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Defining Practice Ready: Ensuring Training and Certification Are Designed to Meet Patient Needs.

Ariel S Winn1, Meghan O'Connor2, Megan Aylor3

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Pediatric trainees must demonstrate competence in essential activities (EPAs) for certification. A "practice ready" pediatrician provides safe, effective care in a collaborative setting, not necessarily independent practice.

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Area of Science:

  • Medical Education
  • Pediatrics
  • Professional Competency

Background:

  • Graduate medical education ensures trainees are "practice ready" to meet patient needs.
  • The American Board of Pediatrics (ABP) will require attestation of Entrustable Professional Activities (EPAs) for certification starting in 2028.
  • Defining "practice ready" requires clarity on performance standards for EPAs in real-world settings.

Purpose of the Study:

  • To clarify the definition of a "practice ready" trainee.
  • To operationalize the ABP's commitment to public safety in pediatric certification.
  • To establish performance benchmarks for essential pediatric activities.

Main Methods:

  • Defining "practice ready" as providing safe and effective care without assigned supervision in a collaborative practice.
  • Introducing and applying a supervision scale to case examples.
  • Analyzing the nuances of help-seeking and collaboration versus independence.

Main Results:

  • A "practice ready" pediatrician can deliver safe, effective care within a collaborative practice environment.
  • The concept of "practice ready" emphasizes appropriate help-seeking and collaboration.
  • A supervision scale provides a framework for assessing trainee performance.

Conclusions:

  • Clear performance standards are crucial for pediatric graduate medical education and certification.
  • The ABP's implementation of EPAs requires a nuanced understanding of "practice ready" competence.
  • Future efforts should focus on ensuring new pediatricians meet patient needs effectively in practice.