1. The effect of entrustable professional activities on pathology resident confidence in blood banking/transfusion medicine
- Author
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Jennifer Y. Ju and Gay Wehrli
- Subjects
Pathology ,medicine.medical_specialty ,Students, Medical ,Medical psychology ,Immunology ,MEDLINE ,Graduate medical education ,030204 cardiovascular system & hematology ,Trust ,Accreditation ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Milestone (project management) ,medicine ,Humans ,Immunology and Allergy ,Practice Patterns, Physicians' ,health care economics and organizations ,Pathology, Clinical ,Transfusion Medicine ,business.industry ,Internship and Residency ,Transfusion Reaction ,Transfusion medicine ,Hematology ,Institutional review board ,Competency-Based Education ,Circadian Rhythm ,Education, Medical, Graduate ,Blood Banks ,Perception ,lipids (amino acids, peptides, and proteins) ,Clinical Competence ,Educational Measurement ,business ,030215 immunology ,Cohort study - Abstract
Background The Accreditation Council for Graduate Medical Education requires milestone reporting of the Six General Core Competencies. Additionally, Graduate Medical Education (GME) is transitioning to adopt competency-based education methodologies including entrustable professional activities (EPAs) for objective, observable, and measurable milestone progression. The College of American Pathologists published 19 EPAs, including one for transfusion-related adverse events. This survey study includes developing EPAs for transfusion reaction evaluation and assessing residents before and after implementing these EPAs. Study design and methods Three transfusion reaction EPAs were developed and implemented in July 2018 for the Postgraduate Year (PGY) 2 pathology residents. An online, anonymous survey was sent to all 21 pathology trainees before and one year after EPA implementation. In July 2018 and August 2019, each survey included the same six multiple-choice, single-response, confidence questions, with a rating scale of extremely, very, slightly, or not at all confident. This study was approved by the hospital's Institutional Review Board for Health Sciences Research and GME Committee. Results Analysis was performed on PGY2-4 residents. In 2018, 13 of 20 participants were analyzed. In 2019, 15 of 19 participants were analyzed. Number and percentage of responses were reported. The results showed an increase in trainee confidence, with the greatest improvement among the first class to use the EPAs. Conclusion EPAs provide an effective framework for objective and measurable progression of trainees. One year after the implementation of transfusion reaction EPAs at our site, the trainees showed enhanced confidence levels in handling Blood Bank and Transfusion Medicine Services coverage.
- Published
- 2020
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