期刊
ACADEMIC PEDIATRICS
卷 22, 期 6, 页码 881-886出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.acap.2021.12.019
关键词
clinical competence; graduate medical education; pediatrics; subspecialties
类别
资金
- American Board of Pediatrics Foundation
This study aimed to determine the relationship between level of supervision (LOS) ratings and subcompetency milestones for pediatric subspecialty trainees. The results showed that subcompetency milestone levels and LOS ratings increased similarly across subspecialties and training years, providing validity evidence for the use of LOS ratings in assessing pediatric subspecialty trainee performance. This study supports the development of tools to facilitate the evaluation process for all pediatric subspecialties.
OBJECTIVE: To determine the relationship between level of supervision (LOS) ratings for the Common Pediatric Subspecialty Entrustable Professional Activities (EPAs) with their associated subcompetency milestones across subspecialties and by fellowship training year. METHODS: Clinical Competency Committees (CCCs) in 14 pediatric subspecialties submitted LOS ratings for 6 Common Subspecialty EPAs and subcompetency milestone levels mapped to these EPAs. We examined associations between these subcompetency milestone levels and LOS ratings across subspecialty training year by fitting per-EPA linear mixed effects models, regressing LOS rating on milestone level and on training year. RESULTS: CCCs from 211 pediatric fellowship programs provided data for 369 first, 336 second, and 331 third year fellows. Mean subcompetency milestone levels increased similarly among subspecialties for most EPAs compared with the reference, Adolescent Medicine. Mean subcompetency milestones mapped to each EPA and mean EPA LOS ratings generally increased by training year across all subspecialties. CONCLUSIONS: Subcompetency milestones levels mapped to each Common Subspecialty EPA and the EPA LOS ratings increase similarly across subspecialties and by training year, providing validity evidence for using EPA LOS to assess pediatric subspecialty trainee performance. This study supports the development of tools to facilitated the CCC evaluation process across all pediatric subspecialties.
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