Baker Tim, Beks Hannah, Schreve Franco, Lawson Mary, Versace Vincent L
Centre for Rural Emergency Medicine School of Medicine, Deakin University Warrnambool Victoria Australia.
Deakin Rural Health School of Medicine, Deakin University Warrnambool Victoria Australia.
AEM Educ Train. 2025 Apr 9;9(2):e70035. doi: 10.1002/aet2.70035. eCollection 2025 Apr.
The objective was to scope the literature and describe the extent and type of evidence about entrustable professional activities (EPAs) in postgraduate emergency medicine (EM) education.
Joanna Briggs Institute's methodology was used to find and extract relevant data from documents found in Ovid MEDLINE, EMBASE, and CINAHL, supplemented by a gray literature search using Google Advanced for EPA frameworks. Eligible documents discussed EPAs for doctors in structured EM training programs. Data extracted included research methods, research approach, participants, scope, EPA element addressed, and dominant logic used by EPA creators.
Data were extracted from 58 documents. Thirty-four of the documents (58.6%) were peer-reviewed journal articles, 18 (31.1%) were conference abstracts, and six (10.4%) were curriculum documents from EM organizations. Thirty documents were from Canada (51.7%). Twenty-five documents (43.1%) took an explorative approach. Twenty-one documents (36.2%) were translational in approach. Thirteen EPA frameworks, containing a total of 158 EPAs, were found.
EM is an expanding area of EPA development, but frameworks remain highly variable and unstandardized. Most studies are explorative or translational, leaving gaps in experimental research to justify EPA adoption and observational research to assess real-world outcomes.
旨在梳理文献，描述有关研究生急诊医学（EM）教育中可托付专业活动（EPA）的证据范围及类型。
采用乔安娜·布里格斯研究所的方法，从Ovid MEDLINE、EMBASE和CINAHL数据库中检索并提取相关文献数据，并通过使用谷歌高级搜索EPA框架进行灰色文献检索作为补充。符合条件的文献讨论了结构化EM培训项目中医生的EPA。提取的数据包括研究方法、研究途径、参与者、范围、涉及的EPA要素以及EPA创建者所使用的主导逻辑。
从58篇文献中提取了数据。其中34篇文献（58.6%）为同行评审期刊文章，18篇（31.1%）为会议摘要，6篇（10.4%）为EM组织的课程文件。30篇文献来自加拿大（51.7%）。25篇文献（43.1%）采用探索性方法。21篇文献（36.2%）采用转化性方法。共发现13个EPA框架，包含158项EPA。
EM是EPA发展的一个不断扩大的领域，但框架仍高度可变且未标准化。大多数研究是探索性或转化性的，在实验研究以证明采用EPA的合理性以及观察性研究以评估实际效果方面存在差距。
