Entrustable professional activities for apheresis medicine education

Monica B. Pagano, Angela Treml, Laura D. Stephens, Sarita Joshi, Yanhua Li, Ileana Lopez-Plaza, Srivaths Poyyapakkam, Joseph Schwartz, Yvette Tanhehco, Nicole D. Zantek

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Entrustable professional activities (EPAs) are well-defined, executable, observable, and measurable activities that are performed by a trainee and can be performed independently as training progresses. The purpose of this study is to develop EPAs specific for the practice of apheresis medicine (AM). Methods: Members of the American Society for Apheresis Graduate Medical Education subcommittee developed a list of 28 apheresis medical activities linked to Accreditation Council for Graduate Medical Education milestones and competencies in five areas: (a) consultation, (b) clinical care for therapeutic apheresis, (c) clinical care for donor collections, (d) test optimization, and (e) vascular access. Ten AM experts using a validated tool to measure the quality of the EPAs (QUEPA) evaluated these activities with use of a Likert scale. Per group consensus, an activity was considered acceptable for each domain if it had received an average score greater than 3.7, and it was rated 4 or 5 (agree or strongly agree) by at least 70% of experts. Results: Of the 28 activities, 11 did not have acceptable QUEPA scores: 7 activities were rated as unobservable, 4 were rated unfocused, 2 were rated unrealistic and not generalizable, and 2 were rated as not addressing multiple competencies. Four activities had unacceptable scores in more than one domain. Subcommittee members edited these 11 activities over two review cycles to produce a final list of 26 activities. Conclusion: A set of practical, focused, and observable EPAs in AM were systematically developed. These EPAs can be used to assess and support trainee performance in AM.

Original languageEnglish (US)
Pages (from-to)2432-2440
Number of pages9
JournalTransfusion
Volume60
Issue number10
Early online dateAug 5 2020
DOIs
StatePublished - Oct 1 2020

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