The entrustable professional activities of laparoscopic surgery: moving toward an integrated training model.

Assessment of surgical competence Entrustable professional activities (EPAs) Fundamentals of laparoscopic surgery (FLS)

Journal

Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653

Informations de publication

Date de publication:
07 2023
Historique:
received: 06 12 2022
accepted: 12 03 2023
medline: 7 7 2023
pubmed: 30 3 2023
entrez: 29 3 2023
Statut: ppublish

Résumé

Entrustable Professional Activities (EPAs) provide the opportunity to integrate multiple competencies into meaningful units that facilitate curriculum development and assessment design. As part of the process of reviewing and enhancing the Fundamentals of Laparoscopic of Surgery (FLS) program, we used the concept of EPAs to create a framework of reference that articulates a contemporary definition of Laparoscopic Surgery (LS). The framework of reference of LS was created with data gathered from a literature review and during series of educational retreats with subject matter experts (SMEs). Various activities were implemented during these retreats to develop the LS EPAs, their constitutive competencies, and related observable behaviors. Ten EPAs and associated competency descriptors (articulated as observable behaviors) specific to LS were identified. In addition, knowledge areas were associated to each EPA. A comprehensive list of EPAs for LS were identified. These EPAs will be used in the development and update of the FLS program. Further, they can be used to guide the development of curriculum, clinical teaching, and assessment in any surgical program with a laparoscopic training component. They are applicable to any level of training by defining the expected observable behaviors associated with a given level of expertise. These fundamental aspects of LS provide a common framework of reference across different surgical specialties.

Sections du résumé

BACKGROUND
Entrustable Professional Activities (EPAs) provide the opportunity to integrate multiple competencies into meaningful units that facilitate curriculum development and assessment design. As part of the process of reviewing and enhancing the Fundamentals of Laparoscopic of Surgery (FLS) program, we used the concept of EPAs to create a framework of reference that articulates a contemporary definition of Laparoscopic Surgery (LS).
METHODS
The framework of reference of LS was created with data gathered from a literature review and during series of educational retreats with subject matter experts (SMEs). Various activities were implemented during these retreats to develop the LS EPAs, their constitutive competencies, and related observable behaviors.
RESULTS
Ten EPAs and associated competency descriptors (articulated as observable behaviors) specific to LS were identified. In addition, knowledge areas were associated to each EPA.
DISCUSSION
A comprehensive list of EPAs for LS were identified. These EPAs will be used in the development and update of the FLS program. Further, they can be used to guide the development of curriculum, clinical teaching, and assessment in any surgical program with a laparoscopic training component. They are applicable to any level of training by defining the expected observable behaviors associated with a given level of expertise. These fundamental aspects of LS provide a common framework of reference across different surgical specialties.

Identifiants

pubmed: 36988666
doi: 10.1007/s00464-023-10022-z
pii: 10.1007/s00464-023-10022-z
pmc: PMC10054191
doi:

Types de publication

Review Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

5335-5339

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

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Auteurs

Carlos Gomez-Garibello (C)

Institute of Health Sciences Education, McGill University, Montreal, Canada. carlos.gomez-garibello@mcgill.ca.
Faculty of Medicine and Health Sciences, Institute of Health Sciences Education, McGill University, Lady Meredith House, 1110 Pine Avenue West, Montreal, Quebec, H3A 1A3, Canada. carlos.gomez-garibello@mcgill.ca.

Maryam Wagner (M)

Institute of Health Sciences Education, McGill University, Montreal, Canada.

Neal Seymour (N)

Department of Surgery, University of Massachusetts Chan Medical School-Baystate, Worcester, USA.

Allan Okrainec (A)

Department of Surgery, University of Toronto, Toronto, Canada.

Melina Vassiliou (M)

Department of Surgery, McGill University, Montreal, Canada.

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