Observational studyBMC medical education2021
Workplace-based assessments of entrustable professional activities in a psychiatry core clerkship: an observational study.
Observational study in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07107542 (Entrustable Professional Activities and Mini-Clinical Evaluation Exercise in a Simulated Workplace-based Assessment for Physical Occupational Therapist Intern), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Entrustable Professional Activities and Mini-Clinical Evaluation Exercise in a Simulated Workplace-based Assessment for Physical Occupational Therapist Intern
Who cites it
10 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
- Implementation of Core Entrustable Professional Activities in the Internal Medicine Clerkship: A Psychometric Study.Journal of general internal medicine · 2026Article
- Paper-based gamification to enhance competency-based education in an obstetrics clerkship.BMC medical education · 2026Article
- Assessing the Quality of Narrative Feedback in Entrustable Professional Activities Using the EFeCT Feedback Scoring Tool.The clinical teacher · 2026Article
- Clinical Neurosciences Training for Psychiatry Residents: Implementing the Competency-Based Medical Education Framework.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025Article
- How Data Analytics Can Be Leveraged to Enhance Graduate Clinical Skills Education.Journal of graduate medical education · 2025Article
- Article
- Commentary on alignment of medical student assessment and vocational training in psychiatry and addiction medicine.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2023Article
- Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study.BMC medical education · 2022Article
- Evidence-oriented teaching of geriatric psychiatry: a narrative literature synthesis and pilot evaluation of a clerkship seminar.GMS journal for medical education · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEntrustable professional activities (EPAs) in competency-based, undergraduate medical education (UME) have led to new formative workplace-based assessments (WBA) using entrustment-supervision scales in clerkships. We conducted an observational, prospective cohort study to explore the usefulness of a WBA designed to assess core EPAs in a psychiatry clerkship.
methodsWe analyzed changes in self-entrustment ratings of students and the supervisors' ratings per EPA. Timing and frequencies of learner-initiated WBAs based on a prospective entrustment-supervision scale and resultant narrative feedback were analyzed quantitatively and qualitatively. Predictors for indirect supervision levels were explored via regression analysis, and narrative feedback was coded using thematic content analysis. Students evaluated the WBA after each clerkship rotation.
resultsEPA 1 ("Take a patient's history"), EPA 2 ("Assess physical & mental status") and EPA 8 ("Document & present a clinical encounter") were most frequently used for learner-initiated WBAs throughout the clerkship rotations in a sample of 83 students. Clinical residents signed off on the majority of the WBAs (71%). EPAs 1, 2, and 8 showed the largest increases in self-entrustment and received most of the indirect supervision level ratings. We found a moderate, positive correlation between self-entrusted supervision levels at the end of the clerkship and the number of documented entrustment-supervision ratings per EPA (p < 0.0001). The number of entrustment ratings explained 6.5% of the variance in the supervisors' ratings for EPA 1. Narrative feedback was documented for 79% (n = 214) of the WBAs. Most narratives addressed the Medical Expert role (77%, n = 208) and used reinforcement (59%, n = 161) as a feedback strategy. Students perceived the feedback as beneficial.
conclusionsUsing formative WBAs with an entrustment-supervision scale and prompts for written feedback facilitated targeted, high-quality feedback and effectively supported students' development toward self-entrusted, indirect supervision levels.
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