Implementing Entrustable Professional Activities in Pediatric Fellowships: Facilitating the Process.

Autor:	Langhan ML; Yale University School of Medicine, New Haven, Connecticut., Boyer DL; Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., Hsu D; Stanford University School of Medicine, Stanford, California., Moffatt ME; University of Missouri Kansas City School of Medicine, Kansas City, Missouri., Pitts SA; Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts., Atlas MP; Zucker School of Medicine at Hofstra-Northwell, Cohen Children's Medical Center, Queens, New York., Aye T; Stanford University School of Medicine, Stanford, California., Chess P; University of Rochester Medical Center, Rochester, New York., Curran ML; University of Colorado School of Medicine, Aurora, Colorado., Czaja AS; University of Colorado School of Medicine, Aurora, Colorado., Dammann CEL; Tufts Children's Hospital, Boston, Massachusetts., Fussell J; University of Arkansas for Medical Sciences, Little Rock, Arkansas., George RP; Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia., Herman BE; University of Utah School of Medicine, Salt Lake City, Utah., High P; Warren Alpert Medical School of Brown University, Providence, Rhode Island., James SH; University of Alabama at Birmingham, Birmingham, Alabama., Kamin DS; Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts., Karnik R; Yale University School of Medicine, New Haven, Connecticut., Kesselheim J; Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts., Lopez MA; Baylor College of Medicine, Texas Children's Hospital, Houston, Texas., Mahan JD; The Ohio State University College of Medicine, Columbus, Ohio., McFadden V; Medical College of Wisconsin, Milwaukee, Wisconsin., McGann KA; Duke University Medical Center, Durham, North Carolina., Mehta JJ; Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., Rama J; Baylor College of Medicine, Texas Children's Hospital, Houston, Texas., Robinson BW; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania., Sauer C; Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia., Stafford DEJ; Stanford University School of Medicine, Stanford, California., Turner DA; American Board of Pediatrics, Chapel Hill, North Carolina., Weiss P; Yale University School of Medicine, New Haven, Connecticut., Yussman SM; University of Rochester Medical Center, Rochester, New York., Schwartz A; University of Illinois College of Medicine at Chicago, Chicago, Illinois., Mink R; Harbor-UCLA Medical Center and The Lundquist Institute for Biomedical Innovation, Torrance, California.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2024 Jun 01; Vol. 153 (6).
DOI:	10.1542/peds.2023-065024
Abstrakt:	Background and Objectives: Entrustable professional activities (EPAs) will be used for initial certification by the American Board of Pediatrics by 2028. Less than half of pediatric fellowships currently use EPAs for assessment, yet all will need to adopt them. Our objectives were to identify facilitators and barriers to the implementation of EPAs to assess pediatric fellows and to determine fellowship program directors' (FPD) perceptions of EPAs and Milestones. Methods: We conducted a survey of FPDs from 15 pediatric subspecialties. EPA users were asked about their implementation of EPAs, barriers encountered, and perceptions of EPAs. Nonusers were queried about deterrents to using EPAs. Both groups were asked about potential facilitators of implementation and their perceptions of Milestones. Results: The response rate was 65% (575/883). Of these, 344 (59.8%) were EPA users and 231 (40.2%) were nonusers. Both groups indicated work burden as a barrier to implementation. Nonusers reported more barriers than users (mean [SD]: 7 [3.8] vs 5.8 [3.4], P < .001). Both groups identified training materials and premade assessment forms as facilitators to implementation. Users felt that EPAs were easier to understand than Milestones (89%) and better reflected what it meant to be a practicing subspecialty physician (90%). In contrast, nonusers felt that Milestones were easy to understand (57%) and reflected what it meant to be a practicing subspecialist (58%). Conclusions: Implementing EPA-based assessment will require a substantial investment by FPDs, facilitated by guidance and easily accessible resources provided by multiple organizations. Perceived barriers to be addressed include FPD time constraints, a need for additional assessment tools, and outcomes data. (Copyright © 2024 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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