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Surgical critical care entrustable professional activities: A new era in assessment
Deborah M Stein1, Amy N Hildreth, Krista L Kaups
1Program in Trauma (D.M.S., C.Y.C.), University of Maryland School of Medicine, Baltimore, Maryland; Department of Surgery (A.N.H.), University of SC School of Medicine-Columbia and Prisma Health-Midlands, Columbia, South Carolina; Department of Surgery (K.L.K.), University of California, San Francisco, Fresno; Department of Surgery (J.V.A.), University of California, Riverside School of Medicine, Riverside; Loma Linda University (J.V.A.), Loma Linda, California; Department of Surgery (R.B.G.), The University of Alabama at Birmingham, Birmingham, Alabama; Department of Surgery (S.G.), Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Surgery (R.J.), Stony Brook Medicine, Stony Brook, New York; Department of Surgery (H.S.J.), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Trauma and Acute Care Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York (J.M.K.); Department of Surgery (A.R., S.G.S.), University of California-Davis, Davis, California; Department of Surgery (S.E.S.), University of Tennessee Medical Center-Knoxville, Knoxville, Tennessee; and American Board of Surgery (K.J.B.), Philadelphia, Pennsylvania.
Abstract:
In 2023, the Trauma Burns and Surgical Critical Care Board (TBSCCB) embarked on the process of developing Entrustable Professional Activities (EPAs) for Surgical Critical Care (SCC) fellowships. This was accomplished in pre-planned stages, modeled after the general surgery EPA creation process, namely selection of EPAs by the TBSCCB members, recruitment of Reactor Panel and Writing Groups, drafting of EPA descriptions with inclusion/exclusion and scope by TBSCCB, engagement of the Reactor Panel, identification of phases of care, drafting of learner functions, development of cognitive frameworks, mapping to American College of Graduate Medical Education SCC 2.0 milestones, writing of expected behaviors, harmonization of behaviors and final editing and publication. There are several considerations that are unique to the specialty that presented particular challenges in the development and execution of SCC EPAs This article described the process that was utilized to create the suite of SCC EPAs and these unique challenges with which the Scope Council, Writing Group, and Reactor Panel were faced. ( J Trauma Acute Care Surg . 2026;100: 982-988. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.).
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