Experiences with EPAs, potential benefits and pitfalls

@article{vanLoon2014ExperiencesWE,
  title={Experiences with EPAs, potential benefits and pitfalls},
  author={Karsten A van Loon and Erik W. Driessen and Pim W. Teunissen and Fedde Scheele},
  journal={Medical Teacher},
  year={2014},
  volume={36},
  pages={698 - 702}
}
Abstract Reforms in postgraduate medical education (PGME) exposed a gap between educational theory and clinical practice. Entrustable Professional Activities (EPAs) were introduced to assist clinicians in bridging this gap and to create better consonance between the intended and the enacted curriculum. In this viewpoint paper, we discuss the potential and the pitfalls of using EPAs in PGME. EPAs promise an effective way of teaching abstract competencies in a curriculum based on real-life… 
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Trainee perceptions regarding the impacts of EPAs and entrustment scales on feedback and learning processes in the clinical setting are explored.
The Development of Entrustable Professional Activities for Competency-Based Veterinary Education in Farm Animal Health.
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This study develops EPAs for farm animal health from an initial set of 36 EPAs prepared by a team of six veterinarians and curriculum developers and used in a modified Delphi study, which is an important step in optimizing competency-based training in veterinary medicine.
The development of national entrustable professional activities to inform the training and assessment of public health and preventative medicine residents
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The identification of the EPAs and their milestones will increase emphasis on the demonstrated performance of the specialty’s core work and will be used to develop a national PHPM curriculum, as well as a national written practice examination.
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References

SHOWING 1-10 OF 39 REFERENCES
Competency-based postgraduate training: can we bridge the gap between theory and clinical practice?
  • O. ten Cate, F. Scheele
  • Psychology
    Academic medicine : journal of the Association of American Medical Colleges
  • 2007
TLDR
The authors propose to analyze the critical activities of professional practice and relate these to predetermined competencies and to focus on the observation of concrete critical clinical activities and to infer the presence of multiple competencies from several observed activities.
Viewpoint: Competency-Based Postgraduate Training: Can We Bridge the Gap between Theory and Clinical Practice?
TLDR
The authors propose to analyze the critical activities of professional practice and relate these to predetermined competencies and to focus on the observation of concrete critical clinical activities and to infer the presence of multiple competencies from several observed activities.
Building a competency-based workplace curriculum around entrustable professional activities: The case of physician assistant training
TLDR
A practical model, based on the concept of entrustable professional activities (EPAs), to make this translation of competency-based medical education to the clinical work floor, derived from curriculum building for physician assistants (PAs).
Beyond competencies and milestones: adding meaning through context.
TLDR
An innovative and unique process for addressing the charge from the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Pediatrics to further define the 6 ACGME competencies along with performance standards for the authors' specialty is described.
Medical competence: The interplay between individual ability and the health care environment
TLDR
It is proposed that competence and competencies be approached in the context of the particular clinical environment, such that the assessment of competence is tied to a trainee's performance of essential clinical activities that define the profession.
Introducing competency-based postgraduate medical education in the Netherlands
TLDR
The Dutch Advisory Board for Postgraduate Curriculum Development shares some of their experiences with guiding the design of specialist training programs, based on the Canadian Medical Educational Directives for Specialists (CanMEDS).
The CanMEDS initiative: implementing an outcomes-based framework of physician competencies
TLDR
The lessons learned from the implementation of a national, needs-based, outcome-oriented, competency framework called the CanMEDS initiative of The Royal College of Physicians and Surgeons of Canada are described.
Perspective: Competencies, outcomes, and controversy--linking professional activities to competencies to improve resident education and practice.
TLDR
The authors suggest that there is a dyadic relationship between competencies and major professional activities in pediatric medicine and suggest that these relationships should be discussed as part of the process by which trainees are entrusted to perform clinical activities without direct supervision.
Shifting Paradigms: From Flexner to Competencies
TLDR
The authors found that in the 1970s and 1980s much attention was given to the need for and the development of professional competencies for many medical disciplines, little attention was devoted to defining the benchmarks of specific competencies, how to attain them, or the evaluation of competence.
Entrustability of professional activities and competency‐based training
TLDR
The idea of competency-based training (CBT) seems to have entered medical education with a speed and impact that has outperformed problem-based learning in the 1980s and 1990s, but it will now be necessary to specify its definition and translate it into daily practice.
...
1
2
3
4
...