Research on the construction of entrustable professional activities index for general practitioner residents

doi:10.3760/cma.j.cn115259-20240506-00454

Abstract

Abstract: Objective To construct the index of entrustable professional activities (EPAs) for general practitioner residents. Methods From October 2021 to March 2022, based on literature review, semi-structured interviews, the EPAs indicators were preliminary formulated. The Delphi method was adopted, after two rounds of letter consultation among 15 experts, the EPAs were screened and optimized. Results The established index of EPAs for general practitioner resident includes 19 items of indicators and 73 items of content descriptions. The expert authority coefficient was 0.93, the positive coefficient of two rounds of consulting experts were 100.0% and 93.0% respectively, and the variable coefficient of experts′ opinions were 0.49 and 0.41 respectively. Conclusions The index of EPAs for general practitioner resident is comprehensive and practical, and the construction process is scientific and reliable. It can provide simple and feasible standards and evaluation methods for the training of general practitioner resident.

Key words: Clinical medicine, Entrustable professional activities, Standardized training for residents, Delphi expert consultation method, General practice

CLC Number:

R-05

Wang Qi, Liu Yanli, Sun Chen, Ma Li. Research on the construction of entrustable professional activities index for general practitioner residents[J]. Chinese Journal of Medical Education, 2025, 45(7): 519-524.

References

[1] 郑嘉堂, 方静, 董爱梅, 等. 全科医师规范化培训教学与考核模式的反思与建议[J].中华全科医师杂志, 2019, 18(7): 694-696.DOI:10.3760/cma.j.issn.1671-7368.2019.07.019.
[2] 国务院办公厅.关于加快医学教育创新发展的指导意见[EB/OL].(2020-09-23)[2024-07-05].https://www.gov.cn/zhengce/content/2020-09/23/content_5546373.htm.
[3] Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J].Lancet, 2010, 376(9756): 1923-1958.DOI:10.1016/s0140-6736(10)61854-5.
[4] Ten Cate O. Entrustability of professional activities and competency-based training[J].Med Educ, 2005, 39(12): 1176-1177.DOI:10.1111/j.1365-2929.2005.02341.x.
[5] Shorey S, Lau TC, Lau ST, et al. Entrustable professional activities in health care education: a scoping review[J].Med Educ, 2019, 53(8): 766-777.DOI:10.1111/medu.13879.
[6] Fernandes RD, De Vries I, Mcewen L, et al. Evaluating the quality of narrative feedback for entrustable professional activities in a surgery residency program[J].Ann Surg,2024, 280(6): 916-924.DOI:10.1097/sla.0000000000006308.
[7] Monti M, Pittet V, Frick S, et al. A multi-method approach to drafting candidate entrustable professional activities for a general internal medicine residency programme[J].Swiss Med Wkly, 2024, 154: 3592.DOI:10.57187/s.3592.
[8] Nasser SC, Kanbar R, Btaiche IF, et al. Entrustable professional activities-based objective structured clinical examinations in a pharmacy curriculum[J].BMC Med Educ, 2024, 24(1): 436-445.DOI:10.1186/s12909-024-05425-y.
[9] Sahi N, Humphrey-Murto S, Brennan EE, et al. Current use of simulation for EPA assessment in emergency medicine[J].Cjem, 2024, 26(3): 179-187.DOI:10.1007/s43678-024-00649-9.
[10] 张琴芬, 沈杨. 妇产科住院医师规范化培训形成性评价的构建及应用探索—基于置信职业行为[J].东南大学学报(哲学社会科学版), 2024, 26(S1): 180-184.DOI:10.13916/j.cnki.issn1671-511x.2024.s1.030.
[11] 李丽丽, 谢娜, 邓建中. 可信赖式专业活动在神经内科住院医师规范化培训的应用[J].中国现代医生, 2021, 59(21): 158-161
[12] 周娜, 张静, 路潜, 等. 口腔护理硕士专业学位研究生置信职业行为指标的构建研究[J].中华医学教育杂志, 2023,43(8): 633-637.DOI:10.3760/cma.j.cn115259-20221031-01373.
[13] 穆莉, 王琤, 齐心, 等. 手术室新入职护士置信职业行为指标的构建研究[J].中华医学教育杂志, 2023, 43(3): 226-230.DOI:10.3760/cma.j.cn115259-20220620-00805.
[14] 杜妍蓉, 陈彦桦, 王培成, 等. 置信职业行为在全科医学领域的应用现状与展望[J].中国全科医学, 2022, 25(19): 2307-2314. DOI:10.12114/j.issn.1007-9572.2022.0235.
[15] 王宇晴, 任依, 孙继华, 等. 可信赖专业活动在全科住院医师分层培训中的应用初探[J].中华全科医师杂志, 2022, 21(9): 894-897.DOI:10.3760/cma.j.cn114798-20220302-00149.
[16] Englander R, Carraccio C. From theory to practice: making entrustable professional activities come to life in the context of milestones[J].Acad Med, 2014, 89(10): 1321-1323.DOI:10.1097/acm.0000000000000324.
[17] Jurd S, De Beer W, Aimer M, et al. Introducing a competency based fellowship programme for psychiatry in Australia and New Zealand[J].Australas Psychiatry, 2015, 23(6): 699-705.DOI:10.1177/1039856215600898.
[18] Lomis K, Amiel JM, Ryan MS, et al. Implementing an entrustable professional activities framework in undergraduate medical Education: early lessons from the AAMC core entrustable professional activities for entering residency pilot[J].Acad Med, 2017, 92(6): 765-770.DOI:10.1097/acm.0000000000001543.
[19] 高深甚, 顾诗皓, 何奕, 等. 基于信息技术平台和可信赖式专业活动-岗位胜任力理论促进三级医院构建区域医联体建设中提升全科-专科医师协作培养模式初探[J].中国全科医学, 2020, 23(13): 1632-1639.DOI:10.12114/j.issn.1007-9572.2020.00.046