Evidence map›Paper›PMID 33740970›Full record

ArticleBMC medical education2021

Working with entrustable professional activities in clinical education in undergraduate medical education: a scoping review.

Severin Pinilla, Eric Lenouvel, Andrea Cantisani, Stefan Klöppel, Werner Strik, Sören Huwendiek, Christoph Nissen

Abstract readScoping Review
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. How well do UK assistantships equip medical students for graduate practice? Think EPAs.Advances in health sciences education : theory and practice · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Severin PinillaUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. severin.pinilla@upd.unibe.ch.ORCID http://orcid.org/0000-0002-0797-2043
Eric LenouvelUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Andrea CantisaniUniversity Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Stefan KlöppelUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Werner StrikUniversity Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Sören HuwendiekDepartment for Assessment and Evaluation, Institute for Medical Education, University of Bern, Bern, Switzerland.
Christoph NissenUniversity Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEntrustable professional activities (EPAs) are increasingly used in undergraduate medical education (UME). We conducted a scoping review to summarize the evidence for the use of EPAs in clinical rotations in UME.

methodsWe searched multiple databases for scoping reviews based on the PRISMA guidelines for articles reporting qualitative and quantitative research, as well as conceptual and curriculum development reports, on EPAs in UME clinical rotations.

resultsWe identified 3309 records by searching through multiple databases. After the removal of duplicates, 1858 reports were screened. A total of 36 articles were used for data extraction. Of these, 47% reported on EPA and EPA-based curriculum development for clerkships, 50% reported on implementation strategies, and 53% reported on assessment methods and tools used in clerkships. Validity frameworks for developing EPAs in the context of clerkships were inconsistent. Several specialties reported feasible implementation strategies for EPA-based clerkship curricula, however, these required additional faculty time and resources. Limited exposure to clinical activities was identified as a barrier to relevant learning experiences. Educators used nationally defined, or specialty-specific EPAs, and a range of entrustability and supervision scales. We found only one study that used an empirical research approach for EPA assessment. One article reported on the earlier advancement of trainees from UME to graduate medical education based on summative entrustment decisions.

conclusionsThere is emerging evidence concerning how EPAs can be effectively introduced to clinical training in UME. Specialty-specific, nested EPAs with context-adapted, entrustment-supervision scales might be helpful in better leveraging their formative assessment potential.

Indexed as

Education, Medical, UndergraduateInternship and ResidencyClinical CompetenceCompetency-Based EducationCurriculumEducational MeasurementEducation, Medical, GraduateHumansClinical educationEntrustable professional activitiesScoping reviewUndergraduate medical education

Identifiers

PMID33740970
PMCPMC7980680

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.