Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation.
Adolescent Medicine
/ education
Competency-Based Education
Education, Medical, Graduate
Endocrinology
/ education
Fellowships and Scholarships
Gastroenterology
/ education
Hematology
/ education
Humans
Infectious Disease Medicine
/ education
Medical Oncology
/ education
Medicine
Neonatology
/ education
Pediatric Emergency Medicine
/ education
Pediatrics
/ education
Pulmonary Medicine
/ education
Surveys and Questionnaires
Journal
Academic medicine : journal of the Association of American Medical Colleges
ISSN: 1938-808X
Titre abrégé: Acad Med
Pays: United States
ID NLM: 8904605
Informations de publication
Date de publication:
01 07 2021
01 07 2021
Historique:
entrez:
29
6
2021
pubmed:
30
6
2021
medline:
25
8
2021
Statut:
ppublish
Résumé
Entrustable professional activities (EPAs) are one approach to competency-based medical education (CBME), and 7 EPAs have been developed that address content relevant for all pediatric subspecialties. However, it is not known what level of supervision fellowship program directors (FPDs) deem necessary for graduation. The Subspecialty Pediatrics Investigator Network (SPIN) investigated FPD perceptions of the minimum level of supervision required for a trainee to successfully graduate. In 2017, SPIN surveyed all FPDs of accredited fellowships for 14 subspecialties. For each EPA, the minimum supervision level for graduation (ranging from observation only to unsupervised practice) was set such that no more than 20% of FPDs would accept a lower level. The survey response rate was 82% (660/802). The minimum supervision level for graduation varied across the 7 EPAs from 2 (direct) to 4 (indirect for complex cases), with significant differences between EPAs. The percentage of FPDs desiring a lower minimum supervision level ranged from 3% to 17%. Compared with the 4 nonclinical EPAs (quality improvement, management, lead within the profession, scholarship), the 3 clinical EPAs (consultation, handover, lead a team) had higher minimum supervision graduation levels (P < .001), with less likelihood that an FPD would graduate a learner below their minimum level (P < .001). Consensus among FPDs across all pediatric subspecialties demonstrates the potential need for ongoing supervision for graduates in all 7 common pediatric subspecialty EPAs after fellowship. As CBME programs are implemented, processes and infrastructure to support new graduates are important considerations for leaders.
Identifiants
pubmed: 34183598
doi: 10.1097/ACM.0000000000004091
pii: 00001888-202107001-00005
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
S22-S28Informations de copyright
Copyright © 2021 by the Association of American Medical Colleges.
Déclaration de conflit d'intérêts
Other disclosures: The authors have no conflicts of interest relevant to this article to disclose.
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