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Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

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Using entrustable professional activities to guide curriculum development in psychiatry training.

Philip Boyce1, Christine Spratt, Mark Davies

  • 1Department of Psychiatry, Sydney Medical School-Westmead, Westmead Hospital, PO Box 533, Wentworthville, NSW 2145, Australia. philip.boyce@sydney.edu.au

BMC Medical Education
|November 25, 2011
PubMed
Summary

By the end of their first year, psychiatry trainees can be entrusted with core clinical activities, including medication initiation and emergency management. This study identified four key Entrustable Professional Activities (EPAs) to guide training and competency assessment.

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Area of Science:

  • Medical Education
  • Psychiatry Training
  • Competency-Based Education

Background:

  • Entrustable Professional Activities (EPAs) define clinical tasks trainees can perform with supervision.
  • This study investigated EPAs suitable for first-year psychiatry trainees.

Purpose of the Study:

  • To identify specific clinical activities that can be entrusted to psychiatry trainees after their first year of specialist training.
  • To establish a foundation for competency-based assessment in early psychiatry education.

Main Methods:

  • An online survey was administered to Fellows of the Royal Australian and New Zealand College of Psychiatrists (RANZCP).

Main Results:

  • Respondents agreed that first-year trainees could be entrusted with initiating common medications, discharging patients with stable conditions (schizophrenia, bipolar disorder), conducting risk assessments, and managing psychiatric emergencies.
  • Four key EPAs were identified for the completion of the first training stage.

Conclusions:

  • Four core EPAs were identified for psychiatry trainees by the end of their first year.
  • These EPAs are linked to CanMEDS competencies, facilitating targeted remediation for identified deficits.
  • Further EPAs are being developed for specialized areas of advanced psychiatric training.