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Entrustable professional activities

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https://www.readbyqxmd.com/read/28549405/twelve-tips-for-the-implementation-of-epas-for-assessment-and-entrustment-decisions
#1
Harm Peters, Ylva Holzhausen, Christy Boscardin, Olle Ten Cate, H Carrie Chen
The concept of entrustable professional activities (EPAs) reframes the approach to assessment in competency-based medical education. Key to this concept is the linking of assessment to decision making about entrusting learners with clinical responsibilities. Based on recent literature and the authors' experiences with implementing EPAs, this article provides practical recommendations for how to implement EPAs for assessment and entrustment decisions in the workplace. Tips for supervising clinicians include talking to learners about trust, using EPA descriptions to guide learning and teaching, providing learners with greater ad hoc responsibilities, using EPAs to identify/create opportunities for assessment and feedback, including case-based discussions and acknowledging gut feelings about learner readiness for more autonomy...
May 26, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28493429/trust-and-risk-a-model-for-medical-education
#2
Arvin Damodaran, Boaz Shulruf, Philip Jones
CONTEXT: Health care delivery, and therefore medical education, is an inherently risky business. Although control mechanisms, such as external audit and accreditation, are designed to manage risk in clinical settings, another approach is 'trust'. The use of entrustable professional activities (EPAs) represents a deliberate way in which this is operationalised as a workplace-based assessment. Once engaged with the concept, clinical teachers and medical educators may have further questions about trust...
May 10, 2017: Medical Education
https://www.readbyqxmd.com/read/28483903/entrustable-professional-activities-epas-the-next-step
#3
Roger Garvin, Michael Mazzone
No abstract text is available yet for this article.
May 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28469315/fine-needle-aspiration-biopsy-an-entrustable-professional-activity-in-cytopathology-postgraduate-training
#4
Harresh B Kumar, Amir M Khan, Vinod K Arora, Navjeevan Singh
CONTEXT: In the context of competency-based medical education being advocated worldwide, fine needle aspiration biopsy (FNAB) is considered as an entrustable professional activity (EPA). There is no information regarding how much time and training are required to achieve a "competent level" for performing and documenting FNAB in the Indian context. AIM: To determine the time taken by an average postgraduate pathology trainee to become competent in performing FNAB with respect to history taking, clinical examination, and fine needle aspirate adequacy...
April 2017: Journal of Cytology
https://www.readbyqxmd.com/read/28463862/making-a-case-for-entrustable-professional-activities-for-nurse-practitioners-in-emergency-care
#5
K Sue Hoyt, Elda G Ramirez, Jean A Proehl
No abstract text is available yet for this article.
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28439355/using-the-entrustable-professional-activities-framework-in-the-assessment-of-procedural-skills
#6
Debra Pugh, Rodrigo B Cavalcanti, Samantha Halman, Irene W Y Ma, Maria Mylopoulos, David Shanks, Lynfa Stroud
BACKGROUND: The entrustable professional activity (EPA) framework has been identified as a useful approach to assessment in competency-based education. To apply an EPA framework for assessment, essential skills necessary for entrustment to occur must first be identified. OBJECTIVE: Using an EPA framework, our study sought to (1) define the essential skills required for entrustment for 7 bedside procedures expected of graduates of Canadian internal medicine (IM) residency programs, and (2) develop rubrics for the assessment of these procedural skills...
April 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28394077/defining-entrustable-professional-activities-for-residency-fellowship-programme-directors
#7
Kalli Varaklis, Robert Bing-You
No abstract text is available yet for this article.
May 2017: Medical Education
https://www.readbyqxmd.com/read/28370354/how-evidence-from-observing-attending-physicians-links-to-a-competency-based-framework
#8
Maria Bacchus, David R Ward, Jill de Grood, Jane B Lemaire
CONTEXT: Competency-based medical education frameworks are often founded on a combination of existing research, educational principles and expert consensus. Our objective was to examine how components of the attending physician role, as determined by observing preceptors during their real-world work, link to the CanMEDS Physician Competency Framework. METHODS: This is a sub-study of a broader study exploring the role of the attending physician by observing these doctors during their working day...
June 2017: Medical Education
https://www.readbyqxmd.com/read/28328736/entrustment-decisions-bringing-the-patient-into-the-assessment-equation
#9
Olle Ten Cate
With the increased interest in the use of entrustable professional activities (EPAs) in undergraduate medical education (UME) and graduate medical education (GME) come questions about the implications for assessment. Entrustment assessment combines the evaluation of learners' knowledge, skills, and behaviors with the evaluation of their readiness to be entrusted to perform critical patient care responsibilities. Patient safety, then, should be an explicit component of educational assessments. The validity of these assessments in the clinical workplace becomes the validity of the entrustment decisions...
March 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28315194/assessing-entrustable-professional-activities-during-the-psychiatry-clerkship
#10
Martin Klapheke, Teresa Johnson, Morayma Cubero
OBJECTIVE: Within 10 years, the Association of American Medical Colleges envisions graduating medical students will be entrusted by their school to perform 13 core entrustable professional activities (EPAs) without direct supervision. The authors focused on eight EPAs that appear most relevant to clinical training during the psychiatry clerkship at their institution to evaluate whether students assess themselves as making progress in EPAs during this clerkship, to see how students' self-assessments compare with the clerkship director's assessments, and to see if weaknesses in the curriculum were found...
March 17, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28293859/supporting-disclosure-of-genetic-information-to-family-members-professional-practice-and-timelines-in-cancer-genetics
#11
Benjamin Derbez, Antoine de Pauw, Dominique Stoppa-Lyonnet, Sandrine de Montgolfier
Disclosure of genetic information within families is one of the longstanding questions under scrutiny in the field of genetics. Most of the probands entrusted with family disclosure succeed in this task, but there are still many problematic cases where it proves difficult. How can professionals help probands disclose this information? What levers can they activate to foster the diffusion of genetic information within families? In the context of a new legal framework concerning this question in France, this paper offers a comprehensive view of the process of genetic counselling in a cancer genetics department...
March 14, 2017: Familial Cancer
https://www.readbyqxmd.com/read/28289312/core-entrustable-professional-activities-for-new-pharmacy-graduates
#12
Stuart T Haines, Amy L Pittenger, Scott K Stolte, Cecilia M Plaza, Brenda L Gleason, Alexander Kantorovich, Marianne McCollum, Jennifer M Trujillo, Debra A Copeland, Matthew M Lacroix, Quamrun N Masuda, Peter Mbi, Melissa S Medina, Susan M Miller
No abstract text is available yet for this article.
February 25, 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28289308/describing-entrustable-professional-activities-is-merely-the-first-step
#13
Stuart T Haines, Amy Pittenger, Cecilia Plaza
No abstract text is available yet for this article.
February 25, 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28284011/applying-occupational-and-organizational-psychology-theory-to-entrustment-decision-making-about-trainees-in-health-care-a%C3%A2-conceptual-model
#14
Ylva Holzhausen, Asja Maaz, Anna T Cianciolo, Olle Ten Cate, Harm Peters
In medical contexts around the world, supervising physicians continuously decide what degree of supervision to apply as trainees carry out professional activities. Although the implications for patients can be far-reaching, little is known about how these entrustment decisions are formed. The concept of 'Entrustable Professional Activities' has initiated interest and valuable research on factors that may influence the entrustment decision process.The aim of the current article is to link models of entrustment developed in the fields of occupational and organizational psychology and military psychology to medical education studies that have explored the factors influencing physicians' entrustment decisions...
April 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28281368/flexibility-in-individualized-competency-based-workplace-curricula-with-epas-analyzing-four-cohorts-of-physician-assistants-in-training
#15
Fraukje Wiersma, Josephine Berkvens, Olle Ten Cate
BACKGROUND: Entrustable professional activities (EPAs) were introduced as a principle for individualized physician assistant (PA) workplace curricula at the University of Applied Sciences (UAS) Utrecht in 2008. We studied how the focus on EPAs served the competency-based flexibility intention of the program. METHODS: We analyzed data of those 119 students who enrolled in the program 2010 through 2013, and completed the program before April 2016. We analyzed the number of EPAs per student at start and end of the program, number changed during training and the reasons for change...
March 10, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28225465/a-patient-centered-approach-to-developing-entrustable-professional-activities
#16
Carlos El-Haddad, Arvin Damodaran, H Patrick McNeil, Wendy Hu
PURPOSE: The medical education community is rapidly accepting the use of entrustable professional activities (EPAs) as a means of assessing residents. Stakeholder engagement is advised in developing EPAs, but no studies have investigated the role of patient input. In this qualitative study, the authors investigated what patient input may add to designing a patient-centered EPA. METHOD: The authors chose "management of acute low back pain (LBP)" as a common, important clinical task on which to base the patient-centered EPA...
February 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28179727/entrustable-professional-activities-for-specialty-pharmacy-practice
#17
Amy L Pittenger, Scott A Chapman, Caitlin K Frail, Jean Y Moon, Megan R Undeberg, Jordan H Orzoff
No abstract text is available yet for this article.
December 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28177957/proposing-a-model-of-co-regulated-learning-for-graduate-medical-education
#18
Jessica V Rich
Primarily grounded in Zimmerman's social cognitive model of self-regulation, graduate medical education is guided by principles that self-regulated learning takes place within social context and influence, and that the social context and physical environment reciprocally influence persons and their cognition, behavior, and development. However, contemporary perspectives on self-regulation are moving beyond Zimmerman's triadic reciprocal orientation to models that consider social transactions as the central core of regulated learning...
February 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28166104/entrustable-professional-activities-a-new-direction-for-pa-education
#19
Kevin C Lohenry, Anthony Brenneman, Constance Goldgar, Karen J Hills, Stephane P VanderMeulen, Steven Lane, Olivia Ziegler, Timi Agar Barwick, Sara Fletcher
No abstract text is available yet for this article.
March 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28126582/making-sense-of-the-milestones-entrustable-professional-activities-for-pathology
#20
EDITORIAL
Deborah E Powell, Andrew Wallschlaeger
No abstract text is available yet for this article.
April 2017: Human Pathology
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