Introducing entrustable professional activities for postgraduate medical training in Switzerland

Introduction: Graduate medical education is being reformed in many countries, with a focus on the principles of competency-based medical education (CBME). A main novel aspect in this context is the implementation of entrustable professional activities (EPAs). The introduction of EPAs aims to better...

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Main Authors: Pinilla, Severin, Bauer, Werner, Breckwoldt, Jan, Burkhart, Christoph S., Hennel, Eva K., Marty, Adrian P., von Wartburg, Urs, Brodmann Maeder, Monika, Huwendiek, Sören
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2024-11-01
Series:GMS Journal for Medical Education
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Online Access:http://www.egms.de/static/en/journals/zma/2024-41/zma001715.shtml
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author Pinilla, Severin
Bauer, Werner
Breckwoldt, Jan
Burkhart, Christoph S.
Hennel, Eva K.
Marty, Adrian P.
von Wartburg, Urs
Brodmann Maeder, Monika
Huwendiek, Sören
author_facet Pinilla, Severin
Bauer, Werner
Breckwoldt, Jan
Burkhart, Christoph S.
Hennel, Eva K.
Marty, Adrian P.
von Wartburg, Urs
Brodmann Maeder, Monika
Huwendiek, Sören
author_sort Pinilla, Severin
collection DOAJ
description Introduction: Graduate medical education is being reformed in many countries, with a focus on the principles of competency-based medical education (CBME). A main novel aspect in this context is the implementation of entrustable professional activities (EPAs). The introduction of EPAs aims to better align training curricula with clinical practice, provide individualized supervision, and enhance the quality of feedback.Project description: This project report presents the development of a national strategy and the initial results of implementing entrustable professional activities in the Swiss context.Results: Affiliated with the Swiss Institute of Medical Education (SIME), an EPA-Commission was established with the mandate to develop a strategy and provide guidance to medical specialty societies. To date, 28 out of 45 specialty societies have sought advice from the EPA-Commission and have begun developing EPAs. Concurrently, the Commission has expanded the national faculty development courses, adapted the content, started offering multilingual courses, and has published a series of articles on CBME and EPAs. Selected pilot hospitals are now planning to implement EPA-based graduate medical education curricula. Additionally, the introduction of a nationwide electronic solution (app) for assessing EPAs is planned.Conclusion: The introduction of EPAs in graduate medical education is a multilayered project. In addition to medical education aspects, various social, organizational, and professional-political factors are crucial for the transformation processes. In the Swiss context, such a reform has been successfully initiated. Continuous evaluations of the ongoing projects will provide further insights for competency-based graduate medical education reforms.
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spelling doaj-art-8200d428a23c4f71a34a5a83cc7ffff52024-11-25T11:57:53ZdeuGerman Medical Science GMS Publishing HouseGMS Journal for Medical Education2366-50172024-11-01415Doc6010.3205/zma001715Introducing entrustable professional activities for postgraduate medical training in SwitzerlandPinilla, Severin0Bauer, Werner1Breckwoldt, Jan2Burkhart, Christoph S.3Hennel, Eva K.4Marty, Adrian P.5von Wartburg, Urs6Brodmann Maeder, Monika7Huwendiek, Sören8University of Bern, Institute for Medical Education, Department for Assessment and Evaluation, Bern, SwitzerlandSwiss Institute of Medical Education (SIME), EPA-Commission, Bern, SwitzerlandSwiss Institute of Medical Education (SIME), EPA-Commission, Bern, SwitzerlandSwiss Institute of Medical Education (SIME), EPA-Commission, Bern, SwitzerlandUniversity of Bern, Institute for Medical Education, Department for Assessment and Evaluation, Bern, SwitzerlandSwiss Institute of Medical Education (SIME), EPA-Commission, Bern, SwitzerlandSwiss Institute of Medical Education (SIME), EPA-Commission, Bern, SwitzerlandSwiss Institute of Medical Education (SIME), Bern, SwitzerlandUniversity of Bern, Institute for Medical Education, Department for Assessment and Evaluation, Bern, SwitzerlandIntroduction: Graduate medical education is being reformed in many countries, with a focus on the principles of competency-based medical education (CBME). A main novel aspect in this context is the implementation of entrustable professional activities (EPAs). The introduction of EPAs aims to better align training curricula with clinical practice, provide individualized supervision, and enhance the quality of feedback.Project description: This project report presents the development of a national strategy and the initial results of implementing entrustable professional activities in the Swiss context.Results: Affiliated with the Swiss Institute of Medical Education (SIME), an EPA-Commission was established with the mandate to develop a strategy and provide guidance to medical specialty societies. To date, 28 out of 45 specialty societies have sought advice from the EPA-Commission and have begun developing EPAs. Concurrently, the Commission has expanded the national faculty development courses, adapted the content, started offering multilingual courses, and has published a series of articles on CBME and EPAs. Selected pilot hospitals are now planning to implement EPA-based graduate medical education curricula. Additionally, the introduction of a nationwide electronic solution (app) for assessing EPAs is planned.Conclusion: The introduction of EPAs in graduate medical education is a multilayered project. In addition to medical education aspects, various social, organizational, and professional-political factors are crucial for the transformation processes. In the Swiss context, such a reform has been successfully initiated. Continuous evaluations of the ongoing projects will provide further insights for competency-based graduate medical education reforms.http://www.egms.de/static/en/journals/zma/2024-41/zma001715.shtmlcompetency-based medical educationentrustable professional activitiesfaculty developmentchange management
spellingShingle Pinilla, Severin
Bauer, Werner
Breckwoldt, Jan
Burkhart, Christoph S.
Hennel, Eva K.
Marty, Adrian P.
von Wartburg, Urs
Brodmann Maeder, Monika
Huwendiek, Sören
Introducing entrustable professional activities for postgraduate medical training in Switzerland
GMS Journal for Medical Education
competency-based medical education
entrustable professional activities
faculty development
change management
title Introducing entrustable professional activities for postgraduate medical training in Switzerland
title_full Introducing entrustable professional activities for postgraduate medical training in Switzerland
title_fullStr Introducing entrustable professional activities for postgraduate medical training in Switzerland
title_full_unstemmed Introducing entrustable professional activities for postgraduate medical training in Switzerland
title_short Introducing entrustable professional activities for postgraduate medical training in Switzerland
title_sort introducing entrustable professional activities for postgraduate medical training in switzerland
topic competency-based medical education
entrustable professional activities
faculty development
change management
url http://www.egms.de/static/en/journals/zma/2024-41/zma001715.shtml
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