Journal article
Development of entrustable professional activities for regional anesthesia and pain medicine fellowship training
Regional anesthesia and pain medicine, Vol.47(11), pp.672-677
07/25/2022
DOI: 10.1136/rapm-2022-103854
Abstract
IntroductionThe Accreditation Council for Graduate Medical Education (ACGME) offers descriptions of competencies and milestones but does not provide standardized assessments to track trainee competency. Entrustable professional activities (EPAs) and special assessments (SAs) are emerging methods to assess the level of competency obtained by regional anesthesiology and acute pain medicine (RAAPM) fellows.MethodsA panel of RAAPM physicians with experience in education and competency assessment and one medical student were recruited to participate in a modified Delphi method with iterative rounds to reach consensus on: a list of EPAs, SAs, and procedural skills; detailed definitions for each EPA and SA; a mapping of the EPAs and SAs to the ACGME milestones; and a target level of entrustment for graduating US RAAPM fellows for each EPA and procedural skill. A gap analysis was performed and a heat map was created to cross-check the EPAs and SAs to the ACGME milestones.ResultsParticipants in EPA and SA development included 19 physicians and 1 medical student from 18 different programs. The Delphi rounds yielded a final list of 23 EPAs, a defined entrustment scale, mapping of the EPAs to ACGME milestones, and graduation targets. A list of 73 procedural skills and 7 SAs were similarly developed.DiscussionA list of 23 RAAPM EPAs, 73 procedural skills, and 7 SAs were created using a rigorous methodology to reach consensus. This framework can be utilized to help assess RAAPM fellows in the USA for competency and allow for meaningful performance feedback.
Details
- Title: Subtitle
- Development of entrustable professional activities for regional anesthesia and pain medicine fellowship training
- Creators
- Steven Porter - Mayo Clinic in FloridaElaine Prendiville - Oregon Health & Science UniversityBrian Frazer Scott Allen - Vanderbilt University Medical CenterGregory Booth - Naval Medical Center PortsmouthJan Boublik - Stanford Health CareGarrett W Burnett - Icahn School of Medicine at Mount SinaiNabil Elkassabany - University of Pennsylvania Health SystemJonathan Hausman - Cedars-Sinai Medical CenterLisa Klesius - University of Wisconsin SystemLinda Le-Wendling - Anesthesiology, University of Florida, Gainesville, Florida, USAAnthony T Machi - Southwestern Medical CenterRobert Maniker - Columbia University Irving Medical CenterMichelle Parra - Anesthesia, University of Iowa, Iowa City, Iowa, USARichard Rosenquist - Cleveland ClinicChristina M Spofford - Medical College of WisconsinSanthanam Suresh - Northwestern MedicineTiffany Tedore - Texas Health DallasElizabeth H Wilson - University of Wisconsin–MadisonJon Yan Zhou - University of California, DavisGlenn Woodworth - Oregon Health & Science University
- Resource Type
- Journal article
- Publication Details
- Regional anesthesia and pain medicine, Vol.47(11), pp.672-677
- Publisher
- BMJ Publishing Group Ltd
- DOI
- 10.1136/rapm-2022-103854
- ISSN
- 1098-7339
- eISSN
- 1532-8651
- Language
- English
- Date published
- 07/25/2022
- Academic Unit
- Anesthesia
- Record Identifier
- 9984295928002771
Metrics
9 Record Views