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Level of Supervision for the Entrustable Professional Activities Common to General Pediatrics and the Subspecialties Decreases from Residency to Fellowship. Acad Pediatr 2024;24(7):1025-1030

Date

04/18/2024

Pubmed ID

38631477

DOI

10.1016/j.acap.2024.04.004

Scopus ID

2-s2.0-85193043413 (requires institutional sign-in at Scopus site)

Abstract

OBJECTIVES: To compare level of supervision (LOS) ratings of graduating pediatric residents with their assessments as fellows for the five Entrustable Professional Activities (EPAs) common to general pediatrics and the subspecialties and to determine if the difference between ratings from residency to fellowship is less for the QI and Practice Management EPAs, since the skills needed to perform these may be less context-dependent.

METHODS: We compared ratings of graduating residents with their assessments as fellows using LOS data from two sequential EPA studies.

RESULTS: There were 65 ratings from 41 residents at the first fellow assessment. At graduation, most residents needed little to no supervision for all EPAs with 94% (61/65) of ratings level four or five. In contrast, only 5/65 (8%) of the first fellow assessments were level four or five. The ratings difference for the QI and Practice Management EPAs was similar to the others.

CONCLUSIONS: LOS ratings for the EPAs common to generalists and subspecialists reset as residents become fellows. There was no evidence that the QI and Practice Management EPAs are less context-dependent. This study provides additional validity evidence for using these LOS scales to assess trainees in pediatric residency and fellowship.

Author List

Mink RB, Schwartz A, Mahan JD, Fussell JJ, George R, Schumacher DJ, McFadden V, Turner DA, Atlas MP, APPD SPIN

Author

Vanessa Mcfadden MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Clinical Competence
Education, Medical, Graduate
Fellowships and Scholarships
Female
Humans
Internship and Residency
Male
Pediatrics