How can Entrustable Professional Activities serve the quality of health care provision through licensing and certification?

Cate, Olle ten

doi:10.36834/cmej.73974

Cited by 2 publications

(6 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research widely recognizes the effectiveness of competency-based education in health professions. 26,27 Distinct from competencies which indicate trainee's TA B L E 3 Entrustable professional activities developed by the ADEA Compendium EPA Workgroup for predoctoral dental education and associated specifications.…”

Section: Discussionmentioning

confidence: 99%

American Dental Education Association Compendium Entrustable Professional Activities Workgroup report

Ramaswamy,

Danciu,

Kennedy

et al. 2024

Journal of Dental Education

View full text Add to dashboard Cite

PurposeEntrustable professional activities (EPAs) are discrete clinical tasks that can be evaluated to help define readiness for independent practice in the health professions and are intended to increase trust in the dental graduate. EPAs provide a framework that bridges competencies to clinical practice. This report describes the work of the American Dental Education Association (ADEA) Compendium EPA Workgroup to develop a list of EPAs for dental education and supportive resources, including specifications and a glossary.MethodsPreliminary work including literature and resource review, mapping of existing competencies, and review of other health professions’ EPAs informed the development of our EPAs list. Workgroup members achieved consensus using a modified Delphi process. A Qualtrics survey using a validated rubric for the assessment of EPAs as described in peer‐reviewed literature was used. Dental educators, including academic deans, were surveyed for feedback on the content and format of the EPAs.ResultsBased on findings in the literature analysis of existing EPAs and competencies in health professions, a list of EPAs was developed along with a description of specifications. The EPA workgroup (nine members from multiple institutions) used the Delphi process in receiving feedback from various experts. A list of 11 core EPAs was vetted by dental educators including academic deans (n = ∼23), and the process of development was reviewed by EPAs experts outside dental education. A glossary was developed to align language.ConclusionThese EPAs define the scope of dental practice. This report represents Phase 1 of the EPA framework development and vetting process. Future directions will include a broader vetting of the EPA list, faculty development, and national standardized technology that support this work to optimize implementation.

show abstract

Section: Discussionmentioning

confidence: 99%

American Dental Education Association Compendium Entrustable Professional Activities Workgroup report

Ramaswamy,

Danciu,

Kennedy

et al. 2024

Journal of Dental Education

View full text Add to dashboard Cite

show abstract

“…, 2022). It is likely that EPAs need to be contextualized to the final stage of professional training (ten Cate, 2022). For medicine, that would be in graduate medical education (GME) (in the USA, residency training).…”

Section: Developing Entrustable Professional Activitiesmentioning

confidence: 99%

“…It is likely to be the greatest limitation to adoption of EPA microcredentials in medicine. In recognition of the challenges of the current system, there have recently been calls for moving toward a microcredential-based licensure system (Norcini, 2020; ten Cate, 2022). Such a system would require validation of skills as the basis of licensure.…”

Section: Verification Of Entrustmentmentioning

confidence: 99%

“…In medicine and in many other professions, there is training for learners that is not captured in transcripts and academic courses. This is true of the trainees for whom EPAs are the focus (Norcini, 2020, ten Cate, 2022). Further, an EPA is not necessarily one work task.…”

Section: The Star Is a Microcredentialmentioning

confidence: 99%

“…In Lithuania, parliament has passed a bill to formalize the use of EPAs (Kazarian, 2023). The relationship between EPAs, credentialling and licensing is bound to become a topic of interest for many jurisdictions in the near future (ten Cate, 2022; de Raad et al. , 2023).…”

Section: Implications For Other Professionsmentioning

confidence: 99%

See 2 more Smart Citations

Entrustable professional activities: a model for job activity competency framework with microcredentials

Ma¹,

Cate

2023

IJILT

Self Cite

View full text Add to dashboard Cite

PurposeJob competency frameworks are based on the listing skills required for a job. The assumption is that if a candidate is presumed to have the skills, then the candidate should be able to do the job. Thus, employers hope to identify prospective employees having the required skills. However, this may differ from knowing whether the employee is ready to be trusted to do the job activities with minimal or no supervision. The authors pose the question how employers might know about the capability of prospective employees to perform the job activities for which the employees are being hired.Design/methodology/approachIn health professions education, a job activity-based framework has been developed called “entrustable professional activities” (EPAs, activities to be entrusted). This paper reviews the job activity framework and EPAs used in medical education, considering how this might support preparation for work in other sectors of the labor market.FindingsThe authors describe the EPA framework, some implementation issues and how EPAs lead to a type of microcredential being awarded to individuals as the individuals demonstrate that the individuals can be entrusted with specific job activities.Originality/valueThe focus of this paper is to demonstrate that a medical education model could potentially be adopted by other industries to provide employers with information regarding the ability of a prospective employee in performing the job activities required. Such an approach would address employer's concerns about the job readiness of potential employees.

show abstract

How can Entrustable Professional Activities serve the quality of health care provision through licensing and certification?

Cited by 2 publications

References 38 publications

American Dental Education Association Compendium Entrustable Professional Activities Workgroup report

American Dental Education Association Compendium Entrustable Professional Activities Workgroup report

Entrustable professional activities: a model for job activity competency framework with microcredentials

Contact Info

Product

Resources

About