Establishment of an indicator system for entrustable professional activities in general practice stage of pediatric specialist physician training
10.3760/cma.j.cn116021-20241215-02024
- VernacularTitle:儿科专科医师培训通科阶段置信职业行为指标构建研究
- Author:
Shan LI
1
;
Danyu SONG
;
Xifang RU
;
Xiaoyu LIU
;
Lili LIU
;
Xin QI
;
Mi YAO
;
Jianguang QI
Author Information
1. 北京大学第一医院儿童医学中心,北京 102627
- Publication Type:Journal Article
- Keywords:
Pediatrics;
Entrustable professional activity;
Specialist physician;
Postgraduate education;
Establishment
- From:
Chinese Journal of Medical Education Research
2025;24(4):466-472
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an indicator system for entrustable professional activities (EPAs) in the general practice enhancement stage of pediatric specialist physician training.Methods:A draft indicator system for EPAs in the general practice enhancement stage of pediatric physician training was developed through core EPAs working group discussion, literature review, nominal group discussion, and expert consultation. Subsequently, the indicator system was preliminarily implemented and revised.Results:The core EPAs working group consisted of nine specialist physician trainers. In the initial brainstorming stage, a "potential list" of 30 activities was established. After literature review and collation, the draft indicator system included eight EPAs. Through nominal group discussion, the connotation of the draft was enriched, and the importance of the EPAs was ranked and modified. Finally, through expert consultation, the EPAs for the general practice enhancement stage of pediatric specialist physician training were determined. These included basic operations for the treatment of critically ill children, identification and management of critical illnesses, referral of critically ill children, perioperative management, in-hospital consultation, medical and teaching management and system improvement, doctor-patient communication and dispute handling, and response to public health events. During the preliminary implementation stage, a total of nine specialist physicians who participated in the training were evaluated. Based on the problems found in the pre-evaluation, the indicators of EPAs were revised, and a corresponding curriculum training system was developed.Conclusions:Through multiple rounds of nominal group discussion and expert consultation, the indicator system for EPAs in the general practice enhancement stage of pediatric specialist physician training was formulated. The system was preliminarily implemented and revised, and a curriculum system was constructed.