Experiences with EPAs, potential benefits and pitfalls

Medical Teacher

Volumn 36, Issue 8, 2014, Pages 698-702

  Van Loon, Karsten A ^a   Driessen, Erik W ^b   Teunissen, Pim W ^a,b   Scheele, Fedde ^a,c  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^b MAASTRICHT UNIVERSITY   (Netherlands)

^c St Lucas Andreas Hospital   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; CURRICULUM; EDUCATION; MEDICAL EDUCATION; NETHERLANDS; OBSTETRICS; STANDARDS;

CLINICAL COMPETENCE; COMPETENCY-BASED EDUCATION; CURRICULUM; EDUCATION, MEDICAL, GRADUATE; NETHERLANDS; OBSTETRICS;

EID: 84903997454     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/0142159X.2014.909588     Document Type: Review

References (29)

1. Accreditation Council for Graduate Medical Education (ACGME). 2007. Outcome project. [Accessed 12 December 2013] Available from http://www.acgme. org/outcome/comp/GeneralCompetenciesStandards21307.pdf.
2. Billett S. 2006. Constituting the workplace curriculum. J Curriculum Stud 38: 31-48. (Pubitemid 44559904)
3. Bok HG, Teunissen PW. 2013. Patients and learners: Time for a re-evaluation of our goals in bringing them together. Med Educ 47: 1157-1159.
4. Carraccio C, Burke AE. 2010. Beyond competencies and milestones: Adding meaning through context. J Grad Med Educ 2: 419-422.
5. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. 2002. Shifting paradigms: From Flexner to competencies. Acad Med 77: 361-367. (Pubitemid 34526146)
6. Clanchy J, Ballard B. 1995. Generic skills in the context of higher education. High Educ Res Dev 14: 155-166. (Pubitemid 126068138)
7. Dath D, Iobst W. 2010. The importance of faculty development in the transition to competency-based medical education. Med Teach 32: 683-686.
8. Dijksterhuis MGK, Voorhuis M, Teunissen PW, Schuwirth LWT, ten Cate OTJ, Braat DDM, Scheele F. 2009. Assessment of competence and progressive independence in postgraduate clinical training. Med Educ 43: 1156-1165.
9. Driessen EW, Scheele F. 2013. What is wrong with assessment in postgraduate training? Lessons from clinical practice and educational research. Med Teach 35: 569-574.
10. Ellaway R, Evans P, McKillop J, Cameron H, Morrison J, McKenzie H, Mires G, Pippard M, Simpson J, Cumming A, et al. 2007. Crossreferencing the Scottish Doctor and Tomorrow's Doctors learning outcome frameworks. Med Teach 29: 630-635. (Pubitemid 351200659)
11. Essers G, van Dulmen S, van Weel C, van der Vleuten C, Kramer A. 2011. Identifying context factors explaining physician's low performance in communication assessment: An explorative study in general practice. BMC Fam Pract, 12:138.
12. Frank JR, Danoff D. 2007. The CanMEDS initiative: Implementing an outcomes-based framework of physician competencies. Med Teach 29: 642-647. (Pubitemid 351200661)
13. General Medical Council (GMC). 2009. Tomorrow's doctors. [Accessed 12 December 2013] Available from http://www.gmc-uk.org/static/documents/content/ TomorrowsDoctors-2009.pdf.
14. Jones Jr MD, Rosenberg AA, Gilhooly JT, Carraccio CL. 2011. Perspective: Competencies, outcomes, and controversy - Linking professional activities to competencies to improve resident education and practice. Acad Med 86: 161-165.
15. Kuchinke KP, Han H. (2005). Should caring be viewed as competence? (Re) Opening the dialogue over the limitations of competency frameworks in HRD. Hum Resour Dev Int 8: 385-389.
16. Mehta NB, Hull AL, Young JB, Stoller JK. 2013. Just imagine: New paradigms for medical education. Acad Med 88: 1418-1423.
17. Mulder H, ten Cate O, Daalder R, Berkvens J. 2010. Building a competencybased workplace curriculum around entrustable professional activities: The case of physician assistant training. Med Teach 32: 453-459.
18. Neufeld VR, Maudsley RF, Pickering RJ, Turnbull JM, Weston WW, Brown MG, Simpson JC. 1998. Educating future physicians for Ontario. Acad Med 73: 1133-1148. (Pubitemid 28530284)
19. Rogers EM. 1995. Diffusion of innovations. New York: Free Press.
20. Saxon K, Juneja N. 2013. Establishing entrustment of residents and autonomy. Acad Emerg Med 20: 947-949.
21. Scheele F, Teunissen P, Van Luijk S, Heineman E, Fluit L, Mulder H, Meininger A, Wijnen-Meijer M, Glas G, Sluiter H, et al. 2008. Introducing competency-based postgraduate medical education in the Netherlands. Med Teach 30: 248-253. (Pubitemid 351943179)
22. Tallis RC. 2006. Doctors in society: Medical professionalism in a changing world. Clin Med 6: 7-12.
23. The Royal College of Physicians and Surgeons of Canada 2005. The CanMEDS 2005 Physician Competency Framework. Available from: http://www.royalcollege.ca/ portal/page/portal/rc/common/documents/canmeds/resources/publications/ framework-full-e.pdf [Last accessed 15 January 2014].
24. ten Cate O. 2005. Entrustability of professional activities and competencybased training. Med Educ 39: 1176-1177. (Pubitemid 41752330)
25. ten Cate O, Scheele F. 2007. Competency-based postgraduate training: Can we bridge the gap between theory and clinical practice? Acad Med 82: 542-547. (Pubitemid 46828201)
26. ten Cate O, Snell L, Carraccio C. 2010. Medical competence: The interplay between individual ability and the health care environment. Med Teach 32: 669-675.
27. ten Cate O, Young JQ. 2012. The patient handover as an entrustable professional activity: Adding meaning in teaching and practice. BMJ Qual Saf 21:i9-i12.
28. van der Zwet J, Hanssen VG, Zwietering PJ, Muijtjens AM, Van der Vleuten CP, Metsemakers JF, Scherpbier AJ. 2010. Workplace learning in general practice: Supervision, patient mix and independence emerge from the black box once again. Med Teach 32: 294-299.
29. Veldhuijzen W, Mogendorff K, Ram P, van der Weijden T, Elwyn G, van der Vleuten C. 2012. How doctors move from generic goals to specific communicative behavior in real practice consultations. Patient education and counseling. Thesis.