Evidence map›Paper›PMID 39739526›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

EMYWAY Workplace-Based Entrustable Professional Activities Assessments in Otolaryngology Residency Training: A Nationwide Experience.

Fang-Cen Guo, Yu-Ting Chen, Wei-Chung Hsu, Pa-Chun Wang, Mingchih Chen, Jeng-Wen Chen

Abstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. 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.

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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

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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.

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4 · The record

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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.

Fang-Cen GuoSchool of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.ORCID 0009-0000-2624-3295
Yu-Ting ChenSchool of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.ORCID 0009-0006-5699-9919
Wei-Chung HsuDepartment of Otolaryngology-Head and Neck Surgery, National Taiwan University Hospital and Children's Hospital, Taipei, Taiwan.ORCID 0000-0001-8583-8459
Pa-Chun WangDepartment of Otolaryngology-Head and Neck Surgery, Cathay General Hospital, Taipei, Taiwan.ORCID 0000-0002-6288-9218
Mingchih ChenDepartment of Medical Management, Graduate Institute of Business Administration, Fu Jen Catholic University, New Taipei City, Taiwan.ORCID 0000-0002-8278-0033
Jeng-Wen ChenDepartment of Otolaryngology-Head and Neck Surgery, National Taiwan University Hospital and Children's Hospital, Taipei, Taiwan.ORCID 0000-0003-3635-4815

Funding

National Science and Technology Council of the Republic of China (Taiwan)
6 · The paper itself

Abstract

objectiveTo present workplace-based entrustable professional activities (EPAs) assessment data from the first 2 years of the EMYWAY platform in otolaryngology residency training in Taiwan. STUDY

designTwo-year cross-sectional study.

settingOtolaryngology training programs.

methodsIn 2020, the Taiwan Society of Otorhinolaryngology-Head and Neck Surgery (TSO-HNS) developed a workplace-based assessment (WBA) framework with 11 EPAs, integrating milestones to evaluate resident competency. In 2021, TSO-HNS piloted the EMYWAY platform for WBAs, which includes an EPA-based assessment workflow, coaching feedback, and a dashboard displaying residents' entrustment-supervision levels. Data are analyzed annually for accreditation and curriculum enhancement. This study reports on the pilot year and the first full-scale year of implementation.

resultsEleven programs participated in the pilot year. Subsequently, 362 faculty members and 274 resident physicians from 34 programs nationwide engaged with EMYWAY. In the full-scale year from August 2022 to July 2023, 9805 responses were recorded, primarily from surgical theaters (45.9%; 4502/9805) and third-year residents (23.8%; 2331/9805). The most frequently evaluated EPAs were "head and neck" (17.5%; 1716/9805), "sinonasal" (13.5%; 1324/9805), and "ear" (12.2%; 1193/9805), with task complexity increasing with resident seniority (P < .0001). A positive correlation was found between residents' self-assessments and faculty members' ratings (r = 0.531; P < .001). Over 98.2% of residents and 88.4% of faculty members provided substantial feedback (>10 words). Analysis of WBAs reported by training programs identified faculty development targets and teaching-intensive tasks.

conclusionEMYWAY effectively documents workplace learning and tracks resident competency progression. Continuous improvement of WBA quality is essential for advancing the competency-based medical education ecosystem.

Indexed as

Clinical CompetenceEducational MeasurementEducation, Medical, GraduateInternship and ResidencyOtolaryngologyCross-Sectional StudiesCurriculumHumansTaiwanWorkplacecompetency‐based medical educationEMYWAY platformentrustable professional activitiesmilestonesotolaryngology residency trainingworkplace‐based assessment

Identifiers

PMID39739526
PMCPMC11947863

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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.