Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States
Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States
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DOI：
10.1016/j.jpainsymman.2017.07.003
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发表时间：
2017-10-01
影响因子：
4.7
通讯作者：
Morrison, Laura J.
中科院分区：
文献类型：
--
作者：
Landzaat, Lindy H.;Barnett, Michael D.;Morrison, Laura J.
上下文可委托的专业活动（EPA）代表了一个专业的关键医生任务。一旦受训者在某项活动中表现出能力，他们就可以在没有监督的情况下“委托”练习。美国临终关怀和姑息医学学会的一位医生试图定义临终关怀和姑息医学（HPM）EPA。本研究的目的是描述一套共识EPA的HPM奖学金培训在美国的发展。一套HPM EPA是通过一个迭代的共识过程，包括专家评审，在全国会议上与HPM教育工作者审查，并从3550 HPM医生的国家登记处的电子调查。审查了审查反馈，并对调查数据进行了统计分析。最终的EPA修订遵循的多渠道反馈。通过迭代共识过程，创建、详细说明并修订了一套17个HPM EPA。在全国调查中，362名HPM专家做出了回应（10%），其中包括126名奖学金项目主任中的58名（46%）。受访者表示，这17个EPA很好地代表了HPM医生实践的核心活动（在五点李克特量表上平均为4.72），并认为所有EPA都是“必要的”或“重要的”，没有一个EPA被评为“既不必要也不重要”。“结论。一组17个EPA的开发使用执业医生和项目主任的国家输入和迭代专家咨询协商一致的过程。研究金方案预期经济伙伴关系协定可协助研究金主任加强以能力为基础的培训课程。(C)2017年美国临终关怀和姑息医学学会。爱思唯尔公司出版All rights reserved.
Context. Entrustable Professional Activities (EPAs) represent the key physician tasks of a specialty. Once a trainee demonstrates competence in an activity, they can then be "entrusted'' to practice without supervision. A physician workgroup of the American Academy of Hospice and Palliative Medicine sought to define Hospice and Palliative Medicine (HPM) EPAs.Objective. The objective of this study was to describe the development of a set of consensus EPAs for HPM fellowship training in the United States.Methods. A set of HPM EPAs was developed through an iterative consensus process involving an expert workgroup, vetting at a national meeting with HPM educators, and an electronic survey from a national registry of 3550 HPM physicians. Vetting feedback was reviewed, and survey data were statistically analyzed. Final EPA revisions followed from the multisource feedback.Results. Through the iterative consensus process, a set of 17 HPM EPAs was created, detailed, and revised. In the national survey, 362 HPM specialists responded (10%), including 58 of 126 fellowship program directors (46%). Respondents indicated that the set of 17 EPAs well represented the core activities of HPM physician practice (mean 4.72 on a five-point Likert scale) and considered all EPAs to either be "essential'' or "important'' with none of the EPAs ranking "neither essential, nor important.''Conclusions. A set of 17 EPAs was developed using national input of practicing physicians and program directors and an iterative expert workgroup consensus process. The workgroup anticipates that EPAs can assist fellowship directors with strengthening competency-based training curricula. (C) 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.