Establishment of core indicators of entrustable professional activities for specialists in nephrology

doi:10.3760/cma.j.cn115259-20240709-00716

Abstract

Abstract: Objective To explore the core indicators of entrustable professional activities for specialists in nephrology. Methods Through literature research, a draft of the core indicators of EPAs for nephrology specialists (who have completed standardized training for specialist physicians) was initially formed. In March 2022, Delphi method was used to conduct a questionnaire survey among 10 experts from the Department of Nephrology of Beijing Tsinghua Changgung Hospital, School of Clinical Medicine of Tsinghua University, to screen and revise the core indicators of EPAs for nephrology specialists. The Likert 5-point scale was used to evaluate EPAs indicators and determine the confidence level of nephrology specialists from the first to the fifth year. Results Two rounds of expert consultation each retrieved 10 valid questionnaires. The expert authority coefficients of the two rounds of consultation were 0.82 and 0.87 respectively, and the Kendall's coefficient of concordance was 0.545 and 0.917 respectively (all P<0.001). The average mean value of the importance for each of the selected EPAs indicators was greater than 3.5 points, and the coefficient of variation was less than 0.25. Eventually, 10 core indicators of EPAs for nephrology specialists were formed. Conclusions The core indicators of EPAs for nephrology specialists are scientific and reliable, and can reflect the clinical levels of nephrology specialists with different years of experience.

Key words: Teaching, Entrustable professional activities, Nephrology, Specialist, Core indicator

CLC Number:

Xu Huiying, Li Yuehong. Establishment of core indicators of entrustable professional activities for specialists in nephrology[J]. Chinese Journal of Medical Education, 2025, 45(9): 677-680.

References

[1] Caverzagie KJ, lobst WF, Aagaard EM, et al. The internal medicine reporting milestones and the next accreditation system[J]. Ann Intern Med,2013,158(7):557-559.DOI: 10.7326/0003-4819-158-7-201304020-00593.
[2] Malone K, Supri S. A critical time for medical education: the perils of competence-based reform of the curriculum[J]. Adv Health Sci Educ Theory Pract, 2012,17(2):241-246. DOI: 10.1007/s10459-010-9247-2.
[3] Ten Cate O. Entrustability of professional activities and competency-based training[J].Med Educ,2005,39(12):1176-1177.DOI: 10.1111/j.1365-2929.2002.02341.x.
[4] 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.
[5] Caverzagie KJ, Cooney TG, Hemmer PA, et al. The development of entrustable professional activities for internal medicine residency training: a report from the Education Redesign Committee of the Alliance for Academic Internal Medicine[J]. Acad Med, 2015,90(4):479-484. DOI: 10.1097/ACM.0000000000000564.
[6] Englander R, Flynn T, Call S, et al. Toward defining the foundation of the MD degree: core entrustable professional activities for entering residency[J]. Acad Med, 2016,91(10):1352-1358. DOI: 10.1097/ACM.0000000000001204.
[7] 中国住院医师培训精英教学医院联盟. 中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识[J].协和医学杂志,2022,13(1):17-23.
[8] 安方, 窦莎, 祝洪澜, 等. 妇产科专科医师置信职业行为核心指标的构建研究[J].中华医学教育探索杂志,2023,22(10):1441-1445. DOI: 10.3760/cma.j.cn116021-20230311-01437.
[9] 白琼,韩江莉,张祺,等.美国肾脏内科专科医师培训评估工具及分析[J].中华医学教育探索杂志,2021,20(8):874-877.DOI: 10.3760/cma.j.cn116021-20200426-00568.
[10] Yuan CM, Nee R, Abbott KC, et al. Milestones for nephrology training programs: a modest proposal[J]. Am J Kidney Dis, 2013,62(6):1034-1038. DOI: 10.1053/j.ajkd.2013.06.022.
[11] 曾照云, 程安广. 德尔菲法在应用过程中的严谨评估-基于信息管理视角[J].情报理论与实践,2016(2):64-68.
[12] 齐心,金哲, 韩晓宁, 等.住院医师置信职业行为指标的构建研究[J].中华医学教育杂志,2021,41(2):104-108.DOI:10.3760/cma.j.cn115259-20201117-01599.
[13] 屈京楼,朱亚鑫,曲波.德尔菲法在医学教育研究中的应用[J].中华医学教育杂志, 2019,39(3):227-230. DOI:10.3760/cma.j.issn.1673-677X.2019.03.017.
[14] 金哲,齐心,李海潮,等.置信职业行为在临床医学教育中的应用[J].中华医学教育杂志,2019,39(4):314-320. DOI: 10.3760/cma.j.issn.1673-677X.2019.04.018.
[15] Ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice?[J]. Acad Med, 2007,82(6):542-547.DOI: 10.1097/ACM.0b013e31805559c7.
[16] Ten Cate O. Nuts and bolts of entrustable professional activities[J]. J Grad Med Educ, 2013,5(1):157-158.DOI: 10.4300/JGME-D-12-00380.1.