Department of Radiology, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 450 Lakeville Road, Lake Success, NY 11042; NYU Langone Health, Department of Radiology, 660 First Avenue, 3rd Floor, New York, New York 11016.
Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Winconsin.
Acad Radiol. 2019 May;26(5):591-596. doi: 10.1016/j.acra.2018.10.023.
To develop subspecialty-specific entrustable professional activities for breast imaging radiology (EPA-BRs) through the use of a double consensus-driven, validity-enhancing methodology that may be relevant to other subspecialties in radiology and medicine in general.
A six-step methodology was used to develop EPA-BRs via a double Delphi process followed by educational theorist's refinement. Two groups of experts completed each Delphi process: the core group of breast imaging educators and an expert panel of national experts in breast imaging standards and appropriateness.
Five EPA-BRs were developed, with eight nested EPA-BRs, one of which is elective. This comprehensive list of EPA-BRs covers the role of a breast imaging radiologist in the care of a patient from detection of breast cancer to post-treatment follow-up.
A combined modified and classic double Delphi approach can be utilized by other graduate medical education (GME) specialties and subspecialties as a method by which GME education can be transformed into a clinical framework that more closely bridges individual competencies and real-world clinical practice.
通过使用双重共识驱动、增强有效性的方法，为乳腺影像学（EPA-BRs）制定专业特定的可委托职业活动，该方法可能与放射科和一般医学的其他专业相关。
采用六步方法，通过双重 Delphi 流程和教育理论家的细化，制定 EPA-BRs。两组专家完成了每个 Delphi 流程：乳腺影像学教育者核心组和乳腺影像学标准和适宜性的全国专家小组。
制定了 5 项 EPA-BRs，其中包含 8 项嵌套的 EPA-BRs，其中一项为选修。这一全面的 EPA-BRs 清单涵盖了乳腺成像放射科医生在从乳腺癌检测到治疗后随访的患者护理中的作用。
一种改良的经典双重 Delphi 方法可被其他研究生医学教育（GME）专业和亚专业采用，作为将 GME 教育转变为更紧密地将个人能力与现实临床实践联系起来的临床框架的方法。
