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- Title
Development of a Novel Competency-Based Evaluation System for HIV Primary Care Training: the HIV Entrustable Professional Activities.
- Authors
Dunne, Dana; Green, Michael; Tetrault, Jeanette; Barakat, Lydia Aoun
- Abstract
<bold>Background: </bold>There is an anticipated shortage of primary care providers trained to care for patients with HIV. The Yale School of Medicine developed and implemented a novel HIV training track within our Primary Care Internal Medicine Residency Program. A set of 12 Entrustable Professional Activities (EPAs) were developed to guide curriculum development and resident assessment.<bold>Aim: </bold>To describe the process of implementing a novel EPA-based curriculum for the HIV Primary Care Training Track including EPA-based trainee evaluation tools.<bold>Participants/settings: </bold>Two to three residents were enrolled annually from 2012 to 2017 (total n = 11). Training sites included the outpatient academic center HIV clinic and inpatient HIV ward.<bold>Program Description: </bold>An expert panel developed 12 HIV-specific EPAs. These were mapped to curricular and reporting internal medicine milestones. Curricular activities and evaluation tools were developed to guide EPA progress.<bold>Program Evaluation: </bold>Graduating residents were ready for unsupervised practice in 91% of EPAs at the end of the 3-year program.<bold>Discussion: </bold>Development of HIV-specific training EPAs was effective for driving curricular development and resident evaluation, and served as an effective method to communicate expectations to resident participants. These HIV-specific EPAs could serve as a useful template to enhance HIV education in academic settings.
- Subjects
PRIMARY care; CURRICULUM evaluation; HIV; CURRICULUM planning; GRADUATE education; INTERNAL medicine; DIAGNOSIS of HIV infections; HIV infections; RESEARCH; RESEARCH methodology; CURRICULUM; MEDICAL cooperation; EVALUATION research; INTERNSHIP programs; PRIMARY health care; COMPARATIVE studies; CLINICAL competence; OUTCOME-based education
- Publication
JGIM: Journal of General Internal Medicine, 2020, Vol 35, Issue 1, p331
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-019-04956-1