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Entrustability levels of general internal medicine residents

BACKGROUND: Entrustable professional activities (EPAs) are those activities that a health professional can perform without direct supervision in a defined environment. Bridging the gap between competencies and learning objectives, EPAs have made assessing the performances of health professional more...

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Autores principales: Dehghani Poudeh, Mostafa, Mohammadi, Aeen, Mojtahedzadeh, Rita, Yamani, Nikoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995576/
https://www.ncbi.nlm.nih.gov/pubmed/33766005
http://dx.doi.org/10.1186/s12909-021-02624-9
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author Dehghani Poudeh, Mostafa
Mohammadi, Aeen
Mojtahedzadeh, Rita
Yamani, Nikoo
author_facet Dehghani Poudeh, Mostafa
Mohammadi, Aeen
Mojtahedzadeh, Rita
Yamani, Nikoo
author_sort Dehghani Poudeh, Mostafa
collection PubMed
description BACKGROUND: Entrustable professional activities (EPAs) are those activities that a health professional can perform without direct supervision in a defined environment. Bridging the gap between competencies and learning objectives, EPAs have made assessing the performances of health professional more realistic. The main objective of the present study was developing and customizing EPAs for Iranian Internal Medicine Residency Programs. RESULTS: After reviewing the publications, residency curricula and logbooks, and collecting experts’ ideas, the initial list of EPAs was developed. Then, in a focus group, the list was refined, the entrustability level of each residency year was determined, and finally, the EPA-competency cross-tab was established, and in the next step, through a one- round Delphi, the results were validated. Twenty-eight EPAs were developed. Some of them were definitely suitable for the higher levels of residency, such that they had to be accomplished under direct supervision until the end of the program. On the other hand, some of EPAs were those that residents, even from the first year, are expected to perform independently or under indirect supervision. Most of the EPAs cover a wide range of competencies. CONCLUSION: Determining the entrustability level of each residency year in each EPA as well as the competency- EPA matrix has crucial effect on the quality of the graduates. It seems that our findings are applicable in developing countries like Iran.
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spelling pubmed-79955762021-03-26 Entrustability levels of general internal medicine residents Dehghani Poudeh, Mostafa Mohammadi, Aeen Mojtahedzadeh, Rita Yamani, Nikoo BMC Med Educ Research Article BACKGROUND: Entrustable professional activities (EPAs) are those activities that a health professional can perform without direct supervision in a defined environment. Bridging the gap between competencies and learning objectives, EPAs have made assessing the performances of health professional more realistic. The main objective of the present study was developing and customizing EPAs for Iranian Internal Medicine Residency Programs. RESULTS: After reviewing the publications, residency curricula and logbooks, and collecting experts’ ideas, the initial list of EPAs was developed. Then, in a focus group, the list was refined, the entrustability level of each residency year was determined, and finally, the EPA-competency cross-tab was established, and in the next step, through a one- round Delphi, the results were validated. Twenty-eight EPAs were developed. Some of them were definitely suitable for the higher levels of residency, such that they had to be accomplished under direct supervision until the end of the program. On the other hand, some of EPAs were those that residents, even from the first year, are expected to perform independently or under indirect supervision. Most of the EPAs cover a wide range of competencies. CONCLUSION: Determining the entrustability level of each residency year in each EPA as well as the competency- EPA matrix has crucial effect on the quality of the graduates. It seems that our findings are applicable in developing countries like Iran. BioMed Central 2021-03-25 /pmc/articles/PMC7995576/ /pubmed/33766005 http://dx.doi.org/10.1186/s12909-021-02624-9 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Dehghani Poudeh, Mostafa
Mohammadi, Aeen
Mojtahedzadeh, Rita
Yamani, Nikoo
Entrustability levels of general internal medicine residents
title Entrustability levels of general internal medicine residents
title_full Entrustability levels of general internal medicine residents
title_fullStr Entrustability levels of general internal medicine residents
title_full_unstemmed Entrustability levels of general internal medicine residents
title_short Entrustability levels of general internal medicine residents
title_sort entrustability levels of general internal medicine residents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995576/
https://www.ncbi.nlm.nih.gov/pubmed/33766005
http://dx.doi.org/10.1186/s12909-021-02624-9
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