Bibliometric analysis of the literature on entrustable professional activities on surgical operations teaching

doi:10.3760/cma.j.cn115259-20230203-00090

Abstract

Abstract: Objective To investigate the development trend and research distribution of the application of entrustable professional activities (EPAs) on surgical operations teaching. Methods The literature on surgical operations teaching published from January 2005 to December 2022 in Web of Science, Scopus, Pubmed, Chinese National Knowledge Infrastructure, Wanfang Data and CMA Medical Journals was retrieved and further analyzed by their publication journals, countries and institutions of origin, authors, and keywords. The data were subjected to bibliometric analysis using online bibliometric analysis tools and VOSviewer software. Results A total of 56 English articles met the inclusion criteria. The United States had the largest number of publications (n=34). Rebecca M Minter from Wisconsin University was the most productive author (n=7). Journal of Surgical Education was the journal that published the most articles (n=14). Wisconsin University accounted for the plurality among the productive institutions (n=9). Among articles retrieved, highly used keywords included “Competence” (n=10), “Skills” (n=8), “Educations” (n=8) and “Residents” (n=6). Conclusions The research of EPAs on the surgical operations teaching is in a period of rapid development, while the relevant research from China is relatively scarce. It is urgent to integrate new technologies such as Internet plus and artificial intelligence into the teaching and establish an evaluation system of surgical operations teaching based on EPAs with Chinese characteristics to improve the training effect and medical quality.

Key words: Teaching, Entrustable professional activities, Surgical operation, Bibliometric analysis

CLC Number:

R-05

Li Muxing, Zhou Chang, Cui Long, Li Fei, Wang Hangyan, Sun Tao, Ma Zhaolai, Yuan Chunhui. Bibliometric analysis of the literature on entrustable professional activities on surgical operations teaching[J]. Chinese Journal of Medical Education, 2024, 44(1): 68-72.

References

[1] 俞鸿雁, 曹林平, 耿磊, 等. 普通外科专科医师规范化培训的实践与思考[J].中国毕业后医学教育,2020,4(1):49-52. DOI: 10.3969/j.issn.2096-4293.2020.01.013.
[2] 赵恩昊, 卞正乾, 曹晖. 逐步完善我国外科住院医师规范化培训质量和进程的思考与展望[J].中国实用外科杂志,2019,39(1):70-74. DOI: 10.19538/j.cjps.issn1005-2208.2019.01.12.
[3] Lurie SJ. History and practice of competency-based assessment[J]. Med Educ, 2012,46(1):49-57. DOI: 10.1111/j.1365-2923.2011.04142.x.
[4] 谈燚, 刘双池, 张永, 等. 基于胜任力的评价系统在普外科住院医师规范化培训中的应用[J].蚌埠医学院学报,2021,46(10):1459-1463. DOI: 10.13898/j.cnki.issn.1000-2200.2021.10.034.
[5] 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.
[6] McIlhenny C, Kurashima Y, Chan C, et al. General surgery education across three continents[J]. Am J Surg, 2018,215(2):209-213. DOI: 10.1016/j.amjsurg.2017.12.002.
[7] Kearse LE, Schmiederer IS, Anderson TN, et al. American Board of Surgery Entrustable Professional Activities (EPAs): assessing graduating residents' perception of preoperative entrustment[J]. J Surg Educ, 2021,78(6):e183-e188. DOI: 10.1016/j.jsurg.2021.09.004.
[8] van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping[J]. Scientometrics, 2010,84(2):523-538. DOI: 10.1007/s11192-009-0146-3.
[9] Kadmon M, Ganschow P, Gillen S, et al. The competent surgeon. Bridging the gap between undergraduate final year and postgraduate surgery training[J]. Chirurg, 2013,84(10):859-868. DOI: 10.1007/s00104-013-2531-y.
[10] 陈心航, 吴红斌, 江哲涵, 等. 国际置信职业行为研究在医学教育中的发展与启示[J].中华医学教育杂志,2020,40(12):945-950. DOI: 10.3760/cma.j.cn115259-20201012-01447.
[11] Padilla EP, Stahl CC, Jung SA, et al. Gender differences in entrustable professional activity evaluations of general surgery residents[J]. Ann Surg, 2022,275(2):222-229. DOI: 10.1097/SLA.0000000000004905.
[12] Williams AM, Karmakar M, Thompson-Burdine J, et al. Increased intraoperative faculty entrustment and resident entrustability does not compromise patient outcomes after general surgery procedures[J]. Ann Surg, 2022,275(2):e366-e374. DOI: 10.1097/SLA.0000000000004052.
[13] Søreide K, Skjold-Ødegaard B. A multilevel, step-based model to evaluate progress in procedure efficiency for laparoscopic appendicectomy in surgical training: structured evaluation using 'ebb-and-flow' and 'string-of-pearls' concepts[J]. BJS Open, 2022,6(3):zrac071. DOI: 10.1093/bjsopen/zrac071.
[14] Cheung KT, An V, Sorensen JC, et al. Elective laparoscopic cholecystectomy as an entrustable professional activity (EPA) for general surgical trainees in Australia[J]. J Surg Educ, 2022,79(3):655-660. DOI: 10.1016/j.jsurg.2022.01.008.
[15] 吕涛, 刘俊, 刘瑛, 等. 基于置信职业行为的妇产科住院医师规范化培训与考核模式的构建[J].中华医学教育杂志,2022,42(6):550-553. DOI: 10.3760/cma.j.cn115259-20220310-00294.
[16] 王玮, 吴浩, 齐心, 等. 基于置信职业行为的八年制临床医学专业学生临床实习阶段胜任力评价的探索[J].中华医学教育杂志,2022,42(8):757-760. DOI: 10.3760/cma.j.cn115259-20220209-00142.
[17] 刁小敏, 郭晓. 基于互联网+的混合教学模式的实践及改进研究[J].计算机时代,2021(2):65-67,70. DOI: 10.16644/j.cnki.cn33-1094/tp.2021.02.018.
[18] Diwersi N, Gass JM, Fischer H, et al. Surgery goes EPA (entrustable professional activity) - how a strikingly easy to use app revolutionizes assessments of clinical skills in surgical training[J]. BMC Med Educ, 2022,22(1):559. DOI: 10.1186/s12909-022-03622-1.
[19] Anderson CI, Basson MD, Ali M, et al. Comprehensive multicenter graduate surgical education initiative incorporating entrustable professional activities, continuous quality improvement cycles, and a web-based platform to enhance teaching and learning[J]. J Am Coll Surg, 2018,227(1):64-76. DOI: 10.1016/j.jamcollsurg.2018.02.014.