Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States.

Title

Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States.

Creator

Landzaat Lindy H; Barnett Michael D; Buckholz Gary T; Gustin Jillian L; Hwang Jennifer M; Levine Stacie K; Okon Tomasz R; Radwany Steven M; Yang Holly B; Encandela John; Morrison Laura J

Publisher

Journal of pain and symptom management

Date

2017
2017-10

Description

CONTEXT: Entrustable Professional Activities (EPAs) represent the key physician tasks of a specialty. Once a trainee demonstrates competence in an activity, they can then be "entrusted" to practice without supervision. A physician workgroup of the American Academy of Hospice and Palliative Medicine sought to define Hospice and Palliative Medicine (HPM) EPAs. OBJECTIVE: The objective of this study was to describe the development of a set of consensus EPAs for HPM fellowship training in the United States. METHODS: A set of HPM EPAs was developed through an iterative consensus process involving an expert workgroup, vetting at a national meeting with HPM educators, and an electronic survey from a national registry of 3550 HPM physicians. Vetting feedback was reviewed, and survey data were statistically analyzed. Final EPA revisions followed from the multisource feedback. RESULTS: Through the iterative consensus process, a set of 17 HPM EPAs was created, detailed, and revised. In the national survey, 362 HPM specialists responded (10%), including 58 of 126 fellowship program directors (46%). Respondents indicated that the set of 17 EPAs well represented the core activities of HPM physician practice (mean 4.72 on a five-point Likert scale) and considered all EPAs to either be "essential" or "important" with none of the EPAs ranking "neither essential, nor important." CONCLUSIONS: A set of 17 EPAs was developed using national input of practicing physicians and program directors and an iterative expert workgroup consensus process. The workgroup anticipates that EPAs can assist fellowship directors with strengthening competency-based training curricula.

Subject

*Education; *Entrustable Professional Activities; *fellowship; *graduate medical education; *hospice; *Hospice Care; *palliative care; *Palliative Care; Adult; Aged; Delphi Technique; Education; Female; Graduate/methods; Hospice Care; Human; Humans; Male; Medical; Middle Age; Middle Aged; Palliative Care; Palliative Medicine/*education; Surveys and Questionnaires; United States; Young Adult

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

609–616.e1

Issue

4

Volume

54

Citation

Landzaat Lindy H; Barnett Michael D; Buckholz Gary T; Gustin Jillian L; Hwang Jennifer M; Levine Stacie K; Okon Tomasz R; Radwany Steven M; Yang Holly B; Encandela John; Morrison Laura J, “Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States.,” NEOMED Bibliography Database, accessed September 17, 2021, https://neomed.omeka.net/items/show/3676.

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