Agreement between trainees and supervisors on first-year entrustable professional activities for anaesthesia training

Marty, Adrian P.; Schmelzer, Sarah; Thomasin, Reto A.; Braun, Julia; Zalunardo, Marco P.; Spahn, Donat R.; Breckwoldt, Jan

doi:10.1016/j.bja.2020.04.009

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Agreement between trainees and supervisors on first-year entrustable professional activities for anaesthesia training
Authors:	Marty, Adrian P. Schmelzer, Sarah Thomasin, Reto A. Braun, Julia Zalunardo, Marco P. Spahn, Donat R. Breckwoldt, Jan
et. al:	No
DOI:	10.1016/j.bja.2020.04.009
Published in:	British Journal of Anaesthesia
Volume(Issue):	125
Issue:	1
Page(s):	98
Pages to:	103
Issue Date:	16-May-2020
Publisher / Ed. Institution:	Elsevier
ISSN:	0007-0912 1471-6771
Language:	English
Subjects:	Anaesthesia training; Competency-based medical education; Medical education; Workplace-based assessment
Subject (DDC):	617: Surgery
Abstract:	Background Entrustable professional activities (EPAs) are commonly developed by senior clinicians and education experts. However, if postgraduate training is conceptualised as an educational alliance, the perspective of trainees should be included. This raises the question as to whether the views of trainees and supervisors on entrustability of specific EPAs differ, which we aimed to explore. Methods A working group, including all stakeholders, selected and drafted 16 EPAs with the potential for unsupervised practice within the first year of training. For each EPA, first-year trainees, advanced trainees, and supervisors decided whether it should be possible to attain trust for unsupervised practice by the end of the first year of anaesthesiology training (i.e. whether the respective EPA qualified as a ‘first-year EPA’). Results We surveyed 23 first-year trainees, 47 advanced trainees, and 51 supervisors (overall response rate: 68%). All groups fully agreed upon seven EPAs as ‘first-year EPAs’ and on four EPAs that should not be entrusted within the first year. For all five remaining EPAs, a significantly higher proportion of first-year trainees thought these should be entrusted as first-year EPAs compared with advanced trainees and supervisors. We found no differences between advanced trainees and supervisors. Conclusions The views of first-year trainees, advanced trainees, and supervisors showed high agreement. Differing views of young trainees disappeared after the first year. This finding provides a fruitful basis to involve trainees in negotiations of autonomy.
URI:	https://digitalcollection.zhaw.ch/handle/11475/22020
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Management and Law
Organisational Unit:	Winterthur Institute of Health Economics (WIG)
Appears in collections:	Publikationen School of Management and Law

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Marty, A. P., Schmelzer, S., Thomasin, R. A., Braun, J., Zalunardo, M. P., Spahn, D. R., & Breckwoldt, J. (2020). Agreement between trainees and supervisors on first-year entrustable professional activities for anaesthesia training. British Journal of Anaesthesia, 125(1), 98–103. https://doi.org/10.1016/j.bja.2020.04.009

Marty, A.P. et al. (2020) ‘Agreement between trainees and supervisors on first-year entrustable professional activities for anaesthesia training’, British Journal of Anaesthesia, 125(1), pp. 98–103. Available at: https://doi.org/10.1016/j.bja.2020.04.009.

A. P. Marty et al., “Agreement between trainees and supervisors on first-year entrustable professional activities for anaesthesia training,” British Journal of Anaesthesia, vol. 125, no. 1, pp. 98–103, May 2020, doi: 10.1016/j.bja.2020.04.009.

MARTY, Adrian P., Sarah SCHMELZER, Reto A. THOMASIN, Julia BRAUN, Marco P. ZALUNARDO, Donat R. SPAHN und Jan BRECKWOLDT, 2020. Agreement between trainees and supervisors on first-year entrustable professional activities for anaesthesia training. British Journal of Anaesthesia. 16 Mai 2020. Bd. 125, Nr. 1, S. 98–103. DOI 10.1016/j.bja.2020.04.009

Marty, Adrian P., Sarah Schmelzer, Reto A. Thomasin, Julia Braun, Marco P. Zalunardo, Donat R. Spahn, and Jan Breckwoldt. 2020. “Agreement between Trainees and Supervisors on First-Year Entrustable Professional Activities for Anaesthesia Training.” British Journal of Anaesthesia 125 (1): 98–103. https://doi.org/10.1016/j.bja.2020.04.009.

Marty, Adrian P., et al. “Agreement between Trainees and Supervisors on First-Year Entrustable Professional Activities for Anaesthesia Training.” British Journal of Anaesthesia, vol. 125, no. 1, May 2020, pp. 98–103, https://doi.org/10.1016/j.bja.2020.04.009.