TY - JOUR
T1 - Entrustable professional activities (EPAs) for postgraduate competency based intensive care medicine training in the Netherlands: The next step towards excellence in intensive care medicine training
AU - van Bockel, Esther A. P.
AU - Walstock, Pieter A.
AU - van Mook, Walther N. K. A.
AU - Arbous, M. Sesmu
AU - Tepaske, Robert
AU - van Hemel, Tina J. D.
AU - Müller, Marcella C. A.
AU - Delwig, Hans
AU - Tulleken, Jaap E.
PY - 2019
Y1 - 2019
N2 - Introduction: The Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assessment tool in competency-based training of intensivists. EPAs are activities to be entrusted to a trainee once he (or she) has attained competence. EPAs emphasise the role of trust between trainees and supervisors. EPAs bridge the gap between competencies and competence. Methods: An expert panel of ICM (vice)programme directors and intensivists in The Netherlands integrated the CoBaTrICE and CanMEDS competencies into EPAsICM. Comment and feedback was sought from other ICM programme directors and educational experts and processed in the final version of EPAsICM before implementation in the Dutch ICM training programme. Results: A list of 15 EPAsICM are considered to reflect the spectrum of clinical practice while incorporating the competencies of CoBaTrICE and CanMEDS. The grading system is designed as a 5-point entrustment scale based on the amount of supervision a trainee needs, aligning with daily judgement of trainees by intensivists. Conclusion: EPAsICM is an assessment tool that formalises entrustment decisions and can be a valuable addition in international ICM training.
AB - Introduction: The Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assessment tool in competency-based training of intensivists. EPAs are activities to be entrusted to a trainee once he (or she) has attained competence. EPAs emphasise the role of trust between trainees and supervisors. EPAs bridge the gap between competencies and competence. Methods: An expert panel of ICM (vice)programme directors and intensivists in The Netherlands integrated the CoBaTrICE and CanMEDS competencies into EPAsICM. Comment and feedback was sought from other ICM programme directors and educational experts and processed in the final version of EPAsICM before implementation in the Dutch ICM training programme. Results: A list of 15 EPAsICM are considered to reflect the spectrum of clinical practice while incorporating the competencies of CoBaTrICE and CanMEDS. The grading system is designed as a 5-point entrustment scale based on the amount of supervision a trainee needs, aligning with daily judgement of trainees by intensivists. Conclusion: EPAsICM is an assessment tool that formalises entrustment decisions and can be a valuable addition in international ICM training.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074784131&origin=inward
U2 - https://doi.org/10.1016/j.jcrc.2019.09.012
DO - https://doi.org/10.1016/j.jcrc.2019.09.012
M3 - Article
C2 - 31733630
SN - 0883-9441
VL - 54
SP - 261
EP - 267
JO - Journal of Critical Care
JF - Journal of Critical Care
ER -