Evidence map›Paper›PMID 42745152›Full record

ArticleJournal of general internal medicine2026

Teamwork Entrustable Professional Activities in Interprofessional Teams Involving Trainees and Advanced Practice Providers in the Intensive Care Unit.

Ryan Munyon, John Madara, Susan Simkins, Jacqueline Thoryk, Aaron Haag, Donald Bucher, Anne Dimmock, Sarah Janczewski, Paul Haidet, Alia Chisty

Abstract read
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Article in Journal of general internal medicine, 2026. 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

10 authors.

Ryan MunyonDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA. rmunyon@pennstatehealth.psu.edu.ORCID http://orcid.org/0000-0002-4639-811X
John MadaraDivision of Pulmonary and Critical Care Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Susan SimkinsPennsylvania State University, State College, PA, USA.
Jacqueline ThorykDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Aaron HaagDivision of Pulmonary and Critical Care Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Donald BucherDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Anne DimmockDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Sarah JanczewskiDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Paul HaidetDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Alia ChistyDepartment of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Funding

Josiah Macy Jr. Foundation 167393
6 · The paper itself

Abstract

backgroundMost academic medical centers rely on both trainees and advanced practice providers (APPs) (nurse practitioners and physician assistants) to provide patient care; however, trainees and APPs are rarely guided on how to work effectively together in teams. In our medical intensive care unit (MICU), planned changes to include trainees and APPs on blended teams presented a unique opportunity to design and evaluate interprofessional teamwork.

aimWe developed entrustable professional activities (EPAs) related to effective teamwork and psychological safety to both promote an inclusive clinical learning environment and support the implementation of teamwork competencies in a critical care setting. PROGRAM DESCRIPTION: A diverse team of professionals utilized a modified Delphi approach to prepare, draft, assess, and align teamwork EPAs with Team FIRST competencies. These EPAs were evaluated for quality using best practices for EPA development.

conclusionTo promote a psychologically safe clinical learning environment in high-stakes settings such as intensive care, EPAs in interprofessional teamwork are needed to ensure residents, fellows, and APPs collaborate effectively together. Using diverse teams guided by psychological safety principles, typical methods for EPA authoring can succeed. This process lays the groundwork for essential and convenient assessments, future curriculum development, and systems-based improvements.

Identifiers

PMID42745152

What OpenQuestion holds

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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.