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Implementing entrustable professional activities: the yellow brick road towards competency-based training?

David Moore1, Christopher J Young1, Jonathan Hong1

  • 1Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

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Summary
This summary is machine-generated.

This study introduces an entrustable professional activities (EPAs) program for surgical training to enhance patient care through improved supervision and feedback. Early implementation shows potential benefits for trainee assessment and feedback opportunities.

Keywords:
competencycurriculumentrustablesurgerywork place assessment

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Area of Science:

  • Medical Education
  • Surgical Training
  • Competency-Based Education

Background:

  • Implementation of a competency-based postgraduate surgical training program utilizing an entrustable professional activities (EPAs) framework.
  • The program aims to enhance patient outcomes by optimizing surgical trainee supervision and increasing teaching and feedback opportunities.
  • Curriculum designed for feasibility within a colorectal surgery department.

Purpose of the Study:

  • To describe the implementation of an EPA program for postgraduate surgical training.
  • To optimize supervision and feedback for surgical trainees.
  • To improve patient outcomes through enhanced training.

Main Methods:

  • Curriculum developed via consensus between two departmental consultants.
  • Seven EPAs defined for each trainee level.
  • Consultant or delegate assessment and feedback required for autonomous trainee progression.

Main Results:

  • Anticipated minimal disruption to stakeholders during program progression.
  • Trainee assessment data collection to provide future evidence of EPA assessment validity.
  • Early implementation reveals perceived benefits and challenges of the EPA model.

Conclusions:

  • The EPA program is expected to increase formative assessments and feedback for trainees.
  • The familiar assessment process should aid curriculum implementation.
  • Concerns exist regarding supervisor training for objective assessments and data dissemination without prejudice.