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National consensus on entrustable professional activities for competency-based training in anaesthesiology

Entrustable Professional Activities (EPA) are specialty specific tasks or responsibilities, combining the clinical workplace and the long-demanded competency-based medical education. The first step to transform time-based into EPA-based training is to reach consensus on core EPAs that describe suffi...

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Autores principales: Ganzhorn, Alexander, Schulte-Uentrop, Leonie, Küllmei, Josephine, Zöllner, Christian, Moll-Khosrawi, Parisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335696/
https://www.ncbi.nlm.nih.gov/pubmed/37432949
http://dx.doi.org/10.1371/journal.pone.0288197
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author Ganzhorn, Alexander
Schulte-Uentrop, Leonie
Küllmei, Josephine
Zöllner, Christian
Moll-Khosrawi, Parisa
author_facet Ganzhorn, Alexander
Schulte-Uentrop, Leonie
Küllmei, Josephine
Zöllner, Christian
Moll-Khosrawi, Parisa
author_sort Ganzhorn, Alexander
collection PubMed
description Entrustable Professional Activities (EPA) are specialty specific tasks or responsibilities, combining the clinical workplace and the long-demanded competency-based medical education. The first step to transform time-based into EPA-based training is to reach consensus on core EPAs that describe sufficiently the workplace. We aimed to present a nationally validated EPA-based curriculum for postgraduate training in anaesthesiology. Using a predefined and validated list of EPAs, we applied a Delphi consensus approach, involving all German chair directors of anaesthesiology. We then conducted a subsequent qualitative analysis. Thirty-four chair directors participated in the Delphi survey (77% response) and twenty-five completed all the questions (56% overall response). Reflected by the intra-class-correlation, the consensus on the importance (ICC: 0.781, 95% CI [0.671, 0.868]) and the year of entrustment (ICC: 0.973, 95% CI [0.959, 0.984]) of each EPA reached high levels of agreement among the chair directors. The comparison of data assessed in the preceding validation and present study showed excellent and good levels of agreement (ICC entrustment: 0.955, 95% CI [0.902, 0.978]; ICC importance: 0.671, 95% CI [-0.204, 0.888]). The adaptation process, based on the qualitative analysis, resulted in a final set of 34 EPAs. We present an elaborate, fully described and nationally validated EPA-based curriculum, reflecting a broad consensus among different stakeholders of anaesthesiology. We hereby provide a further step towards competency-based postgraduate anaesthesiology training.
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spelling pubmed-103356962023-07-12 National consensus on entrustable professional activities for competency-based training in anaesthesiology Ganzhorn, Alexander Schulte-Uentrop, Leonie Küllmei, Josephine Zöllner, Christian Moll-Khosrawi, Parisa PLoS One Research Article Entrustable Professional Activities (EPA) are specialty specific tasks or responsibilities, combining the clinical workplace and the long-demanded competency-based medical education. The first step to transform time-based into EPA-based training is to reach consensus on core EPAs that describe sufficiently the workplace. We aimed to present a nationally validated EPA-based curriculum for postgraduate training in anaesthesiology. Using a predefined and validated list of EPAs, we applied a Delphi consensus approach, involving all German chair directors of anaesthesiology. We then conducted a subsequent qualitative analysis. Thirty-four chair directors participated in the Delphi survey (77% response) and twenty-five completed all the questions (56% overall response). Reflected by the intra-class-correlation, the consensus on the importance (ICC: 0.781, 95% CI [0.671, 0.868]) and the year of entrustment (ICC: 0.973, 95% CI [0.959, 0.984]) of each EPA reached high levels of agreement among the chair directors. The comparison of data assessed in the preceding validation and present study showed excellent and good levels of agreement (ICC entrustment: 0.955, 95% CI [0.902, 0.978]; ICC importance: 0.671, 95% CI [-0.204, 0.888]). The adaptation process, based on the qualitative analysis, resulted in a final set of 34 EPAs. We present an elaborate, fully described and nationally validated EPA-based curriculum, reflecting a broad consensus among different stakeholders of anaesthesiology. We hereby provide a further step towards competency-based postgraduate anaesthesiology training. Public Library of Science 2023-07-11 /pmc/articles/PMC10335696/ /pubmed/37432949 http://dx.doi.org/10.1371/journal.pone.0288197 Text en © 2023 Ganzhorn et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ganzhorn, Alexander
Schulte-Uentrop, Leonie
Küllmei, Josephine
Zöllner, Christian
Moll-Khosrawi, Parisa
National consensus on entrustable professional activities for competency-based training in anaesthesiology
title National consensus on entrustable professional activities for competency-based training in anaesthesiology
title_full National consensus on entrustable professional activities for competency-based training in anaesthesiology
title_fullStr National consensus on entrustable professional activities for competency-based training in anaesthesiology
title_full_unstemmed National consensus on entrustable professional activities for competency-based training in anaesthesiology
title_short National consensus on entrustable professional activities for competency-based training in anaesthesiology
title_sort national consensus on entrustable professional activities for competency-based training in anaesthesiology
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335696/
https://www.ncbi.nlm.nih.gov/pubmed/37432949
http://dx.doi.org/10.1371/journal.pone.0288197
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