Paisant Anita, Skehan Stephen, Colombié Mathilde, David Arthur, Aubé Christophe
Department of Radiology, Abdominal Unit Radiologie A, Angers University Hospital, 4 Rue Larrey, 49933, Angers, France.
Laboratoire HIFIH, EA 3859, Université d'Angers, 4 Rue Larrey, 49045, Angers, France.
Insights Imaging. 2023 Aug 29;14(1):142. doi: 10.1186/s13244-023-01482-x.
To develop and validate European entrustable professional activities (EPAs) for sub-specialised hepatobiliary and gastrointestinal (HB/GI) diagnostic imaging.
Both European Society of Radiology and national curricula in HB/GI diagnostic radiology were thoroughly reviewed, resulting in preliminary EPAs drafted by a pilot group of expert radiologists in 2 different countries. Each EPA was fully described with 7 components (Specification/limitations; Potential risks of failing; Relevant domains of competence; Required experience, knowledge, skills, attitude and behaviour; Assessment information sources to assess progress and ground a summative entrustment decision; Entrustment for which level of supervision is to be reached; and Expiration date). The modified Delphi method with 3 Delphi rounds was chosen for validation. Content validity index (CVI) and median values were used for validation.
There were 15 preliminary EPAs, some of them divided according to 2 levels: resident and fellow level. The 37 members of the Delphi group were based in 2 different European countries with a background experience of 10 represented countries. Subsequent to the first Delphi round, 6 EPAs were accepted (CVI ≥ 0.8, median ≥ 4), 6 needed major revisions (CVI 0.7-0.79, median ≥ 4), 3 were rejected (CVI < 0.7) and 1 was added. After the second Delphi round, both the 6 revised EPAs and the additional one met the validation criteria (CVI ≥ 0.8, median ≥ 4). Finally, 13 EPAs were validated during the 3 Delphi round with an agreement percentage of 95-100%.
This study creates and validates EPAs for sub-specialised HB/GI diagnostic imaging.
Thirteen EPAs for sub-specialised hepatobiliary and gastrointestinal diagnostic imaging were created with a strong methodology, and as a first example set in sub-specialised diagnostic imaging, they provide a template for others to be created.
• The competence-based teaching in medical studies has recently been reintroduced through EPAs. • Thirteen EPAs have been developed for hepatobiliary and gastrointestinal sub-specialised diagnostic imaging. • These EPAs were validated using a Delphi modified method and provide a template for other to be created.
制定并验证欧洲肝胆胰和胃肠道（HB/GI）亚专业诊断成像的可托付专业活动（EPA）。
全面回顾了欧洲放射学会和HB/GI诊断放射学的国家课程，由来自2个不同国家的放射科专家试点小组起草了初步的EPA。每个EPA都用7个组成部分进行了全面描述（规范/限制；失败的潜在风险；相关能力领域；所需经验、知识、技能、态度和行为；评估进展情况并做出总结性托付决定的评估信息来源；达到何种监督水平时进行托付；以及截止日期）。选择采用三轮德尔菲法进行验证。使用内容效度指数（CVI）和中位数进行验证。
有15个初步的EPA，其中一些根据住院医师和专科培训医师水平分为两个级别。德尔菲小组的37名成员来自2个不同的欧洲国家，代表了10个国家的背景经验。在第一轮德尔菲法之后，6个EPA被接受（CVI≥0.8，中位数≥4），6个需要重大修订（CVI 0.7 - 0.79，中位数≥4），3个被拒绝（CVI＜0.7），并新增了1个。在第二轮德尔菲法之后，6个修订后的EPA和新增的1个都符合验证标准（CVI≥0.8，中位数≥4）。最后，在三轮德尔菲法中验证了13个EPA，一致率为95% - 100%。
本研究创建并验证了HB/GI亚专业诊断成像的EPA。
采用强有力的方法创建了13个肝胆胰和胃肠道亚专业诊断成像的EPA，作为亚专业诊断成像领域的首个范例，它们为创建其他EPA提供了模板。
• 医学研究中基于能力的教学最近通过EPA重新引入。• 已为肝胆胰和胃肠道亚专业诊断成像制定了13个EPA。• 这些EPA使用改良的德尔菲法进行了验证，并为创建其他EPA提供了模板。
