Entrustment and Mapping of Observable Practice Activities for Resident Assessment
Entrustment and Mapping of Observable Practice Activities for Resident Assessment
复制标题
居民评估可观察实践活动的委托和映射
DOI：
10.1007/s11606-014-2801-5
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发表时间：
2014
影响因子：
5.7
通讯作者：
C. Mueller
中科院分区：
文献类型：
--
作者：
E. Warm;Bradley R. Mathis;Justin D. Held;Savita Pai;Jonathan Tolentino;Lauren Ashbrook;Cheryl K. Lee;David Lee;Sharice Wood;C. Fichtenbaum;D. Schauer;Ryan Munyon;C. Mueller
可信赖的专业活动（EPAs）和下一个认证系统报告里程碑将一般能力缩减为较小的可评估部分。然而，一些环境影响评估和报告里程碑可能过于宽泛，无法用作直接评估工具。我们描述了我们的内科住院医师课程和评估系统，它使用委托和映射观察实践活动（OPAs）住院医师评估。我们为每个住院医生的轮转和学习经历创建了离散的opa。综合起来，这些作为课程基础和评估工具。OPA绩效通过5点委托量表来衡量，并映射到里程碑和EPAs。opa的委托评级为特定临床技能的即时结构化反馈提供了机会，并且将opa映射到里程碑和epa可用于纵向评估，晋升决策和报告。随着时间的推移，直接评估和展示受训人员的技能是所有培训计划的重要目标。使用opa映射到里程碑和epa的系统提供了实现这两者的机会，但需要验证。
Entrustable Professional Activities (EPAs) and the Next Accreditation System reporting milestones reduce general competencies into smaller evaluable parts. However, some EPAs and reporting milestones may be too broad to use as direct assessment tools. We describe our internal medicine residency curriculum and assessment system, which uses entrustment and mapping of observable practice activities (OPAs) for resident assessment. We created discrete OPAs for each resident rotation and learning experience. In combination, these serve as curricular foundation and tools for assessment. OPA performance is measured via a 5-point entrustment scale, and mapped to milestones and EPAs. Entrustment ratings of OPAs provide an opportunity for immediate structured feedback of specific clinical skills, and mapping OPAs to milestones and EPAs can be used for longitudinal assessment, promotion decisions, and reporting. Direct assessment and demonstration of progressive entrustment of trainee skill over time are important goals for all training programs. Systems that use OPAs mapped to milestones and EPAs provide the opportunity for achieving both, but require validation.