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Entrustable Professional Activities: Teaching and assessing clinical competence

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Abstract

Entrustable Professional Activities are gaining acceptance as tools to demonstrate acquisition of competencies in a competency-based curriculum. The main advantage of Entrustable Professional Activities are that they are observable activities (thus assessable), are related to day-to-day functioning as a health care provider (thus relevant), and are awarded once the learner can be trusted to perform the activity effectively and safely, without supervision, and by integrating across different competency domains. In this article, we describe how Entrustable Professional Activities can serve as a useful learning and assessment tool. We have described the steps in formulation, the pitfalls to avoid, and the possible role of the Medical Council of India and the Indian Academy of Pediatrics in encouraging the use of Entrustable Professional Activities for executing competency-based modules.

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References

  1. Ten-Cate O. Entrustability of professional activities and competency-based training. Med Educ. 2005;39:1176–7.

    Article  PubMed  Google Scholar 

  2. Englander R, Carraccio C. From theory to practice: making entrustable professional activities come to life in the context of milestones. Acad Med. 2014;89:1321–3.

    Article  PubMed  Google Scholar 

  3. Ten-Cate O. Competency-based education, entrustable professional activities, and the power of language. J Grad Med Educ. 2013;5:6–7.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Ten-Cate O. Trust, competence, and the supervisor’s role in postgraduate training. BMJ. 2006;333:748–51.

    Article  PubMed  Google Scholar 

  5. Modi JN, Gupta P, Singh T. Competency-Based Medical Education. Indian Pediatr. 2015;52:413–20.

    Article  PubMed  Google Scholar 

  6. Ten-Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ. 2013;5:157–8.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Chen HC, van den Broek WES, Ten-Cate O. The case for use of entrustable professional activities in undergraduate medical education. Acad Med. 2015;90:431–6.

    Article  PubMed  Google Scholar 

  8. Martinez J, Phillips E, Harris C. Where do we go from here? Moving from systems-based practice process measures to true competency via developmental milestones. Med Educ Online. 2014;19:24441.

    Article  PubMed  Google Scholar 

  9. Wijnen-Meijer M, van der Schaaf M, Nillesen K, Harendza S, Ten-Cate O. Essential facets of competence that enable trust in medical graduates: a ranking study among physician educators in two countries. Perspect Med Educ. 2013;2:290–7.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Hauer KE, Ten-Cate O, Boscardin C, Irby DM, Iobst W, O’Sullivan PS. Understanding trust as an essential element of trainee supervision and learning in the workplace. Adv Health Sci Educ Theory Pract. 2014;19:435–56.

    PubMed  Google Scholar 

  11. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65(l):63–7.

    Article  Google Scholar 

  12. Green ML, Aagaard EM, Caverzagie KJ, Chick DA, Holmboe E, Kane G, et al. Charting the road to competence: developmental milestones for internal medicine residency training. J Grad Med Educ. 2009;1:5–20.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Carraccio C, Benson B, Burke A, Englander R, Guralnick S, Hicks P, et al. Pediatrics milestones. J Grad Med Educ. 2013;5:59–73.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Hicks PJ, Englander R, Schumacher DJ, Burke A, Benson BJ, Guralnick S, et al. Pediatrics milestone project: next steps toward meaningful outcomes assessment. J Grad Med Educ. 2010;2:577–84.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Hauer KE, Kohlwes J, Cornett P, Hollander H, Cate-O ten, Ranji SR, et al. Identifying Entrustable Professional Activities in Internal Medicine Training. The Accreditation Council for Graduate Medical Education Suite 2000, 515 North State Street, Chicago, IL 60654; 2013 Mar 28. Available from: http://www.jgme.org/doi/full/10.4300/JGME-D-12-00060.1. Accessed March 29, 2015.

  16. Sklar DP. Competencies, milestones, and entrustable professional activities: what they are, what they could be. Acad Med. 2015;90:395–7.

    Article  PubMed  Google Scholar 

  17. Ten-Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Acad Med. 2007;82:542–7.

    Article  PubMed  Google Scholar 

  18. Vision 2015. Medical Council of India. Available from: http://www.mciindia.org/tools/announcement/MCI_booklet.pdf. Accessed March 29, 2015.

  19. Swing SR, Beeson MS, Carraccio C, Coburn M, Iobst W, Selden NR, et al. Educational milestone development in the first 7 specialties to enter the next accreditation system. J Grad Med Educ. 2013;5:98–106.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Te**der Singh.

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Dhaliwal, U., Gupta, P. & Singh, T. Entrustable Professional Activities: Teaching and assessing clinical competence. Indian Pediatr 52, 591–597 (2015). https://doi.org/10.1007/s13312-015-0681-3

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  • DOI: https://doi.org/10.1007/s13312-015-0681-3

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