Introducing a Psychiatry Clerkship Curriculum Based on Entrustable Professional Activities: an Explorative Pilot Study

被引:5
作者
Pinilla, Severin [1 ,2 ]
Cantisani, Andrea [3 ]
Kloppel, Stefan [1 ]
Strik, Werner [3 ]
Nissen, Christoph [3 ]
Huwendiek, Soren [2 ]
机构
[1] Univ Bern, Univ Hosp Old Age Psychiat & Psychotherapy, Bern, Switzerland
[2] Univ Bern, Inst Med Educ, Bern, Switzerland
[3] Univ Bern, Univ Hosp Psychiat & Psychotherapy, Bern, Switzerland
关键词
Entrustable professional activities; Clerkship; Undergraduate medical education; Workplace-based assessment;
D O I
10.1007/s40596-021-01417-y
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Objective The authors evaluated a reformed psychiatry clerkship curriculum based on entrustable professional activities (EPAs). Methods The authors conducted an exploratory pilot study of a reformed clerkship curriculum based on EPAs. A novel workplace-based assessment format including an entrustment-supervision scale and curricular adaptations were introduced. The Kirkpatrick model was used to evaluate outcomes of the reformed clerkship curriculum on three levels (1 = acceptance, 2 = learning, 3 = change of behavior). Results The pilot student cohort (n = 10) completed a questionnaire, 180 self-assessments (18 per student) on need for supervision, and 63 workplace-based assessments (6.3 per student, in 4 weeks). Level 1: high overall satisfaction with the clerkship (five-point Likert item: average, 4.9; range: 4.0-5.0). Level 2: the overall significant decrease in self-assessed need for supervision before and after the clerkship was two supervision levels (direct to indirect supervision; p < 0.05). The most frequently documented admissions included schizophrenic disorders (n = 11; 28%), affective disorders (n = 10; 25%), substance abuse disorders (n = 5; 13%), and anxiety and stress-related disorders (n = 5; 13%). Level 3: clinical supervisors used history taking, assessing the mental status, and documentation and presentation for workplace-based assessments. According to supervisors' ratings, there was a decreasing need for supervision from the first to last week of the clerkship. Conclusions Students reacted positively to the reformed clerkship curriculum. The workplace-based assessments with entrustment ratings appeared to support achievement of competency-based learning objectives. Better understanding of how to cover assessment of all core EPAs in the psychiatry clerkship is needed.
引用
收藏
页码:354 / 359
页数:6
相关论文
共 20 条
[1]  
AAMC, 2018, CORE ENTRUSTABLE PRO
[2]  
AFMC. Association of Faculties of Medicine of Canada, ENTRUSTABLE PROFESSI
[3]   Developing Entrustable Professional Activities for Entry Into Clerkship [J].
Chen, H. Carrie ;
McNamara, Margaret ;
Teherani, Arianne ;
ten Cate, Olle ;
O'Sullivan, Patricia .
ACADEMIC MEDICINE, 2016, 91 (02) :247-255
[4]   The Case for Use of Entrustable Professional Activities in Undergraduate Medical Education [J].
Chen, H. Carrie ;
van den Broek, W. E. Sjoukje ;
ten Cate, Olle .
ACADEMIC MEDICINE, 2015, 90 (04) :431-436
[5]   A systematic review of the relationship between patient mix and learning in work-based clinical settings. A BEME systematic review: BEME Guide No. 24 [J].
de Jong, Jip ;
Visser, Mechteld ;
Van Dijk, Nynke ;
van der Vleuten, Cees ;
Wieringa-de Waard, Margreet .
MEDICAL TEACHER, 2013, 35 (06) :E1181-E1196
[6]   Self-assessment in the health professions: A reformulation and research agenda [J].
Eva, KW ;
Regehr, G .
ACADEMIC MEDICINE, 2005, 80 (10) :S46-S54
[7]   Threshold concepts: A portal into new ways of thinking and practising in psychiatry [J].
Khatri, Roshni ;
Knight, Jackie ;
Wilkinson, Iain .
MEDICAL TEACHER, 2020, 42 (02) :178-186
[8]  
Kirkpatrick D.L., 1967, TRAINING DEV HDB, P87
[9]  
Klapheke M., 2017, MED SCI EDUC, V27, P159, DOI [10.1007/s40670-017-0377-5, DOI 10.1007/S40670-017-0377-5]
[10]   Assessing Entrustable Professional Activities During the Psychiatry Clerkship [J].
Klapheke, Martin ;
Johnson, Teresa ;
Cubero, Morayma .
ACADEMIC PSYCHIATRY, 2017, 41 (03) :345-349