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Entrustable professional activities for cytopathology fellowship.

Susanne K Jeffus1, Chien Chen1, Taha Keskin1

  • 1Division of Cytopathology, Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Journal of the American Society of Cytopathology
|November 20, 2024
PubMed
Summary

Entrustable professional activities (EPAs) are new in pathology education. This study reviews EPA literature and shares institutional experience with fine needle aspirations and rapid on-site evaluations, noting documentation barriers.

Keywords:
Competency-based medical educationCytopathologyEntrustable professional activitiesFellowshipPathology

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Area of Science:

  • Medical Education
  • Pathology
  • Competency-Based Medical Education

Background:

  • Entrustable professional activities (EPAs) are foundational to competency-based medical education.
  • EPAs are emerging as a novel educational tool in pathology.
  • Limited research exists on EPA utilization in cytopathology fellowship training.

Purpose of the Study:

  • To review the current literature on EPAs in cytopathology fellowship training.
  • To describe the implementation of an EPA for fine needle aspirations (FNAs) and rapid on-site evaluations (ROSE) at an institution.
  • To identify potential barriers to EPA adoption in cytopathology.

Main Methods:

  • Literature review of EPAs in pathology and medical education.
  • Retrospective analysis of institutional experience implementing an EPA for FNA and ROSE procedures.
  • Qualitative assessment of documentation requirements and perceived barriers.

Main Results:

  • Few studies address EPAs in pathology, with none specifically on cytopathology fellowships.
  • Successful implementation of an EPA for FNA and ROSE was achieved.
  • Significant documentation burden associated with EPAs may hinder widespread adoption.

Conclusions:

  • EPAs offer a valuable framework for assessing cytopathology fellow competence in FNA and ROSE.
  • The current documentation load for EPAs may impede their integration into routine cytopathology training.
  • Further refinement of EPA implementation is needed to overcome adoption barriers.