Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service

Introduction The Accreditation Council for Graduate Medical Education's milestones require internal medicine residents to have competency in calling consults. Based on a literature review, we developed an Entrustable Professional Activity (EPA) to delineate the knowledge, skills, and attitudes...

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Autores principales:	Angela J. Kang, Katherine Gielissen, Donna Windish
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Entrustable Professional Activities EPAs Milestones ACGME Consults Intern Competency Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/895ef5ccc73340dca3d83233ce644835
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spelling	oai:doaj.org-article:895ef5ccc73340dca3d83233ce6448352021-11-22T13:56:59ZUsing an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service10.15766/mep_2374-8265.108542374-8265https://doaj.org/article/895ef5ccc73340dca3d83233ce6448352019-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10854https://doaj.org/toc/2374-8265Introduction The Accreditation Council for Graduate Medical Education's milestones require internal medicine residents to have competency in calling consults. Based on a literature review, we developed an Entrustable Professional Activity (EPA) to delineate the knowledge, skills, and attitudes required for a consultation request and, building on the EPA, implemented an assessment instrument to provide feedback to interns calling consultation requests and assess the quality of their consult questions and the level of supervision required in performing this milestone. Methods Assessments were done on internal medicine inpatient teaching services. Consultation requests were performed by interns and observed by residents using the assessment instrument. Feedback was provided to the interns. Interns then completed a self-reflection instrument based on the feedback. Results Twenty-six paired observations were collected over three 1-month rotations. There was a moderate positive correlation (r = .43) comparing resident and intern responses to how they felt about the intern's ability to make a consultation request. There was a strong positive correlation (r = .65) comparing resident opinion of how strong the intern's ability in calling a consult to how well the consult question used the PICO (patient, intervention, comparators, outcomes of interest) framework. Twenty-five out of 28 interns (89%) said they would make a change during their next consultation request due to feedback from their resident. Discussion Our EPA-based assessment instrument provided an opportunity to give interns feedback and to assess the quality of the consultation requests they made.Angela J. KangKatherine GielissenDonna WindishAssociation of American Medical CollegesarticleEntrustable Professional ActivitiesEPAsMilestonesACGMEConsultsIntern CompetencyMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Entrustable Professional Activities EPAs Milestones ACGME Consults Intern Competency Medicine (General) R5-920 Education L
spellingShingle	Entrustable Professional Activities EPAs Milestones ACGME Consults Intern Competency Medicine (General) R5-920 Education L Angela J. Kang Katherine Gielissen Donna Windish Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service
description	Introduction The Accreditation Council for Graduate Medical Education's milestones require internal medicine residents to have competency in calling consults. Based on a literature review, we developed an Entrustable Professional Activity (EPA) to delineate the knowledge, skills, and attitudes required for a consultation request and, building on the EPA, implemented an assessment instrument to provide feedback to interns calling consultation requests and assess the quality of their consult questions and the level of supervision required in performing this milestone. Methods Assessments were done on internal medicine inpatient teaching services. Consultation requests were performed by interns and observed by residents using the assessment instrument. Feedback was provided to the interns. Interns then completed a self-reflection instrument based on the feedback. Results Twenty-six paired observations were collected over three 1-month rotations. There was a moderate positive correlation (r = .43) comparing resident and intern responses to how they felt about the intern's ability to make a consultation request. There was a strong positive correlation (r = .65) comparing resident opinion of how strong the intern's ability in calling a consult to how well the consult question used the PICO (patient, intervention, comparators, outcomes of interest) framework. Twenty-five out of 28 interns (89%) said they would make a change during their next consultation request due to feedback from their resident. Discussion Our EPA-based assessment instrument provided an opportunity to give interns feedback and to assess the quality of the consultation requests they made.
format	article
author	Angela J. Kang Katherine Gielissen Donna Windish
author_facet	Angela J. Kang Katherine Gielissen Donna Windish
author_sort	Angela J. Kang
title	Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service
title_short	Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service
title_full	Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service
title_fullStr	Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service
title_full_unstemmed	Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service
title_sort	using an entrustable professional activity to assess consultation requests called on an internal medicine teaching service
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/895ef5ccc73340dca3d83233ce644835
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Using an Entrustable Professional Activity to Assess Consultation Requests Called on an Internal Medicine Teaching Service

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