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Updated: Jul 17, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

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Published on: August 25, 2014

Choosing entrustable professional activities for neonatology: a Delphi study.

T A Parker1, G Guiton2, M D Jones1

  • 1Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|September 22, 2017
PubMed
Summary

This study refined 19 candidate neonatology milestones into 13 essential EPAs (Entrustable Professional Activities) for assessing clinical competence. The Delphi process ensured these EPAs accurately reflect the scope and importance for neonatology fellowship training.

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Area of Science:

  • Medical Education
  • Neonatology Fellowship Training
  • Competency Assessment

Background:

  • Developing standardized assessments is crucial for effective medical training.
  • Existing sets of neonatology EPAs required evaluation and refinement.
  • Ensuring EPAs are specific, important, and relevant to clinical practice is key.

Purpose of the Study:

  • To assess and refine candidate neonatology EPAs from two organizations.
  • To establish a consensus on essential EPAs for assessing clinical neonatology competence.

Main Methods:

  • A two-round Delphi process involving neonatology fellowship directors.
  • Participants assessed the importance and scope of 19 candidate EPAs.
  • Proposed additional EPAs were evaluated, and scope was refined through specification.

Main Results:

  • Initially, 19 candidate EPAs were assessed; four were deemed too broad.
  • Respondents retained one broad EPA as proposed and refined three others by specifying entrustment criteria.
  • Refined EPAs were re-rated as insufficiently important and rejected; newly proposed EPAs were also deemed not important enough.

Conclusions:

  • The Delphi process successfully yielded a set of 13 EPAs for assessing clinical neonatology capability.
  • This refined set of EPAs provides a more accurate measure of competence in neonatology practice.