PT  - JOURNAL ARTICLE
AU  - Hess, Rick
AU  - Whitley, Heather P.
AU  - Majerczyk, Daniel
AU  - Stamm, Pamela
TI  - An Online, Multi-Institutional APPE Student Debate on Diabetes Medications
AID  - 10.5688/ajpe8815
DP  - 2022 Jan 01
TA  - American Journal of Pharmaceutical Education
PG  - 8815
4099  - http://www.ajpe.org/content/early/2022/01/17/ajpe8815.short
4100  - http://www.ajpe.org/content/early/2022/01/17/ajpe8815.full
AB  - Objective. The purpose of this study was to evaluate change in APPE student knowledge and measure student perceptions of an online, multi-institutional debate curriculum as an alternative to a journal club to improve critical thinking skills related to diabetes medications.Methods. All APPE students assigned to four faculty (n=37) at three different colleges during the 2020-2021 academic year received instruction on diabetes medication classes and their cardiovascular outcome trials (CVOTs). Students debated via the Lincoln-Douglas format whether glucagon-like peptide-1 receptor agonists (GLP-1 RAs) or sodium-glucose cotransporter-2 inhibitors (SGLT2i) classes are the preferred second-line therapies in patients with type 2 diabetes mellitus (T2DM). Matched pre and post-knowledge scores were measured using a 7-item assessment tool. A postdebate 22-item survey measured student perceptions of the activity.Results. Pre- and post-knowledge scores were compared in thirty-two students yielding an 86% match rate. Knowledge scores improved 32% (59% pre vs. 87% post). Thirty-three students completed the survey yielding an 89% response rate. Students reported the debate activity was beneficial (100%) and rated it more effective than a journal club at improving critical thinking skills and knowledge retention.Conclusion. Preliminary results suggest the incorporation of an online, multi-institutional debate as an alternative to journal clubs during APPE rotations was well received. Further research is warranted on the impact of the multi-institutional debate and how to best deliver it during the APPEs of a pharmacy curriculum.