Moeller Jeremy J, Warren Jamie B, Crowe Ruth M, Wagner Dianne P, Cutrer William B, Hyderi Abbas A, Lupi Carla S, Obeso Vivian T, Yingling Sandra, Andriole Dorothy A, Brown David R
Yale School of Medicine, New Haven, CT USA.
Oregon Health & Science University School of Medicine, Portland, OR USA.
Med Sci Educ. 2020 Jan 28;30(1):395-401. doi: 10.1007/s40670-020-00918-z. eCollection 2020 Mar.
One of the main goals of the CoreEPA pilot has been to determine the feasibility of developing a process to make summative entrustment decisions regarding entrustable professional activities (EPAs). Five years into the pilot, we report results of a research study we conducted to explore approaches to the entrustment process undertaken by our ten participating schools. We sought to identify the choices that participating schools made regarding the entrustment process and why these decisions were made. We are sharing these results, highlighting ongoing challenges that were identified with the intent of helping other medical schools that are moving toward EPA-based assessment. We conducted semi-structured interviews with representatives of all 10 medical schools in the CoreEPA pilot to understand their choices in designing the entrustment process. Additional information was obtained through follow-up communication to ensure completeness and accuracy of the findings. Several common themes are described. Our results indicate that, while approaches to the entrustment process vary considerably, all schools demonstrated consistent adherence to the guiding principles of the pilot. Several common barriers to the entrustment process emerged, and there was a consensus that more experience is needed with the process before consequential entrustment decisions can be made. The CoreEPA pilot schools continue to address challenges identified in implementing entrustment processes and making entrustment decisions for our students graduating in the Class of 2020.
核心可托付专业活动评估试点项目（CoreEPA）的主要目标之一，是确定开发一种流程的可行性，以便就可托付专业活动（EPA）做出总结性托付决策。在该试点项目开展五年之际，我们报告一项研究的结果，该研究旨在探索我们十所参与院校所采用的托付流程方法。我们试图确定参与院校在托付流程方面做出的选择以及做出这些决策的原因。我们正在分享这些结果，强调已发现的持续挑战，目的是帮助其他正朝着基于EPA的评估迈进的医学院校。我们对CoreEPA试点项目中所有10所医学院校的代表进行了半结构化访谈，以了解他们在设计托付流程时的选择。通过后续沟通获取了更多信息，以确保研究结果的完整性和准确性。文中描述了几个共同主题。我们的结果表明，虽然托付流程的方法差异很大，但所有院校都始终如一地遵循了试点项目的指导原则。托付流程出现了几个常见障碍，并且大家一致认为，在做出重要的托付决策之前，需要对该流程有更多经验。CoreEPA试点院校继续应对在为2020届毕业学生实施托付流程和做出托付决策方面所发现的挑战。
