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Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors.

Publication ,  Journal Article
Langhan, ML; Stafford, DEJ; Myers, AL; Herman, BE; Curran, ML; Czaja, AS; Turner, DA; Weiss, P; Mink, R
Published in: Med Teach
June 2023

OBJECTIVES: To examine the composition and processes of Clinical Competency Committees (CCCs) assigning entrustable professional activity (EPA) levels of supervision for pediatric subspecialty fellows and to examine fellowship program director (FPD) perspectives about using EPAs to determine fellows' graduation readiness. METHODS: A qualitative study was performed using one-on-one interviews with a purposeful sample of pediatric subspecialty FPDs to yield a thematic analysis. Semi-structured interview guides were used for participants who self-identified as EPA users or non-users. Inductive analysis and coding were performed on transcripts until theoretical sufficiency was attained. RESULTS: Twenty-eight FPDs were interviewed. There was significant variability in the composition and processes of CCCs across subspecialties. FPDs felt that CCCs intuitively understand what entrustment means, allowing for ease of application of level of supervision (LOS) scales and consensus. FPDs perceived that EPAs provided a global assessment of fellows and are one tool to determine graduation readiness. CONCLUSIONS: Although there was variability in the makeup and processes of CCCs across subspecialties, FPDs believe EPAs are intuitive and relatively easy to implement. Consensus can be reached easily using EPA-specific LOS scales focusing on entrustment. FPDs desire a better understanding of how EPAs should be used for graduation.

Duke Scholars

Published In

Med Teach

DOI

EISSN

1466-187X

Publication Date

June 2023

Volume

45

Issue

6

Start / End Page

650 / 657

Location

England

Related Subject Headings

  • Qualitative Research
  • Medical Informatics
  • Internship and Residency
  • Humans
  • Fellowships and Scholarships
  • Competency-Based Education
  • Clinical Competence
  • Child
  • 3904 Specialist studies in education
  • 3903 Education systems
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Langhan, M. L., Stafford, D. E. J., Myers, A. L., Herman, B. E., Curran, M. L., Czaja, A. S., … Mink, R. (2023). Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors. Med Teach, 45(6), 650–657. https://doi.org/10.1080/0142159X.2022.2147054
Langhan, Melissa L., Diane E. J. Stafford, Angela L. Myers, Bruce E. Herman, Megan L. Curran, Angela S. Czaja, David A. Turner, Pnina Weiss, and Richard Mink. “Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors.Med Teach 45, no. 6 (June 2023): 650–57. https://doi.org/10.1080/0142159X.2022.2147054.
Langhan, Melissa L., et al. “Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors.Med Teach, vol. 45, no. 6, June 2023, pp. 650–57. Pubmed, doi:10.1080/0142159X.2022.2147054.
Langhan ML, Stafford DEJ, Myers AL, Herman BE, Curran ML, Czaja AS, Turner DA, Weiss P, Mink R. Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors. Med Teach. 2023 Jun;45(6):650–657.

Published In

Med Teach

DOI

EISSN

1466-187X

Publication Date

June 2023

Volume

45

Issue

6

Start / End Page

650 / 657

Location

England

Related Subject Headings

  • Qualitative Research
  • Medical Informatics
  • Internship and Residency
  • Humans
  • Fellowships and Scholarships
  • Competency-Based Education
  • Clinical Competence
  • Child
  • 3904 Specialist studies in education
  • 3903 Education systems