Development of Entrustable Professional Activities for Specialist Hospice and Palliative Care Pharmacists

Lockman, Kashelle; Lowry, Maria; DiScala, Sandra; Lovell, Amanda; Uritsky, Tanya J.; Kematick, Benjamin; Schmidt, Michelle; Wetshtein, Andrea M.; Scullion, Bridget; Herndon, Christopher M.; Atayee, Rabia S.

doi:10.1016/j.jpainsymman.2022.03.004

Cited by 9 publications

(4 citation statements)

References 41 publications

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“…and seldom on allied health like pharmacy [44] or nursing [45]. This study pioneers EPA implementation as a clinical training assessment across medical radiation technology specialtiesdiagnostic radiography, radiation therapy, and nuclear medicine.…”

Section: Resultsmentioning

confidence: 99%

Development, Implementation, and Evaluation of Entrustable Professional Activities (EPAs) for Medical Radiation Technologists in Taiwan: A Nationwide Experience

Wen,

Tu,

Huang

et al. 2023

Preprint

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Background: Competency-based medical education (CBME) is an outcomes-oriented approach focused on developing competencies that translate into clinical practice. Entrustable professional activities (EPAs) bridge competency assessment and clinical performance by delineating essential day-to-day activities that can be entrusted to trainees. EPAs have been widely adopted internationally, but not yet implemented for medical radiation professionals in Taiwan. Materials and Methods: A nationwide consensus process engaged 97 experts in radiation technology education representing diagnostic radiography, radiation therapy, and nuclear medicine. Preliminary EPAs were developed through nominal group technique and modified Delphi technique. Final EPAs were established through expert consensus meetings and evaluated for quality using the QUEPA and EQual tools. Additionally, 177 clinical staff were trained on EPA-based assessment. Results: Through iterative consensus building, 6 core EPAs with 18 component observable practice activities (OPAs) were developed, encompassing routines specific to each radiation technology specialty. QUEPA and EQual questionnaire data verified the EPAs were valid, reliable, and of high quality for clinical teaching and evaluation. Self-efficacy ratings demonstrated the training significantly improved clinical teachers’ EPA knowledge and implementation abilities across specialties. Conclusion: Consensus development of tailored EPAs and associated training enables rigorous competency assessment during medical radiation technology education in Taiwan. Further EPA expansion and training of clinical staff will enhance care quality by producing competent professionals.

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Section: Resultsmentioning

confidence: 99%

Development, Implementation, and Evaluation of Entrustable Professional Activities (EPAs) for Medical Radiation Technologists in Taiwan: A Nationwide Experience

Wen,

Tu,

Huang

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Integrating EPAs into postgraduate medical radiation technology education presents difficulties. Prior studies largely focused on medicine, including general surgery [ 41 ], pediatric cardiology, dentistry [ 42 , 43 ], and seldom on allied health fields like pharmacy [ 44 ] or nursing [ 45 ]. This study pioneers EPA implementation as a clinical training assessment across medical radiation technology specialties - diagnostic radiography, radiation therapy, and nuclear medicine.…”

Section: Discussionmentioning

confidence: 99%

Development, implementation, and evaluation of entrustable professional activities (EPAs) for medical radiation technologists in Taiwan: a nationwide experience

Tu,

Huang,

Cheng

et al. 2024

BMC Med Educ

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Background Competency-based medical education (CBME) is an outcomes-oriented approach focused on developing competencies that translate into clinical practice. Entrustable professional activities (EPAs) bridge competency assessment and clinical performance by delineating essential day-to-day activities that can be entrusted to trainees. EPAs have been widely adopted internationally, but not yet implemented for medical radiation professionals in Taiwan. Materials and methods A nationwide consensus process engaged 97 experts in radiation technology education representing diagnostic radiography, radiation therapy, and nuclear medicine. Preliminary EPAs were developed through the focus group discussion and the modified Delphi method. The validity of these EPAs was evaluated using the QUEPA and EQual tools. Results Through iterative consensus building, six core EPAs with 18 component observable practice activities (OPAs) in total were developed, encompassing routines specific to each radiation technology specialty. QUEPA and EQual questionnaire data verified these EPAs were valid, and of high quality for clinical teaching and evaluation. Conclusion The consensus development of tailored EPAs enables rigorous competency assessment during medical radiation technology education in Taiwan. Further expansion of EPAs and training of clinical staff could potentially enhance care quality by producing competent professionals.

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“…EPAs have been well developed in many medical professions, such as medicine of various specialties [ 12 – 18 ], dentistry [ 19 ], nursing [ 20 ], pharmacy [ 21 , 22 ], radiology [ 23 – 25 ], physical therapy [ 26 ], and occupational therapy [ 27 , 28 ]. While EPAs tailored to occupational therapy have been established in Singapore, they primarily focus on undergraduate education during the earlier years of study, emphasizing fundamental professional activities crucial for early-stage clinical education.…”

Section: Introductionmentioning

confidence: 99%

Developing an entrustable professional activity for providing health education and consultation in occupational therapy and examining its validity

Fu,

Huang,

Yang

et al. 2024

BMC Med Educ

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Background Entrustable Professional Activities (EPA)-based assessment is easily and intuitively used in evaluating the learning outcomes of competency-based medical education (CBME). This study aimed to develop an EPA for occupational therapy focused on providing health education and consultation (TP-EPA3) and examine its validity. Methods Nineteen occupational therapists who had completed online training on the EQual rubric evaluation participated in this study. An expert committee identified six core EPAs for pediatric occupational therapy. TP-EPA3 was developed following the EPA template and refined through consensus meetings. The EQual rubric, a 14-item, five-point criterion-based anchor system, encompassing discrete units of work (DU), entrustable, essential, and important tasks of the profession (EEIT), and curricular role (CR), was used to evaluate the quality of TP-EPA3. Overall scores below 4.07, or scores for DU, EEIT, and CR domains below 4.17. 4.00, and 4.00, respectively, indicate the need for modifications. Results The TP-EPA3 demonstrated good validity, surpassing the required cut-off score with an average overall EQual score of 4.21 (SD = 0.41). Specific domain scores for DU, EEIT, and CR were 3.90 (SD = 0.69), 4.46 (SD = 0.44), and 4.42 (SD = 0.45), respectively. Subsequent revisions clarified observation contexts, enhancing specificity and focus. Further validation of the revised TP-EPA3 and a thorough examination of its reliability and validity are needed. Conclusion The successful validation of TP-EPA3 suggests its potential as a valid assessment tool in occupational therapy education, offering a structured approach for developing competency in providing health education and consultation. This process model for EPA development and validation can guide occupational therapists in creating tailored EPAs for diverse specialties and settings.

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Development of Entrustable Professional Activities for Specialist Hospice and Palliative Care Pharmacists

Cited by 9 publications

References 41 publications

Development, Implementation, and Evaluation of Entrustable Professional Activities (EPAs) for Medical Radiation Technologists in Taiwan: A Nationwide Experience

Development, Implementation, and Evaluation of Entrustable Professional Activities (EPAs) for Medical Radiation Technologists in Taiwan: A Nationwide Experience

Development, implementation, and evaluation of entrustable professional activities (EPAs) for medical radiation technologists in Taiwan: a nationwide experience

Developing an entrustable professional activity for providing health education and consultation in occupational therapy and examining its validity

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