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- Title
Creating Entrustable Professional Activities to Assess Internal Medicine Residents in Training: A Mixed-Methods Approach.
- Authors
Taylor, David R; Park, Yoon Soo; Smith, Christopher A; Karpinski, Jolanta; Coke, William; Tekian, Ara
- Abstract
<bold>Background: </bold>Competency-based medical education has not advanced residency training as much as many observers expected. Some medical educators now advocate reorienting competency-based approaches to focus on a resident's ability to do authentic clinical work.<bold>Objective: </bold>To develop descriptions of clinical work for which internal medicine residents must gain proficiency to deliver meaningful patient care (for example, "Admit and manage a medical inpatient with a new acute problem").<bold>Design: </bold>A modified Delphi process involving clinical experts followed by a conference of educational experts.<bold>Setting: </bold>The Royal College of Physicians and Surgeons of Canada.<bold>Participants: </bold>In phase 1 of the project, members of the Specialty Committee for Internal Medicine participated in a modified Delphi process to identify activities in internal medicine that represent the scope of the specialty. In phase 2 of the project, 5 experts who were scholars and leaders in competency-based medical education reviewed the results.<bold>Measurements: </bold>Phase 1 identified important activities, revised descriptions to improve accuracy and avoid overlap, and assigned activities to stages of training. Phase 2 compared proposed activity descriptions with published guidelines for their development and application in medical education.<bold>Results: </bold>The project identified 29 activities that qualify as entrustable professional activities. The project also produced a detailed description of each activity and guidelines for using them to assess residents.<bold>Limitation: </bold>These activities reflect the practice patterns of the developers and may not fully represent internal medicine practice in Canada.<bold>Conclusion: </bold>Identification of these activities is expected to facilitate modification of training and assessment programs for medical residents so that programs focus less on isolated skills and more on integrated tasks.<bold>Primary Funding Source: </bold>Southeastern Ontario Academic Medical Organization Endowed Scholarship and Education Fund and Queen's University Department of Medicine Innovation Fund.
- Publication
Annals of Internal Medicine, 2018, Vol 168, Issue 8, pN.PAG
- ISSN
0003-4819
- Publication type
journal article
- DOI
10.7326/M17-1680