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EQual, a Novel Rubric to Evaluate Entrustable Professional Activities for Quality and Structure
David R Taylor1, Yoon Soo Park, Rylan Egan
1D.R. Taylor is associate professor, Department of Medicine, Queen's University School of Medicine, Kingston, Ontario, Canada. Y.S. Park is assistant professor, Department of Medical Education, University of Illinois at Chicago, Chicago, Illinois. R. Egan is assistant professor and director, Office of Health Science Education, Queen's University School of Medicine, Kingston, Ontario, Canada. M.-K. Chan is associate professor, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada, and clinician educator, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada. J. Karpinski is associate professor, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada, and associate director, Specialties Unit, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada. C. Touchie is associate professor, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada, and chief medical education advisor, Medical Council of Canada, Ottawa, Ontario, Canada. L.S. Snell is professor, Department of Medicine, McGill University, Montreal, Quebec, Canada, and senior clinician educator, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada. A. Tekian is professor, Department of Medical Education, University of Illinois at Chicago, Chicago, Illinois.
A new EQual rubric reliably assesses Entrustable Professional Activities (EPAs) in competency-based medical education (CBME), identifying those needing significant revisions to meet educational standards.
Area of Science:
- Medical Education
- Competency-Based Medical Education (CBME)
- Assessment Tools
Background:
- Entrustable Professional Activities (EPAs) are central to CBME.
- There's a growing need to ensure EPAs align with established standards.
- Substandard EPAs can hinder effective medical training.
Purpose of the Study:
- To develop and validate the EQual rubric for evaluating EPA alignment.
- To identify EPAs that do not meet required standards.
- To enhance the quality of EPAs in medical education.
Main Methods:
- The EQual rubric was developed by education scholars.
- Four residency program directors and four support staff applied the rubric to 31 internal medicine EPAs.
- Generalizability and item-level analyses were used to assess reliability and performance.
Main Results:
- The EQual rubric showed high reliability (phi=0.84) when used by program directors.
- Moderate reliability was observed with support staff (phi=0.67).
- The rubric accurately identified 9 out of 10 EPAs requiring major revisions.
Conclusions:
- The EQual rubric reliably measures EPA alignment with established standards.
- The rubric is effective in identifying EPAs that need substantial revision.
- This tool supports the quality assurance of EPAs in CBME.
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