Application and evaluation of entrustable professional activities in the general practice internship of clinical medicine undergraduates
10.3760/cma.j.cn116021-20250201-02062
- VernacularTitle:置信职业行为在临床医学本科生全科实习中的应用和评价
- Author:
Chao MENG
1
;
Yi LI
;
Xiafeng XU
;
Qi WANG
;
Liying HUANG
;
Shengying LING
;
Li WANG
;
Min ZHU
;
Xingnan YANG
;
Meijuan ZHU
;
Li SHAO
Author Information
1. 上海交通大学医学院附属仁济医院全科医学科，上海 200127
- Publication Type:Journal Article
- Keywords:
Entrustable professional activity;
Undergraduate;
General practice internship;
Competency
- From:
Chinese Journal of Medical Education Research
2025;24(6):736-743
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of entrustable professional activities (EPAs) in the general practice internship of undergraduate clinical medicine students, identify issues that need improvement in the internship, and enhance medical students' competence.Methods:A total of 75 students in the five-year (English class) clinical medicine program enrolled in 2018 and 2019 who participated in general practice internship in Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine from October 2021 to October 2023 were selected as study subjects. The design of core EPAs was adopted to assess the correlation among different EPA dimensions and to analyze the qualified rates.Results:The evaluation of EPAs showed that EPA2 (practicing respect, understanding and teamwork) had the highest mean score of 9.33, and EPA10 (chronic disease management and management of key populations) had the lowest mean score of 8.08. A supervision level of 3a and above was used as the criterion for qualification. The supervision levels of the students' EPAs were mostly concentrated at levels 3a and 3b. The highest qualified rate was for EPA2 (practicing respect, understanding and teamwork) at 85.33%, followed by EPA1 (complying with the rules of the profession and demonstrating professionalism) at 80.00% and EPA8 (reviewing information and solving clinical problems) at 72.00%. The lowest qualified rate was for EPA10 (chronic disease management and management of key populations) at 33.33%, followed by EPA4 (analyzing and interpreting test results) at 57.33%.Conclusions:EPAs concretize competency evaluation, which can effectively reflect the "competency-oriented" training objectives encompassing multiple elements such as knowledge, skills, values, and attitudes, while maintaining professional specificity. Undergraduates demonstrated strengths in professionalism and academics, but showed deficiencies in community chronic disease management and management of key populations. These findings suggest the need to strengthen the training in health and social care to better align with the competencies required during standardized residency training.
