Development of Entrustable Professional Activities for Advanced Inflammatory Bowel Disease Fellowship Training in the United States.

Autor:	Cohen BL; Dr Henry D Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.; Department of Gastroenterology, Hepatology, and Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA., Gallinger ZR; Dr Henry D Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.; Division of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada., Ha C; Inflammatory Bowel Disease Center, Cedars-Sinai Medical Center, Los Angeles, CA, USA., Holubar SD; Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA., Hou JK; Department of Medicine, Baylor College of Medicine, Houston, TX, USA., Kinnucan J; University of Michigan, Ann Arbor, MI, USA., Mahadevan U; Division of Gastroenterology, University of California, San Francisco, CA, USA., Moss AC; Department of Medicine and Section of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA., Raffals LE; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA., Regueiro M; Department of Gastroenterology, Hepatology, and Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA., Szigethy E; Department of Gastroenterology, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.; Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA., Wolf D; Atlanta Gastroenterology Associates, Atlanta, GA, USA., Dubinsky MC; Department of Pediatrics, Mount Sinai Hospital and Susan and Leonard Feinstein Inflammatory Bowel Disease Clinical Center, New York, NY, USA., Patel A; Dr Henry D Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.; Division of Gastroenterology, Brooke Army Medical Center, Fort Sam Houston, TX, USA., Shah BJ; Dr Henry D Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA., Ehrlich OG; Crohn's & Colitis Foundation, New York, NY, USA., Hanauer SB; Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jazyk:	angličtina
Zdroj:	Inflammatory bowel diseases [Inflamm Bowel Dis] 2020 Aug 20; Vol. 26 (9), pp. 1291-1305.
DOI:	10.1093/ibd/izaa177
Abstrakt:	Background: The level of inflammatory bowel disease (IBD) training in general gastroenterology fellowship is often insufficient to prepare trainees to deliver advanced IBD care in practice. Advanced IBD fellowships have been developed to fill this training gap, but there is no established curriculum, and significant variability exists across programs. Entrustable professional activities (EPAs) are practical and realistic objectives that define essential tasks of a specialty that physicians should master to be competent during independent practice. The American College of Gastroenterology (ACG) and Crohn's & Colitis Foundation (Foundation) established a task force to develop and appraise EPAs for advanced IBD fellowship. Methods: Entrustable professional activities were developed using a multistep approach in a similar manner to other specialties. Initial EPAs identified via focus groups were evaluated, critiqued, and changed using an iterative model of feedback. The final EPAs were selected after the task force conducted a 3-phase modified Delphi method consisting of 2 sequential rounds of web-based voting and an in-person consensus meeting. Results: Ten EPAs for advanced IBD fellowship were established including detailed descriptions with the associated knowledge, skills, and attitudes for each that can serve as curricular milestones. Conclusion: Ten EPAs describing the core work of an advanced IBD fellowship-trained physician have been established by a multisociety task force. Creating EPAs for an advanced curriculum comes with unique challenges, particularly the need to prevent duplication of prior training competencies while demonstrating the potential for unique milestones. (© 2020 Crohn’s & Colitis Foundation. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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