School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
J Med Radiat Sci. 2023 Sep;70(3):229-238. doi: 10.1002/jmrs.676. Epub 2023 Apr 8.
Linking individual competencies to entrustable professional tasks provides a holistic view of Sonography graduate work readiness. The Australian Sonographers Accreditation Registry (ASAR) publishes a set of entrustable professional activities (EPAs) as part of its Standards for Accreditation of Sonography Courses. EPAs are distinct ultrasound examinations grouped within six critical practice units. This study reports on industry perspectives of current EPAs and their classification for graduates completing general sonography courses in Australia. The article also examines the value of EPAs and links their function to the assessment of graduate competency.
An online survey tool elicited stakeholder feedback on graduate EPAs across six critical practice units and the potential for including a new Paediatric unit. From an original sample size of 655, 309 responded to questions about general sonography courses.
A majority (55.3%) recommended no changes to the existing EPA list, and 44.7% recommended amending the list. From respondents that recommended changes (138/309), all current EPAs received >80% agreement to be retained; in addition, nine new examinations received >70% agreement for inclusion at the graduate level. Whilst 42.7% (132/309) supported the current ASAR model requiring competency in five out of six critical practice units, 45.6% (141/309) recommended increasing it to all six. There was limited support, 11.7% (36/309), to reduce this number. Responding to the potential to add a new Paediatric specific critical practice unit, 61.8% (181/293) recommended its inclusion.
The findings demonstrate that the current list of EPAs aligns with industry expectations. In contrast, there are divergent views on the modelling and grouping of critical practice units. The article's critical analysis of the results and implications provides stakeholders with a practical approach to clinical teaching and EPA assessment, and helps to inform any review of accreditation standards.
将个人能力与可委托的专业任务联系起来,可以全面了解超声医学毕业生的工作准备情况。澳大利亚超声医师认证注册处(ASAR)发布了一系列可委托的专业活动(EPAs),作为其超声课程认证标准的一部分。EPAs 是在六个关键实践单元内分组的不同超声检查。本研究报告了行业对当前 EPA 的看法及其对澳大利亚普通超声课程毕业生的分类。本文还探讨了 EPA 的价值,并将其功能与毕业生能力评估联系起来。
在线调查工具征集了利益相关者对六个关键实践单元和包括新儿科单元在内的毕业生 EPA 的反馈。在最初的 655 个样本中,有 309 人回答了关于普通超声课程的问题。
大多数人(55.3%)建议不改变现有的 EPA 清单,44.7%的人建议修改清单。在建议更改的受访者(138/309 人)中,所有当前的 EPA 都获得了>80%的保留同意;此外,还有 9 项新的检查获得了>70%的同意,可在研究生阶段纳入。虽然 42.7%(132/309)支持 ASAR 目前要求在六个关键实践单元中达到五个单元的能力,但 45.6%(141/309)建议将其提高到所有六个单元。只有 11.7%(36/309)的人支持减少这个数字。在回应增加新的儿科特定关键实践单元的可能性时,61.8%(181/293)建议将其纳入。
研究结果表明,目前的 EPA 清单符合行业预期。相比之下,对关键实践单元的建模和分组存在不同意见。本文对结果的批判性分析及其影响为利益相关者提供了一种实用的临床教学和 EPA 评估方法,并有助于为任何认证标准的审查提供信息。