Surgical critical care entrustable professional activities: A new era in assessment
Deborah M Stein1, Amy N Hildreth, Krista L Kaups
1From the Program 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; 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.
The Trauma Burns and Surgical Critical Care Board developed Entrustable Professional Activities (EPAs) for Surgical Critical Care (SCC) fellowships, outlining a structured process and addressing unique specialty challenges.
科学分野:
- Medical Education; Surgical Critical Care; Competency-Based Education
背景:
- Postgraduate medical trainingにおける標準化された評価ツールの必要性。;Surgical Critical Care (SCC)患者管理の複雑化。;SCCフェローシップのための確立されたEPAの不在。
研究 の 目的:
- SCCフェローシップのためのEPA開発の体系的なプロセスを説明すること。;SCC EPA作成に特有の課題を特定し、議論すること。;SCCにおける将来のコンピテンシーベースの評価のためのフレームワークを提供すること。
主な方法:
- General surgery EPA開発に倣ってモデル化されました。;TBSCCBメンバー、リアクターパネル、および執筆グループが関与しました。;EPAの選択、草案作成、範囲定義、およびマイルストーンマッピングが含まれました。
主要な成果:
- 包括的なSCC EPAスイートが正常に開発されました。;SCC専門分野に関連する独自の課題が特定され、対処されました。;EPAはACGME SCC 2.0マイルストーンにマッピングされました。
結論:
- 開発されたSCC EPAは、研修医の能力を評価するための堅牢なフレームワークを提供します。;専門分野固有の課題に対処することは、効果的なEPA実装に不可欠です。;このプロセスは、他の外科専門分野におけるEPA開発の前例となります。
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