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Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation.

Publication ,  Journal Article
Turner, DA; Schwartz, A; Carraccio, C; Herman, B; Weiss, P; Baffa, JM; Chess, P; Curran, M; Dammann, C; High, P; Hsu, D; Pitts, S; Sauer, C ...
Published in: Acad Med
July 1, 2021

PURPOSE: Entrustable professional activities (EPAs) are one approach to competency-based medical education (CBME), and 7 EPAs have been developed that address content relevant for all pediatric subspecialties. However, it is not known what level of supervision fellowship program directors (FPDs) deem necessary for graduation. The Subspecialty Pediatrics Investigator Network (SPIN) investigated FPD perceptions of the minimum level of supervision required for a trainee to successfully graduate. METHOD: In 2017, SPIN surveyed all FPDs of accredited fellowships for 14 subspecialties. For each EPA, the minimum supervision level for graduation (ranging from observation only to unsupervised practice) was set such that no more than 20% of FPDs would accept a lower level. RESULTS: The survey response rate was 82% (660/802). The minimum supervision level for graduation varied across the 7 EPAs from 2 (direct) to 4 (indirect for complex cases), with significant differences between EPAs. The percentage of FPDs desiring a lower minimum supervision level ranged from 3% to 17%. Compared with the 4 nonclinical EPAs (quality improvement, management, lead within the profession, scholarship), the 3 clinical EPAs (consultation, handover, lead a team) had higher minimum supervision graduation levels (P < .001), with less likelihood that an FPD would graduate a learner below their minimum level (P < .001). CONCLUSIONS: Consensus among FPDs across all pediatric subspecialties demonstrates the potential need for ongoing supervision for graduates in all 7 common pediatric subspecialty EPAs after fellowship. As CBME programs are implemented, processes and infrastructure to support new graduates are important considerations for leaders.

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Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

July 1, 2021

Volume

96

Issue

7S

Start / End Page

S22 / S28

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Pulmonary Medicine
  • Pediatrics
  • Pediatric Emergency Medicine
  • Neonatology
  • Medicine
  • Medical Oncology
  • Infectious Disease Medicine
  • Humans
  • Hematology
 

Citation

APA
Chicago
ICMJE
MLA
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Turner, D. A., Schwartz, A., Carraccio, C., Herman, B., Weiss, P., Baffa, J. M., … Subspecialty Pediatrics Investigator Network (SPIN), . (2021). Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation. Acad Med, 96(7S), S22–S28. https://doi.org/10.1097/ACM.0000000000004091
Turner, David A., Alan Schwartz, Carol Carraccio, Bruce Herman, Pnina Weiss, Jeanne M. Baffa, Patricia Chess, et al. “Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation.Acad Med 96, no. 7S (July 1, 2021): S22–28. https://doi.org/10.1097/ACM.0000000000004091.
Turner DA, Schwartz A, Carraccio C, Herman B, Weiss P, Baffa JM, et al. Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation. Acad Med. 2021 Jul 1;96(7S):S22–8.
Turner, David A., et al. “Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation.Acad Med, vol. 96, no. 7S, July 2021, pp. S22–28. Pubmed, doi:10.1097/ACM.0000000000004091.
Turner DA, Schwartz A, Carraccio C, Herman B, Weiss P, Baffa JM, Chess P, Curran M, Dammann C, High P, Hsu D, Pitts S, Sauer C, Aye T, Fussell J, Kesselheim J, Mahan J, McGann K, Myers A, Mink R, Subspecialty Pediatrics Investigator Network (SPIN). Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation. Acad Med. 2021 Jul 1;96(7S):S22–S28.

Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

July 1, 2021

Volume

96

Issue

7S

Start / End Page

S22 / S28

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Pulmonary Medicine
  • Pediatrics
  • Pediatric Emergency Medicine
  • Neonatology
  • Medicine
  • Medical Oncology
  • Infectious Disease Medicine
  • Humans
  • Hematology