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Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery

BACKGROUND: Entrustable professional activities (EPAs) represent an assessment framework with an increased focus on competency-based assessment. Originally developed and adopted for undergraduate medical education, concerns over resident ability to practice effectively after graduation have led to i...

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Autores principales: van Lieshout, Jasper Hans, Malzkorn, Bastian, Steiger, Hans-Jakob, Karadag, Cihat, Kamp, Marcel A., Vajkoczy, Peter, Beck, Jürgen, Peschillo, Simone, Rohde, Veit, Walsh, Daniel, Lukshin, Vasiliy, Korja, Miikka, Cenzato, Marco, Raabe, Andreas, Gruber, Andreas, Hänggi, Daniel, Boogaarts, H. D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840588/
https://www.ncbi.nlm.nih.gov/pubmed/36271161
http://dx.doi.org/10.1007/s00701-022-05372-x
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author van Lieshout, Jasper Hans
Malzkorn, Bastian
Steiger, Hans-Jakob
Karadag, Cihat
Kamp, Marcel A.
Vajkoczy, Peter
Beck, Jürgen
Peschillo, Simone
Rohde, Veit
Walsh, Daniel
Lukshin, Vasiliy
Korja, Miikka
Cenzato, Marco
Raabe, Andreas
Gruber, Andreas
Hänggi, Daniel
Boogaarts, H. D.
author_facet van Lieshout, Jasper Hans
Malzkorn, Bastian
Steiger, Hans-Jakob
Karadag, Cihat
Kamp, Marcel A.
Vajkoczy, Peter
Beck, Jürgen
Peschillo, Simone
Rohde, Veit
Walsh, Daniel
Lukshin, Vasiliy
Korja, Miikka
Cenzato, Marco
Raabe, Andreas
Gruber, Andreas
Hänggi, Daniel
Boogaarts, H. D.
author_sort van Lieshout, Jasper Hans
collection PubMed
description BACKGROUND: Entrustable professional activities (EPAs) represent an assessment framework with an increased focus on competency-based assessment. Originally developed and adopted for undergraduate medical education, concerns over resident ability to practice effectively after graduation have led to its implementation in residency training but yet not in vascular neurosurgery. Subjective assessment of resident or fellow performance can be problematic, and thus, we aim to define core EPAs for neurosurgical vascular training. METHODS: We used a nominal group technique in a multistep interaction between a team of experienced neurovascular specialists and a medical educator to identify relevant EPAs. Panel members provided feedback on the EPAs until they reached consent. RESULTS: The process produced seven core procedural EPAs for vascular residency and fellowship training, non-complex aneurysm surgery, complex aneurysm surgery, bypass surgery, arteriovenous malformation resection, spinal dural fistula surgery, perioperative management, and clinical decision-making. CONCLUSION: These seven EPAs for vascular neurosurgical training may support and guide the neurosurgical society in the development and implementation of EPAs as an evaluation tool and incorporate entrustment decisions in their training programs.
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spelling pubmed-98405882023-01-16 Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery van Lieshout, Jasper Hans Malzkorn, Bastian Steiger, Hans-Jakob Karadag, Cihat Kamp, Marcel A. Vajkoczy, Peter Beck, Jürgen Peschillo, Simone Rohde, Veit Walsh, Daniel Lukshin, Vasiliy Korja, Miikka Cenzato, Marco Raabe, Andreas Gruber, Andreas Hänggi, Daniel Boogaarts, H. D. Acta Neurochir (Wien) Original Article - Neurosurgery Training BACKGROUND: Entrustable professional activities (EPAs) represent an assessment framework with an increased focus on competency-based assessment. Originally developed and adopted for undergraduate medical education, concerns over resident ability to practice effectively after graduation have led to its implementation in residency training but yet not in vascular neurosurgery. Subjective assessment of resident or fellow performance can be problematic, and thus, we aim to define core EPAs for neurosurgical vascular training. METHODS: We used a nominal group technique in a multistep interaction between a team of experienced neurovascular specialists and a medical educator to identify relevant EPAs. Panel members provided feedback on the EPAs until they reached consent. RESULTS: The process produced seven core procedural EPAs for vascular residency and fellowship training, non-complex aneurysm surgery, complex aneurysm surgery, bypass surgery, arteriovenous malformation resection, spinal dural fistula surgery, perioperative management, and clinical decision-making. CONCLUSION: These seven EPAs for vascular neurosurgical training may support and guide the neurosurgical society in the development and implementation of EPAs as an evaluation tool and incorporate entrustment decisions in their training programs. Springer Vienna 2022-10-22 2023 /pmc/articles/PMC9840588/ /pubmed/36271161 http://dx.doi.org/10.1007/s00701-022-05372-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article - Neurosurgery Training
van Lieshout, Jasper Hans
Malzkorn, Bastian
Steiger, Hans-Jakob
Karadag, Cihat
Kamp, Marcel A.
Vajkoczy, Peter
Beck, Jürgen
Peschillo, Simone
Rohde, Veit
Walsh, Daniel
Lukshin, Vasiliy
Korja, Miikka
Cenzato, Marco
Raabe, Andreas
Gruber, Andreas
Hänggi, Daniel
Boogaarts, H. D.
Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
title Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
title_full Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
title_fullStr Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
title_full_unstemmed Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
title_short Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
title_sort defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery
topic Original Article - Neurosurgery Training
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840588/
https://www.ncbi.nlm.nih.gov/pubmed/36271161
http://dx.doi.org/10.1007/s00701-022-05372-x
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