Evidence map›Paper›PMID 34471797›Full record

ArticleAEM education and training2021

Seeing potential opportunities for teaching (SPOT): Evaluating a bundle of interventions to augment entrustable professional activity acquisition.

Spencer Sample, Hussein Al Rimawi, Beatrix Bérczi, Alexander Chorley, Alim Pardhan, Teresa M Chan

Abstract read
In one paragraph

Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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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

6 authors.

Spencer SampleEmergency Medicine Postgraduate Training Program McMaster Royal College of Physicians and Surgeons of Canada Hamilton Ontario Canada.ORCID https://orcid.org/0000-0002-8423-3500
Hussein Al RimawiEmergency Medicine Postgraduate Training Program McMaster Royal College of Physicians and Surgeons of Canada Hamilton Ontario Canada.ORCID https://orcid.org/0000-0002-7078-9858
Beatrix BércziEmergency Medicine Postgraduate Training Program McMaster Royal College of Physicians and Surgeons of Canada Hamilton Ontario Canada.ORCID https://orcid.org/0000-0003-2120-7521
Alexander ChorleyEmergency Medicine Postgraduate Training Program McMaster Royal College of Physicians and Surgeons of Canada Hamilton Ontario Canada.ORCID https://orcid.org/0000-0003-1073-3024
Alim PardhanEmergency Medicine Postgraduate Training Program McMaster Royal College of Physicians and Surgeons of Canada Hamilton Ontario Canada.ORCID https://orcid.org/0000-0002-3937-5892
Teresa M ChanEmergency Medicine Postgraduate Training Program McMaster Royal College of Physicians and Surgeons of Canada Hamilton Ontario Canada.ORCID https://orcid.org/0000-0001-6104-462X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWithin the Canadian competency-based medical education system, entrustable professional activities (EPAs) are used to assess residents on performed clinical duties. This study aimed to determine whether implementing a bundle of two interventions (a case-based discussion intervention and a rotation-based nudging system) could increase the number of EPA assessments that could occur for our trainees.

methodsThe authors designed an intervention bundle with two components: 1) a case-based workshop where trainees discussed which EPAs could be assessed with multiple cases and 2) a nudging system wherein each trainee was reminded of EPAs that would be useful to them on each rotation in their first year. We conducted a retrospective program evaluation to compare the intervention cohort (2019) to two historical cohorts using similar EPAs (2017, 2018).

resultsData from 22 trainees (seven in 2017, eight in 2018, and seven in 2019) were analyzed. There was a marked increase in the total number of EPA assessments acquired in the 2019 cohort (average per resident = 285.7, 95% confidence interval [CI] = 256.1 to 312.3, range = 195-350) compared to the two other years (2018 [average = 132.4, 95% CI = 107.5 to 157.02, range = 107-167] and 2017 [70.1, 95% CI 45.3 to 91.0, range = 49-95]), yielding an effect size of Cohen's

conclusionsWithin the limitations of a small sample size, there was a strong effect of introducing two interventions (a case-based orientation and a nudging system) upon EPA assessments with PGY-1 residents. These strategies may be useful to others seeking to improve EPA assessment numbers in other specialties and clinical environments.

Identifiers

PMID34471797
PMCPMC8381386

What OpenQuestion holds

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Registered trials

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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.