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Entrustable profess...
Entrustable professional activities (EPAs) for undergraduate medical education : development and exploration of social validity
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- Gummesson, Christina (author)
- Lund University,Lunds universitet,Malmö universitet,Odontologiska fakulteten (OD),Faculty of Medicine, Lund University, Malmö, Sweden,Malmo Univ, Sweden,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Allmänmedicin och samhällsmedicin,Human Movement: health and rehabilitation,Lund University Research Groups,Family Medicine and Community Medicine
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- Alm, Stina (author)
- Umeå University,Umeå universitet,Pediatrik,Department of Clinical Sciences, Futurum - the Academy for Health and Care, Region Jönköping County, Umeå University, Paediatrics, Umeå, Sweden,Umea Univ, Sweden
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- Cederborg, Anna, 1976 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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- Ekstedt, Mattias (author)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Mag- tarmmedicinska kliniken
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- Hellman, Jarl (author)
- Uppsala University,Uppsala universitet,Institutionen för medicinska vetenskaper,Uppsala Univ, Sweden
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- Hjelmqvist, Hans, 1958- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Anesthesiology and Intensive Care, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Orebro Univ, Sweden
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- Hultin, Magnus, 1968- (author)
- Umeå University,Umeå universitet,Anestesiologi och intensivvård,Department of Surgical and Perioperative Sciences, Anesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden,Umea Univ, Sweden
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- Jood, Katarina, 1966 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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- Leanderson, Charlotte (author)
- Karolinska Institute
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- Lindahl, Bertil, 1957- (author)
- Uppsala University,Uppsala universitet,Kardiologi,Uppsala Univ, Sweden
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- Möller, Riitta (author)
- Karolinska Institute
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- Rosengren, Björn (author)
- Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,LU profilområde: Proaktivt åldrande,Lunds universitets profilområden,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,LU Profile Area: Proactive Ageing,Lund University Profile areas,Skåne University Hospital
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- Själander, Anders (author)
- Umeå University,Umeå universitet,Avdelningen för medicin,Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden,Umea Univ, Sweden
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- Svensson, Peter J. (author)
- Lund University,Lunds universitet,Klinisk koagulationsmedicin, Malmö,Forskargrupper vid Lunds universitet,Clinical Coagulation, Malmö,Lund University Research Groups,Skåne University Hospital
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- Särnblad, Stefan, 1963- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Pediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Orebro Univ, Sweden
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- Tejera, Alexander (author)
- Lund University,Lunds universitet,Institutionen för laboratoriemedicin,Medicinska fakulteten,Department of Laboratory Medicine,Faculty of Medicine,Skåne University Hospital
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(creator_code:org_t)
- BioMed Central (BMC), 2023
- 2023
- English.
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In: BMC Medical Education. - : BioMed Central (BMC). - 1472-6920. ; 23:1
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Abstract
Subject headings
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- Background: The development of entrustable professional activities (EPAs) as a framework for work-based training and assessment in undergraduate medical education has become popular. EPAs are defined as units of a professional activity requiring adequate knowledge, skills, and attitudes, with a recognized output of professional labor, independently executable within a time frame, observable and measurable in its process and outcome, and reflecting one or more competencies. Before a new framework is implemented in a specific context, it is valuable to explore social validity, that is, the acceptability by relevant stakeholders.Aim: The aim of our work was to define Core EPAs for undergraduate medical education and further explore the social validity of the constructs.Method and material: In a nationwide collaboration, EPAs were developed using a modified Delphi procedure and validated according to EQual by a group consisting of teachers nominated from each of the seven Swedish medical schools, two student representatives, and an educational developer (n = 16). In the next step, social validity was explored in a nationwide survey. The survey introduced the suggested EPAs. For each EPA, the importance of the EPA was rated, as was the rater’s perception of the present graduates’ required level of supervision when performing the activity. Free-text comments were also included and analyzed.Results: Ten Core EPAs were defined and validated. The validation scores for EQual ranged from 4.1 to 4.9. The nationwide survey had 473 responders. All activities were rated as “important” by most responders, ranging from 54 to 96%. When asked how independent current graduates were in performing the ten activities, 6 to 35% reported “independent”. The three themes of the free text comments were: ‘relevant target areas and content’; ‘definition of the activities’; and ‘clinical practice and learning’.Conclusion: Ten Core EPAs were defined and assessed as relevant for Swedish undergraduate medical education. There was a consistent gap between the perceived importance and the certainty that the students could perform these professional activities independently at the time of graduation. These results indicate that the ten EPAs may have a role in undergraduate education by creating clarity for all stakeholders.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
- SAMHÄLLSVETENSKAP -- Utbildningsvetenskap (hsv//swe)
- SOCIAL SCIENCES -- Educational Sciences (hsv//eng)
- SAMHÄLLSVETENSKAP -- Utbildningsvetenskap -- Lärande (hsv//swe)
- SOCIAL SCIENCES -- Educational Sciences -- Learning (hsv//eng)
- SAMHÄLLSVETENSKAP -- Utbildningsvetenskap -- Pedagogik (hsv//swe)
- SOCIAL SCIENCES -- Educational Sciences -- Pedagogy (hsv//eng)
Keyword
- Entrustable professional activities
- Development
- Social validity
- Pedagogik
- Entrustable professional activities
- Development
- Social validity
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Gummesson, Chris ...
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Alm, Stina
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Cederborg, Anna, ...
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Ekstedt, Mattias
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Hellman, Jarl
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Hjelmqvist, Hans ...
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show more...
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Hultin, Magnus, ...
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Jood, Katarina, ...
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Leanderson, Char ...
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Lindahl, Bertil, ...
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Möller, Riitta
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Rosengren, Björn
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Själander, Ander ...
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Svensson, Peter ...
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Särnblad, Stefan ...
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Tejera, Alexande ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Other Medical an ...
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and Other Medical an ...
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Educational Scie ...
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Educational Scie ...
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and Learning
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Educational Scie ...
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and Pedagogy
- Articles in the publication
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BMC Medical Educ ...
- By the university
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Umeå University
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Örebro University
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Malmö University
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Uppsala University
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Linköping University
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Lund University
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University of Gothenburg
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Karolinska Institutet
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