Setting standards of performance expected in neurosurgery residency: A study on entrustable professional activities in competency-based medical education |
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| Authors: | Jessica E Rabski Ashirbani Saha Michael D Cusimano |
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| Institution: | 1. Injury Prevention Research Office, St. Michael’s Hospital, Toronto, Ontario, Canada;2. Division of Neurosurgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada;3. Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada;1. University of Minnesota, Department of Surgery, 420 Delaware Street SE, Mayo Mail Code 195, Minneapolis, MN, 55455, USA;2. University of California-San Francisco, Department of Surgery, San Francisco, Campus Box 0807, CA, 94143-0807, USA;1. Department of Surgery, University of Alabama School of Medicine, Birmingham, AL;2. Department of Surgery, University of Florida College of Medicine, Gainesville, FL;1. Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA;2. Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA;1. Royal College of Surgeons of Edinburgh, Edinburgh, UK;2. Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan;3. National Institute of Nutrition and Medical Sciences, Salvador Zubirán, México City, Mexico;4. Indiana University, School of Medicine, Indianapolis, IN, USA |
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| Abstract: | BackgroundCompetency-based medical education requires evaluations of residents’ performances of tasks of the discipline (ie. entrustable professional activities (EPAs)). Using neurosurgical Faculty perspectives, this study investigated whether a sample of neurosurgical EPAs accurately reflected the expectations of general neurosurgical practice.MethodA questionnaire was sent to all Canadian neurosurgery Faculty using a SurveyMonkey® platform.ResultsThe proportion of respondents who believed the EPAs were representative of general neurosurgery competences varied significantly across all EPAs 47%–100%] (p < 0.0001). For 9/15 proposed EPAs, ≥75% agreed they were appropriate for general neurosurgery training and expected residents to attain the highest standard of performance. However, a range of 27–53% of the respondents felt the other six EPAs would be more appropriate for fellowship training and thus, require a lower standard of performance from graduating residents.ConclusionThe shift towards subspecialization in neurosurgery has implications for curriculum design, delivery and certification of graduating residents. |
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| Keywords: | Entrustable professional activities Competency-based medical education Competence standards Neurosurgery |
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