Entrustable professional activities (EPAs) for postgraduate competency based intensive care medicine training in the Netherlands: The next step towards excellence in intensive care medicine training

The Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assess...

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Bibliographic Details
Published in:Journal of critical care 2019-12, Vol.54, p.261-267
Main Authors: van Bockel, Esther A.P., Walstock, Pieter A., van Mook, Walther N.K.A., Arbous, M. Sesmu, Tepaske, Robert, van Hemel, Tina J.D., Müller, Marcella C.A., Delwig, Hans, Tulleken, Jaap E.
Format: Article
Language:English
Subjects:
Clinical medicine
CoBaTrICE
Competency based training
Education
Entrustable professional activities
Entrustment
Funding
Intensive care
Meetings
Portfolios
Professions
Residency education
Sepsis
Supervision
Supervisors
Workplace based assessment
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Summary:The Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assessment tool in competency-based training of intensivists. EPAs are activities to be entrusted to a trainee once he (or she) has attained competence. EPAs emphasise the role of trust between trainees and supervisors. EPAs bridge the gap between competencies and competence. An expert panel of ICM (vice)programme directors and intensivists in The Netherlands integrated the CoBaTrICE and CanMEDS competencies into EPAsICM. Comment and feedback was sought from other ICM programme directors and educational experts and processed in the final version of EPAsICM before implementation in the Dutch ICM training programme. A list of 15 EPAsICM are considered to reflect the spectrum of clinical practice while incorporating the competencies of CoBaTrICE and CanMEDS. The grading system is designed as a 5-point entrustment scale based on the amount of supervision a trainee needs, aligning with daily judgement of trainees by intensivists. EPAsICM is an assessment tool that formalises entrustment decisions and can be a valuable addition in international ICM training.
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2019.09.012