Hirvonen Jussi, Marjasuo Suvi, Huhtaniska Sanna, Tiihonen Mervi, Holstila Milja
Department of Radiology, University of Turku and Turku University Hospital, Turku, Finland.
Department of Radiology, Tampere University, Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland.
Insights Imaging. 2025 Jun 5;16(1):118. doi: 10.1186/s13244-025-01992-w.
This study assessed the practical implementation, experiences, and attitudes toward entrustable professional activities (EPAs) in radiology training across Finland.
A nationwide, anonymous online survey targeted radiology residents, recently graduated specialists (within 3 years), and instructor specialists. Distributed to all Finnish hospitals involved in radiology training, the survey evaluated EPA completion rates, perceived value, and future development needs. Responses were analyzed to identify trends and differences across groups.
Of 150 respondents (42% residents, 43% instructors, and 14% recent graduates), 65% were from university hospitals. Among residents and recent graduates, 37% had completed EPA assessments, with 87% valuing the feedback received and 73% finding EPAs effective for competency assessment. Overall, 64% considered EPAs well-suited to radiology. Residents showed higher completion rates (43%) than recent graduates (19%), with fourth- and fifth-year residents more engaged (69% vs. 15%). Instructors, while supportive (67% viewed EPAs as meaningful), emphasized a need for more training (54% vs. 49% of residents).
Most Finnish radiology respondents considered EPAs well-suited for training. Residents and recent graduates who completed EPAs greatly valued the feedback and found them effective for assessing competencies, with residents participating more actively than recent graduates. Instructors' desire for better guidance suggests a priority for enhanced support and education. These findings endorse EPA integration and inform refinements in national and European radiology curricula.
Finnish radiologists and residents strongly support EPAs in radiology training, valuing their feedback and competency assessment, though instructors seek enhanced guidance.
Finnish radiology residents and specialists reported positive experiences and strong support for entrustable professional activity (EPAs). Finland's mandatory, nationally coordinated EPA framework contrasts with subspecialty-focused models elsewhere. Instructors seek more EPA training, signaling a need for enhanced education to sustain their engagement as adoption grows.
本研究评估了芬兰放射学培训中可托付专业活动（EPA）的实际实施情况、经验及态度。
一项全国性的匿名在线调查针对放射科住院医师、近期毕业的专科医生（3年内）以及指导专科医生。该调查分发至芬兰所有参与放射学培训的医院，评估了EPA完成率、感知价值及未来发展需求。对回复进行分析以确定不同群体间的趋势和差异。
在150名受访者中（42%为住院医师，43%为指导教师，14%为近期毕业生），65%来自大学医院。在住院医师和近期毕业生中，37%完成了EPA评估，87%重视所收到的反馈，73%认为EPA对能力评估有效。总体而言，64%认为EPA非常适合放射学。住院医师的完成率（43%）高于近期毕业生（19%），四年级和五年级住院医师参与度更高（69%对15%）。指导教师虽然表示支持（67%认为EPA有意义），但强调需要更多培训（54%，而住院医师为49%）。
大多数芬兰放射学受访者认为EPA非常适合培训。完成EPA的住院医师和近期毕业生非常重视反馈，并认为它们对评估能力有效，住院医师比近期毕业生参与度更高。指导教师对更好指导的需求表明加强支持和教育的优先性。这些发现支持了EPA的整合，并为国家和欧洲放射学课程的完善提供了参考。
芬兰放射科医生和住院医师强烈支持放射学培训中的EPA，重视其反馈和能力评估，尽管指导教师寻求更多指导。
芬兰放射科住院医师和专科医生报告了积极的经验，并对可托付专业活动（EPA）给予了大力支持。芬兰强制性的、全国协调的EPA框架与其他地方以亚专业为重点的模式形成对比。指导教师寻求更多的EPA培训，这表明随着采用率的提高，需要加强教育以维持他们的参与度。
