Using a Curricular Vision to Define Entrustable Professional Activities for Medical Student Assessment

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• 作者：Karen E. Hauer MD ; Christy Boscardin PhD…
• 关键词：clinical competence ; assessment ; undergraduate medical education ; program evaluation
• 刊名：Journal of General Internal Medicine
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：30
• 期：9
• 页码：1344-1348
• 全文大小：142 KB
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• 作者单位：Karen E. Hauer MD (1)
  Christy Boscardin PhD (1)
  Tracy B. Fulton PhD (1)
  Catherine Lucey MD (1)
  Sandra Oza MD, MA (1)
  Arianne Teherani PhD (1)
  
  1. San Francisco School of Medicine, University of California, San Francisco, CA, USA
  
• 刊物主题：Internal Medicine;
• 出版者：Springer US
• ISSN：1525-1497

文摘

Background The new UCSF Bridges Curriculum aims to prepare students to succeed in today’s health care system while simultaneously improving it. Curriculum redesign requires assessment strategies that ensure that graduates achieve competence in enduring and emerging skills for clinical practice. Aim To design entrustable professional activities (EPAs) for assessment in a new curriculum and gather evidence of content validity. Setting University of California, San Francisco, School of Medicine. Participants Nineteen medical educators participated; 14 completed both rounds of a Delphi survey. Program Description Authors describe 5 steps for defining EPAs that encompass a curricular vision including refining the vision, defining draft EPAs, developing EPAs and assessment strategies, defining competencies and milestones, and mapping milestones to EPAs. A Q-sort activity and Delphi survey involving local medical educators created consensus and prioritization for milestones for each EPA. Program Evaluation For 4 EPAs, most milestones had content validity indices (CVIs) of at least 78?%. For 2 EPAs, 2 to 4 milestones did not achieve CVIs of 78?%. Discussion We demonstrate a stepwise procedure for developing EPAs that capture essential physician work activities defined by a curricular vision. Structured procedures for soliciting faculty feedback and mapping milestones to EPAs provide content validity.