EPAs for clinical surgical teaching  skills for undergraduate medical and dental clinical teachers

Fatima Khaleeq; Kajal Hayat; Dinesh Kumar; Shahzad Baloch; Shahrukh Irfan; Avinash Avinash

doi:10.53730/ijhs.v7nS1.14471

Authors

Fatima Khaleeq Senior Registrar Oral and maxillofacial surgery department Bahria University Dental College Karachi
Kajal Hayat
kajalhayat@yahoo.com
KMU Institute of Medical Sciences Kohat
Dinesh Kumar Resident in oral pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan
Shahzad Baloch Resident MSc Prosthodontics, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan
Shahrukh Irfan Resident MSc Prosthodontic Dentistry at Liaquat University of Medical And Health Sciences, Jamshoro, Sindh, Pakistan
Avinash Resident MSc Operative Dentistry, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan

Keywords:

entrust able professional activities, clinical teaching competency-based education, surgical skills assessment, teaching surgical skills, modified Delphi study

Abstract

Objectives: To develop desired EPAs for clinical surgical teaching skills of medical/dental teachers teaching surgery to undergraduates (knowledge, skills and attitude) through expert consensus. Methods: This study was conducted as an online and one-to-one consensus survey, It involved the experts meeting inclusion criteria serving as clinical teachers teaching surgery to undergraduates. They serve in undergraduate and postgraduate institutes across the twin cities. For this study, the modified Delphi technique was conducted in three stages. Firstly, an extensive literature search was made to identify various components to design EPAs. In the second stage, face validation was done by a small sample of clinical teachers who were teaching surgery to undergraduates. Two iterative rounds of modified Delphi formed the third stage of the study. Achieving the consensus was set as the criteria for terminating the rounds at the end of the second round. Results: After a thorough literature search, a questionnaire was made which comprised of 7 EPAs, their subsequent 57competencies, different assessment strategies along with supervision levels. It was evaluated by a group of clinical teachers who teach surgery at the postgraduate and undergraduate levels. They graded each competency on a Likert scale.

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References

Postmes L, Tammer F, Posthumus I, Wijnen-Meijer M, van der Schaaf M, Ten Cate O. EPA-based assessment: Clinical teachers’ challenges when transitioning to a prospective entrustment-supervision scale. Medical Teacher. 2021 Apr 3;43(4):404-10.

Grant AL, Mordhorst A, McDonald A, McInnis C, Abdalkhani A, Arutiunian A, Lusty A, Arora A, Thivierge-Southidara M, Best C, Walters E. Canadian Conference for the Advancement of Surgical Education (C-CASE) Virtual ConferenceIntraoperative teaching styles: preferences of surgical residentsCanadian vascular surgery education assessmentThoracic surgery crisis simulation during the COVID-19 pandemic.

van Diggele C, Lane S, Roberts C. Student Interprofessional Facilitator Training (SIFT) program: building capacity in clinical education leadership. BMC Medical Education. 2022 Sep 7;22(1):665.

Tithecott G, Massey KD, Van Deven T, Venance SL, Ross F, Jacobs L, Rosenfield J. Western University Schulich School of Medicine & Dentistry. Academic Medicine. 2020 Sep 1;95(9S):S583-7.

Berberat PO, Rotthoff T, Baerwald C, Ehrhardt M, Huenges B, Johannink J, Narciss E, Obertacke U, Peters H, Kadmon M. Entrustable Professional Activities in final year undergraduate medical training–advancement of the final year training logbook in Germany. GMS journal for medical education. 2019;36(6).

Hennus MP, Jarrett JB, Taylor DR, Ten Cate O. Twelve tips to develop entrustable professional activities. Medical Teacher. 2023 Apr 6:1-7.

Bramley AL, McKenna L. Entrustable professional activities in entry‐level health professional education: A scoping review. Medical Education. 2021 Sep;55(9):1011-32.

Posel N, Hoover ML, Bergman S, Grushka J, Rosenzveig A, Fleiszer D. Objective assessment of the entrustable professional activity handover in undergraduate and postgraduate surgical learners. Journal of Surgical Education. 2019 Sep 1;76(5):1258-66.

Marty AP, Linsenmeyer M, George B, Young JQ, Breckwoldt J, Ten Cate O. Mobile technologies to support workplace-based assessment for entrustment decisions: Guidelines for programs and educators: AMEE Guide No. 154. Medical Teacher. 2023 Mar 19:1-1.

Brauer S, Kettunen J, Levy A, Merenmies J, Kulmala P. The educational paradigm shift—a phenomenographic study of medical teachers’ experiences of practices. BMC Medical Education. 2023 Jan 14;23(1):29.

Iancu AM, Kemp MT, Alam HB. Unmuting medical students’ education: utilizing telemedicine during the COVID-19 pandemic and beyond. Journal of medical Internet research. 2020 Jul 20;22(7):e19667.

Ott MC, Pack R, Cristancho S, Chin M, Van Koughnett JA, Ott M. “The most crushing thing”: understanding resident assessment burden in a competency-based curriculum. Journal of Graduate Medical Education. 2022 Oct 1;14(5):583-92.

Hissink E, Fokkinga WA, Leunissen RR, Lia Fluit CR, Loek Nieuwenhuis AF, Creugers NH. An innovative interprofessional dental clinical learning environment using entrustable professional activities. European Journal of Dental Education. 2022 Feb;26(1):45-54.

Gill SA, Quinonez RB, Deutchman M, Conklin CE, Rizzolo D, Rabago D, Haidet P, Silk H. Integrating oral health into health professions school curricula. Medical education online. 2022 Dec 31;27(1):2090308.

Quinonez RB, Danciu T, Ramaswamy V, Murdoch-Kinch CA. Bridging the gap between dental education and clinical practice: The entrustable professional activities model. The Journal of the American Dental Association. 2023 Jun 22.

Damodaran AK, Jones P, Shulruf B. Trust and risk pitfalls in medical education: A qualitative study of clinical teachers. Medical Teacher. 2021 Nov 2;43(11):1309-16.

Younas A, Khan RA, Yasmin R. Entrustment in physician-patient communication: a modified Delphi study using the EPA approach. BMC Medical Education. 2021 Dec;21(1):1-2.

Nayyar B, Yasmeen R, Khan RA. Using language of entrustable professional activities to define learning objectives of radiology clerkship: a modified Delphi study. Medical teacher. 2019 Dec 2;41(12):1419-26.