Entrust Me: Embedding Entrustable Professional Activities in a Gastroenterology Residency Program.
EPA
Fellow
Residency
Journal
Digestive diseases and sciences
ISSN: 1573-2568
Titre abrégé: Dig Dis Sci
Pays: United States
ID NLM: 7902782
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
accepted:
07
11
2022
pubmed:
8
1
2023
medline:
10
2
2023
entrez:
7
1
2023
Statut:
ppublish
Résumé
Entrustable Professional Activities (EPAs) are defined as a process of gradually entrusting key tasks to specialty fellows during their training. EPAs are an important component of competency-based medical education; the concept of entrustment is also familiar and intuitive to clinical faculty, even inexperienced evaluators even if not termed as such. In this paper, we describe the process of how the authors adopted an established EPA framework for gastroenterology training, using EPAs to guide curriculum and faculty development and assessment in ten steps: (1) adopting an established framework, (2) mapping EPAs to relevant competencies, (3) specifying expected behaviors for competency of each EPA, (4) training faculty and fellows to have a shared mental model, (5) designing the training curriculum and educational strategies based on EPAs, (6) determining the assessment strategy, (7) designing the assessment tool, (8) ensuring clarity in how assessment data are used to make summative decisions, (9) changing feedback culture of fellows, and (10) using a longitudinal coaching system to improve EPA performance.
Identifiants
pubmed: 36609940
doi: 10.1007/s10620-022-07815-y
pii: 10.1007/s10620-022-07815-y
doi:
Types de publication
Editorial
Langues
eng
Sous-ensembles de citation
IM
Pagination
352-356Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
ten Cate O. Entrustability of professional activities and competency-based training. Med Educ. 2005;39:1176–1177. https://doi.org/10.1111/J.1365-2929.2005.02341.X .
doi: 10.1111/J.1365-2929.2005.02341.X
Rose S, Fix OK, Shah BJ, Jones TN, Szyjkowski RD. Entrustable professional activities for gastroenterology fellowship training. Hepatology. 2014;60:433–443. https://doi.org/10.1002/hep.27238 .
doi: 10.1002/hep.27238
Waxler A. The Gastroenterology Core Curriculum. Third Edition. Gastroenterology. 2007;132:2012–2018. https://doi.org/10.1053/j.gastro.2007.03.079 .
doi: 10.1053/j.gastro.2007.03.079
Van Der Vleuten CPM, Schuwirth LWT, Scheele F, Driessen EW, Hodges B. The assessment of professional competence: Building blocks for theory development. Best Pract Res Clin Obstet Gynaecol. 2010;24:703–719. https://doi.org/10.1016/j.bpobgyn.2010.04.001 .
doi: 10.1016/j.bpobgyn.2010.04.001
Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood). 2002;21:103–111. https://doi.org/10.1377/HLTHAFF.21.5.103 .
doi: 10.1377/HLTHAFF.21.5.103
https://www.acgme.org/globalassets/pdfs/milestones/gastroenterologymilestones2.0.pdf
ten Cate O, Chen HC. The ingredients of a rich entrustment decision. Med Teach. 2020;42:1413–1420. https://doi.org/10.1080/0142159X.2020.1817348 .
doi: 10.1080/0142159X.2020.1817348
Cohen BL, Hanauer SB. Executive Summary of “Development of Entrustable Professional Activities for Advanced Inflammatory Bowel Disease Fellowship Training in the United States.” Am J Gastroenterol. 2020;115:1362–1366. https://doi.org/10.14309/ajg.0000000000000809 .
doi: 10.14309/ajg.0000000000000809
Rich JV, Luhanga U, Fostaty Young S et al. Operationalizing Programmatic Assessment: The CBME Programmatic Assessment Practice Guidelines. Acad Med. 2022;97:674–678. https://doi.org/10.1097/ACM.0000000000004574 .
doi: 10.1097/ACM.0000000000004574
Molloy E, Boud D, Henderson M. Developing a learning-centred framework for feedback literacy. Assess Eval High Educ. 2020;45:527–540. https://doi.org/10.1080/02602938.2019.1667955 .
doi: 10.1080/02602938.2019.1667955
Ong AML, Siau K. Value of a Growth Mindset: Improving Endoscopy Coaching and Mentoring. Dig Dis Sci. 2022;67:753–756. https://doi.org/10.1007/S10620-021-07294-7 .
doi: 10.1007/S10620-021-07294-7
Vygotsky LS, Cole M, Jolm-Steiner V et al. eds. Mind in society: the development of higher psychological processes. London: Harvard University Press; 1978.