A knowledge, attitude and practice survey on the entrustable professional activities of general practitioner residents by clinical teachers in the context of medical-educational collaboration_Chinese Journal of Evidence-Based Medicine

Authors：

WEI Xing ¹ , WANG Hongjian ² ,  WANG Xingyue ^3,4 , BAO Ji ³ , CHEN Shuling ⁵

1. Molecular and Translational Medicine Laboratory, West China Institutes for Women and Children’s Health, West China Second University Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China School of Public Health, Sichuan University/West China Fourth Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. Department of Post Graduate Students, West China School of Medicine, Sichuan University/West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
4. Public Health Comprehensive Clinical Center of Sichuan Province (Under Construction), Chengdu 610000, P. R. China;
5. Chinese Medical Doctor Association, Beijing 10071, P. R. China;

Corresponding?author：

WANG Xingyue, Email: wangxingyue@wchscu.cn

Keywords：

General practitioner resident; Professional master's degree student; Clinical preceptor; Mentor; Entrustable professional activities (EPAs); Teaching evaluation

DOI：

10.7507/1672-2531.202303205

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective This study aimed to explore the characteristics and deficiencies of the current standardized training evaluation system for general practitioners (including professional master’s degrees), analyze the awareness and attitudes of teaching physicians toward entrustable professional activities (EPAs), and to explore feasible solutions for establishing an EPAs evaluation and assessment system for general practitioners in training. Methods This study used a questionnaire survey to investigate 158 clinical teaching professionals, analyzed the current status of the standardized training evaluation system for general practitioners, and explored the level of understanding and opinions of teaching physicians on EPAs. Results Currently, there were many assessments for trained general practitioner residents, but there were problems with excessive formalization, single assessment methods, and a focus on written assessments. The recognition rate of EPAs among preceptors before training was only 15.9%, which increased to 71.51% after training. The EPA system could improve understanding and facilitate rapid implementation in the short term (P<0.001). While recognizing the concept of EPAs, preceptors also suggested simplifying the EPA system. Conclusion To address the shortcomings of the current standardized training evaluation system for general practitioners, targeted work should be carried out to design EPAs for professional confidence behaviors. A concise and practical EPAs evaluation system should be established for general practitioners. In addition, teaching staff should be trained and educated on EPAs to improve their teaching competence and ensure the output of general medical education.

Citation： WEI Xing, WANG Hongjian, WANG Xingyue, BAO Ji, CHEN Shuling. A knowledge, attitude and practice survey on the entrustable professional activities of general practitioner residents by clinical teachers in the context of medical-educational collaboration. Chinese Journal of Evidence-Based Medicine, 2023, 23(10): 1212-1217. doi: 10.7507/1672-2531.202303205 Copy

1.	Guerrero APS, Beresin EV, Balon R, et al. The competency movement in psychiatric education. Acad Psychiatry, 2017, 41(3): 312-314.
2.	齊心. 置信職業行為與住院醫師勝任力關系探討. 中華醫學教育雜志, 2020, 40(4): 306-310.
3.	ten Cate O. Entrustability of professional activities and competency-based training. Med Educ, 2005, 39(12): 1176-1177.
4.	Moore J, Hawkins-Walsh E. Evaluating nurse practitioner student competencies: application of entrustable professional activities. J Nurs Educ, 2020, 59(12): 714-720.
5.	李麗麗, 謝娜, 鄧建中. 可信賴式專業活動在神經內科住院醫師規范化培訓的應用. 中國現代醫生, 2021, 59(21): 158-161.
6.	Shaughnessy AF, Sparks J, Cohen-Osher M, et al. Entrustable professional activities in family medicine. J Grad Med Educ, 2013, 5(1): 112-118.
7.	Schultz K, Griffiths J, Lacasse M. The application of entrustable professional activities to inform competency decisions in a family medicine residency program. Acad Med, 2015, 90(7): 888-897.
8.	Ingham G, Plastow K, Kippen R, et al. A 'call for help' list for Australian general practice registrars. Aust J Gen Pract, 2020, 49(5): 280-287.
9.	杜妍蓉, 陳彥樺, 王培成, 等. 置信職業行為在全科醫學領域的應用現狀與展望. 中國全科醫學, 2022, 25(19): 2307-2314.
10.	路孝琴, 杜娟, 武艷, 等. 構建我國長期可持續發展的全科醫生培養體系. 醫學教育管理, 2020, 6(3): 231-238.
11.	陳蕊, 劉碧波, 吳戈, 等. 我國全科醫學教育現狀與發展對策探索. 醫學教育研究與實踐, 2018, 26(1): 28-31, 49.
12.	Wang W. Medical education in China: progress in the past 70 years and a vision for the future. BMC Med Educ, 2021, 21(1): 453.
13.	張君君, 魏華林, 陳聲宇. 全科醫學科住院醫師規范化培訓結業考核體系的構建與實施分析. 中國畢業后醫學教育, 2022, 6(4): 298-301, 306.
14.	胡曉雷. 醫院不同職稱的護理管理人員對規范化培訓的需求調查. 中醫藥管理雜志, 2019, 27(3): 33-35.
15.	李珊, 齊建光, 齊心, 等. 基于置信職業行為的兒科住院醫師形成性評價體系的構建探索. 中國畢業后醫學教育, 2021, 5(3): 193-196, 201.
16.	鄭雪冰, 宋繼紅, 方艷, 等. 置信職業行為在醫學領域的應用基礎. 中國高等醫學教育, 2023, (3): 11-13.
17.	Giddens JF, Lauzon-Clabo L, Morton PG, et al. Re-envisioning clinical education for nurse practitioner programs: themes from a national leaders' dialogue. J Prof Nurs, 2014, 30(3): 273-278.
18.	Broussenko M, Burns S, Leung FH, et al. Can teachers distinguish competencies from entrustable professional activities? PRiMER, 2019, 3: 19.
19.	El-Haddad C, Damodaran A, McNeil HP, et al. The ABCs of entrustable professional activities: an overview of 'entrustable professional activities' in medical education. Intern Med J, 2016, 46(9): 1006-1010.
20.	Ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ, 2013, 5(1): 157-158.

1. Guerrero APS, Beresin EV, Balon R, et al. The competency movement in psychiatric education. Acad Psychiatry, 2017, 41(3): 312-314.
2. 齊心. 置信職業行為與住院醫師勝任力關系探討. 中華醫學教育雜志, 2020, 40(4): 306-310.
3. ten Cate O. Entrustability of professional activities and competency-based training. Med Educ, 2005, 39(12): 1176-1177.
4. Moore J, Hawkins-Walsh E. Evaluating nurse practitioner student competencies: application of entrustable professional activities. J Nurs Educ, 2020, 59(12): 714-720.
5. 李麗麗, 謝娜, 鄧建中. 可信賴式專業活動在神經內科住院醫師規范化培訓的應用. 中國現代醫生, 2021, 59(21): 158-161.
6. Shaughnessy AF, Sparks J, Cohen-Osher M, et al. Entrustable professional activities in family medicine. J Grad Med Educ, 2013, 5(1): 112-118.
7. Schultz K, Griffiths J, Lacasse M. The application of entrustable professional activities to inform competency decisions in a family medicine residency program. Acad Med, 2015, 90(7): 888-897.
8. Ingham G, Plastow K, Kippen R, et al. A 'call for help' list for Australian general practice registrars. Aust J Gen Pract, 2020, 49(5): 280-287.
9. 杜妍蓉, 陳彥樺, 王培成, 等. 置信職業行為在全科醫學領域的應用現狀與展望. 中國全科醫學, 2022, 25(19): 2307-2314.
10. 路孝琴, 杜娟, 武艷, 等. 構建我國長期可持續發展的全科醫生培養體系. 醫學教育管理, 2020, 6(3): 231-238.
11. 陳蕊, 劉碧波, 吳戈, 等. 我國全科醫學教育現狀與發展對策探索. 醫學教育研究與實踐, 2018, 26(1): 28-31, 49.
12. Wang W. Medical education in China: progress in the past 70 years and a vision for the future. BMC Med Educ, 2021, 21(1): 453.
13. 張君君, 魏華林, 陳聲宇. 全科醫學科住院醫師規范化培訓結業考核體系的構建與實施分析. 中國畢業后醫學教育, 2022, 6(4): 298-301, 306.
14. 胡曉雷. 醫院不同職稱的護理管理人員對規范化培訓的需求調查. 中醫藥管理雜志, 2019, 27(3): 33-35.
15. 李珊, 齊建光, 齊心, 等. 基于置信職業行為的兒科住院醫師形成性評價體系的構建探索. 中國畢業后醫學教育, 2021, 5(3): 193-196, 201.
16. 鄭雪冰, 宋繼紅, 方艷, 等. 置信職業行為在醫學領域的應用基礎. 中國高等醫學教育, 2023, (3): 11-13.
17. Giddens JF, Lauzon-Clabo L, Morton PG, et al. Re-envisioning clinical education for nurse practitioner programs: themes from a national leaders' dialogue. J Prof Nurs, 2014, 30(3): 273-278.
18. Broussenko M, Burns S, Leung FH, et al. Can teachers distinguish competencies from entrustable professional activities? PRiMER, 2019, 3: 19.
19. El-Haddad C, Damodaran A, McNeil HP, et al. The ABCs of entrustable professional activities: an overview of 'entrustable professional activities' in medical education. Intern Med J, 2016, 46(9): 1006-1010.
20. Ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ, 2013, 5(1): 157-158.

Chinese Journal of Evidence-Based Medicine

A knowledge, attitude and practice survey on the entrustable professional activities of general practitioner residents by clinical teachers in the context of medical-educational collaboration

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content