Stephen Villa MD, MACM, Holly Caretta-Weyer MD, MHPE, Lalena M. Yarris MD, MCR, Samuel O. Clarke MD, MAS, Wendy C. Coates MD, Kimberly A. Sokol MD, MACM, Amanda Jurvis DO, MACM, Dimitrios Papanagnou MD, James Ahn MD, MHPE, Emily Hillman MD, MHPE, Melanie Camejo MD, MHPE, Nicole Deiorio MD, Kathryn M. Fischer MD, MS, Meg Wolff MD, MHPE, Molly Estes MD, Sara Dimeo MD, MEHP, Jaime Jordan MD
{"title":"为急诊医学教育研究金制定可委托的专业活动：经修改的德尔菲研究","authors":"Stephen Villa MD, MACM, Holly Caretta-Weyer MD, MHPE, Lalena M. Yarris MD, MCR, Samuel O. Clarke MD, MAS, Wendy C. Coates MD, Kimberly A. Sokol MD, MACM, Amanda Jurvis DO, MACM, Dimitrios Papanagnou MD, James Ahn MD, MHPE, Emily Hillman MD, MHPE, Melanie Camejo MD, MHPE, Nicole Deiorio MD, Kathryn M. Fischer MD, MS, Meg Wolff MD, MHPE, Molly Estes MD, Sara Dimeo MD, MEHP, Jaime Jordan MD","doi":"10.1002/aet2.10944","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>It is essential that medical education (MedEd) fellows achieve desired outcomes prior to graduation. Despite the increase in postgraduate MedEd fellowships in emergency medicine (EM), there is no consistently applied competency framework. We sought to develop entrustable professional activities (EPAs) for EM MedEd fellows.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>From 2021 to 2022, we used a modified Delphi method to achieve consensus for EPAs. EM education experts generated an initial list of 173 EPAs after literature review. In each Delphi round, panelists were asked to make a binary choice of whether to include the EPA. We determined an inclusion threshold of 70% agreement a priori. After the first round, given the large number of EPAs meeting inclusion threshold, panelists were instructed to vote whether each EPA should be included in the “20 most important” EPAs for a MedEd fellowship. Modifications were made between rounds based on expert feedback. We calculated descriptive statistics.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Seventeen experts completed four Delphi rounds each with 100% response. After Round 1, 87 EPAs were eliminated and two were combined. Following Round 2, 46 EPAs were eliminated, seven were combined, and three were included in the final list. After the third round, one EPA was eliminated and 13 were included. After the fourth round, 11 EPAs were eliminated. The final list consisted of 16 EPAs in domains of career development, education theory and methods, research and scholarship, and educational program administration.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>We developed a list of 16 EPAs for EM MedEd fellowships, the first step in implementing competency-based MedEd.</p>\n </section>\n </div>","PeriodicalId":37032,"journal":{"name":"AEM Education and Training","volume":"8 1","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aet2.10944","citationCount":"0","resultStr":"{\"title\":\"Development of entrustable professional activities for emergency medicine medical education fellowships: A modified Delphi study\",\"authors\":\"Stephen Villa MD, MACM, Holly Caretta-Weyer MD, MHPE, Lalena M. Yarris MD, MCR, Samuel O. Clarke MD, MAS, Wendy C. Coates MD, Kimberly A. Sokol MD, MACM, Amanda Jurvis DO, MACM, Dimitrios Papanagnou MD, James Ahn MD, MHPE, Emily Hillman MD, MHPE, Melanie Camejo MD, MHPE, Nicole Deiorio MD, Kathryn M. Fischer MD, MS, Meg Wolff MD, MHPE, Molly Estes MD, Sara Dimeo MD, MEHP, Jaime Jordan MD\",\"doi\":\"10.1002/aet2.10944\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>It is essential that medical education (MedEd) fellows achieve desired outcomes prior to graduation. Despite the increase in postgraduate MedEd fellowships in emergency medicine (EM), there is no consistently applied competency framework. We sought to develop entrustable professional activities (EPAs) for EM MedEd fellows.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>From 2021 to 2022, we used a modified Delphi method to achieve consensus for EPAs. EM education experts generated an initial list of 173 EPAs after literature review. In each Delphi round, panelists were asked to make a binary choice of whether to include the EPA. We determined an inclusion threshold of 70% agreement a priori. After the first round, given the large number of EPAs meeting inclusion threshold, panelists were instructed to vote whether each EPA should be included in the “20 most important” EPAs for a MedEd fellowship. Modifications were made between rounds based on expert feedback. We calculated descriptive statistics.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Seventeen experts completed four Delphi rounds each with 100% response. After Round 1, 87 EPAs were eliminated and two were combined. Following Round 2, 46 EPAs were eliminated, seven were combined, and three were included in the final list. After the third round, one EPA was eliminated and 13 were included. After the fourth round, 11 EPAs were eliminated. The final list consisted of 16 EPAs in domains of career development, education theory and methods, research and scholarship, and educational program administration.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>We developed a list of 16 EPAs for EM MedEd fellowships, the first step in implementing competency-based MedEd.</p>\\n </section>\\n </div>\",\"PeriodicalId\":37032,\"journal\":{\"name\":\"AEM Education and Training\",\"volume\":\"8 1\",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-02-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aet2.10944\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AEM Education and Training\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/aet2.10944\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AEM Education and Training","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/aet2.10944","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Development of entrustable professional activities for emergency medicine medical education fellowships: A modified Delphi study
Background
It is essential that medical education (MedEd) fellows achieve desired outcomes prior to graduation. Despite the increase in postgraduate MedEd fellowships in emergency medicine (EM), there is no consistently applied competency framework. We sought to develop entrustable professional activities (EPAs) for EM MedEd fellows.
Methods
From 2021 to 2022, we used a modified Delphi method to achieve consensus for EPAs. EM education experts generated an initial list of 173 EPAs after literature review. In each Delphi round, panelists were asked to make a binary choice of whether to include the EPA. We determined an inclusion threshold of 70% agreement a priori. After the first round, given the large number of EPAs meeting inclusion threshold, panelists were instructed to vote whether each EPA should be included in the “20 most important” EPAs for a MedEd fellowship. Modifications were made between rounds based on expert feedback. We calculated descriptive statistics.
Results
Seventeen experts completed four Delphi rounds each with 100% response. After Round 1, 87 EPAs were eliminated and two were combined. Following Round 2, 46 EPAs were eliminated, seven were combined, and three were included in the final list. After the third round, one EPA was eliminated and 13 were included. After the fourth round, 11 EPAs were eliminated. The final list consisted of 16 EPAs in domains of career development, education theory and methods, research and scholarship, and educational program administration.
Conclusions
We developed a list of 16 EPAs for EM MedEd fellowships, the first step in implementing competency-based MedEd.
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