Laura C Page, Debra Boyer, YoungNa Lee-Kim, Mary E Moffatt, Brenda Nuncio Lujano, Darcy Weidemann, Alan Schwartz, David A Turner, Deborah Hsu
{"title":"EPA致儿科专科里程碑顾问：开发基于能力评估的综合方法。","authors":"Laura C Page, Debra Boyer, YoungNa Lee-Kim, Mary E Moffatt, Brenda Nuncio Lujano, Darcy Weidemann, Alan Schwartz, David A Turner, Deborah Hsu","doi":"10.1016/j.acap.2025.103122","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This project sought to define the relationship between the Accreditation Council of Graduate Medical Education (ACGME) Milestones 2.0 and Entrustable Professional Activities (EPAs) for each of 15 pediatric subspecialties and create a novel tool that could automate the generation of expected milestone behaviors for a given EPA level of supervision.</p><p><strong>Methods: </strong>Workgroups for each of the pediatric subspecialties selected Milestone 2.0 subcompetencies that were essential to performing each EPA through a modified Delphi approach. Additionally, the groups assigned predicted Milestone levels expected for each EPA Level of Supervision.</p><p><strong>Results: </strong>Forty percent (6/15) of subspecialties mapped all Milestone subcompetencies to their EPAs. Although variations existed among subspecialties, trainees were generally not expected to have achieved 'expertise' or (Milestone level 5) to be ready for practice without supervision (EPA Level of Supervision 5). Group assignments of anticipated Milestones levels for each EPA Level of Supervision were used to create an online tool intended to suggest milestone levels for a subspecialty fellow based on EPA Level of Supervision ratings.</p><p><strong>Conclusions: </strong>Strengthening pediatric subspecialty educators' understanding of the roles of Milestones 2.0 and EPAs in fellow education is critical to achieve goals of competency-based medical education. This work, which includes a novel tool that predicts milestone levels based on EPA Level of Supervision ratings, represents an important step in delineating the relationship between Milestones 2.0 and EPAs.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103122"},"PeriodicalIF":2.8000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"EPA to Milestones Advisor for Pediatric Subspecialties: Developing a Comprehensive Approach to Competency-Based Assessment.\",\"authors\":\"Laura C Page, Debra Boyer, YoungNa Lee-Kim, Mary E Moffatt, Brenda Nuncio Lujano, Darcy Weidemann, Alan Schwartz, David A Turner, Deborah Hsu\",\"doi\":\"10.1016/j.acap.2025.103122\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This project sought to define the relationship between the Accreditation Council of Graduate Medical Education (ACGME) Milestones 2.0 and Entrustable Professional Activities (EPAs) for each of 15 pediatric subspecialties and create a novel tool that could automate the generation of expected milestone behaviors for a given EPA level of supervision.</p><p><strong>Methods: </strong>Workgroups for each of the pediatric subspecialties selected Milestone 2.0 subcompetencies that were essential to performing each EPA through a modified Delphi approach. Additionally, the groups assigned predicted Milestone levels expected for each EPA Level of Supervision.</p><p><strong>Results: </strong>Forty percent (6/15) of subspecialties mapped all Milestone subcompetencies to their EPAs. Although variations existed among subspecialties, trainees were generally not expected to have achieved 'expertise' or (Milestone level 5) to be ready for practice without supervision (EPA Level of Supervision 5). Group assignments of anticipated Milestones levels for each EPA Level of Supervision were used to create an online tool intended to suggest milestone levels for a subspecialty fellow based on EPA Level of Supervision ratings.</p><p><strong>Conclusions: </strong>Strengthening pediatric subspecialty educators' understanding of the roles of Milestones 2.0 and EPAs in fellow education is critical to achieve goals of competency-based medical education. This work, which includes a novel tool that predicts milestone levels based on EPA Level of Supervision ratings, represents an important step in delineating the relationship between Milestones 2.0 and EPAs.</p>\",\"PeriodicalId\":50930,\"journal\":{\"name\":\"Academic Pediatrics\",\"volume\":\" \",\"pages\":\"103122\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Academic Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.acap.2025.103122\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.acap.2025.103122","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
EPA to Milestones Advisor for Pediatric Subspecialties: Developing a Comprehensive Approach to Competency-Based Assessment.
Objective: This project sought to define the relationship between the Accreditation Council of Graduate Medical Education (ACGME) Milestones 2.0 and Entrustable Professional Activities (EPAs) for each of 15 pediatric subspecialties and create a novel tool that could automate the generation of expected milestone behaviors for a given EPA level of supervision.
Methods: Workgroups for each of the pediatric subspecialties selected Milestone 2.0 subcompetencies that were essential to performing each EPA through a modified Delphi approach. Additionally, the groups assigned predicted Milestone levels expected for each EPA Level of Supervision.
Results: Forty percent (6/15) of subspecialties mapped all Milestone subcompetencies to their EPAs. Although variations existed among subspecialties, trainees were generally not expected to have achieved 'expertise' or (Milestone level 5) to be ready for practice without supervision (EPA Level of Supervision 5). Group assignments of anticipated Milestones levels for each EPA Level of Supervision were used to create an online tool intended to suggest milestone levels for a subspecialty fellow based on EPA Level of Supervision ratings.
Conclusions: Strengthening pediatric subspecialty educators' understanding of the roles of Milestones 2.0 and EPAs in fellow education is critical to achieve goals of competency-based medical education. This work, which includes a novel tool that predicts milestone levels based on EPA Level of Supervision ratings, represents an important step in delineating the relationship between Milestones 2.0 and EPAs.
期刊介绍：
Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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