Document Detail

Entrustable professional activities in family medicine.
MedLine Citation:
PMID:  24404237     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: The Accreditation Council for Graduate Medical Education Outcome Project intended to move residency education toward assessing and documenting resident competence in 6 dimensions of performance important to the practice of medicine. Although the project defined a set of general attributes of a good physician, it did not define the actual activities that a competent physician performs in practice in the given specialty. These descriptions have been called entrustable professional activities (EPAs).
OBJECTIVE: We sought to develop a list of EPAs for ambulatory practice in family medicine to guide curriculum development and resident assessment.
METHODS: We developed an initial list of EPAs over the course of 3 years, and we refined it further by obtaining the opinion of experts using a Delphi Process. The experts participating in this study were recruited from 2 groups of family medicine leaders: organizers and participants in the Preparing the Personal Physician for Practice initiative, and members of the Society of Teachers of Family Medicine Task Force on Competency Assessment. The experts participated in 2 rounds of anonymous, Internet-based surveys.
RESULTS: A total of 22 experts participated, and 21 experts participated in both rounds of the Delphi Process. The Delphi Process reduced the number of competency areas from 91 to 76 areas, with 3 additional competency areas added in round 1.
CONCLUSIONS: This list of EPAs developed through our Delphi process can be used as a starting point for family medicine residency programs interested in moving toward a competency-based approach to resident education and assessment.
Allen F Shaughnessy; Jennifer Sparks; Molly Cohen-Osher; Kristen H Goodell; Gregory L Sawin; Joseph Gravel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of graduate medical education     Volume:  5     ISSN:  1949-8349     ISO Abbreviation:  J Grad Med Educ     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2014-01-09     Completed Date:  2014-01-09     Revised Date:  2014-03-03    
Medline Journal Info:
Nlm Unique ID:  101521733     Medline TA:  J Grad Med Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  112-8     Citation Subset:  -    
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