Entrustable professional activities for workplace assessment of general practice trainees
| Autor: | Stephanie Clota, Lambert Schuwirth, Nyoli Valentine, Jon Wignes, Jill Benson |
|---|---|
| Přispěvatelé: | RS: SHE - R1 - Research (OvO) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Concordance General Practice Clinical competence Rate ratio medical 03 medical and health sciences 0302 clinical medicine South Australia Humans Medicine Professional Autonomy 030212 general & internal medicine graduate VALIDITY Workplace Competence (human resources) Work Performance Graduate education business.industry Outcome measures EDUCATION General Medicine COMPETENCE Competency-Based Education Family medicine General practice Observational study business |
| Zdroj: | Medical Journal of Australia, 210(8), 354-359. Wiley |
| ISSN: | 0025-729X |
| DOI: | 10.5694/mja2.50130 |
| Popis: | ObjectiveTo assess whether entrustment levels for junior trainees with respect to entrustable professional activities (EPAs) increase over time; whether entrustment levels for senior trainees are higher than for junior trainees; and whether self-assessment of entrustment levels by senior trainees more closely matches supervisor assessment than self-assessment by junior trainees.Design, setting, participantsObservational study of 130 junior and 153 senior community-based general practice trainees in South Australia, 2017.Main outcome measuresDifferences in entrustment levels between junior and senior trainees; change in entrustment levels for junior trainees over 9 months; concordance of supervisor and trainee assessment of entrustment level over 9 months.ResultsSenior trainees were 2.1 (95% CI, 1.66-2.58) to 3.7 times (95% CI, 2.60-5.28) as likely as junior trainees to be entrusted with performing clinical EPAs without supervision. The proportion of EPAs with which junior trainees were entrusted to perform unsupervised increased from 26% at 3 months to 35% at 6 months (rate ratio [RR], 1.37; 95% CI; 1.15-1.63), to 50% at 9 months (RR, 1.92; 95% CI, 1.64-2.26), and 69% at 12 months (RR, 2.68; 95% CI; 2.32-3.12). At 3 months, the mean differences in entrustment ratings between supervisors and trainees was 5.5 points (SD, 6.6 points) for junior trainees and 2.93 points (SD, 2.8 points) for senior trainees (PConclusionsEPAs are valid assessment tools in a workplace-based training environment. |
| Databáze: | OpenAIRE |
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