Department of Nutrition and Dietetics, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, Australia.
School of Nursing and Midwifery, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, Australia.
Med Educ. 2021 Sep;55(9):1011-1032. doi: 10.1111/medu.14539. Epub 2021 May 6.
Entrustable professional activities (EPAs) are a recent enhancement to competency-based health professional education that describe the observable work done by a competent health professional. Through defining education outcomes in a work-based context, EPAs offer potential to identify skill gaps in individual or student cohorts and focus improvements. Entrustable professional activities have been pioneered and gained rapid acceptance in postgraduate medical education; however, less is known about their application and use in undergraduate or entry-level health professional education. The Joanna Briggs Institute scoping review methodology was used to explore how and in what context EPAs are being used in entry-level health professional education. Databases searched include CINAHL, EMBASE, MEDLINE, Web of Science and PsycINFO. A total of 748 abstracts were returned after duplicates removed, and 127 full-text articles were screened with 30 included for data extraction. Publications in this area have recently accelerated with disciplines of professions of medicine, pharmacy, dietetics and physician assistants reporting on EPA development, implementation and evaluation. EPA use has been reported in the United States, Canada, Europe Australia and Central America. Major motivation reported for EPA use is to improve patient safety by aligning performance and expectations and to improve student assessment. Several studies report on the use of EPAs to evaluate different curriculum models or identify curriculum gaps representing potential application in education research.
可委托的专业活动(EPAs)是基于能力的卫生专业人员教育的最新进展,它描述了合格的卫生专业人员所完成的可观察到的工作。通过在基于工作的背景下定义教育成果,EPAs 有可能确定个人或学生群体的技能差距,并集中进行改进。可委托的专业活动已在研究生医学教育中得到先驱和迅速接受;然而,在本科或入门级卫生专业教育中,它们的应用和使用情况了解较少。乔安娜·布里格斯研究所的范围审查方法用于探索 EPAs 如何以及在什么情况下被用于入门级卫生专业教育。搜索的数据库包括 CINAHL、EMBASE、MEDLINE、Web of Science 和 PsycINFO。在去除重复项后,共返回了 748 份摘要,对 127 篇全文文章进行了筛选,其中 30 篇被纳入数据提取。该领域的出版物最近加速增加,医学、药学、营养学和医师助理等专业学科报告了 EPA 的开发、实施和评估情况。已经在美国、加拿大、欧洲、澳大利亚和中美洲报告了 EPA 的使用情况。报告的 EPA 使用的主要动机是通过使绩效和期望保持一致来提高患者安全性,并改善学生评估。有几项研究报告了使用 EPAs 来评估不同的课程模式或识别课程差距,这代表了在教育研究中的潜在应用。