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Making EPAs a 59 minute objective measure for surgical trainees – A pilot study
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Making EPAs a 59 minute objective measure for surgical trainees – A pilot study
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Making EPAs a 59 minute objective measure for surgical trainees – A pilot study
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Journal Article
Making EPAs a 59 minute objective measure for surgical trainees – A pilot study
2020
Overview
Accurately confirming surgical trainees have met the requirements of entrusted professional activities (EPAs) will require rigorous staff input. We pondered whether such simulation-driven evaluations might prove useful to the current ABS/APDS pilot effort on EPA analysis.
Our surgical trainees participate biannually in a 59-min simulation-based assessment (X-Games) which covers surgical technique, knowledge and critical thinking in a host of domains. The content and difficulty of the stations differed between the PGY levels. Only 4 EPA topics (inguinal hernia repair, appendectomy, cholecystectomy, and trauma resuscitation) were tabulated for this study.
16-PGY-2s, 8-PGY-3s, 10-PGY-4s, and 10-PGY-5s surgical residents completed the X-Games. Performance within and between PGY levels was variable. The mean(SD) EPA scores for all PGY levels are listed in Table- 1.
Analysis gleaned from a 59-min OSCE in a simulated-setting offers objective data that appears to have construct-validity. Refining our Surgical X-Games to cater to the specific EPA scoring system may better allow objective analysis of when trainees cross the threshold from “can do with some help” to “can do autonomously”.
•A 59-min OSCE objectively differentiates General Surgery trainees in relation to EPAs.•Simulated settings may offer insight into how trainees are progressing along an EPA continuum.•Direct observation of trainees allows immediate and granular feedback.
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