Article
Surgery
Karen J. Brasel, Brenessa Lindeman, Andrew Jones, George A. Sarosi, Rebecca Minter, Mary E. Klingensmith, James Whiting, David Borgstrom, Jo Buyske, John D. Mellinger
Summary: This study aimed to determine the feasibility and utility of Entrustable Professional Activities (EPAs) in general surgery resident training. By collecting microassessments on common procedures and activities and utilizing the clinical competency committee's summative entrustment decisions, the study found that widespread implementation of EPAs is possible and graduating residents are entrusted to perform common surgical procedures independently without supervision.
Article
Radiology, Nuclear Medicine & Medical Imaging
Anita Paisant, Stephen Skehan, Mathilde Colombie, Arthur David, Christophe Aube
Summary: This study develops and validates EPAs for sub-specialised hepatobiliary and gastrointestinal diagnostic imaging in Europe. After a thorough review of the European Society of Radiology and national curricula, preliminary EPAs were drafted and validated through a modified Delphi method. A total of 13 EPAs were validated during the process.
INSIGHTS INTO IMAGING
(2023)
Review
Education, Scientific Disciplines
Andrea Louise Bramley, Lisa McKenna
Summary: Entrustable professional activities (EPAs) are a recent enhancement to competency-based health professional education that describe the work done by a competent health professional. They have been used primarily in postgraduate medical education but are gaining acceptance in undergraduate health professional education as well. The main motivations for using EPAs include improving patient safety and student assessment.
Article
Education & Educational Research
Feng Yan, Xu Yang, Ligang Zhang, Huaqin Cheng, Luyuan Bai, Fude Yang
Summary: The authors established entrustable professional activities for psychiatry residents in China through literature research and expert consultations. They screened and optimized these activities using the Delphi method. The results showed a 100% questionnaire recovery rate in the two consultation rounds. The authors formulated 17 entrustable professional activities with phase-based modularization and determined the entrustable level for each stage.
BMC MEDICAL EDUCATION
(2023)
Review
Dentistry, Oral Surgery & Medicine
Grace M. Kelly, Anthony Roberts, Christopher D. Lynch
Summary: Assessing the readiness of dental trainees to independently perform specialist-level clinical procedures is crucial for dental postgraduate programs and patient safety. Entrustable professional activities (EPAs) are a method of competency-based assessment that identify critical clinical activities within dental training programs to determine trainees' readiness for independent practice. This article describes EPAs, entrustment decisions, and the process of developing EPAs in dental curricula.
JOURNAL OF DENTISTRY
(2022)
Article
Surgery
Melissa N. Hanson, Aurora D. Pryor, D. Rohan Jeyarajah, Rebecca M. Minter, Samer G. Mattar, Daniel J. Scott, L. Michael Brunt, Maria Cummings, Melina Vassiliou, Liane S. Feldman
Summary: This study describes the implementation process of introducing EPAs in a CBME model by the FC and evaluates its feasibility and perceived value. The results show an increasing completion rate of EPAs, but a decreasing engagement rate. The survey indicates that most fellows and program directors recommend the full-scale implementation of the EPA framework.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Anesthesiology
Andreas Weissenbacher, Robert Bolz, Sebastian N. Stehr, Gunther Hempel
Summary: Transferring competency-based medical education concepts into clinical practice is difficult, but the framework of Entrustable Professional Activities (EPAs) can effectively integrate this training and improve patient safety.
BMC ANESTHESIOLOGY
(2022)
Article
Veterinary Sciences
David C. C. Dorman, Robert H. H. Poppenga, Regina M. M. Schoenfeld-Tacher
Summary: This study surveyed the toxicology education in veterinary schools affiliated with AAVMC. The results showed that toxicology was included in all curriculum and most respondents believed their students were prepared for professional activities related to veterinary toxicology. However, the allocated time for toxicology education was considered inadequate.
VETERINARY SCIENCES
(2022)
Article
Education, Scientific Disciplines
Robert P. Favier, Olle ten Cate, Chantal Duijn, Harold G. J. Bok
Summary: Transitioning from veterinary student to practicing veterinarian can be challenging, with many veterinarians feeling ill-equipped to practice independently after graduation. Implementing the concept of entrustable professional activities (EPAs) in veterinary education is proposed to help bridge the gap between school and clinical practice, potentially preventing early dropout and burnout among veterinary graduates.
JOURNAL OF VETERINARY MEDICAL EDUCATION
(2021)
Article
Education, Scientific Disciplines
Inge Pool, Saskia Hofstra, Marieke van der Horst, Olle ten Cate
Summary: Healthcare has become highly specialized, with specialists playing a crucial role in delivering high-quality care. However, this specialization has also led to fragmentation, with professionals often trained in separate postgraduate programs and facing challenges in collaboration. The concept of transdisciplinary entrustable professional activities (EPAs) has been proposed to enhance collaboration and flexibility in healthcare education. This paper discusses the practical and conceptual issues surrounding transdisciplinary EPAs and their potential impact on professional identity.
Article
Nursing
Andrea Louise Bramley, Colleen J. Thomas, Lisa Mc Kenna, Catherine Itsiopoulos
Summary: The study evaluated the use of Entrustable Professional Activities and competency-based assessment in a dietetic program, finding that students were comfortable with the concept while supervisors preferred Entrustable Professional Activity based assessment. All stakeholders valued student self-assessment and the continued use of structured e-portfolios to develop and document competency in professional placement settings.
NURSING & HEALTH SCIENCES
(2021)
Article
Education, Scientific Disciplines
Jonathan M. Amiel, Dorothy A. Andriole, Diane M. Biskobing, David R. Brown, William B. Cutrer, Matthew T. Emery, George C. Mejicano, Michael S. Ryan, Jennifer L. Swails, Dianne P. Wagner
Summary: The study focused on the implementation of the Core EPAs for Entering Residency Pilot project, evaluating the impact of Core EPAs on graduates' early residency performance. Authors described the schools' ability to collect multimodal evidence and faculty committees' decision-making processes, reflecting on the performance of each Core EPA.
Article
Education, Scientific Disciplines
Andrea Bramley, Adrienne Forsyth, Lisa McKenna
Summary: The study successfully developed a work-based assessment tool using EPAs embedded in an e-portfolio for clinical dietetics students. High survey response rates from students and supervisors indicated positive evaluations of the tool's face validity, feasibility, and acceptability, suggesting the potential for widespread acceptance in work-based assessment for clinical dietetic students.
NURSE EDUCATION TODAY
(2021)
Article
Education, Scientific Disciplines
David R. Brown, Jeremy J. Moeller, Douglas Grbic, Diane M. Biskobing, Ruth Crowe, William B. Cutrer, Michael L. Green, Vivian T. Obeso, Dianne P. Wagner, Jamie B. Warren, Sandra L. Yingling, Dorothy A. Andriole
Summary: In 2014, the Association of American Medical Colleges defined 13 Core Entrustable Professional Activities (EPAs) that all graduating students should be ready to do upon entering residency with indirect supervision. In 2019, a pilot program was conducted involving 10 schools to test the implementation of the Core EPAs framework. Trained entrustment groups (TEGs) were established to review assessment data and make summative entrustment decisions. The results showed that a significant number of students were ready for indirect supervision, but further improvements are needed.
Article
Medicine, General & Internal
Yu-Che Chang, Madalitso Khwepeya, Nothando S. S. Nkambule, Renee S. S. Chuang, Chung-Hsien Chaou
Summary: This study found a close association between milestone and entrustable professional activity (EPA) assessment tools and the professional identity of emergency medicine residents. Additionally, professional identity in emergency physicians is influenced by their skills advancement and ability to learn, effectively perform tasks, and make appropriate medical decisions at the system level. The synergistic use of milestone and EPA assessment tools can be useful for supervisors and clinical educators to evaluate clinical performance during residency training.
FRONTIERS IN MEDICINE
(2023)
Article
Education, Scientific Disciplines
Elizabeth M. Scallan, Andra K. Voges, Kristin P. Chaney, Caleb D. Coursey, Bradley T. Simon
Summary: The study compared three methods of delivering ultrasound knobology content to first-year veterinary students, with self-directed learning showing significantly higher short-term and long-term knowledge acquisition and retention compared to in-person demonstration and online module instruction. Therefore, self-directed learning methods are recommended for teaching ultrasonography to veterinary students.
JOURNAL OF VETERINARY MEDICAL EDUCATION
(2021)
Article
Education, Scientific Disciplines
S. Kathleen Salisbury, Bonnie R. Rush, Jan E. Ilkiw, Susan M. Matthew, Kristin P. Chaney, Laura K. Molgaard, Stephen A. May, Harold G. J. Bok, Jennifer L. Hodgson, Jody S. Frost, Emma K. Read
JOURNAL OF VETERINARY MEDICAL EDUCATION
(2020)
Article
Education, Scientific Disciplines
Susan M. Matthew, Harold G. J. Bok, Kristin P. Chaney, Emma K. Read, Jennifer L. Hodgson, Bonnie R. Rush, Stephen A. May, S. Kathleen Salisbury, Jan E. Ilkiw, Jody S. Frost, Laura K. Molgaard
JOURNAL OF VETERINARY MEDICAL EDUCATION
(2020)
Article
Education, Scientific Disciplines
Daniel J. Schumacher, Olle ten Cate, Arvin Damodaran, Denyse Richardson, Stanley J. Hamstra, Shelley Ross, Jennie Hodgson, Claire Touchie, Laura Molgaard, Wade Gofton, Carol Carraccio
Summary: The rapid uptake of entrustable professional activities and entrustment decision-making in medical and health professions education may lead to confusion in the use of new terminologies. The authors seek to clarify various words related to the concept of entrustment, aiming to establish logical consistency. They emphasize the critical importance of a shared understanding of language around entrustment to strengthen connections among stages of training and practice.
Article
Education, Scientific Disciplines
Laura R. Van Vertloo, Rebecca G. Burzette, Jared A. Danielson
Summary: This study investigated the predictive ability of 28 admissions variables on academic difficulties in veterinary students at a US veterinary college. Results indicated that science GPA, verbal GRE scores, and references were significant factors in predicting academic struggle.
JOURNAL OF VETERINARY MEDICAL EDUCATION
(2022)
Article
Education, Scientific Disciplines
Shelley Ross, Karen E. Hauer, Keith Wycliffe-Jones, Andrew K. Hall, Laura Molgaard, Denyse Richardson, Anna Oswald, Farhan Bhanji
Summary: This paper defines programmatic assessment and presents guidelines for its implementation in competency-based medical education programs, offering a helpful guide for front-line clinical educators. The guidelines include articulating the purpose of the assessment program, choosing tools fit for purpose, considering the stakes of assessments, and defining processes for interpreting assessment data. Programmatic assessment is not 'one size fits all', but a system of assessment that allows individual programs to plan and design their own bespoke model in unique contexts.
Article
Veterinary Sciences
Jared A. Danielson
Summary: This perspective explores six key assumptions of a competency-based approach to medical-sciences education, as they relate to veterinary medical education. While available research does not unequivocally support all six assumptions, overall the potential benefits of adopting a competency-based approach seem promising for veterinary medical education.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Article
Veterinary Sciences
J. A. Robbins, J. A. Danielson, A. K. Johnson, R. L. Parsons, M. W. Jorgensen, S. T. Millman
Summary: The study found that veterinary students' attitudes towards animals are mainly determined by the animals' use, and the degree of belief in animal mind is influenced by various factors including gender, dietary habits, and political ideology. Understanding veterinary students' attitudes and beliefs is important for evaluating a veterinarian's ability to adhere to their oath.
Review
Psychology, Clinical
Angela L. Lamson, Jennifer L. Hodgson, Keeley J. Pratt, Tai J. Mendenhall, Alison G. Wong, Erin M. Sesemann, Braden J. Brown, Erika S. Taylor, Jacqueline M. Williams-Reade, Daniel J. Blocker, Jennifer Harsh Caspari, Max Zubatsky, Matthew P. Martin
Summary: This study evaluates the efficacy of couple and family interventions focusing on leading causes of mortality in the United States, emphasizing the importance of including couples and families in assessments and interventions. The research highlights a significant gap in efficacy research with minoritized couples and families, suggesting the need for attention on accessibility, recruitment, retention, and evaluation in initiating interventions in the context of health conditions.
JOURNAL OF MARITAL AND FAMILY THERAPY
(2022)
Editorial Material
Veterinary Sciences
Jared A. Danielson
FRONTIERS IN VETERINARY SCIENCE
(2022)
Article
Veterinary Sciences
Diane M. Cheney, Andra K. Voges, Nicola Ritter, Elizabeth Scallan, Kristin Chaney
Summary: This prospective cohort design study aimed to determine whether preclinical veterinary students in a curriculum with sequential phantom training sessions acquire better-quality ultrasound images of kidneys in live canines compared with students in a curriculum without such training sessions. The findings suggest that further studies with more sensitive evaluation tools and serial evaluation of students may be beneficial in monitoring student competency and evaluating the role of phantoms in ultrasound training in the veterinary curriculum.
VETERINARY RADIOLOGY & ULTRASOUND
(2023)
Article
Education, Scientific Disciplines
Erin N. Burton, Debra Freedman, Elizabeth Taylor-Schiro, Aaron Rendahl, Laura K. Molgaard
Summary: This paper presents findings from an empirical analysis on the initial implementation of the GOLD-E tool, highlighting the need for revisions and systemic changes.
JOURNAL OF VETERINARY MEDICAL EDUCATION
(2023)
