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Pediatric Emergency Medicine Fellowship Program Directors' Viewpoint: Minimum Levels of Entrustment for Graduating Fellows and Practicing Physicians to Perform the Subspecialty's Professional Activities.
Hsu, Deborah C; Baghdassarian, Aline; Caglar, Derya; Rose, Jerri A; Herman, Bruce E; Schwartz, Alan; Mink, Richard; Langhan, Melissa L.
Afiliação
  • Hsu DC; From the Baylor College of Medicine, Texas Children's Hospital, Houston, TX.
  • Baghdassarian A; Inova L.J. Murphy Children's Hospital, Inova Fairfax Medical Campus, UVA School of Medicine, Falls Church, VA.
  • Caglar D; Division of Emergency Medicine, University of Washington, Seattle Children's Hospital, Seattle, WA.
  • Rose JA; Division of Pediatric Emergency Medicine, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH.
  • Herman BE; Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
  • Mink R; Division of Pediatric Critical Care Medicine, Harbor-UCLA Medical Center, The Lundquist Institute for Biomedical Innovation and David Geffen School of Medicine, Los Angeles, CA.
Pediatr Emerg Care ; 39(8): 574-579, 2023 Aug 01.
Article em En | MEDLINE | ID: mdl-35947053
OBJECTIVES: Entrustable Professional Activities (EPAs) are essential tasks physicians perform within their professions. Entrustment levels that pediatric emergency medicine (PEM) fellowship program directors (FPDs) expect graduating fellows to achieve for PEM-specific and common pediatric subspecialty EPAs remain unreported. This study aims to determine minimum entrustment levels FPDs require fellows to achieve to graduate from fellowship and to compare FPD expectations for fellows versus practicing PEM physicians. METHODS: Secondary analysis of PEM-specific data from a national multispecialty cross-sectional survey of pediatric subspecialty FPDs. For 6 PEM-specific and 7 common pediatric subspecialty EPAs, PEM FPDs indicated (1) minimum entrustment levels fellows should achieve by training completion, (2) whether they would allow a fellow to graduate below these minimum levels, and (3) minimum levels for safe and effective practice by PEM physicians. Minimum levels were defined as the level that more than 80% of FPDs would not drop below. RESULTS: Sixty of 77 PEM FPDs (78%) completed the survey. Most respondents did not require fellows to achieve the highest level (level 5-no supervision) by graduation for any PEM-specific EPAs. The median level FPDs expected for practicing PEM physicians was 5 (trusted to perform without supervision) for EPAs 1 and 4 and level 4 (indirect supervision for complex cases) for the remaining PEM-specific EPAs. Minimum levels expected by FPDs for common subspecialty pediatric EPAs were lower for both groups. CONCLUSIONS: Most PEM FPDs indicated that they would graduate fellows before their achievement of the highest entrustment level for all EPAs. Most also indicated that they do not expect practicing PEM physicians to perform all EPAs without supervision. These findings indicate need for stakeholders to evaluate current structure and outcomes of PEM fellowship programs and for institutions and organizations to ensure adequate support in time and resources for ongoing learning for practicing PEM physicians.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Child / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Child / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article