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Professional Values01:29

Professional Values

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Workplace-Based Assessments Using Pediatric Critical Care Entrustable Professional Activities.

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    This study developed an Entrustable Professional Activities (EPA)-based Workplace-Based Assessment (WBA) tool for pediatric critical care medicine fellows, enhancing learning through benchmarking and tracking entrustment.

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    Area of Science:

    • Medical Education
    • Physician Training
    • Assessment Methodology

    Background:

    • Workplace-based assessment (WBA) is crucial for graduating competent physicians.
    • Developing effective WBA tools that meet faculty, trainee, and governing body needs is challenging.
    • Entrustable Professional Activities (EPAs) offer a promising clinically oriented framework for trainee assessment.

    Purpose of the Study:

    • To develop an EPA-based WBA tool for pediatric critical care medicine (PCCM) fellows.
    • To promote learning by benchmarking and tracking fellow entrustment levels.
    • To gather validity evidence for the developed assessment tool.

    Main Methods:

    • An EPA was subdivided into observable practice activities (OPAs) using national and local data.
    • A mixed-methods approach was employed to seek validity evidence across multiple domains.
    • The study utilized van der Vleuten's conceptual model and Messick's unified validity framework.

    Main Results:

    • Phi-coefficient reliability was 0.65 after 1 year of use.
    • Narrative comments confirmed factors influencing trust were considered in entrustment decisions.
    • Mean entrustment levels significantly increased across training years (P = .001), with high compliance and minimal time commitment (<5 minutes).

    Conclusions:

    • The EPA-OPA framework demonstrated utility and validity for assessing PCCM fellows.
    • The tool supports individual fellow advancement toward autonomy.
    • Narrative comments offer valuable insights for program improvement.