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Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study

Entrustable professional activities (EPAs), as a focus of learner assessment, are supported by validity evidence. An EPA is a unit of professional practice requiring proficiency in multiple competencies simultaneously, that can be entrusted to a sufficiently competent learner. Taken collectively, a...

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Autores principales: Hennus, Marije P., Nusmeier, Anneliese, van Heesch, Gwen G. M., Riedijk, Maaike A., Schoenmaker, Nikki J., Soeteman, Marijn, Wildschut, Enno D., Fawns, Tim, Ten Cate, Olle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7971696/
https://www.ncbi.nlm.nih.gov/pubmed/33735195
http://dx.doi.org/10.1371/journal.pone.0248565
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author Hennus, Marije P.
Nusmeier, Anneliese
van Heesch, Gwen G. M.
Riedijk, Maaike A.
Schoenmaker, Nikki J.
Soeteman, Marijn
Wildschut, Enno D.
Fawns, Tim
Ten Cate, Olle
author_facet Hennus, Marije P.
Nusmeier, Anneliese
van Heesch, Gwen G. M.
Riedijk, Maaike A.
Schoenmaker, Nikki J.
Soeteman, Marijn
Wildschut, Enno D.
Fawns, Tim
Ten Cate, Olle
author_sort Hennus, Marije P.
collection PubMed
description Entrustable professional activities (EPAs), as a focus of learner assessment, are supported by validity evidence. An EPA is a unit of professional practice requiring proficiency in multiple competencies simultaneously, that can be entrusted to a sufficiently competent learner. Taken collectively, a set of EPAs define and inform the curriculum of a specialty training. The goal of this study was to develop a set of EPAs for Dutch PICU fellows. A multistage methodology was employed incorporating sequential input from task force members, a medical education expert, PICU fellowship program directors, and PICU physicians and fellows via a modified three-round Delphi study. In the first modified Delphi round, experts rated indispensability and clarity of preliminary EPAs. In the subsequent rounds, aggregated scores for each EPA and group comments were provided. In round two, respondents rated indispensability and clarity of revised EPAs. Round three was used to gain explicit confirmation of suitability to implement these EPAs. Based on median ratings and content validity index (CVI) analysis for indispensability in the first two rounds, all nine preliminary EPAs covered activities that were deemed essential to the clinical practice of PICU physicians. Based on median ratings and CVI analysis for clarity however, four EPAs needed revision. With an agreement percentage of 93–100% for all individual EPAs as well as the set as a whole, a high degree of consensus among experts was reached in the third round. The resulting nine PICU EPAs provide a succinct overview of the core tasks of Dutch PICU physicians. These EPAs were created as an essential first step towards developing an assessment system for PICU fellows, grounded in core professional activities. The robust methodology used, may have broad applicability for other (sub)specialty training programs aiming to develop specialty specific EPAs.
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spelling pubmed-79716962021-03-31 Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study Hennus, Marije P. Nusmeier, Anneliese van Heesch, Gwen G. M. Riedijk, Maaike A. Schoenmaker, Nikki J. Soeteman, Marijn Wildschut, Enno D. Fawns, Tim Ten Cate, Olle PLoS One Research Article Entrustable professional activities (EPAs), as a focus of learner assessment, are supported by validity evidence. An EPA is a unit of professional practice requiring proficiency in multiple competencies simultaneously, that can be entrusted to a sufficiently competent learner. Taken collectively, a set of EPAs define and inform the curriculum of a specialty training. The goal of this study was to develop a set of EPAs for Dutch PICU fellows. A multistage methodology was employed incorporating sequential input from task force members, a medical education expert, PICU fellowship program directors, and PICU physicians and fellows via a modified three-round Delphi study. In the first modified Delphi round, experts rated indispensability and clarity of preliminary EPAs. In the subsequent rounds, aggregated scores for each EPA and group comments were provided. In round two, respondents rated indispensability and clarity of revised EPAs. Round three was used to gain explicit confirmation of suitability to implement these EPAs. Based on median ratings and content validity index (CVI) analysis for indispensability in the first two rounds, all nine preliminary EPAs covered activities that were deemed essential to the clinical practice of PICU physicians. Based on median ratings and CVI analysis for clarity however, four EPAs needed revision. With an agreement percentage of 93–100% for all individual EPAs as well as the set as a whole, a high degree of consensus among experts was reached in the third round. The resulting nine PICU EPAs provide a succinct overview of the core tasks of Dutch PICU physicians. These EPAs were created as an essential first step towards developing an assessment system for PICU fellows, grounded in core professional activities. The robust methodology used, may have broad applicability for other (sub)specialty training programs aiming to develop specialty specific EPAs. Public Library of Science 2021-03-18 /pmc/articles/PMC7971696/ /pubmed/33735195 http://dx.doi.org/10.1371/journal.pone.0248565 Text en © 2021 Hennus et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://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
Hennus, Marije P.
Nusmeier, Anneliese
van Heesch, Gwen G. M.
Riedijk, Maaike A.
Schoenmaker, Nikki J.
Soeteman, Marijn
Wildschut, Enno D.
Fawns, Tim
Ten Cate, Olle
Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study
title Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study
title_full Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study
title_fullStr Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study
title_full_unstemmed Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study
title_short Development of entrustable professional activities for paediatric intensive care fellows: A national modified Delphi study
title_sort development of entrustable professional activities for paediatric intensive care fellows: a national modified delphi study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7971696/
https://www.ncbi.nlm.nih.gov/pubmed/33735195
http://dx.doi.org/10.1371/journal.pone.0248565
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