Defining entrustable professional activities for first year anesthesiology residents: A Delphi study - 03/06/23

Doi : 10.1016/j.jclinane.2023.111116

Pedro Tanaka, M.D., Ph.D., M.A.C.M ^a,^{^⁎} , Adrian Marty, M.D., M.E ^b, Yoon Soo Park, Ph.D ^c, Clinton Kakazu, M.D ^d, Ankeet Udani, M.D ^e, Manuel Pardo, M.D ^f, Kristina Sullivan, M.D ^f, Charandip Sandhu, M.D ^g, Judi Turner, M.D., Ph.D ^h, John Mitchell, M.D ⁱ, Alex Macario, M.D., M.B.A ^a
^a Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States of America
^b Attending Physician Institute of Anesthesiology, University of Zurich, Zurich, Switzerland
^c Department of Medical Education, University of Illinois at Chicago College of Medicine, Chicago, IL, United States of America
^d UCLA-Harbor Medical Center, United States of America
^e Duke University School of Medicine, Raleigh, NC, United States of America
^f UCSF Department of Anesthesia and Perioperative Care, San Francisco, CA, United States of America
^g Department of Anesthesiology and Pain Medicine, UC Davis, Sacramento, CA, United States of America
^h UCLA Anesthesiology and Perioperative Medicine, Los Angeles, CA, United States of America
ⁱ Department of Anesthesia, Critical Care and Pain Medicine at Beth Israel Deaconess Medical Center, Boston, MA, United States of America

^⁎Corresponding author at: 300 Pasteur Drive H3577, 94305 Stanford, CA, United States of America.300 Pasteur Drive H3577StanfordCA94305United States of America

Abstract

Introduction

The use of entrustable professional activities (EPAs) as a basis for assessment may bridge the gap between the theory of competency-based education and clinical practice. The purpose of this study was to develop and validate EPAs for United States (US) first-year clinical anesthesia (CA-1) residents for anesthesiology residency programs to use as the basis for curriculum development and workplace assessment.

Methods

From a list of EPAs abstracted from the literature, an expert panel through a modified Delphi consensus process established EPAs for the CA1 curriculum.

Results

The final list of EPAs after group consensus had 28 EPAs, with 14 (50%) considered to be applicable to the CA-1 year. An 80% consensus rate was used to accept or reject the final list.

Conclusion

This study applied a construct validity lens to EPA development providing assurance that the EPAs adopted are appropriate for use in workplace-based assessment and entrustment decision-making.

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Highlights

•	Development and construct validation of EPAs that could be adopted by residency program in the United States.

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Keywords : Assessment, Competency-based education, EPAs

Plan

Introduction

Methods

EPAs development and process to reach consensus

EPA Quality (EQual) Rubric

Relation to other variables

Consequential evidence

Funding

Author statement

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Vol 88

Article 111116- septembre 2023 Retour au numéro

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Defining entrustable professional activities for first year anesthesiology residents: A Delphi study - 03/06/23

Abstract

Introduction

Methods

Results

Conclusion

Highlights

Plan

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