scholarly journals Should Objective Structured Clinical Examinations Assist the Clinical Competency Committee in Assigning Anesthesiology Milestones Competency?

2019 ◽  
Vol 129 (1) ◽  
pp. 226-234 ◽  
Author(s):  
Annette Rebel ◽  
Amy DiLorenzo ◽  
Dung Nguyen ◽  
Ivan Horvath ◽  
Matthew D. McEvoy ◽  
...  
2015 ◽  
Vol 7 (1) ◽  
pp. 101-104 ◽  
Author(s):  
Nathan M. Shumway ◽  
Jennifer J. Dacus ◽  
Kate I. Lathrop ◽  
Elizabeth P. Hernandez ◽  
Maria Miller ◽  
...  

Abstract Background The Next Accreditation System (NAS) increases the focus on educational outcomes and meaningful evaluation of learners. This requires that key clinical faculty develop new assessment formats such as entrustable professional activities (EPAs). Objectives To build and develop milestone-based assessment tools supporting 5 EPAs for a hematology/oncology fellow continuity clinic, and to educate key clinical faculty regarding the Clinical Competency Committee (CCC) and the NAS. Methods Program directors from 2 hematology/oncology fellowship programs developed 5 EPAs for continuity clinic evaluation supported by milestone-based assessment. The program directors met to create a unified CCC charter. Key clinical faculty helped to develop a milestone-based evaluation of fellow continuity clinic through creation of 5 hematology/oncology-specific EPAs. Formal entrustment regarding EPAs was deliberated by the CCC. Results A total of 18 fellows were evaluated. Clinical Competency Committee deliberation at each institution took approximately 10 minutes per fellow for discussion and decision regarding entrustment for all 5 EPAs supporting continuity clinic. One-third of postgraduate year (PGY)–4s, 50% of PGY-5s, and 100% of PGY-6s were deemed competent in all 5 EPAs by the CCC. Conclusions All hematology/oncology trainees in San Antonio were evaluated using milestone-based assessment for continuity clinic, and entrustment decisions regarding 5 EPAs were made by the CCC. This project may provide other programs with a sound basis for adoption and further development of the next generation of evaluation tools at their institutions. Entrustable professional activities that are rotation specific should be used as a starting point for linking to the competencies, subcompetencies, and the reporting milestones.


2014 ◽  
Vol 6 (1) ◽  
pp. 163-164 ◽  
Author(s):  
Susan B. Promes ◽  
Mary Jo Wagner

2019 ◽  
Vol 94 (2) ◽  
pp. 251-258 ◽  
Author(s):  
Daniel J. Schumacher ◽  
Abigail Martini ◽  
Kathleen W. Bartlett ◽  
Beth King ◽  
Sharon Calaman ◽  
...  

2014 ◽  
Vol 71 (1) ◽  
pp. 36-38 ◽  
Author(s):  
Erika R. Ketteler ◽  
Edward D. Auyang ◽  
Kathy E. Beard ◽  
Erica L. McBride ◽  
Rohini McKee ◽  
...  

2021 ◽  
Vol 8 ◽  
pp. 237428952110417
Author(s):  
Bronwyn H. Bryant

Entrustable professional activities are an intuitive form of workplace-based assessment that can support competency-based medical education. Many entrustable professional activities have been written and published, but few studies describe the feasibility or implementation of entrustable professional activities in graduate medical education. The frozen section entrustable professional activit was introduced into the pathology residency training at the University of Vermont for postgraduate year 1 at the start of their training in frozen section. The feasibility of the entrustable professional activit was evaluated based on 3 criteria: (a) utilization, (b) support of frozen section training, and (c) generating data to support entrustment decision about residents’ readiness to take call. The entrustable professional activit was well utilized and satisfactory to residents, faculty, pathologists’ assistants, and Clinical Competency Committee members. Most members of the Clinical Competency Committee agreed they had sufficient data and noted higher confidence in assessing resident readiness to take call with the addition of entrustable professional activit to the residents’ assessment portfolio. Residents did not endorse it helped them prepare for call; however, the interruption to frozen section training due to the COVID-19 pandemic was a significant contributing factor. The frozen section entrustable professional activit is a feasible addition to pathology resident training based on utilization, support of training, and generation of data to support entrustment decisions for graduated responsibilities. The implementation and integration of the entrustable professional activit into pathology training at our institution is described with discussion of adjustments for future use.


Sign in / Sign up

Export Citation Format

Share Document