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Development of Breast Imaging Specific Entrustable Professional Activities Using a Double Delphi Technique.

Monica Sheth1, Ryan W Woods2, Priscilla J Slanetz3

  • 1Department of Radiology, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 450 Lakeville Road, Lake Success, NY 11042; NYU Langone Health, Department of Radiology, 660 First Avenue, 3rd Floor, New York, New York 11016.

Academic Radiology
|May 4, 2019
PubMed
Summary

This study developed specialized entrustable professional activities for breast imaging radiology (EPA-BRs) using a rigorous consensus method. These EPA-BRs provide a framework for training and practice in breast imaging and beyond.

Keywords:
Breast imagingCompetency-based educationDelphi techniqueEntrustable professional activitiesGraduate medical educationMedical educationRadiology

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Area of Science:

  • Medical Education
  • Radiology
  • Graduate Medical Education

Background:

  • Developing standardized training frameworks is crucial for medical subspecialties.
  • Breast imaging radiology requires specific competencies that need clear definition.

Purpose of the Study:

  • To create subspecialty-specific entrustable professional activities for breast imaging radiology (EPA-BRs).
  • To employ a double consensus-driven, validity-enhancing methodology for EPA development.
  • To establish a model applicable to other radiology and medical subspecialties.

Main Methods:

  • A six-step methodology incorporating a double Delphi process was utilized.
  • Two expert groups (core educators and national experts) participated in each Delphi round.
  • Refinement by educational theorists enhanced the validity of the developed EPA-BRs.

Main Results:

  • Five primary EPA-BRs and eight nested EPA-BRs were successfully developed.
  • One of the nested EPA-BRs is designated as elective.
  • The EPA-BRs comprehensively cover the breast imaging radiologist's role from cancer detection to post-treatment care.

Conclusions:

  • The developed double Delphi approach offers a transformative method for graduate medical education (GME).
  • This methodology can bridge the gap between individual competencies and real-world clinical practice.
  • The EPA-BRs provide a robust clinical framework for breast imaging radiology training.