Stakeholder perceptions and experiences of competency-based training with entrustable professional activities (SPECTRE): protocol of a systematic review and thematic synthesis of qualitative research

被引：1

作者：

Phung, Justin ^{[1
]}

Cowley, Lindsay ^{[2
]}

Sikora, Lindsey ^{[3
]}

Humphrey-Murto, Susan ^{[4
,5
]}

Ladonna, Kori A. ^{[6
,7
]}

Touchie, Claire ^{[5
,8
]}

Khalife, Roy ^{[2
,9
,10
]}

机构：

[1] Univ Ottawa, Fac Med, Ottawa, ON, Canada

[2] Ottawa Hosp, Res Inst, Ottawa, ON, Canada

[3] Univ Ottawa, Hlth Sci Lib, Ottawa, ON, Canada

[4] Univ Ottawa, Ottawa Hosp, Dept Med Rheumatol, Ottawa, ON, Canada

[5] Univ Ottawa, Ottawa Hosp Canc Ctr, Ottawa, ON, Canada

[6] Univ Ottawa, Dept Innovat Med Educ, Ottawa, ON, Canada

[7] Univ Ottawa, Dept Med, Ottawa, ON, Canada

[8] Univ Ottawa, FRCPC Dept Med Gen Internal Med & Infect Dis, Ottawa Hosp, MHPE, Ottawa, ON, Canada

[9] Univ Ottawa, FRCPC Dept Med Hematol, Ottawa Hosp, MHPE, Ottawa, ON, Canada

[10] 501 Smyth Rd,Box 201A, Ottawa, ON K1H 8L6, Canada

来源：

BMC MEDICAL EDUCATION | 2024年 / 24卷 / 01期

关键词：

Competency Based Education; Entrustable Professional Activities; Systematic Review; Thematic Synthesis; Qualitative Research; MEDICAL-EDUCATION; IMPLEMENTATION; GUIDANCE;

D O I：

10.1186/s12909-024-06508-6

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

BackgroundCompetency-Based Medical Education (CBME) aims to align educational outcomes with the demands of modern healthcare. Entrustable Professional Activities (EPAs) serve as key tools for feedback and professional development within CBME. With the growing body of literature on EPAs, there is a need to synthesize existing research on stakeholders' experiences and perceptions to enhance understanding of the implementation and impact of EPAs. In this synthesis, we will address the following research questions: How are Entrustable Professional Activities experienced and perceived by stakeholders in various healthcare settings, and what specific challenges and successes do they encounter during their implementation?MethodsUsing Thomas and Harden's thematic synthesis method, we will systematically review and integrate findings from qualitative and mixed-methods research on EPAs. The process includes a purposive literature search, assessment of evidence quality, data extraction, and synthesis to combine descriptive and analytical themes.DiscussionThis study aims to provide insights into the use of EPAs for competency-based education, reflecting diverse contexts and viewpoints, and identifying literature gaps. The outcomes will guide curriculum and policy development, improve educational practices, and set future research directions, ultimately aligning CBME with clinical realities.Trial RegistrationNot required.

引用

页数：6

共 19 条

[1] Assumptions About Competency-Based Medical Education and the State of the Underlying Evidence: A Critical Narrative Review [J].

Brydges, Ryan ;

Boyd, Victoria A. ;

Tavares, Walter ;

Ginsburg, Shiphra ;

Kuper, Ayelet ;

Anderson, Melanie ;

Stroud, Lynfa .

ACADEMIC MEDICINE, 2021, 96 (02) :296-306

[2] Shifting paradigms: From Flexner to competencies [J].

Carraccio, C ;

Wolfsthal, SD ;

Englander, R ;

Ferentz, K ;

Martin, C .

ACADEMIC MEDICINE, 2002, 77 (05) :361-367

[3] Qualitative evidence synthesis to improve implementation of clinical guidelines [J].

Carroll, Christopher .

BMJ-BRITISH MEDICAL JOURNAL, 2017, 356

[4] Overarching challenges to the implementation of competency-based medical education [J].

Caverzagie, Kelly J. ;

Nousiainen, Markku T. ;

Ferguson, Peter C. ;

ten Cate, Olle ;

Ross, Shelley ;

Harris, Kenneth A. ;

Busari, Jamiu ;

Bould, M. Dylan ;

Bouchard, Jacques ;

Iobst, William F. ;

Carraccio, Carol ;

Frank, Jason R. .

MEDICAL TEACHER, 2017, 39 (06) :588-593

[5]

Colvin CJ, 2018, IMPLEMENT SCI, V13, DOI [10.1186/s13012-017-0691-8, 10.1186/s13012-017-0693-6, 10.1186/s13012-017-0689-2, 10.1186/s13012-017-0688-3, 10.1186/s13012-017-0690-9]

[6] Competency-based medical education: theory to practice [J].

Frank, Jason R. ;

Snell, Linda S. ;

Ten Cate, Olle ;

Holmboe, Eric S. ;

Carraccio, Carol ;

Swing, Susan R. ;

Harris, Peter ;

Glasgow, Nicholas J. ;

Campbell, Craig ;

Dath, Deepak ;

Harden, Ronald M. ;

Iobst, William ;

Long, Donlin M. ;

Mungroo, Rani ;

Richardson, Denyse L. ;

Sherbino, Jonathan ;

Silver, Ivan ;

Taber, Sarah ;

Talbot, Martin ;

Harris, Kenneth A. .

MEDICAL TEACHER, 2010, 32 (08) :638-645

[7] Health professionals for a new century: transforming education to strengthen health systems in an interdependent world [J].

Frenk, Julio ;

Chen, Lincoln ;

Bhutta, Zulfiqar A. ;

Cohen, Jordan ;

Crisp, Nigel ;

Evans, Timothy ;

Fineberg, Harvey ;

Garcia, Patricia ;

Ke, Yang ;

Kelley, Patrick ;

Kistnasamy, Barry ;

Meleis, Afaf ;

Naylor, David ;

Pablos-Mendez, Ariel ;

Reddy, Srinath ;

Scrimshaw, Susan ;

Sepulveda, Jaime ;

Serwadda, David ;

Zurayk, Huda .

LANCET, 2010, 376 (9756) :1923-1958

[8] Implementation of competency-based medical education: are we addressing the concerns and challenges? [J].

Hawkins, Richard E. ;

Welcher, Catherine M. ;

Holmboe, Eric S. ;

Kirk, Lynne M. ;

Norcini, John J. ;

Simons, Kenneth B. ;

Skochelak, Susan E. .

MEDICAL EDUCATION, 2015, 49 (11) :1086-1102

[9] Using Qualitative Evidence in Decision Making for Health and Social Interventions: An Approach to Assess Confidence in Findings from Qualitative Evidence Syntheses (GRADE-CERQual) [J].

Lewin, Simon ;

Glenton, Claire ;

Munthe-Kaas, Heather ;

Carlsen, Benedicte ;

Colvin, Christopher J. ;

Guelmezoglu, Metin ;

Noyes, Jane ;

Booth, Andrew ;

Garside, Ruth ;

Rashidian, Arash .

PLOS MEDICINE, 2015, 12 (10)

[10]

Liberati A, 2009, BMJ-BRIT MED J, V339, DOI [10.1371/journal.pmed.1000097, 10.1136/bmj.i4086, 10.1136/bmj.b2700, 10.1016/j.ijsu.2010.07.299, 10.1186/2046-4053-4-1, 10.1016/j.ijsu.2010.02.007, 10.1136/bmj.b2535]

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