In three experiments involving young adult males, beta‐adrenergic influences on heart rate and carotid dP/dt were evaluated as a function of the degree of individual control over stressful events. Beta‐adrenergic effects were more pronounced under conditions in which the subjects were either led to believe they had control or where some control was actually provided, i.e., a shock avoidance task. Beta‐adrenergic influences were either minimal or rapidly dissipated under conditions where no control was possible, i.e., the cold pressor, a pornographic film, inescapable shocks, or conditions which provided ready mastery of the task. Where beta‐adrenergic effects were maximal, systolic blood pressure was more appreciably elevated while diastolic blood pressure was less elevated than when beta‐adrenergic effects were minimal. A pharmacological blocking agent (propranolol) was used in one experiment to specify the extent the various cardiovascular changes were influenced by beta‐adrenergic activity. The results are discussed with respect to issues concerning stimulus parameters, blood pressure control mechanisms, individual differences in cardiovascular reactivity, and some methodological problems of the current study.

We conducted an online survey to assess stress levels, stressors, coping strategies, and mental distress among first year professional Doctor of Pharmacy students at St. Louis College of Pharmacy. We used the Perceived Stress Scale (PSS10) to measure perceived stress and the Health-related Quality of Life Scale (HRQOL-14) to assess physical and mental health. Self-reported stress levels among our respondents were elevated, significantly higher than among other populations as reported in previous studies, and exceeded the threshold benchmarked as being unhealthy. Mental health scores were negatively correlated with stress levels, exceeded the threshold for frequent mental distress, and were significantly higher than in comparison groups as reported in previous studies. Examinations were ranked the most stressful events and spending time with family ranked as the most effective stress reliever. Further specific investigation is needed to identify probable contributors to distress and to solicit recommendations to help students alleviate their stress and strengthen their mental health.

We examined whether requiring an individual readiness assurance test (iRAT) before a team readiness assurance test (tRAT) would benefit students in becoming better problem solvers in physiology. It was tested in the form of tRAT scores, the time required to complete the tRAT assignment, and individual performance on the unit examinations. Students in one section were given the iRAT at the beginning of the team-based learning session. The same set of questions was given to students as their tRAT immediately after their iRAT. Students in the second section were not given the iRAT before the tRAT. This pattern was reversed for the next scheduled team-based learning activity between the two sections. We found that the section having both the iRAT and tRAT scored higher on the tRAT and completed their assignments in less time than the section with the tRAT alone. This suggests that the tRAT combined with the iRAT is an effective team-based approach to the teaching of physiology compared with the tRAT alone.

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Objective. To determine the feasibility of using a validated set of assessment rubrics to assess students' critical-thinking and problem-solving abilities across a doctor of pharmacy (PharmD) curriculum. Methods. Trained faculty assessors used validated rubrics to assess student work samples for critical-thinking and problem-solving abilities. Assessment scores were collected and analyzed to determine student achievement of these 2 ability outcomes across the curriculum. Feasibility of the process was evaluated in terms of time and resources used. Results. One hundred sixty-one samples were assessed for critical thinking, and 159 samples were assessed for problem-solving. Rubric scoring allowed assessors to evaluate four 5-to 7-page work samples per hour. The analysis indicated that overall critical-thinking scores improved over the curriculum. Although low yield for problem-solving samples precluded meaningful data analysis, it was informative for identifying potentially needed curricular improvements. Conclusions. Use of assessment rubrics for program ability outcomes was deemed authentic and feasible. Problem-solving was identified as a curricular area that may need improving. This assessment method has great potential to inform continuous quality improvement of a PharmD program.