The Case for Use of Entrustable Professional Activities in Undergraduate Medical Education

被引:300
作者
Chen, H. Carrie [1 ]
van den Broek, W. E. Sjoukje [2 ]
ten Cate, Olle [2 ,3 ,4 ]
机构
[1] Univ Calif San Francisco, Dept Pediat, Sch Med, Pediat Clin, San Francisco, CA 94143 USA
[2] Univ Med Ctr Utrecht, Med Educ, Utrecht, Netherlands
[3] Univ Med Ctr Utrecht, Ctr Res & Dev Educ, Utrecht, Netherlands
[4] Univ Calif San Francisco, Dept Med, Sch Med, Med, San Francisco, CA 94143 USA
关键词
BOOT CAMP; COMPETENCE; CURRICULUM; STUDENTS; PERSPECTIVES; PROGRAMS; OUTCOMES;
D O I
10.1097/ACM.0000000000000586
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Many graduate medical education (GME) programs have started to consider and adopt entrustable professional activities (EPAs) in their competency frameworks. Do EPAs also have a place in undergraduate medical education (UME)? In this Perspective article, the authors discuss arguments in favor of the use of EPAs in UME. A competency framework that aligns UME and GME outcome expectations would allow for better integration across the educational continuum. The EPA approach would be consistent with what is known about progressive skill development. The key principles underlying EPAs, workplace learning and trust, are generalizable and would also be applicable to UME learners. Lastly, EPAs could increase transparency in the workplace regarding student abilities and help ensure safe and quality patient care. The authors also outline what UME EPAs might look like, suggesting core, specialty-specific, and elective EPAs related to core clinical residency entry expectations and learner interest. UME EPAs would be defined as essential health care activities with which one would expect to entrust a resident at the beginning of residency to perform without direct supervision. Finally, the authors recommend a refinement and expansion of the entrustment and supervision scale previously developed for GME to better incorporate the supervision expectations for UME learners. They suggest that EPAs could be operationalized for UME if UME-specific EPAs were developed and the entrustment scale were expanded.
引用
收藏
页码:431 / 436
页数:6
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