Faculty and Resident Perspectives on the Implementation of Entrustable Professional Activities in General Surgery Residency.

Autor: Williams-Karnesky RL; Northwestern University, Chicago, Illinois., White E; Yale University Department of Surgery, New Haven, Connecticut., Holmstrom A; Indiana University School of Medicine, Indianapolis, Indiana., Garcia N; East Carolina University Department of Surgery, Greenville, North Carolina., Johnson J; Intermountain Health, Denver, Colorado., Cook M; Oregon Health and Sciences University, Portland, Oregon., Nickel B; Indiana University School of Medicine, Indianapolis, Indiana., Sarosi G; University of Florida Department of Surgery, Gainesville, Florida., Buyske J; American Board of Surgery, Philadelphia, Pennslyvania., Mellinger J; American Board of Surgery, Philadelphia, Pennslyvania., Greenberg JA; Duke University Department of Surgery, Durham, North Carolina. Electronic address: Jacob.greenberg@duke.edu.
Jazyk: angličtina
Zdroj: Journal of surgical education [J Surg Educ] 2024 Jun; Vol. 81 (6), pp. 841-849. Date of Electronic Publication: 2024 Apr 25.
DOI: 10.1016/j.jsurg.2024.03.006
Abstrakt: Objective: This study aimed to identify what best practices facilitate implementation of Entrustable Professional Activities (EPAs) into surgical training programs.
Design: This is a mixed methods study utilizing both survey data as well as semi-structured interviews of faculty and residents involved in the American Board of Surgery (ABS) EPA pilot study.
Setting: From 2018 to 2020, the ABS conducted a pilot that introduced five EPAs across 28 general surgery training programs.
Participants: All faculty members and residents at the 28 pilot programs were invited to participate in the study.
Results: About 117 faculty members and 79 residents responded to the survey. The majority of faculty (81%) and residents (66%) felt that EPAs were useful and were a valuable addition to training. While neither group felt that EPAs were overly time consuming to complete, residents did report difficulty incorporating them into their daily workflow (44%). Semi-structured interviews found that programs that focused on faculty and resident -development and utilized frequent reminders about the importance and necessity of EPAs tended to perform better.
Conclusions: EPA implementation is feasible in general surgery training programs but requires significant effort and engagement from all levels of program personnel. As EPAs are implemented by the ABS nationally a focus on resident and faculty development will be critical to success.
(Copyright © 2024 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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