Surgical Trainees' Lived Experience of Entrustable Professional Activities: Assessment in the Australasian Context.

IF 1.5 4区 医学 Q3 SURGERY
Balakavitha Balaravi Pillai, Eugenia Ip, Kirstin Stuart James, Jenepher Martin
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引用次数: 0

Abstract

Background: The Royal Australasian College of Surgeons' Board in General Surgery implemented Entrustable Professional Activities (EPAs) in its competency-based training programme in 2022. As this is a new method for surgical trainees, a qualitative study was performed to evaluate its implementation and use by exploring the pioneer trainees' perceptions and experiences of EPAs.

Methods: Seven first-year general surgery trainees were recruited to participate in semi-structured interviews. The interviews explored the trainees' experiences of EPAs, their perceptions of the effect on their independence with completing clinical activities and patient safety, and their suggestions for how to improve this form of assessment in the training program.

Results: The findings of the study suggest that EPAs can be a useful tool for assessing the competence of trainees. However, the study also found that EPAs can be challenging for trainees, particularly in terms of the level of self-regulation and independence required.

Conclusion: Although EPAs may positively contribute to a trainee's experience, considerations to support trainees and trainers in their practical implementation may increase the value of the learning encounter. Graded assessment of entrustment and explicit year-level milestone progress points could promote more effective learning and support developmental feedback by trainers.

外科实习生的可信赖的专业活动的生活经验:评估在澳大利亚的背景下。
背景:澳大利亚皇家外科学院普外科委员会于2022年在其基于能力的培训计划中实施了可信赖的专业活动(EPAs)。由于这是外科培训生的一种新方法,因此通过探索先锋培训生对EPAs的看法和经验,进行了一项定性研究来评估其实施和使用。方法:选取7名一年级普外科实习医师进行半结构式访谈。访谈探讨了受训者的EPAs经历,他们对完成临床活动对其独立性和患者安全的影响的看法,以及他们对如何在培训计划中改进这种形式的评估的建议。结果:本研究结果显示,环境绩效评估可作为评估受训人员能力的有效工具。然而,该研究也发现,环境保护证书对受训者来说可能具有挑战性,特别是在自我调节和独立性要求方面。结论:虽然EPAs可能对学员的经验有积极的贡献,但在实际实施中支持学员和培训师的考虑可能会增加学习经历的价值。委托分级评估和明确的年度里程碑进度点可以促进更有效的学习,并支持培训师的发展性反馈。
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
ANZ Journal of Surgery
ANZ Journal of Surgery 医学-外科
CiteScore
2.50
自引率
11.80%
发文量
720
审稿时长
2 months
期刊介绍: ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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