DOI QR코드

DOI QR Code

Development of Entrustable Professional Activity, Core Competencies, and Guidelines in 2021 Radiology Competency Education Project

2021년 대한영상의학회 전공의 연차별 수련교과과정 체계화 구축 사업에서 개발한 위임가능 전문직무(Entrustable Professional Activity)와 필수 핵심역량 평가항목 및 평가 가이드라인

  • You Me Kim (Department of Radiology, Dankook University Hospital) ;
  • Moon Hyung Choi (Department of Radiology, Eunpyeong St. Mary's Hospital) ;
  • Jei Hee Lee (Department of Radiology, Ajou University Hospital) ;
  • Yun-Jung Lim (Department of Radiology, Inje University Haeundae Paik Hospital) ;
  • Young Jin Kim (Department of Radiology, Severance Hospital) ;
  • Jeong Seon Park (Department of Radiology, Hanyang University Hospital) ;
  • Su Jin Hong (Department of Radiology, Hanyang University Guri Hospital) ;
  • Jung Suk Oh (Department of Radiology, Seoul St. Mary's Hospital) ;
  • Ji Seon Park (Department of Radiology, Kyung Hee University Hospital) ;
  • A Leum Lee (Department of Radiology, Soonchunhyang University Bucheon Hospital) ;
  • Seung Eun Jung (Department of Radiology, Eunpyeong St. Mary's Hospital)
  • 김유미 (단국대학교병원 영상의학과) ;
  • 최문형 (은평성모병원 영상의학과) ;
  • 이제희 (아주대학병원 영상의학과) ;
  • 임윤정 (인제대학교 해운대백병원 영상의학과) ;
  • 김영진 (세브란스병원 영상의학과) ;
  • 박정선 (한양대학병원 영상의학과) ;
  • 홍수진 (한양대학교 구리병원 영상의학과) ;
  • 오정석 (서울성모병원 영상의학과) ;
  • 박지선 (경희대학교병원 영상의학과) ;
  • 이아름 (순천향대학교 순천향부천병원 영상의학과) ;
  • 정승은 (은평성모병원 영상의학과)
  • Received : 2021.10.13
  • Accepted : 2021.11.21
  • Published : 2022.03.01

Abstract

To provide high-quality training to residents in a rapidly changing medical environment, it is very important to improve the annual training curriculum centered on competency and ensure that training hospitals maintain an environment suitable for training. The Korean Society of Radiology (KSR) has been steadily improving the training system and has suggested the improvement of the training system by strengthening the competency-based evaluation and faculty development. Currently, KSR was selected for the second annual training curriculum systematization construction project in July 2021, and developed entrustable professional activities, core competencies, and assessment guidelines required by the construction project. Therefore, the development process and assessment guidelines will be introduced to residents and the faculty.

급변하고 있는 의료환경에서 전공의에게 양질의 수련을 제공하기 위해 연차별 수련교과과정을 역량 중심으로 개선하고, 수련병원이 수련에 적합한 환경을 유지하도록 하는 것은 매우 중요하다. 대한영상의학회는 그동안 수련체계 개선을 꾸준히 진행해 왔고, 전공의 역량평가와 지도전문의의 내용을 강화하여 역량 중심 전공의 수련체계 개선을 제시하였다. 현재 대한 영상의학회는 2021년 7월 제2차 연차별 수련교과과정 체계화 구축 사업에 선정되어 구축 사업을 추진하고 있으며, 구축 사업에서 요구하는 위임가능 전문직무와 핵심역량 평가항목 및 평가 가이드라인을 개발하였다. 이에 대한 개발과정과 평가항목 및 평가 가이드라인을 소개하여 전공의와 지도전문의들에게 정보를 제공하고자 한다.

Keywords

Acknowledgement

This work was supported by the Radiology Competency Education Project (RCEP) grant funded by the Korean government.

References

  1. Lee SW. The need for education in general competencies during the resident training in Korea. J Korean Med Assoc 2014;57:292-295 
  2. Kim JJ. Residency training: training program renewal and evaluation of training. J Korean Med Assoc 2014;57:896-898 
  3. Doctors News. The difference in the quality of training... Standardization, one more step. Available at. http://www.doctorsnews.co.kr/news/articleView.html?idxno=140475. Accessed Oct 11, 2021 
  4. Ministry of Health and Welfare. Residency competency training project. Available at. https://www.law.go.kr/행정규칙/전공의의 연차별 수련교과과정. Accessed Oct 11, 2021 
  5. ten Cate O. Entrustability of professional activities and competency-based training. Med Educ 2005;39:1176-1177 
  6. Hauer KE, Kohlwes J, Cornett P, Hollander H, Ten Cate O, Ranji SR, et al. Identifying entrustable professional activities in internal medicine training. J Grad Med Educ 2013;5:54-59 
  7. Shaughnessy AF, Sparks J, Cohen-Osher M, Goodell KH, Sawin GL, Gravel J Jr. Entrustable professional activities in family medicine. J Grad Med Educ 2013;5:112-118 
  8. Beeson MS, Warrington S, Bradford-Saffles A, Hart D. Entrustable professional activities: making sense of the emergency medicine milestones. J Emerg Med 2014;47:441-452 
  9. American Board of Pediatrics. Entrustable professional activities for subspecialties. Available at: https://www.abp.org/subspecialty-epas. Accessed Jul 12, 2015 
  10. Lee SW, Kim WS, Park SB, Park JH, Park CS, Lee SY, et al. Development of general competencies and EPA based on roles of doctors in South Korea. Seoul: KMA Research Institute for Healthcare Policy 2018 
  11. Ten Cate O. AM last page: what entrustable professional activities add to a competency-based curriculum. Acad Med 2014:88:691 
  12. ten Cate O, Snell L, Carraccio C. Medical competence: the interplay between individual ability and the health care environment. Med Teach 2010:32:669-675 
  13. Englander R, Carraccio C. From theory to practice: making entrustable professional activities come to life in the context of milestones. Acad Med 2014;89:1321-1323 
  14. Teherani A, Chen HC. The next steps in competency-based medical education: milestones, entrustable professional activities and observable practice activities. J Gen Intern Med 2014;29:1090-1092 
  15. Deitte LA, Gordon LL, Zimmerman RD, Stern EJ, McLoud TC, Diaz-Marchan PJ, et al. Entrustable professional activities: ten things radiologists do. Acad Radiol 2016;23:374-381 
  16. Ahn DS. Korean doctor's role. J Korean Med Assoc 2014;57:3-7 
  17. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system--rationale and benefits. N Engl J Med 2012;366:1051-1056 
  18. Ogrinc G, Headrick LA, Morrison LJ, Foster T. Teaching and assessing resident competence in practice-based learning and improvement. J Gen Intern Med 2004;19:496-500 
  19. Lypson ML, Frohna JG, Gruppen LD, Woolliscroft JO. Assessing residents' competencies at baseline: identifying the gaps. Acad Med 2004;79:564-570 
  20. Nasca TJ, Day SH, Amis ES Jr; ACGME Duty Hour Task Force. The new recommendations on duty hours from the ACGME task force. N Engl J Med 2010;363:e3 
  21. The Royal College of Radiologists. Clinical radiology specialty training curriculum (implementation by: 01.08.2021). Web site. https://www.gmc-uk.org/-/media/documents/clinical-radiology-curriculum-2021_pdf-83266369.pdf. Accessed October 1, 2021 
  22. Ten Cate O. Entrustment as assessment: recognizing the ability, the right, and the duty to act. J Grad Med Educ 2016;8:261-262 
  23. Ten Cate O, Hart D, Ankel F, Busari J, Englander R, Glasgow N, et al. Entrustment decision making in clinical training. Acad Med 2016;91:191-198 
  24. Ten Cate O, Chen HC, Hoff RG, Peters H, Bok H, van der Schaaf M. Curriculum development for the workplace using entrustable professional activities (EPAs): AMEE guide no. 99. Med Teac 2015;37:983-1002 
  25. Long DM. Competency-based residency training: the next advance in graduate medical education. Acad Med 2000;75:1178-1183 
  26. Ten Cate O, Hoff RG. From case-based to entrustment-based discussions. Clin Teach 2017;14:385-389 
  27. Carraccio C, Englander R, Holmboe ES, Kogan JR. Driving care quality: aligning trainee assessment and supervision through practical application of entrustable professional activities, competencies, and milestone. Acad Med 2016;91:199-203