ArticleJAMA surgery2018
Use of Entrustable Professional Activities in the Assessment of Surgical Resident Competency.
Article in JAMA surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Entrustable professional activities in medical education: strategies and results - a systematic review.Medical education online · 2026Pooled it
- Utility of 3D printed models as adjunct in acetabular fracture teaching for Orthopaedic trainees.BMC medical education · 2022Trial
- Understanding Entrustable Professional Activity Micro-assessment Quality and Entrustability: Impact of Gender and Experience Level.The Journal of surgical research · 2025Article
- Resident and faculty expectations for resident PGY performance for laparoscopic cholecystectomy.Surgery open science · 2025Article
- Application of peer-assisted learning under the LSPPDM mode in resident clinical skill training.BMC medical education · 2025Article
- Towards a National System-Level Intervention: Characterization of Burnout Among Trainees of Saudi Postgraduate Healthcare Professions Programs.Healthcare (Basel, Switzerland) · 2025Article
- Development and assessment of a loop ligation simulator for laparoscopic appendectomy.Pediatric surgery international · 2024Article
- Development, implementation, and evaluation of entrustable professional activities (EPAs) for medical radiation technologists in Taiwan: a nationwide experience.BMC medical education · 2024Article
- HANDS-ON: Training Simulation in Surgery.Sao Paulo medical journal = Revista paulista de medicina · 2023Article
- Article
- Improving the resident assessment process: application of App-based e-training platform and lean thinking.BMC medical education · 2023Article
- Postprocedural Cognitive Load Measurement With Immediate Feedback to Guide Curriculum Development.The Annals of thoracic surgery · 2022Article
- The surgical resident experience in serious illness communication: A qualitative needs assessment with proposed solutions.American journal of surgery · 2021Article
- Does staged surgical training for minimally invasive esophagectomy have an impact on short-term outcomes?Surgical endoscopy · 2021Article
- Learner-centered education: ICU residents' expectations of teaching style and supervision level.BMC medical education · 2021Article
- Entrustability levels of general internal medicine residents.BMC medical education · 2021Article
- Surgical residents' challenges with the acquisition of surgical skills in operating rooms: A qualitative study.Journal of advances in medical education & professionalism · 2021Article
- The reality of general surgery training and increased complexity of abdominal wall hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2019Review
- Changing Autonomy in Operative Experience Through UK General Surgery Training: A National Cohort Study.Annals of surgery · 2019Article
- Competency-based anesthesiology teaching: comparison of programs in Brazil, Canada and the United States.Brazilian journal of anesthesiology (Elsevier)Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: Competency-based assessments of surgical resident performance require metrics of entrustable autonomy. Objectives: To designate entrustable professional activities (EPAs) in global performance and in specific operations, and to identify differences in perceived capability, autonomy, and expectations between surgical faculty and residents. Design, Setting, and Participants: This survey study was conducted from August 9, 2016, through August 24, 2016, in the Department of Surgery at the UCLA David Geffen School of Medicine. The survey instrument consisted of 5-point Likert scales for assessing perceptions of entrustability for 5 global and 5 operative EPAs. Faculty members were surveyed regarding resident capabilities and expected capabilities by postgraduate year. Residents were surveyed regarding their own capabilities, actual autonomy entrusted in the last EPA performed, and expected capabilities. Main Outcomes and Measures: Differences in mean ratings were assessed across 7 comparison domains. Results: Among 78 total faculty members, 31 (40%) participated in the survey. Among 49 residents, 39 (80%) participated in the survey. Residents generally rated their global EPA performance higher than the faculty did (mean, 3.7 vs 2.8; P < .01), but operative EPA performance ratings were equivalent (mean, 2.7 vs 2.4; P < .12). Faculty members perceived senior residents as underperforming expectations in operative EPAs. Most faculty members (80%) expected residents not to be independently capable of performing complex operations by graduation. Faculty members perceived residents in postgraduate years 4 and 5 to have greater operative capability than the level of autonomy entrusted to those residents (95% CI, 3.3-3.5 vs 1.9-2.2). Conclusions and Relevance: Global and operative EPAs are practical for developing competency-based curricula. Graduated autonomy should be granted to improve the operative experience for residents.
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