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Identifying Community-Based Entrustable Professional Activities for Medical Students Through a Modified Delphi

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This study identified 22 community-based entrustable professional activities (EPAs) for medical students, enhancing population health training beyond clinical settings. Key EPAs include addressing community trust and identifying health policy impacts.

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Area of Science:

  • Medical Education
  • Population Health
  • Community Engagement

Background:

  • Growing need for physicians skilled in population health and non-traditional healthcare settings.
  • Existing entrustable professional activities (EPAs) primarily focus on clinical workplace activities.
  • Lack of established EPAs for community-based work with community members.

Purpose of the Study:

  • To identify and establish community-based entrustable professional activities (EPAs) for medical students.
  • To develop a framework for training physicians in community contexts.
  • To inform curriculum development for population health competencies.

Main Methods:

  • Utilized a three-stage online modified-Delphi method.
  • Recruited key stakeholders to generate a list of essential community-based tasks.
  • Used a five-point Likert scale to achieve consensus on potential EPAs.

Main Results:

  • Twenty-two community-based tasks reached consensus as potential EPAs.
  • Top-rated EPAs included addressing community trust, meeting with community members on health topics, identifying disease prevention opportunities, and identifying health policy impacts.
  • Highest rated task: "addressing trust issues with the medical community amongst the local population" (mean=4.71).

Conclusions:

  • Identified community-based tasks can enhance existing curricula and guide new curriculum/assessment development.
  • Findings offer a model for other institutions developing community-based medical education.
  • Supports the training of physicians equipped for population health and community engagement.