开发、实施和评估台湾医学放射技师的可委托专业活动（EPAs）：一项全国性经验。
Development, implementation, and evaluation of entrustable professional activities (EPAs) for medical radiation technologists in Taiwan: a nationwide experience.
机构信息
Taiwan Association of Medical Radiation Technologists, Taipei, Taiwan.
Department of Medical Imaging and Radiological Sciences, I-Shou University, Kaohsiung, Taiwan.
出版信息
BMC Med Educ. 2024 Jan 29;24(1):95. doi: 10.1186/s12909-024-05088-9.
BACKGROUND
Competency-based medical education (CBME) is an outcomes-oriented approach focused on developing competencies that translate into clinical practice. Entrustable professional activities (EPAs) bridge competency assessment and clinical performance by delineating essential day-to-day activities that can be entrusted to trainees. EPAs have been widely adopted internationally, but not yet implemented for medical radiation professionals in Taiwan.
MATERIALS AND METHODS
A nationwide consensus process engaged 97 experts in radiation technology education representing diagnostic radiography, radiation therapy, and nuclear medicine. Preliminary EPAs were developed through the focus group discussion and the modified Delphi method. The validity of these EPAs was evaluated using the QUEPA and EQual tools.
RESULTS
Through iterative consensus building, six core EPAs with 18 component observable practice activities (OPAs) in total were developed, encompassing routines specific to each radiation technology specialty. QUEPA and EQual questionnaire data verified these EPAs were valid, and of high quality for clinical teaching and evaluation.
CONCLUSION
The consensus development of tailored EPAs enables rigorous competency assessment during medical radiation technology education in Taiwan. Further expansion of EPAs and training of clinical staff could potentially enhance care quality by producing competent professionals.
背景
以能力为基础的医学教育（CBME）是一种面向结果的方法，侧重于培养能够转化为临床实践的能力。可委托的专业活动（EPAs）通过划定可以委托给学员的基本日常活动，将能力评估和临床绩效联系起来。EPAs 在国际上得到了广泛的采用，但在台湾还没有为医疗放射专业人员实施。
材料和方法
一个全国性的共识过程涉及 97 名代表诊断放射学、放射治疗和核医学的放射技术教育专家。初步的 EPAs 通过焦点小组讨论和改良的 Delphi 方法制定。使用 QUEPA 和 EQual 工具评估这些 EPAs 的有效性。
结果
通过迭代共识建立，制定了六项核心 EPA，共包含 18 项可观察实践活动（OPAs），涵盖了每个放射技术专业的特定常规。QUESTA 和 EQual 问卷调查数据验证了这些 EPA 的有效性和高质量，适合临床教学和评估。
结论
在台湾的医疗放射技术教育中，通过制定定制的 EPAs 可以进行严格的能力评估。进一步扩大 EPAs 和培训临床人员有可能通过培养有能力的专业人员来提高护理质量。
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