A Multicenter Observational Pilot Study Evaluating the Effect of Using an Entrustable Professional Activity Checklist...

Area of Science:

• Medical Education
• Radiology Training
• Diagnostic Breast Imaging

Background:

• Formative feedback is crucial for resident learning and skill development.
• Effective feedback strategies are continuously sought in medical training programs.
• Diagnostic breast imaging requires specific skills that benefit from targeted feedback.

Purpose of the Study:

• To assess the impact of a new diagnostic breast imaging-specific entrustable professional activity (EPA) based mid-rotation checklist on feedback.
• To evaluate changes in the frequency, quality, and perceptions of resident formative feedback.

Main Methods:

• Development of a validated EPA-based checklist using a six-step methodology.
• Implementation of the checklist in a multicenter study.
• Collection and analysis of data through pre- and post-implementation surveys of residents and attending physicians.

Main Results:

• High agreement among residents (81%) and attendings (78%) on the checklist's helpfulness.
• Attendings reported improved ability to provide specific, timely, and actionable feedback (100%).
• Residents found feedback enabled targeted studying for improvement (84%).

Conclusions:

• A structured, EPA-based mid-rotation checklist enhances the frequency and quality of formative feedback.
• The checklist positively impacts resident learning and attending teaching from both perspectives.
• This tool offers a valuable method for improving feedback in diagnostic breast imaging residency.