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Developing and Validating Entrustable Professional Activities (EPAs) for Rheumatology Fellowship Training Programs in
Laila A Alharbi1, Mohamed Cheikh2, Manal E Alotaibi1
1Department of Medicine, Umm Al-Qura University (UQU), Makkah, Saudi Arabia.
Advances in Medical Education and Practice
|September 23, 2024
Summary
This study developed and validated 32 core Entrustable Professional Activities (EPAs) for rheumatology fellowship training in Saudi Arabia. These EPAs ensure graduating rheumatologists possess essential skills for independent practice.
Area of Science:
- Medical Education
- Rheumatology Training
- Competency-Based Education
Background:
- Entrustable Professional Activities (EPAs) define essential skills for graduating rheumatologists.
- Current rheumatology fellowship training in Saudi Arabia needed standardized assessment tools.
Purpose of the Study:
- To develop and validate a core set of EPAs for rheumatology fellowship training programs in Saudi Arabia.
- To establish a framework for assessing rheumatologist competency.
Main Methods:
- A literature review and curriculum analysis informed the initial EPA development.
- A modified Delphi technique with 32 rheumatology experts in Saudi Arabia was used for validation.
- A 5-point Likert scale assessed EPA relevancy across two rounds.
Main Results:
- An initial 36 EPAs were proposed, refined to 32 through two Delphi rounds.
- A strong consensus was reached on 32 core EPAs for rheumatology training.
- Excluded EPAs lacked relevance, overlapped with others, or posed implementation challenges.
Conclusions:
- A validated core set of 32 EPAs for Saudi Arabian rheumatology fellowship training has been established.
- Future work should focus on mapping milestones to these EPAs for curriculum enhancement.
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