Importance-based approach to entrustable professional activities for psychiatric residency training

Area of Science:

• Medical Education
• Psychiatry Training
• Competency-Based Medical Education (CBME)

Background:

• Entrustable Professional Activities (EPAs) are crucial for Competency-Based Medical Education (CBME).
• This study focused on developing and evaluating EPAs for psychiatric residency training within a specific institutional context.

Purpose of the Study:

• To develop a localized set of EPAs for psychiatric residency training at Taipei City Psychiatric Center (TCPC).
• To analyze differences in perceived EPA importance between faculty and residents.
• To perform factor analysis on perceived EPA importance.

Main Methods:

• Developed 21 customized EPAs based on the Taiwanese Society of Psychiatry (TSOP) framework.
• Utilized a two-round Delphi method for consensus building.
• Collected importance ratings via an online questionnaire and performed statistical analysis.

Main Results:

• The finalized framework included 17 original and 4 new EPAs covering advanced skills.
• Faculty rated EPAs significantly higher than residents, especially in documentation and long-term care.
• Factor analysis identified two key dimensions: internal knowledge and external communication.

Conclusions:

• Localizing EPAs from global/national standards offers a valuable model for other institutions.
• Discrepancies in perceived importance highlight the need for aligned educational expectations.
• Understanding EPA dimensions can enhance psychiatric training for residents and faculty.