Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine

BackgroundEntrustable professional activities (EPAs) were first introduced by Olle ten Cate in 2005. Since then, hundreds of applications in medical research have been reported worldwide. However, few studies discuss the use of EPAs for residency training in pediatric intensive care medicine. We con...

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Main Authors: Zhang Yun, Liu Jing, Chen Junfei, Zhang Wenjing, Wu Jinxiang, Yue Tong, Zhang Aijun
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.919481/full
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author Zhang Yun
Liu Jing
Chen Junfei
Zhang Wenjing
Wu Jinxiang
Yue Tong
Zhang Aijun
author_facet Zhang Yun
Liu Jing
Chen Junfei
Zhang Wenjing
Wu Jinxiang
Yue Tong
Zhang Aijun
author_sort Zhang Yun
collection DOAJ
description BackgroundEntrustable professional activities (EPAs) were first introduced by Olle ten Cate in 2005. Since then, hundreds of applications in medical research have been reported worldwide. However, few studies discuss the use of EPAs for residency training in pediatric intensive care medicine. We conducted a pilot study of EPA for pediatric intensive care medicine to evaluate the use of EPAs in this subspecialty.Materials and MethodsA cross-sectional study was implemented in pediatric intensive care medicine standardized residency training at the Qilu Hospital of Shandong University. An electronic survey assessing EPA performance using eight scales composed of 15 categories were distributed among residents and directors.ResultsA total of 217 director-assessment and 44 residents’ self-assessment questionnaires were collected, both demonstrating a rising trend in scores across postgraduate years. There were significant differences in PGY1-vs.-PGY2 and PGY1-vs.-PGY3 director-assessment scores, while there were no differences in PGY2-vs.-PGY3 scores. PGY had a significant effect on the score of each EPA, while position significantly affected the scores of all EPAs except for EPA1 (Admit a patient) and EPA2 (Select and interpret auxiliary examinations). Gender only significantly affected the scores of EPA6 (Report a case), EPA12 (Perform health education), and EPA13 (Inform bad news).ConclusionThis study indicates that EPA assessments have a certain discriminating capability among different PGYs in Chinese standardized residency training in pediatric intensive care medicine. Postgraduate year, gender, and resident position affected EPA scores to a certain extent. Given the inconsistency between resident-assessed and director-assessed scores, an improved feedback program is needed in the future.
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spelling doaj.art-668194fbd40c420d9ccc2dc61d8a129f2022-12-22T02:28:17ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-07-011010.3389/fped.2022.919481919481Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care MedicineZhang Yun0Liu Jing1Chen Junfei2Zhang Wenjing3Wu Jinxiang4Yue Tong5Zhang Aijun6Department of Pediatrics, Qilu Hospital of Shandong University, Jinan, ChinaDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, ChinaDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, ChinaDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, ChinaMedical Training Office, Qilu Hospital of Shandong University, Jinan, ChinaDepartment of Pediatrics, Qilu Hospital of Shandong University, Jinan, ChinaBackgroundEntrustable professional activities (EPAs) were first introduced by Olle ten Cate in 2005. Since then, hundreds of applications in medical research have been reported worldwide. However, few studies discuss the use of EPAs for residency training in pediatric intensive care medicine. We conducted a pilot study of EPA for pediatric intensive care medicine to evaluate the use of EPAs in this subspecialty.Materials and MethodsA cross-sectional study was implemented in pediatric intensive care medicine standardized residency training at the Qilu Hospital of Shandong University. An electronic survey assessing EPA performance using eight scales composed of 15 categories were distributed among residents and directors.ResultsA total of 217 director-assessment and 44 residents’ self-assessment questionnaires were collected, both demonstrating a rising trend in scores across postgraduate years. There were significant differences in PGY1-vs.-PGY2 and PGY1-vs.-PGY3 director-assessment scores, while there were no differences in PGY2-vs.-PGY3 scores. PGY had a significant effect on the score of each EPA, while position significantly affected the scores of all EPAs except for EPA1 (Admit a patient) and EPA2 (Select and interpret auxiliary examinations). Gender only significantly affected the scores of EPA6 (Report a case), EPA12 (Perform health education), and EPA13 (Inform bad news).ConclusionThis study indicates that EPA assessments have a certain discriminating capability among different PGYs in Chinese standardized residency training in pediatric intensive care medicine. Postgraduate year, gender, and resident position affected EPA scores to a certain extent. Given the inconsistency between resident-assessed and director-assessed scores, an improved feedback program is needed in the future.https://www.frontiersin.org/articles/10.3389/fped.2022.919481/fullentrustable professional activities (EPA)pediatric intensive care medicinestandardized residency training (SRT)Chineseassessment and education
spellingShingle Zhang Yun
Liu Jing
Chen Junfei
Zhang Wenjing
Wu Jinxiang
Yue Tong
Zhang Aijun
Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine
Frontiers in Pediatrics
entrustable professional activities (EPA)
pediatric intensive care medicine
standardized residency training (SRT)
Chinese
assessment and education
title Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine
title_full Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine
title_fullStr Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine
title_full_unstemmed Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine
title_short Entrustable Professional Activities for Chinese Standardized Residency Training in Pediatric Intensive Care Medicine
title_sort entrustable professional activities for chinese standardized residency training in pediatric intensive care medicine
topic entrustable professional activities (EPA)
pediatric intensive care medicine
standardized residency training (SRT)
Chinese
assessment and education
url https://www.frontiersin.org/articles/10.3389/fped.2022.919481/full
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