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Bridging the gap: a five stage approach for developing specialty-specific entrustable professional activities.

James Kwan1, Roslyn Crampton2, Lise L Mogensen3

  • 1Medical Education Unit, School of Medicine, Western Sydney University, Sydney, Australia. j.kwan@westernsydney.edu.au.

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|April 22, 2016
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Summary

A five-stage approach successfully developed specialty-specific Entrustable Professional Activities (EPAs) for emergency medicine residents. This method provides a framework for creating EPAs and entrustment scales in medical education.

Keywords:
Assessment designCompetenceConsensus methodsEmergency medicineEntrustable professional activitiesQualitative research

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Area of Science:

  • Medical Education
  • Graduate Medical Education (GME)
  • Emergency Medicine Training

Background:

  • Entrustable Professional Activities (EPAs) are increasingly utilized for assessment in GME.
  • A standardized method for designing EPA content (knowledge, skills, attitudes) is needed.
  • This study presents a five-stage approach to develop specialty-specific EPAs.

Purpose of the Study:

  • To develop two specialty-specific EPAs for first-year emergency medicine residents.
  • To establish consensus on EPA tasks, content, and entrustment scales.
  • To describe a transferable methodology for EPA development.

Main Methods:

  • A five-stage approach involving consensus-building among clinical supervisors.
  • Data collection through focus groups and interviews to define EPA content.
  • Iterative drafting, feedback, and refinement of EPAs.

Main Results:

  • Two specialty-specific EPAs for emergency medicine were successfully developed.
  • Consensus was reached on specific tasks and performance criteria.
  • A three-level entrustment and supervision scale (direct active, indirect active, passive) was created.

Conclusions:

  • The five-stage approach effectively produced specialty-specific EPAs and an entrustment scale for emergency medicine.
  • This methodology is adaptable for developing EPAs in various medical training settings.