Exploration of post competency assessment of resident physicians based on entrustable professional activities in standardized residency training
Du Shaolin
Luo Changyou
Dong Xiuqing
Ye Lingyu
Jiang Shuya
Xu Baohua
Abstract：Objective To explore the new formative evaluation system for general medical resident physicians to promote the development of the entrustable professional activities(EPAs)evaluation system,based on the existing standardized training evaluation system for resident physicians combined with the EPAs indicators.Methods The original formative evaluation method and EPAs evaluation method were used to evaluate the three-year general medical residents in Dongguan Tungwah Hospital's standardized training base for resident physicians.Mini-clinical evaluation exercise(Mini-CEX)and direct observation of procedural skills(DOPS)were selected from the original evaluation method for indicator analysis.EPAs evaluation referred to 15 indicators,was divided into 5 levels,and adopted peer-evaluation and self-evaluation methods.Results Among the Mini-CEX and DOPS evaluations,there was no statistical difference in indicator score between the three years of training,except for clinical judgment in the Mini-CEX evaluation(H=6.95,P=0.03).The Cronbach's α coefficient of the EPAs scale in this study was 0.978.The EPAs evaluation found that there were statistical differences in the peer-evaluation and self-evaluation scores of all 15 evaluation indicators between the three years of training(all P<0.05).As the years of training increased,the scores increased,and clinical behavior was gradually improved.Among the indicators,there were four items with differences between self-evaluation and peer-evaluation:patient reception,selection and interpretation of auxiliary examinations,medical record writing,and case report(all P<0.05).Conclusion Evaluation based on the EPAs provides a simple and feasible evaluation method that is accepted by resident physicians.Combined with the existing formative evaluation system,it provides a more reliable basis for competence-oriented resident training.
Keywords：entrustable professional activitiesstandardized residency trainingformative evaluationpost competence
Publication Date：2024-07-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 481-486 )