Overconfidence of medical residents to perform entrustable professional activities in a General Surgery Residency Program

Q2 Social Sciences

Educacion Medica Pub Date : 2025-06-07 DOI:10.1016/j.edumed.2025.101066

Leonardo Salviano da Fonseca Rezende , Aleida Nazareth Soares , Rosa Malena Delbone , Marcus Vinícius Melo de Andrade , Alexandre Sampaio Moura

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引用次数: 0

Abstract

Introduction

Competency-based medical education (CBME) has been implemented in postgraduate medical education, and Entrustable Professional Activities (EPAs) seem appropriate for operationalizing it. However, the association between residents´ self-perceived confidence in performing EPAs and entrustment levels assigned by a Clinical Competence Committee (CCC) must be better understood. We aimed to compare general surgery residents' self-assessment of confidence to perform EPAs and entrustment levels assigned by a CCC.

Material and methods

Cross-sectional study conducted in the General Surgery Residency Program at Santa Casa BH Hospital between March and May 2023. Residents self-assessed their confidence to perform 16 EPAs using a 5-point entrustment scale. Confidence levels were compared to entrustment levels assigned by the CCC. A comparison was performed separately for each EPA and by EPA characteristics (clinical surgical vs. procedural and simple x complex).

Results

There was a significant difference between the self-assessed confidence levels and the autonomy levels assigned by the CCC in nine of the 16 EPAs. Residents' self-assessment levels were higher than those assigned by the CCC for clinical surgical EPAs (4.3 ± 0.8 vs. 3.2 ± 1.4, respectively; p < 0.001) and simple EPAs (2.8 ± 1.0 vs. 2.2 ± 0.8, respectively; p = 0.023). In procedural and complex EPAs, this difference was not statistically significant (p > 0.05).

Conclusion

Residents tended to overestimate their level of autonomy, especially for clinical-surgical EPAs and simpler EPAs.

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在普通外科住院医师项目中，住院医师对执行可信赖的专业活动过于自信

基于能力的医学教育（CBME）已经在研究生医学教育中实施，而可信赖的专业活动（EPAs）似乎适合于实施它。然而，必须更好地理解居民对执行EPAs的自我感知信心与临床能力委员会（CCC）指定的委托水平之间的关系。我们的目的是比较普通外科住院医师对执行EPAs的信心自我评估和CCC指定的委托水平。材料和方法在2023年3月至5月期间在Santa Casa BH医院的普通外科住院医师项目中进行的横断面研究。居民们用5分制的委托量表自我评估了他们执行16项环境保护措施的信心。将置信水平与CCC指定的委托水平进行比较。分别对每种EPA和EPA特征进行比较（临床手术vs.程序和简单x复杂）。结果16个评价对象中有9个评价对象的自评信心水平与CCC赋予的自主水平存在显著性差异。居民对临床外科EPAs的自我评价水平高于CCC（分别为4.3 ± 0.8 vs. 3.2 ± 1.4）；p <； 0.001)和简单EPAs（分别为2.8 ± 1.0 vs. 2.2 ± 0.8）； = 0.023页)。在程序性和复杂EPAs中，这一差异无统计学意义（p >； 0.05）。结论住院医师倾向于高估他们的自主水平，特别是对于临床外科辅助护理和简单的辅助护理。

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

Educacion Medica Social Sciences-Education

CiteScore

2.60

自引率

0.00%

发文量

审稿时长

63 days

期刊介绍： Educación Médica, revista trimestral que se viene publicando desde 1998 es editada desde enero de 2003 por la Fundación Educación Médica. Pretende contribuir a la difusión de los estudios y trabajos que en este campo se están llevando a cabo en todo el mundo, pero de una manera especial en nuestro entorno. Los artículos de Educación Médica tratarán tanto sobre aspectos prácticos de la docencia en su día a día como sobre cuestiones más teóricas de la educación médica. Así mismo, la revista intentará proporcionar análisis y opiniones de expertos de reconocido prestigio internacional.