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Bienvenido

Titulo Artículo : Entrustable professional activities for residency in general internal medicine: a systematic review
Titulo Revista: Swiss Medical Weekly

ISBN

1424-3997
Autores Matteo Monti
Noëlle Junod Perron
Sonia Frick
Cécile Jaques
Mathieu Nendaz
David Gachoud
Bastien Valding
Año de publicacion 2022

Suplemento

Numero 4344 Volumen 152
Pagina Inicial 1 Pagina Final 8
Idioma: Inglés Base de datos bibliográfica: Medline-PubMed
Resumen : CONTEXT:EntrustableProfessionalActivities(EPAs)areobservabletasksthatareregularpartsofaphysician’sdailyclinicalwork.Beforebeingpermittedtoaccomplishthesetasksindependently,traineesmustgaintheirsuper-visors’trust.DefiningthelistofEPAsthatshouldbemas-teredbytheendofaresidencyiscriticaltosettingclearexpectations about autonomous practice.OBJECTIVE:TocollectallthelistsofEPAsdefinedforres-idenciesingeneralinternalmedicineandsynthesisethemintoareferenceworkusefulfordevelopingnewlistsofEPAs or improving existing ones.METHOD:Thissystematicreviewsearchedfivedatabas-esandrelevantgreyliteratureusingkeywordsrelatedtoEPAsandpostgraduateeducation,from2005,whenthefirstarticleonEPAswaspublished,toApril2022.Inclu-sioncriteriaweretheavailabilityofanEPAslistandafo-cusongeneralinternalmedicine.Tworeviewersindepen-dentlyselectedthestudies,extracteddataandperformedaqualityassessmentusingQATSDDandAACODStools.Mean values and inter-rater reliability were calculated.RESULTS:Thereviewyielded3292records,with16ar-ticlesmeetingtheinclusioncriteria,mostlyfromNorthAmerica.Synthesisingtheir16listsgenerated395EPAs.ThereviewerstheninductivelycategoriedthoseEPAs,308ofwhichfellinto6domains,14themesand24sub-themes.Thedomainswere:(1)careandmanagementofthegeneraladultpopulation(n=103EPAs);(2)careandmanagementofpatientswithspecificneeds(n=67);(3)carecoordinationandcommunication(n=52);(4)man-agementandleadership(N=21);(5)healthcarequality,education,andresearch(n=41);and(6)miscellaneous(n=24).Theremaining87EPAsweredisease-specificand did not fit into this categorisation.
Palabras Claves : EPAs
Postgraduate education
Residency in general internal medicine

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