TY - JOUR
T1 - Entrustable professional activities (EPAs) in surgical pathology
T2 - implementation experience and longitudinal observations of resident development
AU - Gama, Alcino
AU - Felicelli, Christopher
AU - Agarwal, Indu
AU - Bronson, Taylor
AU - Choy, Bonnie
AU - Escobar, David J.
AU - Ju, Jennifer Y.
AU - LaBoy, Carissa
AU - Nayar, Ritu
AU - Nezami, Behtash G.
AU - Nguyen, Jessica
AU - Obeidin, Farres
AU - Purdy, Jenna
AU - Shanes, Elisheva
AU - Strickland, Amanda L.
AU - Blanco, Luis Z.
AU - Novo, Jorge E.
N1 - Publisher Copyright:
© 2024 The Author(s)
PY - 2024/10/1
Y1 - 2024/10/1
N2 - Entrustable professional activities (EPAs) have been implemented in various medical specialties, and the Pathology National EPA Working Group has piloted the implementation of four pathology EPAs. We recently published the development of EPAs within our surgical pathology rotation. Following a six-month pilot, a survey demonstrated that faculty and residents found the forms helpful and easy to use and easy to understand, and EPAs have been fully incorporated into our surgical pathology rotation. Here, we discuss our experience, challenges, and results of resident EPA performance for intraoperative consultations (IOC) and sign-out (SO) after 21 months of implementation. Between June 2022 and March 2024, 24 residents were evaluated by 13 faculty members, resulting in 136 IOC and 298 SO EPA forms. Paper forms were predominantly used, with only five electronic forms submitted. EPA performance scores for SO increased from 2.4 ± 0.8 in Block 1 to 4.6 ± 0.2 in Block 14 (p < 0.0001), whereas performance scores for IOC increased from 2.7 ± 1.0 in Block 1 to 4.8 ± 0.2 in Block 14 (p < 0.0001). The progressive decrease in the standard deviation throughout residency denotes higher competence homogeneity as residency graduation approaches. Overall, our EPA evaluation method showed ease of use, provided valuable tracking tools, and long-term feasibility. EPAs are robust tools for tracking resident progression toward independent practice in surgical pathology, offering valuable insights for program and rotation directors to assess and track individual EPA skills, identify intervention points, and provide an opportunity for immediate, actionable feedback based on current performance.
AB - Entrustable professional activities (EPAs) have been implemented in various medical specialties, and the Pathology National EPA Working Group has piloted the implementation of four pathology EPAs. We recently published the development of EPAs within our surgical pathology rotation. Following a six-month pilot, a survey demonstrated that faculty and residents found the forms helpful and easy to use and easy to understand, and EPAs have been fully incorporated into our surgical pathology rotation. Here, we discuss our experience, challenges, and results of resident EPA performance for intraoperative consultations (IOC) and sign-out (SO) after 21 months of implementation. Between June 2022 and March 2024, 24 residents were evaluated by 13 faculty members, resulting in 136 IOC and 298 SO EPA forms. Paper forms were predominantly used, with only five electronic forms submitted. EPA performance scores for SO increased from 2.4 ± 0.8 in Block 1 to 4.6 ± 0.2 in Block 14 (p < 0.0001), whereas performance scores for IOC increased from 2.7 ± 1.0 in Block 1 to 4.8 ± 0.2 in Block 14 (p < 0.0001). The progressive decrease in the standard deviation throughout residency denotes higher competence homogeneity as residency graduation approaches. Overall, our EPA evaluation method showed ease of use, provided valuable tracking tools, and long-term feasibility. EPAs are robust tools for tracking resident progression toward independent practice in surgical pathology, offering valuable insights for program and rotation directors to assess and track individual EPA skills, identify intervention points, and provide an opportunity for immediate, actionable feedback based on current performance.
KW - Competency-based medical education
KW - Entrustable professional activities
KW - Graduated responsibility
KW - Medical education
KW - Surgical pathology
UR - http://www.scopus.com/inward/record.url?scp=85207038894&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85207038894&partnerID=8YFLogxK
U2 - 10.1016/j.acpath.2024.100150
DO - 10.1016/j.acpath.2024.100150
M3 - Article
C2 - 39512707
AN - SCOPUS:85207038894
SN - 2374-2895
VL - 11
JO - Academic Pathology
JF - Academic Pathology
IS - 4
M1 - 100150
ER -