In case you missed yesterday’s Webcast Audio Seminar (WAS) Session, here are the highlights of this session:
Entrustment deciscion making in EPA-based curricula
Olle ten Cate, Ph.D.
University Medical Center Utrecht
- Competency-based ME
- Widely accepted
- Based on competence, and not the amount of time spent in training
- Analytic framework approach where the feature of the doctor is divided into seven areas, Medical Expert, Collaborator, Communicator, Manager, Health Advocate, Scholar and Professional.
- Several issues with this approach that lead to creating competencies in practice
- Entrustable Professional Activities
- Defined as “units of professional practice (tasks) that may be entrusted to a learner to execute unsupervised, once he or she has demonstrated the required competence.
- EPAs and competency are not the same
- EPAs are units of work that must be done whereas competencies are a trait of an individual.
- EPAs are work descriptors and competencies are person descriptors
- Current Issues in the Work Place
- Assessment scores tend to be too high, not willing to assign failing grades
- Assessment based on one feature rather than all areas
- Assessments are not reproducible, standardized, subjective
- Exposes a need for a reliable test
- Observations cannot always be turned in to a score.
- Entrustment as an Assessment
- Included several articles on this subject
- Recognize ability + right + duty to act
- Typical learner assessment tends to focus on evaluation of ability
- Entrustment of learners tend to combine the evaluation of ability with the permission to act
- and the readiness to be scheduled for service.
- Values of those we trust: ability, integrity, reliability and humility
- Two modes of Entrustment decisions
- Ad-hoc: happens daily, based on presumptive and initial trust
- Summative: based on grounded trust
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