Evidence map›Paper›PMID 40906169›Full record

ReviewChirurgie (Heidelberg, Germany)2025

[Entrustable professional activities-A paradigm shift in the surgical training from quantity to quality].

Mohammed Ibrahim, Steffen Axt, Judith Dechantsreiter, Adrian P Marty, Alfio Milazzo, André L Mihaljevic, Philipp Kron

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Chirurgie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mohammed IbrahimKlinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Steffen AxtKlinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Judith DechantsreiterKlinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Adrian P MartyAbteilung für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinik Balgrist, Zürich, Schweiz.
Alfio MilazzoKlinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
André L MihaljevicKlinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Philipp KronKlinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland. philipp.kron@med.uni-tuebingen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the 2020 revision of the medical training regulations surgical training in Germany has been based on the acquisition of knowledge (cognitive and methodological competence) as well as experience and skills (practical competence). As in previous training catalogues, minimum numbers are defined for essential operations; however, these operation catalogues do not reflect the actual surgical competence of residents.

objectiveThis paper highlights the current challenges faced by prospective surgeons. It presents a perspective on a core competency-oriented surgical training model using entrustable professional activities (EPAs) and provides suggestions for the implementation and digitalization of surgical education based on EPAs. MATERIAL AND

methodsOverview in the sense of a narrative review.

resultsThe EPAs are clearly defined clinical tasks in the medical practice that can be entrusted to residents, observed and evaluated. The purpose of EPAs is the structured and continuous assessment of individual competencies in medical training. They are specific, embedded in the surgical routine and can support supervisors in implementing competency-based training. The EPAs serve to assess and promote surgical skills. Through digitalization tools such as smartphone applications, these evaluations can be integrated into daily clinical practice. DISCUSSION: In the future, surgical education should evolve towards competency-based learning. The use of EPAs enables a more practice-oriented training approach: moving away from the quantitative focus of procedure catalogues toward a qualitative improvement of surgical training.

Indexed as

Clinical CompetenceCompetency-Based EducationGeneral SurgeryInternship and ResidencyGermanyHumansCompetency-based medicineCore competenciesEPAResidencyWorkplace-based assessment

Identifiers

What OpenQuestion holds

Textmetadata
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.