 A. Hall, The University of Tennessee, Dawn Havrda, The
                                                                                                                        sity of South Carolina College of Pharmacy, Andrew Mar-                University of Tennessee.
                                                                                                                        dis, Prisma Health Richland, University of South Carolina              Objective: To evaluate changes in student pharmacist exam
                                                                                                                        College of Pharmacy, Melissa O'Neal, Houston Methodist.                scores after transitioning to remote proctoring, specifically
                                                                                                                        Objective: To assess the impact of a semester-long, team-              when considering student grade point average (GPA) and
                                                                                                                        based, themed learning competition on student engagement               level of testing anxiety. Methods: This is the second part
                                                                                                                        and performance in a solid organ transplant elective course            of a retrospective, observational study that compared first-
                                                                                                                        during the COVID-19 pandemic. Methods: Second- and                     (P1) and second-year (P2) student pharmacist composite
                                                                                                                        third-yearstudentswereenrolledintheelectiveand“sorted”                 exam scores administered in spring 2020 (n5384), which
                                                                                                                        into four “Houses” for a Harry Potter themed competition.              had four in-person exams and three remotely proctored
                                                                                                                        Points were earned by winning interactive games and                    exams. Students served as their own controls in a before-
                                                                                                                        answering audience response questions. The impact of the               after analysis where the transition point was the implemen-
                                                                                                                        competition was assessed through pre- and post-class sur-              tation of remote proctoring. To assess for differences in
                                                                                                                        veys, competition participation data, and overall academic             exam scores amongst students with varying levels of testing
                                                                                                                        performance. T-test, chi-square, and linear regression                 anxiety, students were first classified into one of three
                                                                                                                        were employed for comparisons. Results: Due to the pan-                groups (low, moderate, or high testing anxiety) based on
                                                                                                                        demic, the elective was the only traditional in-person course          Cognitive Test Anxiety Scale-Second Edition (CTAS-2)
                                                                                                                        for33of34(97.1%)students.Atotalof23(69.7%)indicated                    score. Kruskal-Wallis tests compared the difference in
                                                                                                                        prior interest in Harry Potter. Throughout the semester,               median scores amongst the CTAS-2 severity groups. Stu-
                                                                                                                        96.5% of students in attendance engaged in the optional                dents were also stratified into one of two groups based on
                                                                                                                        in-class competitions, which was comparable to non-                    their cumulative GPA (ie, upper 50% or lower 50%);
                                                                                                                        pandemic levels of participation (p5.78). By the end of                Mann Whitney tests compared the difference in median
                                                                                                                        the semester, 94.1% of students had earned “House Cup”                 scores for these two groups. Results: When stratified by stu-
                                                                                                                        points (median 23.75, range 0 to 210). Prior interest in Harry         dent CTAS-2score, no significant difference inexamscores
                                                                                                                        Potter did not have an impact on House Cup performance                 was found. When stratified by GPA, no significant differ-
                                                                                                                        (p5.65). Students earning 20-35 or .35 House Cup points                ence in exam scores was found for P1 students, but a signif-
                                                                                                                        had higher final course grades (14.2 [p5.012] and 16.6                 icant difference was noted for P2 students. Specifically, the
                                                                                                                        [p,.001], respectively) than those with ,20 points. In the
                                                                                                                                                                                               lower50thpercentileGPAgrouphadsignificantexamscore
                                                                                                                        post-class survey, 84.0% of respondents indicated in a
                                                                                                                                                                                               improvements after transitioning to remote proctoring and
                                                                                                                        free-text field that the competition was their favorite course
                                                                                                                                                                                               testing. Conclusions: Remote proctoring and testing has a
                                                                                                                        component. Conclusions: Students responded well to the
                                                                                                                                                                                               seemingly minimal impact on academic performance
                                                                                                                        competition regardless of their interest in Harry Potter. Stu-
                                                                                                                                                                                               regardless of a student’s CTAS-2 score, yet may lead to
                                                                                                                        dents performing well in the House Cup performed better in
                                                                                                                                                                                               improvements in score for students with a lower GPA.
                                                                                                                        the course overall, and the majority considered it to be their
                                                                                                                        favorite course component. These findings suggest that
                                                                                                                        gamification and competition are valuable tools to sustain             A Qualitative Analysis of the COVID-19 Pandemic’s
                                                                                                                        student engagement during a pandemic.                                  Impact on the US Pharmacy School Teaching
                                                                                                                                                                                               Reina Sanz, University of the Pacific, Rajkumar J. Sevak,
                                                                                                                                                                                               University of the Pacific.
                                                                                                                                                                                               Objective:TheCOVID-19pandemichasenforcedsubstan-
                                                                                                                                                                                               tial changes on educational institutions throughout the US.
                                                                                                                                                                                               Many pharmacy schools shifted their academic programs
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American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        toremote delivery prompting faculty members to adapt their             examine how cumulative examinations compare to the tra-
                                                                                                                        courses to continue providing quality education to student             ditional test taking approach with respect to student aca-
                                                                                                                        pharmacists. This study evaluated how the COVID-19 pan-                demic performance. Methods: Following the Preferred
                                                                                                                        demic impacted the teaching of pharmacy faculty members.               Reporting Items Systematic Reviews and Meta-Analyses
                                                                                                                        We used a qualitative method approach with open-ended                  Extension for Scoping Reviews (PRISMA-ScR) guide-
                                                                                                                        questions to reveal unique perceptions based on the                    lines, this scoping review included studies comparing
                                                                                                                        narrative responses of faculty members. Methods: A web-                cumulative exams to traditional examination processes.
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                                                                                                                        based survey was administered to US pharmacy school fac-               An electronic search was conducted using six databases:
                                                                                                                        ulty members in August 2020. The survey included five                  PubMed, ERIC, SCOPUS, cINAHL, PsychINFO, Aca-
                                                                                                                        open-ended questions to assess the impact of the pandemic              demic Search Ultimate, and Education Full Text; addition-
                                                                                                                        on their teachings in the following five course categories: 1)         ally, an electronic search for grey literature was conducted
                                                                                                                        foundation/basic science courses, 2) clinical/therapeutics             within Pharmacy Education Certification websites (ie,
                                                                                                                        courses, 3) case-based courses, 4) skill-based courses, and            ACPE, NABP) and Proquest (for dissertations & Theses).
                                                                                                                        5) experiential courses. Authors first conducted a thematic            The search criteria were developed/validated by an acade-
                                                                                                                        analysis with inductive reasoning to obtain codes and cate-            mia librarian, and two academia pharmacists. Following
                                                                                                                        gories from the open-ended responses. Authors then con-                an initial title search and removal of duplicates, abstracts
                                                                                                                        ducted meetings to discuss the qualitative responses and               were reviewed and full-text articles were assessed to con-
                                                                                                                        compiled a list of codes and categories for each open-                 firm studies met inclusion criteria. From the studies that
                                                                                                                        ended survey question. This study was approved by the Uni-             met eligibility for the scoping review, data were collected
                                                                                                                        versityofthePacificInstitutionalReviewBoard. Results: A                utilizing a standardized data extraction tool and data were
                                                                                                                        total of 1,068 individuals participated in the survey (17.3%           then analyzed utilizing descriptive analysis techniques.
                                                                                                                        response rate). The qualitative analysis of faculty members’           Results: Research in progress. Conclusions: The findings
                                                                                                                        descriptive responses revealed several themes. The com-                from this study will be presented in July 2021 during the
                                                                                                                        mon themes across the five course categories included chal-            AACP Virtual Annual Meeting.
                                                                                                                        lenges with online course delivery, student learning and
                                                                                                                        assessment difficulties, faculty and student wellbeing                 An Analysis of First Professional Year Pharmacy
                                                                                                                        affected, limited student interactions, need for safety pre-           Students’ Wellbeing Priorities and Perceptions
                                                                                                                        cautions, site limitations, successful distance education,
                                                                                                                        and limited administrative support. Conclusions: This                  Michelle Rapier, East Tennessee State University, Nicholas
                                                                                                                        study revealed several ways that the COVID-19 pandemic                 Hagemeier, East Tennessee State University.
                                                                                                                        presented faculty members with more challenges and few                 Objective: 1) To identify first professional year (P1) phar-
                                                                                                                        opportunities which impacted the teaching in the US phar-              macy students’ prioritization of wellbeing domains they
                                                                                                                        macy schools.                                                          most desired to improve; and 2) to summarize students’
                                                                                                                                                                                               wellbeingpromotingactionstepsacrossallGallupdomains.
                                                                                                                                                                                               Methods: Students were introduced to Gallup’s wellbeing
                                                                                                                        A Scoping Review of Cumulative Exams as a
                                                                                                                                                                                               domains during a required P1 course. Thereafter, four
                                                                                                                        Testing Modality
                                                                                                                                                                                               cohortsofP1students(N5293) completed a Personal Well-
                                                                                                                        Sujin Kim, The University of Arizona, Vivian Nguyen, The               being Assessment & Planning assignment in whichtheypri-
                                                                                                                        University of Arizona, Jonathan Chien, The University of               oritized the Gallup wellbeing domain they most desired to
                                                                                                                        Arizona, Jennifer Martin, The University of Arizona, Terri             improve. Two student cohorts also provided qualitative
                                                                                                                        Warholak, The University of Arizona College of Pharmacy,               statements describing one action they would like to take to
                                                                                                                        Caitlin Cameron, The University of Arizona.                            improve each wellbeing domain. Three researchers inde-
                                                                                                                        Objective: A cumulative exam is a testing modality that                pendently coded student responses and identified themes
                                                                                                                        combines learning objectives and questions from different              across wellbeing domains. Results: Physical wellbeing
                                                                                                                        courses into a single exam. This differs from the traditional          was the domain students most desired to improve in each
                                                                                                                        testing methods of deriving exam content from a solitary               cohort, ranging from 36% to 50% percent of students. Com-
                                                                                                                        course, with each course conducting its own assessments.               munity wellbeing was the second most chosen wellbeing
                                                                                                                        The integration of cumulative exams within academic pro-               domain in two cohorts, while financial wellbeing was the
                                                                                                                        grams requires increased coordination between courses and              least chosen domain to improve in three of the four cohorts.
                                                                                                                        support from academic leadership. The effect of cumulative             Professional development (career), connecting with others
                                                                                                                        versus single course exams on student academic perfor-                 (social), engaging in community service (community),
                                                                                                                        mance is not clear. A scoping review was conducted to                  engaging in physical activity (physical), and saving and
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American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        budgeting money (financial) were the most commonly                   intervention including personal experience in genotyping
                                                                                                                        noted action steps students desired to take. Conclusions:            can be transferred to additional pharmacy curricula.
                                                                                                                        Students identified physical wellbeing as the domain most
                                                                                                                        desired to improve with exercise being the most common               Assessment of a Virtual Interview Experience for
                                                                                                                        action to improve their physical wellbeing. Student percep-          Prospective College of Pharmacy Students
                                                                                                                        tions should be considered by colleges and schools as they
                                                                                                                        target wellbeing-promoting interventions.                            Elena Dang, The University of Texas at Austin, Hailey Held,
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                                                                                                                                                                                             The University of Texas at Austin, Yasmeen Alqaisi, The
                                                                                                                                                                                             University of Texas at Austin, Stephanie Adler, The Univer-
                                                                                                                        Assessing the Impact of a Pharmacogenomics                           sity of Texas at Austin, Sarah Patrick, The University of
                                                                                                                        Educational Intervention for Student Pharmacists in                  Texas at Austin, Sadika Eslaminejad, The University of
                                                                                                                        the PharmD Curriculum                                                Texas at Austin, Kathryn Litten, The University of Texas
                                                                                                                                                                                             atAustin, Claire Latiolais, TheUniversityofTexasatAustin.
                                                                                                                        Sunwoo Bae, University of North Carolina at Chapel Hill,
                                                                                                                        Timothy Wiltshire, University of North Carolina at Chapel            Objective: Due to the COVID-19 pandemic, the University
                                                                                                                        Hill, Amber D. Frick, University of North Carolina at                of Texas at Austin College of Pharmacy adapted the Pro-
                                                                                                                        Chapel Hill.                                                         spective Student Interview process for cohorts projected
                                                                                                                                                                                             to join the Class of 2025. The entire interview process was
                                                                                                                        Objective: Pharmacogenomicsisgrowing traction aspreci-
                                                                                                                                                                                             moved from in-person to a virtual format to allow a safe
                                                                                                                        sion medicine emerges within clinical practice. This area of
                                                                                                                                                                                             and accessible way to recruit students. This study will out-
                                                                                                                        practice may not be covered comprehensively within
                                                                                                                                                                                             line the process of transitioning to the virtual format and
                                                                                                                        PharmD curricula. The objective of this study was to assess
                                                                                                                                                                                             use a survey to assess the virtual interview experience for
                                                                                                                        how incorporating a pharmacogenomics educational inter-
                                                                                                                                                                                             prospective college of pharmacy students. This data will
                                                                                                                        vention with personal genotyping in a required course
                                                                                                                                                                                             be used to assess the utility ofvirtual interviews in the future.
                                                                                                                        maychangetheperceptionsandattitudesof studentpharma-
                                                                                                                                                                                             Methods: The virtual process included a pre-interview day
                                                                                                                        cists. Methods: This study recruited University of North
                                                                                                                                                                                             and an interview day with four distinct sections: Multiple
                                                                                                                        Carolina Eshelman School of Pharmacy second-year
                                                                                                                                                                                             Mini Interviews, Interview Activity, Student Showcases,
                                                                                                                        PharmD students from 2016 to 2019 who were enrolled in
                                                                                                                                                                                             and Closing Remarks. A 15 item Qualtrics survey was
                                                                                                                        a 15-week required clinical pharmacology course. Surveys
                                                                                                                                                                                             developedandsenttoapplicantsduringthe2020-2021inter-
                                                                                                                        were provided pre- and post-educational intervention
                                                                                                                                                                                             view cycle. Both quantitative and qualitative data will be
                                                                                                                        regarding perceptions and attitudes in student pharmacists.
                                                                                                                                                                                             collected using Likert scales regarding their experience.
                                                                                                                        Pharmacogenotyping was performedusing next-generation
                                                                                                                                                                                             Following data collection, the data will be evaluated and
                                                                                                                        sequencing with molecular inversion probes. Pre- and post-
                                                                                                                                                                                             used for implementing changes in the future process.
                                                                                                                        intervention surveys were analyzed using descriptive statis-
                                                                                                                                                                                             Results: Work in progress. Conclusions: Contingent on
                                                                                                                        tics and the Wilcoxon-signed rank test. Results: A total of
                                                                                                                                                                                             the data collected, the virtual interview process is a viable
                                                                                                                        549 second-year student pharmacists completed the pre-
                                                                                                                                                                                             method to continue interviewing applicants. Although the
                                                                                                                        intervention survey with 370 of these student pharmacists
                                                                                                                                                                                             interview process will likely transition back to an
                                                                                                                        (67%) also completing the post-intervention survey. There
                                                                                                                                                                                             in-person format, virtual interviews could be utilized post-
                                                                                                                        were statistically significant improvements in perceptions
                                                                                                                                                                                             COVID as an alternative interview process. This could be
                                                                                                                        andattitudesfrompre-topost-intervention,includingfamil-
                                                                                                                                                                                             utilized to decrease barriers to access for students unable
                                                                                                                        iarity with pharmacogenomics resources (eg, guidelines)
                                                                                                                                                                                             to attend in-person interviews due to financial or logistical
                                                                                                                        for use intheclinicalsetting (p5.006),identifying therapeu-
                                                                                                                                                                                             difficulties. The described process of implementing virtual
                                                                                                                        tic areas in which pharmacogenomics testing is required
                                                                                                                                                                                             interviewsaswellasthedatacollectedfromthesurveycould
                                                                                                                        (p,.0001), interpreting the results of pharmacogenomic
                                                                                                                                                                                             be extrapolated to other schools of pharmacy hoping to
                                                                                                                        testing from patients (p,.0001), and recommending per-
                                                                                                                                                                                             implement flexibility in the interview process.
                                                                                                                        sonal genotyping to patients (p,.0001). Student pharma-
                                                                                                                        cists reported having a better understanding of
                                                                                                                        pharmacogenomics after personal genotyping (91%) and                 Assessment of Clinical Knowledge in an
                                                                                                                        the educational intervention helped them understand the              Interprofessional Education Session Utilizing
                                                                                                                        patient’s experience (88%). Conclusions: After the educa-            Team-Based Learning
                                                                                                                        tional intervention, student pharmacists reported improve-           Kirsten A. Vyhmeister, Loma Linda University School of
                                                                                                                        ments in their understanding of pharmacogenomics and                 Pharmacy, Erin Richards, Loma Linda University School
                                                                                                                        how it can be incorporated into clinical practice. This              of Dentistry, Farnoosh Zough, Loma Linda University
                                                                                                                                                                                       735
American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        School of Pharmacy, Huyentran Tran, Loma Linda Univer-                Qualtrics surveys sent to ACPE accredited schools of phar-
                                                                                                                        sity School of Pharmacy, Khaled Bahjri, Loma Linda Uni-               macy after the Spring 2020 semester. Likert-scale questions
                                                                                                                        versity School of Pharmacy, Alireza Hayatshahi, Loma                  measured student’s individual experiences during the tran-
                                                                                                                        Linda University School of Pharmacy.                                  sition to online learning due to the COVID-19 pandemic.
                                                                                                                        Objective:DemonstrateTeam-BasedLearning(TBL)asan                      Descriptive statistics present characteristics and responses
                                                                                                                        effective pedagogy to assess dental and pharmacy students’            with means and standard deviations for continuous varia-
                                                                                                                        application of interprofessional clinical knowledge, utiliz-          bles, and frequencies and percentages for categorical varia-
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                                                                                                                        ing Team Readiness Assurance Test (tRAT). Methods:                    bles. Statistical analyses were conducted with JMP Pro 14
                                                                                                                        Allsecondyear dentaland pharmacystudentsattendedavir-                 and SAS version 9.4. Results: A total of 471 students
                                                                                                                        tual interprofessional case-based session as part of their            from 36 different schools of pharmacy across the nation
                                                                                                                        required didactic curriculum. Their performance was                   responded to the survey, representing all of the eight
                                                                                                                        counted toward their final course grades. Five clinical cases         APhA-ASP regions. The average age was 25.3 years old
                                                                                                                        were giventothe students and a correspondingtRATassess-               and a majority were female (74.2%). While 34.8% students
                                                                                                                        ment, testing their clinical knowledge on these cases, was            said they preferred taking exams from home, 52.8%
                                                                                                                        completed by separate groups of pharmacy and dental stu-              disagreed that learning virtually was preferred over face-
                                                                                                                        dents. Finally, all students were assigned to mixed dental-           to-face instruction. Students reported worse engagement
                                                                                                                        pharmacygroupstotakean“interprofessional” tRATwhich                   in classes (55.8%), even with the highest percentage of
                                                                                                                                                                                              responses indicating no change in their access to resources
                                                                                                                        was, unknown to the students, the very same assessment. At
                                                                                                                                                                                              (45.7%), semester grades (51.9%), or overall grade point
                                                                                                                        the end of the session, the faculty members discussed the
                                                                                                                                                                                              average (55.6%). Students felt most supported by their fam-
                                                                                                                        cases and corresponding tRAT assessments with the stu-
                                                                                                                                                                                              ily and friends (70.6%), while engagement with peers was
                                                                                                                        dents. Results: A total of 104 dental and 74 pharmacy stu-
                                                                                                                                                                                              somewhat worse or much worse (64.5%). Additionally,
                                                                                                                        dents participated in this study. There were five faculty
                                                                                                                                                                                              56.4% reported a worse pharmacy school experience com-
                                                                                                                        members from the schools of dentistry and pharmacy to
                                                                                                                                                                                              pared to 10.8% reporting a better experience. Conclusions:
                                                                                                                        serve as moderators of the session. The aggregate data
                                                                                                                                                                                              While some elements such as exam taking were preferred
                                                                                                                        from the tRAT scores were analyzed and reported as 10.4
                                                                                                                                                                                              during the transition, the majority of the students’ pharmacy
                                                                                                                        points, 12.0 points, and 12.2 points for pharmacy, dental,
                                                                                                                                                                                              school experience was worsened. As faculty continue to
                                                                                                                        and interprofessional cohorts respectively. These scores
                                                                                                                                                                                              navigate virtual learning in higher education, the student
                                                                                                                        were out of 15 points in each tRAT. The tRAT scores
                                                                                                                                                                                              perspective and experience is key in determining what por-
                                                                                                                        from the interprofessional groups were higher than that of
                                                                                                                                                                                              tions of virtual learning are suitable for retention.
                                                                                                                        the single-profession groups. Conclusions: This assess-
                                                                                                                        ment demonstrates that an interprofessional approach to
                                                                                                                        clinical cases and therapeutics discussions improves the              Comparison of Virtual and In Person Learning in a
                                                                                                                        qualityofteam-based applied clinical knowledge.It appears             Required Nonsterile Compounding Course
                                                                                                                        to be superior to the traditional single-profession pharmacy          Laurie Hallegado, UNC Eshelman School of Pharmacy,
                                                                                                                        and dental team siloed method. This would be an efficient             Robert Shrewsbury,University ofNorthCarolina at Chapel
                                                                                                                        model for future clinical practice.                                   Hill.
                                                                                                                                                                                              Objective: The required nonsterile compounding course at
                                                                                                                        Characterization of Student Pharmacists’                              the UNC Eshelman School of Pharmacy was adapted to
                                                                                                                        Experience with the Transition to Online Learning                     accommodate virtual learning due to the COVID-19 pan-
                                                                                                                        During the COVID-19 Pandemic                                          demic. Various assessments were compared between the
                                                                                                                                                                                              in person (Fall 2019, n5158) and virtual (Fall 2020,
                                                                                                                        AnnMarie E. Baker, VCU School of Pharmacy, Lauren                     n5124) courses to determine if virtual learning had an
                                                                                                                        Pamulapati, Virginia Commonwealth University, Rachel                  impact in student learning. Methods: The assessment com-
                                                                                                                        Koenig, Virginia Commonwealth University, Rotana Rad-                 pared weekly quizzes, weekly clinical discussions, and
                                                                                                                        wan, VCU School of Pharmacy, Teresa M. Salgado, Vir-                  overall course grades averaged into grade sets. Statistical
                                                                                                                        ginia Commonwealth University, Lauren Caldas, Virginia                differences between the grade sets were calculated using
                                                                                                                        Commonwealth University.                                              the Wald z-test (p,.05) because the averages were the total
                                                                                                                        Objective: This study aims to assess individual student               population data. Results: The comparison of the weekly
                                                                                                                        pharmacists’ experience with the transition to online learn-          quizzes in Fall 2019 and Fall 2020 was statistically different
                                                                                                                        ing during the COVID-19 pandemic nationally. Methods:                 with the Fall 2019 (in person learning) having the higher
                                                                                                                        This was a cross-sectional study utilizing anonymous                  averagegrade.Therewerenostatisticaldifferencesbetween
                                                                                                                                                                                        736
American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        the grade set averages of clinical discussions or overall              data becomes available,it isrecommended that similar anal-
                                                                                                                        course grades. Conclusions: Though the move to virtual                 yses be repeated to better model real-world settings.
                                                                                                                        learning was not voluntary but circumstantial, the new ped-
                                                                                                                        agogy appeared to have a modest impact on the students’                Cultural Intelligence Framework: Student Insights
                                                                                                                        level of learning. A possible explanation for the smaller              and Experiences
                                                                                                                        quiz grade average among virtual learning students is due
                                                                                                                        to the technological challenges with quizzes given online              Minshew M. Lana, University of North Carolina at
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                                                                                                                        versus on paper, assuggested by previous studies. However,             Chapel Hill, Diana Lee, University of North Carolina at
                                                                                                                        the more likely explanation is that the in person students had         Chapel Hill, Carla Y. White, University of North Carolina
                                                                                                                        the advantage of additional hands-on laboratory experien-              at Chapel Hill, Mary McClurg, University of North Caro-
                                                                                                                        ces to add to their learning which was absent in the virtual           lina at Chapel Hill, Jacqueline McLaughlin, University of
                                                                                                                        learning group. The results suggested that “learning by                North Carolina at Chapel Hill.
                                                                                                                        doing” may have helped the students’ ability to comprehend             Objective: Pharmacists are well poised to address health-
                                                                                                                        and retain the information.                                            care disparities; however, they are not adequately trained
                                                                                                                                                                                               for cultural intelligence. In order to prepare culturally intel-
                                                                                                                        Cost Analysis of Rivaroxaban versus Enoxaparin for                     ligentpharmacists, standards and curricula forculturalintel-
                                                                                                                        Venous Thromboembolism Prophylaxis in Acute                            ligence must be defined and implemented within pharmacy
                                                                                                                        Medically Ill Patients                                                 education. The objective was to create a Cultural Intelli-
                                                                                                                                                                                               gence Framework (CIF) for pharmacy education and gain
                                                                                                                        Phoenix J. Riley, Campbell University, Charles Carter,                 insight into its alignment with Doctor of Pharmacy
                                                                                                                        Campbell University, Meredith Lilley, Campbell                         (PharmD) student experiences. Methods: An extensive lit-
                                                                                                                        University.                                                            erature analysis on cultural intelligence education was used
                                                                                                                        Objective: Acute medically ill patients are at high risk for           to construct a CIF, which integrates leading models of cul-
                                                                                                                        venous thromboembolism (VTE). Subcutaneous enoxa-                      turalintelligenceinhealthcareeducation withBloom’sTax-
                                                                                                                        parin is the ‘gold’ standard therapy in these patients.                onomy. Five student focus groups were conducted to
                                                                                                                        Recently, one direct oral anticoagulant has been approved              explore and map their cultural experiences to the CIF. All
                                                                                                                        for this indication by the FDA; rivaroxaban (2019). The                focus groups were recorded, transcribed, de-identified,
                                                                                                                        aim of this study was to perform a cost analysis of rivaroxa-          and deductively coded using the CIF. Results: All four
                                                                                                                        ban versusenoxaparinfor VTEprophylaxis. Methods:Cost                   CIF domains were observed, although the prevalence of
                                                                                                                        estimates of rivaroxaban and enoxaparin were obtained                  each domain varied in student responses. Most students
                                                                                                                        from publicly available sources (CMMS, Drugs.com).                     expressed Cultural Awareness, Knowledge, and Desire;
                                                                                                                        Cost estimates for clinical outcomes were garnered from lit-           however, few students discussed Cultural Practice. Partici-
                                                                                                                        erature and public databases (CMMS). Data from a key trial             pant comments suggest that culturally-relevant experiences
                                                                                                                        (rivaroxaban: MAGELLAN) was utilized to determine                      differed by race and year in the curriculum. Conclusions:
                                                                                                                        probabilities of potential clinical outcomes. A decision               This study is a first step toward understanding cultural intel-
                                                                                                                        tree model was constructed (TreeagePro) for analysis of                ligence education and experiences in pharmacy. The lack of
                                                                                                                        the therapy relative to enoxaparin. Doses/regimens were                insight into Cultural Practice indicates a need to better pre-
                                                                                                                        consistent with approved labeling. Costs were reported in              pare students to practice in a culturally responsive way.
                                                                                                                        2019 United States currency (USD) and the study was per-               The differences in student experiences suggest that integra-
                                                                                                                        formed from a societal perspective. Discount rate was 5%.              tion of cultural intelligence training into curriculum should
                                                                                                                        Monte Carlo (probabilistic sensitivity) analyses was per-              reflect the needs of the student population. The CIF repre-
                                                                                                                        formed. Results are expressed as expected value (EV) or                sents an evidence-based approach to cultural intelligence
                                                                                                                        the average cost for each treatment strategy. Two-way sen-             education that can help prepare our learners to be socially
                                                                                                                        sitivity analyses using 50% to 200% of the key VTE clinical            responsible health care practitioners.
                                                                                                                        outcomes was performed. Results: The EV for the compar-
                                                                                                                        ison of enoxaparin to rivaroxaban favored enoxaparin
                                                                                                                                                                                               Departments of Pharmacy Practice Tenure-Track
                                                                                                                        ($1,271 versus $1,650; 22.3% difference). Conclusions:
                                                                                                                                                                                               Scholarly Activity Abstract
                                                                                                                        In acute medically ill hospitalized patients at risk for VTE,
                                                                                                                        the EV of enoxaparin was more optimal than rivaroxaban                 Ross Urry, The University of Utah, Mark A. Munger, The
                                                                                                                        based upon clinical trial results. These results are valuable          University of Utah.
                                                                                                                        in guiding effective clinical decision making and assess-              Objective: The contribution of scholarly activity within
                                                                                                                        ments for formulary inclusion. As further clinical outcome             Departments of Pharmacy Practice (DPP) of the American
                                                                                                                                                                                         737
American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        Association of Colleges of Pharmacy (AACP) is currently                allowing PharmD students 250 hours of training with
                                                                                                                        limited. The purpose of this research study is to quantita-            responsibilities in direct patient care and clinical research.
                                                                                                                        tively determine how much DPP tenure-track faculty con-                Methods: A 51 item survey was administered to 2020 P4
                                                                                                                        tribute to the academic discipline of pharmacy practice                PharmD students before and after participation in the addic-
                                                                                                                        through the publication of scholarly data Methods: A liter-            tion medicine APPE, testing knowledge in 11 sections. Sec-
                                                                                                                        ary search through publicly available databases of PubMed              tions included: SUD and psychiatric pharmacology,
                                                                                                                        and International Pharmaceutical Abstracts (IPA) is being              neurobiology, co-occurring disorders, and harm reduction.
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                                                                                                                        performed of all DPP tenure-track faculty. DPP tenure-                 Following each of the 11 knowledge sections, students
                                                                                                                        track faculty are determined through on-line published                 ranked their self-reported confidence in providing care for
                                                                                                                        faculty rosters provided by AACP Colleges/Schools of                   that respective section. Post-APPE, students were allowed
                                                                                                                        Pharmacy (CSP). Tenure-track faculty listed under the titles           a free text space to provide feedback on the APPE experi-
                                                                                                                        of Department of Pharmacy Practice, Clinical Pharmacy                  ence. Descriptive statistics and paired t-tests were used to
                                                                                                                        and Pharmacotherapy (inclusive) are included. Each DPP                 analyze the data. Results: Responses from three P4 PharmD
                                                                                                                        tenure-track faculty member’s name is the primary search               students were included for analyses. The mean APPE
                                                                                                                        strategy while filtering results based on publication dates            knowledge score increased from 43.8% to 79.1%
                                                                                                                        from 01/01/10-12/31/19. Scholarly publications from                    (p5.007169). A substantial majority reported an increase
                                                                                                                        PubMed were confirmed in IPA, or vice-versa. An addi-                  in confidence. The mean self-reported confidence of the
                                                                                                                        tional researcher, or objective third party, if necessary con-         11 sections improved from 28.28% to 73.74%
                                                                                                                        firmed all data obtained. Each publication will be classified          (p5.006958). Free text responses garnered positive feed-
                                                                                                                        by publication scope (ie, clinical pharmacology, health eco-           back from students stating the APPE allowed them to
                                                                                                                        nomics and outcome research, biomedical informatics,                   immerse themselves in all stages of the recovery process,
                                                                                                                        review, editorial/letter, or case report), CSP geographical            increase confidence in presentation skills with patients,
                                                                                                                        location, faculty demographics, and productivity index.                and solidified their passion for addiction medicine. Conclu-
                                                                                                                        Faculty productivity is defined as .3 publications/5 years             sions: A novel APPE in addiction medicine addressed a cur-
                                                                                                                        for productive, 1-3 publications/5 years as moderately pro-            rent gap in pharmacy education, earned positive evaluations
                                                                                                                        ductive, and 0 publications/5 years for non-productive.                from student pharmacists, and increased SUD related
                                                                                                                        Results: The number of CSPs being investigated is 144                  knowledge.
                                                                                                                        with 2,000 tenure-track faculty. One-way ANOVA will be
                                                                                                                        used to analyze qualitative data. One-way student’s t-test             Does One Size Fit All? Preceptor Experiences and
                                                                                                                        will be used to analyze and compare quantitative data. Con-            Perceptions of Remote Rotations
                                                                                                                        clusions: We expect the number of productive faculty will
                                                                                                                        exceed the number of moderate and non-productive faculty.              Bonnie Lam, University of Toronto, Gajan Sivakumaran,
                                                                                                                        These results will confirm that DPP receives a net positive            University of Toronto, Aleksandra Mejia, University of
                                                                                                                        contribution of scholarly activity from tenure-track faculty.          Toronto, Debbie Kwan, University of Toronto.
                                                                                                                                                                                               Objective: Due to the global pandemic, non-direct patient
                                                                                                                                                                                               care experiential rotations rapidly transitioned from tradi-
                                                                                                                        Description and Evaluation of a Novel Advanced
                                                                                                                                                                                               tional in-person to remote rotations. We sought to under-
                                                                                                                        Pharmacy Practice Experience in
                                                                                                                                                                                               stand preceptors’ experiences and perceptions of this
                                                                                                                        Addiction Medicine
                                                                                                                                                                                               novel mode of precepting. Methods: Preceptors who led
                                                                                                                        Lindsey J. Loera, The University of Texas at Austin, Carlos            at least one rotation remotely were invited to complete an
                                                                                                                        F. Tirado, The University of Texas at Austin, Claire M.                online questionnaire. The questionnaire was informed by
                                                                                                                        Zagorski, The University of Texas at Austin, Lucas G.                  a literature review on remote supervision of healthcare stu-
                                                                                                                        Hill, The University of Texas at Austin.                               dents. The questionnaire was divided into five domains: 1)
                                                                                                                        Objective: Pharmacists are uniquely positioned to address              preceptor/student relationship, 2) preceptor support and
                                                                                                                        societal harms related to substance use disorders (SUD),               continuing professional development opportunities, 3)
                                                                                                                        but must be adequately trained to do so effectively. A con-            technology, 4) preceptor perceptions and 5) workload and
                                                                                                                        cerning shortage of advanced pharmacy practice experien-               the working environment. The survey consisted of a mix
                                                                                                                        ces (APPEs) related to SUD was found in the 2019 AACP                  of Likert-scale, multiple choice and open-ended questions.
                                                                                                                        environmental scan of opioid-related activities. Addressing            Descriptive statistics were used to characterize the quantita-
                                                                                                                        this deficiency should be a high priority for academic phar-           tive data. Written responses were coded and analyzed for
                                                                                                                        macy. Beginning 7/1/2019, a college of pharmacy began                  emerging themes. Results: Forty-seven of 157 preceptors
                                                                                                                        offering a new elective APPE in addiction medicine                     (30%) responded to the questionnaire. Project and research
                                                                                                                                                                                         738
American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        rotations were the most prevalent types of remote rotations.            received the combination treatments compared to those
                                                                                                                        The majority of preceptors were willing to precept remotely             exposed to monotherapy. Fenofibrate plus orlistat treatment
                                                                                                                        again (85%). Student responsiveness (87%) and enjoyment                 produced the most profound weight reduction compared to
                                                                                                                        of teaching (83%) were among the greatest motivators.                   fenofibrate monotherapy. Conclusions: The results of this
                                                                                                                        Major themes reflected the preceptors’ struggles in building            study indicate that combination treatment is superior to
                                                                                                                        rapport and facilitating in the moment learning opportuni-              monotherapy in producing short-term weight loss in obese
                                                                                                                        ties. Preceptors identified guidance and on-going support               individuals. Future studies should determine whether the
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                                                                                                                        as key factors to ensure preceptor and student readiness                combinatorial approach mitigates or increases the adverse
                                                                                                                        andtomanageexpectations.Therecipeforasuccessfulrota-                    effects of pharmacological obesity treatments.
                                                                                                                        tion included careful consideration of appropriate pedagogy
                                                                                                                        and technology. Conclusions: Although this was a novel
                                                                                                                        mode of teaching, preceptors reflected a positive experience            Enhancing Student Confidence in the Pharmacists’
                                                                                                                        in leading remote rotations. Traditional precepting                     Patient Care Process (PPCP) Using Calibrated Peer
                                                                                                                        approaches employed during in-person rotations need to                  Review (CPR)
                                                                                                                        be adapted and individualized for the context of remote rota-           Sara B. Leidy, Purdue University, Alex Isaacs, Purdue Uni-
                                                                                                                        tions, highlighting that there is no ‘one-size-fits-all’                versity, Monica L. Miller, Purdue University, Zachary A.
                                                                                                                        approach. Transitioning to a remote environment generates               Weber, Purdue University.
                                                                                                                        new opportunities and drives innovation.
                                                                                                                                                                                                Objective: The objective of this study was to assess the
                                                                                                                                                                                                impact of CPR-based assessments on students’ confidence
                                                                                                                        Efficacy of Combination Treatment versus                                in implementation and evaluation of the PPCP. Methods:
                                                                                                                        Monotherapy in Obesity: A Meta-analysis of Ran-                         Students completed three case-based assignments utilizing
                                                                                                                        domized Controlled Trials                                               a CPR system, which incorporates practice and calibration
                                                                                                                        Peter Haydaw, Loma Linda University, Shant Krikorian,                   designed to prepare students for self and peer evaluation.
                                                                                                                        LomaLindaUniversity,KhaledBahjri,LomaLindaUniver-                       Following these assignments, a pre- and post-survey was
                                                                                                                        sity School of Pharmacy, Ike De La Pena, Loma Linda                     administered across two academic years to the same cohort
                                                                                                                        University.                                                             of students in their first and second professional years. Stu-
                                                                                                                        Objective: Combination therapy has emerged as a promis-                 dent confidence was evaluated using a 5-point Likert scale.
                                                                                                                        ing therapeutic intervention for obesity in light of the multi-         Implementation was assessed by ability to rank a problem
                                                                                                                        factorial etiology of the disease. Data on the comparative              list, providepatientspecificrecommendations, providesup-
                                                                                                                        efficacy of combination pharmacotherapies versus mono-                  porting evidence for a recommendation, and develop writ-
                                                                                                                        therapy for obesity are currently lacking. We conducted a               ten communication. For evaluation items, students were
                                                                                                                        meta-analysis to evaluate whether combination treatment                 asked confidence on their ability to assess a peer’s work,
                                                                                                                        was associated with greater weight loss compared with                   one’s own work, provide constructive feedback, and recog-
                                                                                                                        monotherapy in obese individuals. Methods: EMBASE,                      nitionofanswercorrectnessand quality.Studentconfidence
                                                                                                                        MEDLINE, Clinicaltrials.gov and Cochrane Controlled                     was analyzed with a Mann-Whitney U test using the pooled
                                                                                                                        Trials Register were searched from study inception until                datafrom pre- and post-surveys. Results:Ofthe314 eligible
                                                                                                                        November 2020 for randomized controlled trials (RCTs)                   participants, 309 (98%) completed the pre-survey, while
                                                                                                                        of pharmacological combination therapy versus monother-                 233 (74%) completed the post-survey. There was no signif-
                                                                                                                        apy in adults with obesity (Body Mass Index $ 27 kg/m2),                icant change in confidence of assessment skills. Confidence
                                                                                                                        follow up of $ 3 months, and available required data. A sys-            increased significantly in ability to perform all patient case
                                                                                                                        tematic approach was used to screen, critically appraise and            activities (p,.01), except developing written clinical docu-
                                                                                                                        subsequently extract data from the studies that were                    mentation (p5.07). Confidence increased significantly in
                                                                                                                        included in the meta-analysis. The meta-analysis was per-               ability to evaluate self and peers for all patient case activities
                                                                                                                        formed using random effects model to provide a summary                  (p,.01), except evaluation of written clinical documenta-
                                                                                                                        of weight change before and after exposure to treatments.               tion (p5.07) and a subjective, objective, assessment, and
                                                                                                                        Results: Fourteen studies were eligible for inclusion in the            plan note (p5.12). Conclusions: This study highlights the
                                                                                                                        meta-analysis(n 5 1119 subjects) from a total of964 unique              role of CPR in a pharmacy curriculum. With a significant
                                                                                                                        and relevant articles. These RCTs included 25 comparisons               increase in student’s confidence in completion and evalua-
                                                                                                                        of combination versus monotherapy anti-obesity drugs. The               tionofpatientcaseactivities,useofCPRcanbeanadditional
                                                                                                                        meta-analysis revealed a 2.04 kg (95% confidence interval               toolforlearningthePPCPandpreparingstudentsforclinical
                                                                                                                        1.67-2.42) additional weight loss in obese individuals who              education.
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American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        Evaluation of a Simulation to Communicate about                       Objective: The opioid epidemic continues to be a national
                                                                                                                        At-Risk Opioid Behaviors in a Commu-                                  public health crisis. Although school-aged children (K-12)
                                                                                                                        nity Pharmacy                                                         may not be heavy opioid users, many experience spillover
                                                                                                                        Shelby Go, The University of Kansas, Ashley Crowl, The                effects from use by family members or community-wide
                                                                                                                        University of Kansas, Amy Robertson, The University of                problems, making education and prevention in this group
                                                                                                                        Kansas, Sarah Shrader, The University of Kansas.                      of high importance. The objective of this study was to iden-
                                                                                                                                                                                              tify and characterize substance abuse education programs
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                                                                                                                        Objective: To evaluate the effectiveness of an objective              aimed at school-aged children, focusing on programs which
                                                                                                                        structured learning experience simulation (OSLE) focused              integrate opioid education. Methods: An in-depth literature
                                                                                                                        on identifying and communicating about at-risk opioid                 review was conducted using various combinations of the
                                                                                                                        behaviors in a community pharmacy setting through student             keywords: substance abuse, opioid abuse, education, pro-
                                                                                                                        perceptions and performance. Methods: A lack of educa-                gram, prevention, children, school, and community. Google
                                                                                                                        tional activities regarding communicating about at-risk               was utilized for a broad program search, while MEDLINE
                                                                                                                        behaviors and refusing to fill opioid prescriptions was noted         was used to ensure search comprehensiveness and
                                                                                                                        in the literature. The learning objectives for a new OSLE             determine if program outcome data was published. Inclu-
                                                                                                                        developed for third-year pharmacy students were (1) refuse            sion criteria was publicly-available programs targeted to
                                                                                                                        to fill an opioid prescription and (2) counsel a patient dem-         school-aged children. For each program the following
                                                                                                                        onstrating at-risk behaviors on an opioid prescription.               data was abstracted: name, website, setting (community-
                                                                                                                        Unmatched pre-/post-responses from a voluntary and anon-              based vs. school-based), length, format, credential(s) of
                                                                                                                        ymous student satisfaction/confidence survey were ana-                instructor(s), cost, and any published outcomes. Results:
                                                                                                                        lyzed with independent t-tests. Standardized rubrics                  Ninety-four substance abuse education programs were
                                                                                                                        assessed student performance and scores were analyzed                 identified, 11 (11.7%) of which included information on
                                                                                                                        with descriptive statistics. An inductive content analysis            opioid education. Of the programs including opioid educa-
                                                                                                                        identified the impact on students’ perceptions and future             tion, five (45%) exclusively addressed opioid education.
                                                                                                                        behaviors from post-OSLE reflections. This was approved               Nine(82%)focusedonpersonalbehaviorsandpeerpressure
                                                                                                                        by the institutional review board. Results: Pre-/post-sur-            surrounding opioids, while two (18%) included science-
                                                                                                                        veys, completed by 143 and 111 students respectively, dem-            based resources about opioids and education on the use of
                                                                                                                        onstrated students’ confidence in their ability to assess             Narcan. None of the programs incorporated involvement
                                                                                                                        at-risk opioid behaviors, counsel a patient demonstrating             of a health care professional. Conclusions: While many
                                                                                                                        these behaviors, refuse to fill an opioid prescription, and           substance abuse education programs are available for
                                                                                                                        respond to a patient’s nonverbal responses significantly              school-aged children, relatively few focus on or incorporate
                                                                                                                        improved following the simulation (p,.01) and 81% of stu-             opioid education. Health care professionals such as pharma-
                                                                                                                        dents felt the OSLE was beneficial. Students’ mean OSLE               cists could help address current education gaps by providing
                                                                                                                        score of 34.2/45 (76%) demonstrated average competency.               practical opioid information including Narcan administra-
                                                                                                                        The following strategies to address the challenge of patients         tion. Pharmacy educators have an opportunity to partner
                                                                                                                        with at-risk opioid behaviors were identified from student            with local community organizations and schools to support
                                                                                                                        reflections: importance of patient-centered care and the              more comprehensive opioid education.
                                                                                                                        role of the pharmacist, recognition of judgement against
                                                                                                                        these patients, and empathetic communication. Conclu-                 Evaluation of the Student Educational Assistance
                                                                                                                        sions: A simulation focused on communication regarding                Program Before and During the COVID-
                                                                                                                        at-risk opioid behaviors was an effective educational                 19 Pandemic
                                                                                                                        method. Students improved their self-confidence, demon-
                                                                                                                                                                                              Ethan Y. Wang, University of Connecticut, Nawal Elmahy,
                                                                                                                        strated communication skills, and identified strategies to
                                                                                                                                                                                              University of Connecticut, Hazel Billings-Chiu, University
                                                                                                                        improve communication and mitigate judgement toward
                                                                                                                                                                                              of Connecticut, Ryan Kurschner,University of Connecticut,
                                                                                                                        patients using opioids.
                                                                                                                                                                                              Molly Csere, University of Connecticut, Xiuling Lu, Uni-
                                                                                                                                                                                              versity of Connecticut, Nathaniel Rickles, University of
                                                                                                                        Evaluation of Opioid Education and Prevention                         Connecticut.
                                                                                                                        Programs Targeted to K-12 Students                                    Objective: The main objective is to analyze the effect of the
                                                                                                                        Skyler M. Starkel, Creighton University, Kimberley J. Beg-            pandemic on our SEA Program services in two areas: if
                                                                                                                        ley, Creighton University, Kevin T. Fuji, Creighton                   using SEA materials helped boost their confidence (yes/
                                                                                                                        University.                                                           no), and if using SEA materials helped decrease their stress
                                                                                                                                                                                        740
American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        (yes/no). Methods: Surveys created by SEA members in                 declined with increasing year of study, ie, from Yr1 to
                                                                                                                        Fall2019,Spring 2020,and Fall 2020onSEA material feed-               Yr3. The most frequently mentioned SDOH were social
                                                                                                                        back were emailed to the University of Connecticut Doctor            integration (26.1%), race/ethnicity (17.2%), stress
                                                                                                                        of Pharmacy Class of 2023 students. No email or demo-                (14.2%), employment (9.4%), and housing (8.7%). Discus-
                                                                                                                        graphic information were collected. The Fall 2019 survey             sion questions for most of the patient cases focused solely on
                                                                                                                        only asked if SEA services improved their performance on             medication therapy even when SDOH were included in the
                                                                                                                        their exams; considered a surrogate measure for increased            case. Conclusions: SDOH even when integrated into
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                                                                                                                        confidence and lowered stress. Descriptive and bivariate             patient cases were not given the necessary attention in the
                                                                                                                        statistics were conducted. Results: Statistical analysis was         contemplation of treatment. Pharmacy educators need to
                                                                                                                        done via SPSS 27. There were 111 responses collected                 be more intentional about the inclusion and discussion of
                                                                                                                        from the survey in Fall 2019, 45 responses from the post-            SDOH in patient cases alongside clinical parameters. To
                                                                                                                        lockdown survey conducted in Spring 2020, and 42                     address persisting health disparities and achieve the univer-
                                                                                                                        responses in Fall 2020 (n5198). Across all surveys, most             sal goal of health equity, SDOH must be considered as an
                                                                                                                        students reported increased confidence and lowered stress            integral part of patient-centered care, and should therefore
                                                                                                                        due to SEA services. Compared with the Fall 2019 data,               be adequately reflected in pharmacy education.
                                                                                                                        there was significantly fewer individuals in Spring 2020
                                                                                                                        that responded “yes” to increased confidence and lowered             Exploring the Relationship Between Standardized
                                                                                                                        stress from SEA services (p-value , .05). Conclusions:               Patient Comments on Empathy and Student
                                                                                                                        Our survey responses show that SEA Program resources                 Pharmacist Communication Assessments
                                                                                                                        has maintained the confidence boosting and stress lowering
                                                                                                                        effect during the pandemic. Based on the consistency of              Logan T. Murry, The University of Iowa, Laura Knockel,
                                                                                                                        responses in Fall 2020 compared to Fall 2019, it is thought          The University of Iowa, Jeffrey Reist, The University of
                                                                                                                        that the fewer positive responses in Spring 2020 were likely         Iowa, Michelle Fravel, The University of Iowa, Matthew
                                                                                                                        due tothe changein curriculumfromin-person tovirtual and             Witry, The University of Iowa.
                                                                                                                        subsequent accommodation in Fall 2020. Future research is            Objective: The objectives of this study were to 1) quantify
                                                                                                                        needed to explore how to sustain student confidence and              students' communication ability using SP communication
                                                                                                                        reduced stress given changes in learning experiences                 rubric scores, 2) describe SP comments of student empathy,
                                                                                                                        (virtual).                                                           and 3) test the relationship between quantitative rubric
                                                                                                                                                                                             scores and empathy categorization using an integrated anal-
                                                                                                                                                                                             ysisof transformed qualitative comments. Methods: A con-
                                                                                                                        Examining Social Determinants of Health in Patient
                                                                                                                                                                                             current mixed methods research design was used to assess
                                                                                                                        Cases – An Insufficiency or Missed Opportunity?
                                                                                                                                                                                             graded Performance Based Assessments (PBAs) of student
                                                                                                                        Olihe Okoro, University of Minnesota, Lea Edwards, Uni-              pharmacists at a college of pharmacy in the Midwest US.
                                                                                                                        versity of Minnesota, Ashley Baker, University of Minne-             PBA rubrics (n5218) completed by SPs contained 20
                                                                                                                        sota, Akua Appiah-Num, University of Minnesota.                      assessment items with space for open-ended comments to
                                                                                                                        Objective: The objectives of the study were to - (i.) assess         the students. Descriptive statistics were calculated for
                                                                                                                        the extent of the integration of Social Determinants of              numeric rubric scores. Open-ended SP feedback to students
                                                                                                                        Health (SDOH) in patient cases used in the core PharmD               were coded interpretively to describe SP perceptions of
                                                                                                                        curriculum in the 2019/2020 academic year, and (ii.) iden-           empathy within the encounter. Qualitative SP feedback
                                                                                                                        tify opportunities for further integration and discussion of         was transformed into quantitative categorical data by cate-
                                                                                                                        SDOH in patient cases used in pharmacy education. Meth-              gorizing assessments into high-empathy, mixed-empathy,
                                                                                                                        ods: Patient cases used in years 1-3 of the Doctor of Phar-          and low-empathy encounters. The association between
                                                                                                                        macy program (PharmD) during the 2019/2020 academic                  quantitative rubric scores and transformed empathy catego-
                                                                                                                        year were extracted and reviewed. A content analysis of              rieswastested usingKruskal-WallisANOVA. Results:SPs
                                                                                                                        the cases was conducted to determine inclusion of SDOH,              provided feedback on 141 of 218 rubrics (64.7%). The mean
                                                                                                                        based on criteria outlined in the PRAPARE tool. Frequen-             communication score was 38.96 6 1.64. Comments from
                                                                                                                        cies, proportions, and measures of central tendency were             SPs reflected considerable variation in student empathetic
                                                                                                                        used to describe the data extracted. Results: Forty-two per-         communication ability. The totals for the low, mixed, and
                                                                                                                        cent (n5227) of the 541 cases analyzed mentioned one or              high-empathy category transformations were 6 (4.3%%),
                                                                                                                        more SDOH. The proportion of patient cases with mention              95 (67.4%), and 40 (28.4%), respectively. There was a sta-
                                                                                                                        of one or more SDOH (78.8%, 37.8%, 31.9%), and the                   tistically significant (p,.05) difference in median commu-
                                                                                                                        median number of SDOH mentioned per case (2, 1, 0),                  nication score between empathy categories, with a mean
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American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        rank scores of 12.08 for the low-empathy group, 67.26 for                Headache Prevalence, Characteristics, Symptoms,
                                                                                                                        the mixed-empathy group, and 88.73 for the high-                         Triggers, Impact, and Management Strategies
                                                                                                                        empathy group. Conclusions: Scores on communication                      Among Student Pharmacists
                                                                                                                        rubrics and SP open-ended comments on student empathy                    Abigail M. Dawid, The University of Arizona, David R.
                                                                                                                        appear to be related. SPs place high value on empathy                    Axon, The University of Arizona.
                                                                                                                        when assessing student communication ability. Pharmacy
                                                                                                                        educatorsshouldconsideradditionalwaystoassessstudents                    Objective: Headache is a prevalent and debilitating condi-
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                                                                                                                        for clinical empathy and communication abilities during                  tion that affects approximately half of all adults globally
                                                                                                                        PBAs.                                                                    and leads to considerable disability. However, the burden
                                                                                                                                                                                                 of headache has not been well-investigated among student
                                                                                                                                                                                                 pharmacists. Therefore, this study aimed is to describe the
                                                                                                                        Global to Local: An Opportunity to Create Global                         prevalence, characteristics, symptoms, triggers, impact,
                                                                                                                        Experiences in Local Communities                                         and management strategies of headache among student
                                                                                                                        Lauren Blum, University of North Carolina at Chapel Hill,                pharmacists. Methods: A questionnaire will be adminis-
                                                                                                                        DavidR.Steeb,UniversityofNorthCarolinaatChapelHill.                      tered via email over a three-week period in March-April
                                                                                                                        Objective: To provide opportunities for students and fac-                2021 to all student pharmacists at one college of pharmacy
                                                                                                                        ulty to engage with rural, underserved local communities                 intheUnitedStates.Anemailwillbesenttoeligiblestudents
                                                                                                                        and to deepen their understanding of the global impact                   with information and a link to the questionnaire inviting
                                                                                                                        that can be made through local public health efforts. Meth-              them to participate in the study. Reminder emails will be
                                                                                                                        ods: To develop the Global to Local initiative, a deliberate,            sent each week during the data collection period. The ques-
                                                                                                                        stepwise approach was taken to ensure program success and                tionnaireconsistsoffivequestionscapturingheadachechar-
                                                                                                                        sustainability, including: (1) identifying rural, underserved            acteristics (location, quality, intensity, frequency, and
                                                                                                                        local communities facing significant health challenges, (2)              duration), seven questions regarding associated symptoms
                                                                                                                        cultivating collaborative relationships with community                   (change in appetite, food cravings, mood/personality
                                                                                                                        stakeholders, (3) developing and implementing programs                   changes, neck/shoulder pain, nausea/vertigo, and vision
                                                                                                                        to improve health locally, and (4) helping faculty, students,            changes), 14 numeric scale questions covering headache
                                                                                                                        and other stakeholders understand the connection between                 triggers (foods, odors, sleep quantity, sleep quality, screen
                                                                                                                        global and local health issues. Results: Currently, the                  time, schoolwork hours, work hours, exercise, medications,
                                                                                                                        Global to Local program is concentrating on two rural com-               caffeine, alcohol, bright lights, loud sounds, and personal
                                                                                                                        munities in North Carolina and is in the process of bringing             problems), nine numeric scale questions covering headache
                                                                                                                        together various community stakeholders to identify prior-               impact (sleep quality, sleep quantity, ability to work, per-
                                                                                                                        ities and develop initiatives that utilize student pharmacists           form daily tasks, grades, mood, personal relationships, lei-
                                                                                                                        toaddressthosepriorities.Additionally,sevenfinalyearstu-                 sure activities, and quality of life), 16 numeric scale
                                                                                                                        dent pharmacists have been selected to participate in Global             questions about pharmacological management strategies,
                                                                                                                        to Local experiential rotations during the 2021-2022 aca-                13 numeric scale questions about non-pharmacological
                                                                                                                        demic year. Conclusions: There is a clear connectivity                   management strategies, and six demographic/descriptive
                                                                                                                        and alignment between global and local health priorities                 items (age, gender, race/ethnicity, body mass index, per-
                                                                                                                        and many opportunitiesforacademicinstitutionsto increase                 ceived health status, and graduation year). Data will be ana-
                                                                                                                        their local and international impact through a Global to                 lyzed using descriptive statistics. Results: Data collection
                                                                                                                        Local framework. While Global to Local is still in develop-              will conclude by April 2021 and results will be presented
                                                                                                                        ment, the approach used to create this program has success-              at conference. Conclusions: Appropriate conclusions will
                                                                                                                        fully led to collaborative relationships with many local                 be made according to the study findings.
                                                                                                                        community partners and could be replicated by others look-
                                                                                                                        ing to create a similar initiative. Universities throughout the          Identifying Predictors of Generalized Anxiety
                                                                                                                        country are well-positioned to tackle the most pressing                  Symptoms among Pharmacy Students in Response to
                                                                                                                        health issues in their state, and with increasing student inter-         the COVID-19 Pandemic
                                                                                                                        est in global experiences, a Global to Local framework                   Rania H. El-Desoky, University of Houston College of
                                                                                                                        would offer an ideal opportunity to both provide students                Pharmacy, Divya Varkey, University of Houston College
                                                                                                                        with a global experience and improve health for local                    of Pharmacy, Matthew Wanat, University of Houston Col-
                                                                                                                        communities.                                                             lege of Pharmacy, James Douglas Thornton, University of

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American Journal of Pharmaceutical Education 2021; 85 (7) Article 8738.

                                                                                                                        Houston College of Pharmacy, Austin De La Cruz, Univer-              and a 10-minute counseling session with a mock patient
                                                                                                                        sity of Houston College of Pharmacy.                                 on a specific product. Students (N5133) completed pre
                                                                                                                        Objective:Toexploretheprevalenceofgeneralizedanxiety                 and post surveys to assess their perceived comfort level
                                                                                                                        (GA) symptoms among Doctor of Pharmacy (PharmD) stu-                 and ability to counsel on products. The 45-item survey
                                                                                                                        dents at an academic institution during the COVID-19 pan-            was based on the theory of planned behavior. Items focused
                                                                                                                        demic. We used Alderfer’s theory of needs including                  on students’ perceived comfort level and ability to counsel:
                                                                                                                        existence,relatedness,andgrowth(ERG)toelucidatewhich                 1) cis- or transgender patients and (2) on 11 health product
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                                                                                                                        unsatisfied needs are predictive of higher levels of GA              types.Theirintenttocounselpatientsandprescribeproducts
                                                                                                                        symptoms. The goal is to design a program or initiative to           in the future were also assessed. A 7-point Likert scale
                                                                                                                        address unmet needs triggering increased levels of GA                (strongly disagree to strongly agree) was utilized. Wilcoxon
                                                                                                                        symptoms. Methods: A cross-sectional, single site survey             Signed Rank tests were conducted to determine statistical
                                                                                                                        was administered to first through fourth year PharmD stu-            significance (p,.05) for the primary objective. Results:
                                                                                                                        dents from October 2020 to January 2021. The survey                  Statistically significant positive changes were identified
                                                                                                                        included demographics, the Counseling Center Assessment              for all survey items (p,.000) assessing perceived comfort
                                                                                                                        of Psychological Symptoms-62 validated tool, and nine                level and ability to counsel, though only 5 products (doxyl-
                                                                                                                        questions to assess Alderfer’s ERG theory of needs. Predic-          amine succinate/pyridoxine hydrochloride, ulipristal ace-
                                                                                                                        tors of GA symptoms were evaluated using descriptive sta-            tate, esterified estrogens, finasteride, and vardenafil) were
                                                                                                                                                                                             incorporated into mock counseling scenarios. Students
                                                                                                                        tisticsand multiplelinear regressions.A correlation analysis
                                                                                                                                                                                             also indicated they intended to provide counseling
                                                                                                                        was used to assess if ERG categories correlated with GA
                                                                                                                                                                                             (p,.015)and prescribeproductsinthefuture(p,.010)after
                                                                                                                        symptoms. Results: A total of 257 of 513 students
                                                                                                                                                                                             completing the laboratory. Conclusions: Pharmacy stu-
                                                                                                                        responded, 214 responses contained usable data. The
                                                                                                                                                                                             dents’ perceived comfort level and ability to counsel
                                                                                                                        mean GA symptom score was 1.28 out of a maximum aver-
                                                                                                                                                                                             improved regardless of whether students had the opportu-
                                                                                                                        age of 4, with 1 indicating no symptoms and 4 indicating the
                                                                                                                                                                                             nity to practice counseling with a mock patient on that speci-
                                                                                                                        highest symptoms of GA. The relatedness needs, which
                                                                                                                                                                                             fied product. These results may support small group
                                                                                                                        included feeling disliked, socially disconnected, and misun-
                                                                                                                                                                                             discussion as an effective method to increase students’ con-
                                                                                                                        derstood had the strongest correlation (65%) to GA symp-
                                                                                                                                                                                             fidence in counseling on men’s and women’s products.
                                                                                                                        toms. Each of the ERG needs were predictive of GA
                                                                                                                        symptoms(p,.001). Therelatedness need wasmostpredic-
                                                                                                                        tive of GA symptoms (b50.56). Conclusions: Interven-                 Impact of a Virtual Roundtable on Pharmacy
                                                                                                                        tions aimed at fulfilling relatedness needs may be                   Student Perceptions of Postgraduate
                                                                                                                        beneficial in decreasing GA symptoms among PharmD stu-               Residency Training
                                                                                                                        dents. Future steps will aim to create a program that                Kristine P. Nguyen, The University of Georgia, Blake Ter-
                                                                                                                        increases social connectedness and psychosocial support              rell, The University of Georgia, Andrew Darley, The Uni-
                                                                                                                        in virtual settings through establishing virtual community           versity of Georgia.
                                                                                                                        meeting chats, games, and group counseling sessions dedi-            Objective: To evaluate the impact of a virtual residency
                                                                                                                        cated to building and maintaining peer to peer interactions.         roundtable on student perceived knowledge of postgraduate
                                                                                                                                                                                             pharmacy residency training. Methods: During the
                                                                                                                        Impact of a Skills-Based Laboratory on Pharmacy                      COVID-19 pandemic, many in-person events have been
                                                                                                                        Student Comfort Level and Ability to Counsel                         limited; residency preparation continues to be a pertinent
                                                                                                                                                                                             topicforpharmacystudentsplanningtopursuepostgraduate
                                                                                                                        Rachel L. Rogers, Purdue University College of Pharmacy,             training. A student organization hosted a virtual residency
                                                                                                                        MargaretTharp,PurdueUniversityCollegeofPharmacy,Jamie                roundtable through a video conferencing platform with res-
                                                                                                                        Woodyard, Purdue University College of Pharmacy, Daniel              idency program representatives and students in attendance.
                                                                                                                        Degnan, Purdue University College of Pharmacy, Kimberly              The roundtable consisted of rotating through four breakout
                                                                                                                        Illingworth Plake, Purdue University.                                sessions. This allowed an opportunity forstudents to discuss
                                                                                                                        Objective: To determine the impact of a skills-based labo-           variouscomponentsofresidencytrainingwithdifferentpro-
                                                                                                                        ratory focused on men’s and women’s health products on               gram representatives. A retrospective pre-post survey was
                                                                                                                        pharmacy students’ perceived comfort level and ability to            sent to students to ascertain their perceived understanding
                                                                                                                        counsel patients. Methods: Pharmacy students participated            of postgraduate training at baseline and after attending the
                                                                                                                        in a laboratory focused on men’s and women’s health prod-            roundtable, as well as overall event perceptions. Results:
                                                                                                                        ucts. The laboratory included two small group discussions            Approximately 40% (n536) of attendees completed the
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