Review of the competency in entrustable professional activities in internal medicine residency training
2
Issued Date
2022
Copyright Date
2022
Resource Type
Language
eng
File Type
application/pdf
No. of Pages/File Size
xiv, 127 leaves : ill.
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thematic Paper (M.Sc. (Health Science Education))--Mahidol University, 2022)
Suggested Citation
Kanokporn Sanpawithayakul Review of the competency in entrustable professional activities in internal medicine residency training. Thematic Paper (M.Sc. (Health Science Education))--Mahidol University, 2022). Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113950
Title
Review of the competency in entrustable professional activities in internal medicine residency training
Author(s)
Abstract
Entrustable professional activities (EPAs) are discrete clinical tasks which must be assessed, approved, and entrusted during training. They are being progressively used as an academic framework in a variety of educational programs worldwide. In the field of internal medicine (IM), however, the empirical evidence is sparse. The objective of this study is to review the topics and details of EPAs and entrustment levels aligned with milestones during IM residency training. The approach for this study was based on PICO (Population-Intervention-Comparison-Outcome) framework. The author searched for articles published since 2005 that included quantitative and qualitative research as well as pedagogical reports on EPAs in IM residency training. All included articles with full-text English language were assessed for content (topics, details, and entrustable levels) and subsequent analyzed using guideline key questions in the Critical Appraisal Skills Program (CASP) Checklist. Of 292 unique articles identified, 16 studies were found to meet the inclusion criteria. All were grouped into 1) development of EPAs, 2) implementation of EPAs and 3) evaluation of EPAs. Simple mnemonic “FOE-ME” for creating and implementing of EPAs was proposed, which was derived from Focus, Observable, Essential, Measurable, and independently Executable. Appropriate content and level of entrustment in EPAs are required to evaluate and monitor IM residents’ competency. IMPLICATION OF THE THEMATIC PAPER: 1. Discharge planning, family meeting, specific EPAs for each subspecialty rotation, and essential procedures of IM may be added to an existing list of EPAs in IM residency training in Thailand. 5-level entrustment should be applied in this program. 2. Since high-level evidence-based evidence is still scarce, further study to define and compare the effectiveness of different EPAs in this field should be investigated.
Degree Name
Master of Science
Degree Level
Master's degree
Degree Department
Faculty of Medicine Siriraj Hospital
Degree Discipline
Health Science Education
Degree Grantor(s)
Mahidol University