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Entrustable Professional Activities to Milestones Advisor for Pediatric Subspecialties: Developing a Comprehensive

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Summary
This summary is machine-generated.

This study defines the link between Accreditation Council of Graduate Medical Education (ACGME) Milestones 2.0 and Entrustable Professional Activities (EPAs) in pediatric subspecialties. A new tool predicts milestone levels based on EPA supervision ratings, aiding competency-based medical education.

Keywords:
Milestones 2.0competency-based assessmententrustable professional activities

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Area of Science:

  • Medical Education
  • Pediatric Subspecialties
  • Competency-Based Medical Education

Background:

  • The Accreditation Council of Graduate Medical Education (ACGME) Milestones 2.0 and Entrustable Professional Activities (EPAs) are key frameworks in graduate medical education.
  • Defining the relationship between these frameworks is crucial for effective curriculum development and assessment in pediatric subspecialties.

Purpose of the Study:

  • To establish the relationship between ACGME Milestones 2.0 and EPAs across 15 pediatric subspecialties.
  • To develop a tool for automating the prediction of expected milestone behaviors based on EPA supervision levels.

Main Methods:

  • A modified Delphi approach was used by subspecialty workgroups to identify essential Milestone 2.0 subcompetencies for each EPA.
  • Workgroups assigned predicted Milestone levels corresponding to each EPA Level of Supervision.

Main Results:

  • Forty percent of subspecialties successfully mapped all Milestone subcompetencies to their EPAs.
  • Trainees were generally not expected to reach 'expertise' (Milestone level 5) for unsupervised practice (EPA Level of Supervision 5).
  • An online tool was created using group assignments to suggest milestone levels for fellows based on EPA ratings.

Conclusions:

  • Enhanced understanding of Milestones 2.0 and EPAs by pediatric subspecialty educators is vital for competency-based medical education.
  • This project, including the novel predictive tool, advances the understanding of the Milestones 2.0 and EPAs relationship.