TY - JOUR
T1 - Entrustable Professional Activity-Based Assessments in Undergraduate Medical Education
T2 - A Survey of Pediatric Educators
AU - Butani, Lavjay
AU - Plant, Jennifer
AU - Barone, Michael A.
AU - Dallaghan, Gary L.Beck
N1 - Funding Information:
Financial statement: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Publisher Copyright:
© 2021 Academic Pediatric Association
PY - 2021/7
Y1 - 2021/7
N2 - Objective: To explore the use of entrustable professional activities (EPAs) in undergraduate medical education (UME), characterization of EPAs by pediatric educators, and opportunities and challenges with an EPA framework. Methods: In 2020, 9 survey questions were administered to members of the Council on Medical Student Education in Pediatrics, a national pediatric UME group. Clark's Commitment and Necessary Effort model on motivation served as the theoretical framework for our study. Quantitative and qualitative data were analyzed using descriptive statistics and conventional content analysis, respectively. Results: One hundred and sixty-seven (31%) of 479 recipients, representing 75% of accredited schools responded. Eigty-three percent agreed that they understood what EPAs were, yet a minority reported using EPAs. Eighty-five percent of EPA users expressed satisfaction with EPAs in providing a shared framework and an opportunity to track student competence; dissatisfaction was expressed toward faculty resource needs. Among nonusers, barriers hindering implementation included faculty development challenges and faculty time. Qualitative analyses revealed a rich understanding of EPAs: that they offer a framework to measure learner competence by assessing performance in workplace-based tasks that can be used for entrustment decisions and for program evaluation. Conclusions: Although most pediatric UME educators report understanding EPAs (contributing to self-efficacy) and recognize their benefits (value), a minority report actually using EPAs. EPAs, while providing a valuable framework, pose challenges from contextual factors affecting personal agency, which could affect educator commitment in implementation. For more widespread adoption of the EPAs, efforts should focus on minimizing these perceived barriers.
AB - Objective: To explore the use of entrustable professional activities (EPAs) in undergraduate medical education (UME), characterization of EPAs by pediatric educators, and opportunities and challenges with an EPA framework. Methods: In 2020, 9 survey questions were administered to members of the Council on Medical Student Education in Pediatrics, a national pediatric UME group. Clark's Commitment and Necessary Effort model on motivation served as the theoretical framework for our study. Quantitative and qualitative data were analyzed using descriptive statistics and conventional content analysis, respectively. Results: One hundred and sixty-seven (31%) of 479 recipients, representing 75% of accredited schools responded. Eigty-three percent agreed that they understood what EPAs were, yet a minority reported using EPAs. Eighty-five percent of EPA users expressed satisfaction with EPAs in providing a shared framework and an opportunity to track student competence; dissatisfaction was expressed toward faculty resource needs. Among nonusers, barriers hindering implementation included faculty development challenges and faculty time. Qualitative analyses revealed a rich understanding of EPAs: that they offer a framework to measure learner competence by assessing performance in workplace-based tasks that can be used for entrustment decisions and for program evaluation. Conclusions: Although most pediatric UME educators report understanding EPAs (contributing to self-efficacy) and recognize their benefits (value), a minority report actually using EPAs. EPAs, while providing a valuable framework, pose challenges from contextual factors affecting personal agency, which could affect educator commitment in implementation. For more widespread adoption of the EPAs, efforts should focus on minimizing these perceived barriers.
KW - EPA
KW - survey
KW - undergraduate medical education
UR - http://www.scopus.com/inward/record.url?scp=85106875365&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85106875365&partnerID=8YFLogxK
U2 - 10.1016/j.acap.2021.03.020
DO - 10.1016/j.acap.2021.03.020
M3 - Article
C2 - 33838345
AN - SCOPUS:85106875365
SN - 1876-2859
VL - 21
SP - 907
EP - 911
JO - Academic pediatrics
JF - Academic pediatrics
IS - 5
ER -