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Structured Debriefing to Assess Performance of Entrustable Professional Activities.

M Douglas Jones1, Gretchen Guiton2, Christian Con Yost3

  • 1is Professor Emeritus, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA, and Associate Editor, Journal of Graduate Medical Education, Chicago, Illinois, USA.

Journal of Graduate Medical Education
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Summary
This summary is machine-generated.

Structured debriefing of clinical experiences improved medical education by providing formative feedback. This method enhanced faculty and learner understanding of performance and assessment criteria.

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Area of Science:

  • Medical Education
  • Workplace Learning
  • Clinical Assessment

Background:

  • Workplace-based learning in medicine faces challenges.
  • Structured debriefing of clinical experiences offers a solution for deep learning.
  • Entrustable Professional Activities (EPAs) are key to assessing clinical performance.

Purpose of the Study:

  • To evaluate faculty and learner acceptance of private, structured debriefing for EPA performance.
  • To explore the impact of debriefing on understanding clinical performance and assessment.

Main Methods:

  • Faculty and fellows participated in private, face-to-face debriefings of selected EPAs during clinical rotations.
  • A structured format with behavioral anchors and entrustment levels guided the debriefing sessions.
  • Thematic analysis of interviews and focus groups was used to gather qualitative data.

Main Results:

  • Debriefing facilitated formative feedback and a shared understanding of clinical performance and assessment criteria.
  • The standardized, private format allowed for assessment of often overlooked performance aspects.
  • Participants found debriefing valuable for formative discussions and goal setting.

Conclusions:

  • Structured debriefing of shared clinical experiences positively impacts formative assessment.
  • Both faculty and learners viewed this debriefing method favorably.
  • This approach enhances workplace-based learning in medical training.