From principles to practice: Implementation of entrustable professional activities (EPAs) for surgical pathology residency education in a large academic hospital

IF 1.2 Q3 PATHOLOGY

Academic Pathology Pub Date : 2023-10-01 DOI:10.1016/j.acpath.2023.100097

Christopher Felicelli MD , Alcino Gama MD , Yevgen Chornenkyy MD, Bonnie Choy MD, Luis Z. Blanco Jr. MD, Jorge E. Novo MD

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Abstract

Over the past decade, competency-based medical education (CBME) has gained momentum in the United States to develop trainees into independent and confident physicians by the end of their training. Entrustable professional activities (EPAs) are an established methodology for assessing trainee development through an outcomes-driven rather than a time-based model. While EPAs have been utilized as an assessment tool for CBME in Europe and Canada, their validation and implementation in some medical specialties has occurred more recently in the United States. Pediatrics was the first specialty in the US to conduct a large-scale UME-GME pilot. Pathology Residency EPAs were published in 2018; however, implementation in training programs has been slow. We have piloted EPAs in our residency program's surgical pathology rotation and propose a unique set of 4 surgical pathology EPAs to track trainee preparedness for independent practice.

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从原则到实践:委托专业活动(EPAs)在大型学术医院外科病理学住院医师教育中的实施

在过去十年中，以能力为基础的医学教育(CBME)在美国获得了发展势头，在培训结束时将学员培养成独立和自信的医生。可信赖的专业活动(EPAs)是一种既定的方法，通过结果驱动而不是基于时间的模型来评估培训生的发展。虽然EPAs在欧洲和加拿大被用作CBME的评估工具，但它们在一些医学专业的验证和实施最近才在美国出现。儿科学是美国第一个进行大规模UME-GME试点的专业。病理住院医师EPAs于2018年发布;然而，培训项目的实施进展缓慢。我们在住院医师项目的外科病理轮转中试点了EPAs，并提出了一套独特的4种外科病理EPAs，以跟踪实习生独立执业的准备情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pathology PATHOLOGY-

CiteScore

2.20

自引率

20.00%

发文量

审稿时长

15 weeks

期刊介绍： Academic Pathology is an open access journal sponsored by the Association of Pathology Chairs, established to give voice to the innovations in leadership and management of academic departments of Pathology. These innovations may have impact across the breadth of pathology and laboratory medicine practice. Academic Pathology addresses methods for improving patient care (clinical informatics, genomic testing and data management, lab automation, electronic health record integration, and annotate biorepositories); best practices in inter-professional clinical partnerships; innovative pedagogical approaches to medical education and educational program evaluation in pathology; models for training academic pathologists and advancing academic career development; administrative and organizational models supporting the discipline; and leadership development in academic medical centers, health systems, and other relevant venues. Intended authorship and audiences for Academic Pathology are international and reach beyond academic pathology itself, including but not limited to healthcare providers, educators, researchers, and policy-makers.