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https://www.readbyqxmd.com/read/28882189/competencies-for-first-year-residents-physicians-views-from-medical-schools-with-different-undergraduate-curricula
#1
Sophie Fürstenberg, Kristina Schick, Jana Deppermann, Sarah Prediger, Pascal O Berberat, Martina Kadmon, Sigrid Harendza
BACKGROUND: Frameworks like the CanMEDS model depicting professional roles and specific professional activities provide guidelines for postgraduate education. When medical graduates start their residency, they should possess certain competencies related to communication, management and professionalism while other competencies will be refined during postgraduate training. Our study aimed to evaluate the relevance of different competencies for a first year resident required for entrustment decision from the perspective of physicians from medical faculties with different undergraduate medical curricula...
September 7, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28857790/critical-thoughts-about-the-core-entrustable-professional-activities-in-undergraduate-medical-education
#2
Edward Krupat
The Core Entrustable Professional Activities for Entering Residency (Core EPAs) have taken a strong hold on undergraduate medical education (UME). This Perspective questions their value added and considers the utility of the Core EPAs along two separate dimensions: (1) the ways they change the content and focus of the goals of UME; and (2) the extent to which entrustable professional activity (EPA)-based assessment conforms to basic principles of measurement theory as practiced in the social sciences. Concerning content and focus, the author asks whether the 13 Core EPAs frame UME too narrowly, putting competencies into the background and overlooking certain aspirational, but important and measurable, objectives of UME...
August 29, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28857789/competency-based-medical-education-and-the-ghost-of-kuhn-reflections-on-the-messy-and-meaningful-work-of-transformation
#3
Eric S Holmboe
The transition, if not transformation, to outcomes-based medical education likely represents a paradigm shift struggling to be realized. Paradigm shifts are messy and difficult but ultimately meaningful if done successfully. This struggle has engendered tension and disagreements, with many of these disagreements cast as either-or polarities. There is little disagreement, however, that the health care system is not effectively achieving the triple aim for all patients. Much of the tension and polarity revolve around how more effectively to prepare students and residents to work in and help change a complex health care system...
August 29, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28857486/educational-priorities-of-students-in-the-entrustable-professional-activity-era
#4
Roy E Strowd, Allison McBride, Jon Goforth, Joseph Cristiano, Nicholas Hartman, Gregory Waters, James Beardsley, James E Johnson, Kim Askew
BACKGROUND: The Association of American Medical Colleges (AAMC) guidelines on the entrustable professional activities (EPAs) expected of graduating medical students were recently published. Although perceptions of educators, residents and programme directors have been described, the voice of senior medical students is lacking. METHODS: A single-institution cross-sectional study of senior medical students was performed. Student perceptions were collected and compared with: (1) national guidelines (i...
August 30, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28841876/specific-entrustable-professional-activities-for-undergraduate-medical-internships-a-method-compatible-with-the-academic-curriculum
#5
Alicia Hamui-Sutton, Ana María Monterrosas-Rojas, Armando Ortiz-Montalvo, Felipe Flores-Morones, Uri Torruco-García, Andrea Navarrete-Martínez, Araceli Arrioja-Guerrero
BACKGROUND: Competency-based education has been considered the most important pedagogical trend in Medicine in the last two decades. In clinical contexts, competencies are implemented through Entrustable Professional Activities (EPAs) which are observable and measurable. The aim of this paper is to describe the methodology used in the design of educational tools to assess students´ competencies in clinical practice during their undergraduate internship (UI). In this paper, we present the construction of specific APROCs (Actividades Profesionales Confiables) in Surgery (S), Gynecology and Obstetrics (GO) and Family Medicine (FM) rotations with three levels of performance...
August 25, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28841874/science-of-health-care-delivery-milestones-for-undergraduate-medical-education
#6
Rachel D Havyer, Suzanne M Norby, Andrea N Leep Hunderfund, Stephanie R Starr, Tara R Lang, Alexandra P Wolanskyj, Darcy A Reed
BACKGROUND: The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and confidence, educators must be able to meaningfully assess physicians' abilities in SHCD. We aimed to develop a novel set of SHCD milestones based on published Accreditation Council for Graduate Medical Education (ACGME) milestones that can be used by medical schools to assess medical students' competence in SHCD...
August 25, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28824766/the-nightmares-course-a-longitudinal-multidisciplinary-simulation-based-curriculum-to-train-and-assess-resident-competence-in-resuscitation
#7
Lindsey McMurray, Andrew Koch Hall, Jessica Rich, Stefan Merchant, Timothy Chaplin
BACKGROUND : Postgraduate medical education programs would benefit from a robust process for training and assessment of competence in resuscitation early in residency. OBJECTIVE : To describe and evaluate the Nightmares Course, a novel, competency-based, transitional curriculum and assessment program in resuscitation medicine at Queen's University in Kingston, Ontario, Canada. METHODS : First-year residents participated in the longitudinal Nightmares Course at Queen's University during the 2015-2016 academic year...
August 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28768364/general-surgery-primary-operator-rates-a-guide-to-achieving-future-competency
#8
Cameron Law, Jonathan Hong, David Storey, Christopher J Young
BACKGROUND: Competency in surgical training is a topic of much recent discussion, with concern regarding the adequacy of current training schemes to achieve competency. Most programmes use caseload and primary operator rates to assess trainee progression. Some trainees still lack technical competence even when recommended procedural numbers are met. It is possible that current measures of individual's capabilities used in surgical education are outdated. METHODS: Logbook data of New South Wales general surgical trainees between 2010 and 2012 was obtained through General Surgeons Australia...
August 2, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28768363/implementing-entrustable-professional-activities-the-yellow-brick-road-towards-competency-based-training
#9
David Moore, Christopher J Young, Jonathan Hong
BACKGROUND: We describe implementation of competency-based postgraduate surgical training, using an entrustable professional activities (EPAs) programme. The programme aims to improve patient outcomes by optimizing supervision of surgical trainees, creating opportunities for additional teaching and feedback. The curriculum was designed to maximize feasibility for implementation within a colorectal surgical department. METHODS: The curriculum was developed using previously described methods by consensus between two consultants within the department...
August 2, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28758564/do-medical-residents-perform-patient-centered-medical-home-tasks-a-mixed-methods-study
#10
Lauren Block, Nancy LaVine, Jennifer Verbsky, Ankita Sagar, Miriam A Smith, Susan Lane, Joseph Conigliaro, Saima A Chaudhry
BACKGROUND: Increasingly, residents are being trained in Patient-centered Medical Home (PCMH) settings. A set of PCMH entrustable professional activities (EPAs) for residents has been defined but not evaluated in practice. OBJECTIVE: To understand whether residents trained at PCMH sites reported higher likelihood of engaging in PCMH tasks than those training in non-PCMH sites. DESIGN: Survey and nominal group data from post-graduate trainees at three residency programs...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28746485/an-interview-with-steven-j-lindauer
#11
Steven J Lindauer
There are so many compliments to Dr. Steven Lindauer that is hard for one to figure where to start from… Well, travelling backwards in time, all the way to the year 2000, I went to Virginia to study English at Virginia Commonwealth University (VCU), in Richmond, Virginia, USA. During my daily walks to the English school, I used to pass by the School of Dentistry, where the Department of Orthodontics was. That was the place where my very first "contact" with the VCU happened. In 2015, 15 years later, I had the pleasure to go back to the VCU and spend two days with Dr...
May 2017: Dental Press Journal of Orthodontics
https://www.readbyqxmd.com/read/28729009/development-of-entrustable-professional-activities-for-hospice-and-palliative-medicine-fellowship-training-in-the-united-states
#12
Lindy H Landzaat, Michael D Barnett, Gary T Buckholz, Jillian L Gustin, Jennifer M Hwang, Stacie K Levine, Tomasz Okon, Steven M Radwany, Holly B Yang, John Encandela, Laura J Morrison
CONTEXT: Entrustable Professional Activities (EPAs) represent the key physician tasks of a specialty. Once a trainee demonstrates competence in an activity, they can then be 'entrusted' to practice without supervision(1). A physician workgroup of the American Academy of Hospice and Palliative Medicine (AAHPM) sought to define Hospice and Palliative Medicine (HPM) EPAs. OBJECTIVE: To describe the development of a set of consensus EPAs for HPM fellowship training in the United States...
July 17, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28725792/entrustable-professional-activities-for-pathology-recommendations-from-the-college-of-american-pathologists-graduate-medical-education-committee
#13
Cindy B McCloskey, Ronald E Domen, Richard M Conran, Robert D Hoffman, Miriam D Post, Mark D Brissette, Dita A Gratzinger, Patricia M Raciti, David A Cohen, Cory A Roberts, Amyn M Rojiani, Christina S Kong, Jo Elle G Peterson, Kristen Johnson, Sue Plath, Suzanne Zein-Eldin Powell
Competency-based medical education has evolved over the past decades to include the Accreditation Council for Graduate Medical Education Accreditation System of resident evaluation based on the Milestones project. Entrustable professional activities represent another means to determine learner proficiency and evaluate educational outcomes in the workplace and training environment. The objective of this project was to develop entrustable professional activities for pathology graduate medical education encompassing primary anatomic and clinical pathology residency training...
January 2017: Acad Pathol
https://www.readbyqxmd.com/read/28720927/report-of-the-2016-17-academic-affairs-standing-committee-entrustable-professional-activities-implementation-roadmap
#14
Amy L Pittenger, Debra A Copeland, Matthew M Lacroix, Quamrun N Masuda, Peter Mbi, Melissa S Medina, Susan M Miller, Scott K Stolte, Cecilia M Plaza
The purpose of this report is to: 1) Identify linkages across the EPA statements, Center for the Advancement of Pharmacy Education 2013 Educational Outcomes (CAPE 2013) and the Joint Commission of Pharmacy Practitioners' Pharmacist Patient Care Process (PPCP); 2) Provide ways EPA statements can be used to communicate core skills that are part of the entry-level pharmacist identity; 3) Suggest a potential roadmap for AACP members on how to implement EPA statements.
June 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28700462/validity-of-level-of-supervision-scales-for-assessing-pediatric-fellows-on-the-common-pediatric-subspecialty-entrustable-professional-activities
#15
Richard B Mink, Alan Schwartz, Bruce E Herman, David A Turner, Megan L Curran, Angela Myers, Deborah C Hsu, Jennifer C Kesselheim, Carol L Carraccio
PURPOSE: Entrustable professional activities (EPAs) represent the routine and essential activities that physicians perform in practice. Although some level of supervision scales have been proposed, they have not been validated. In this study, the investigators created level of supervision scales for EPAs common to the pediatric subspecialties and then examined their validity in a study conducted by the Subspecialty Pediatrics Investigator Network (SPIN). METHOD: SPIN Steering Committee members used a modified Delphi process to develop unique scales for six of the seven common EPAs...
July 11, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28634908/an-entrustable-professional-activity-epa-based-framework-to-prepare-fourth-year-medical-students-for-internal-medicine-careers
#16
D Michael Elnicki, Meenakshy K Aiyer, Maria L Cannarozzi, Alexander Carbo, Paul R Chelminski, Shobhina G Chheda, Saumil M Chudgar, Heather E Harrell, L Chad Hood, Michelle Horn, Karnjit Johl, Gregory C Kane, Diana B McNeill, Marty D Muntz, Anne G Pereira, Emily Stewart, Heather Tarantino, T Robert Vu
The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable Professional Activities for Entering Residency (CEPAERs). A committee comprising members of the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine applied these principles to preparing students for internal medicine residencies...
June 20, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28614591/core-entrustable-professional-activities-in-clinical-pharmacology-for-entering-residency-biologics
#17
Vera S Donnenberg, Maja Mandic, John C Rhee, Timothy F Burns, Bernd Meibohm, Joan M Korth-Bradley
Biologicals are a rapidly expanding class of medications used in the treatment of many different conditions. This article reviews the common characteristics of this class and the requirements for safe and effective use in patients. Several vignettes are included to illustrate common challenges.
August 2017: Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28598742/a-call-to-action-the-controversy-of-and-rationale-for-competency-based-medical-education
#18
Eric S Holmboe, Jonathan Sherbino, Robert Englander, Linda Snell, Jason R Frank
Although medical education has enjoyed many successes over the last century, there is a recognition that health care is too often unsafe and of poor quality. Errors in diagnosis and treatment, communication breakdowns, poor care coordination, inappropriate use of tests and procedures, and dysfunctional collaboration harm patients and families around the world. These issues reflect on our current model of medical education and raise the question: Are physicians being adequately prepared for twenty-first century practice? Multiple reports have concluded the answer is "no...
June 2017: Medical Teacher
https://www.readbyqxmd.com/read/28598739/toward-a-shared-language-for-competency-based-medical-education
#19
Robert Englander, Jason R Frank, Carol Carraccio, Jonathan Sherbino, Shelley Ross, Linda Snell
The paradigm shift brought about by the advent of competency-based medical education (CBME) can be characterized as an adaptive change. Currently, its development and implementation suffer from the lack of a lingua franca. A shared language is needed to support collaboration and dissemination across the world community of medical educators. The International CBME Collaborators held a second summit in 2013 to explore this and other contemporary CBME issues. We present the resulting International CBME Collaborator's glossary of CBME terms...
June 2017: Medical Teacher
https://www.readbyqxmd.com/read/28577253/am%C3%A2-i-ready-for-it-students-perceptions-of-meaningful-feedback-on-entrustable-professional-activities
#20
Chantal C M A Duijn, Lisanne S Welink, Mira Mandoki, Olle T J Ten Cate, Wim D J Kremer, Harold G J Bok
BACKGROUND: Receiving feedback while in the clinical workplace is probably the most frequently voiced desire of students. In clinical learning environments, providing and seeking performance-relevant information is often difficult for both supervisors and students. The use of entrustable professional activities (EPAs) can help to improve student assessment within competency-based education. This study aimed to illustrate what students' perceptions are of meaningful feedback viewed as conducive in preparing for performing EPA unsupervised...
August 2017: Perspectives on Medical Education
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