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The viability of interprofessional entrustable professional activities.
1Center for Research and Development of Education, University Medical Center Utrecht, P.O. Box # 85500, 3508 GA, Utrecht, The Netherlands. t.j.tencate@umcutrecht.nl.
Interprofessional education (IPE) and entrustable professional activities (EPAs) are key in health professions education. While separate concepts, assessing interprofessional collaboration is crucial for most EPAs to ensure competent healthcare professionals.
Area of Science:
- Health Professions Education
- Medical Training
- Collaborative Healthcare
Background:
- Interprofessional education (IPE) focuses on collective learning among health professionals for optimal care.
- Entrustable professional activities (EPAs) focus on individual trainee competence for unsupervised practice.
- The relationship between IPE and EPAs, particularly interprofessional EPAs, is a subject of recent debate.
Purpose of the Study:
- To explore the reconciliation of IPE and EPAs.
- To determine the viability and structure of interprofessional EPAs or team-EPAs.
- To assess the role of interprofessional collaboration competence in EPA entrustment decisions.
Main Methods:
- Conceptual analysis of IPE and EPA principles.
- Examination of the interprofessional nature of various clinical tasks and EPAs.
- Argumentative synthesis of existing literature and practice.
Main Results:
- Most modern healthcare work inherently involves interprofessional collaboration.
- Some EPAs, like emergency teamwork and multidisciplinary meetings, are strongly interprofessional.
- Neither "interprofessional team-EPAs" nor "IP-EPAs for individuals" are considered viable standalone concepts.
Conclusions:
- Directly certifying teams or creating separate "IP-EPAs" is not viable.
- Assessing interprofessional collaboration competence is essential for most EPAs.
- Integrating interprofessional competence assessment into EPA entrustment strengthens clinical workplace collaboration.
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