Accepted Type
Dedicated Poster
Code
LP1 - 06
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Poster
Sub Type
Education Research
Will the presenter be a:
Resident
Affiliation
Title
EPAs in core Internal Medicine: from the concept to the implementation
Length of Presentation
Background/Purpose
Entrustable professional activities (EPA) have been introduced in core internal medicine residency programs in Canada in July 2019. Studies show that the implementation of EPAs is facing a lot of challenges and that the benefit of this method has to be closely evaluated. The perception of core internal medicine residents of Université de Montréal (UdeM) about the content and the implementation of EPAs was assessed.
Methods
An online survey was distributed by email to all PGY1 core internal medicine residents of UdeM with questions regarding EPA frequency in different subspecialty rotations, general perception of EPAs. Relevance, feasibility and understanding of EPAs were assessed using Likert-scales. Descriptive statistics and frequency distributions were then computed and compared between rotations.
Results
Our response rate was 65%. Results show a variability in the number of EPAs completed by week, from an average of 0.5 in endocrinology to 1.6 in nephrology. 86% of participants noted that their work burden was increased by EPAs, with lack off comprehension by the supervisors identified as an important issue by 71 %. Our results identified EPA 2.7 (reflective work about learning needs) as difficult to understand, with lower relevance and a too high quantity of observations needed. Some other EPAs were identified with low feasibility due to few supervised clinical opportunities.
Conclusion
Implementation of EPAs is variable among subspeciality rotations in internal medicine, possibly related to the familiarity of the supervisors with the concept. Changes could still be made to reduce the complexity and the required number of some of the EPAs.
Keyword 1
Entrustable professional activities
Keyword 2
Core Internal Medicine
Keyword 3
Implementation
Level of Training
Post Graduate
Abstract Themes
Assessment
Assessment
Entrustable Professional Activities
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
David Bélanger
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
