Assessment of final-year medical students' entrustable professional activities after education on an interprofessional training ward: A case-control study

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Assessment of final-year medical students' entrustable professional activities after education on an interprofessional training ward: A case-control study. / Brätz, Julian; Bußenius, Lisa; Brätz, Irina; Grahn, Hanno; Prediger, Sarah; Harendza, Sigrid.

In: PERSPECT MED EDUC, Vol. 11, No. 5, 10.2022, p. 266-272.

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@article{1edd0a69f8924758829944f37f2f06f7,
title = "Assessment of final-year medical students' entrustable professional activities after education on an interprofessional training ward: A case-control study",
abstract = "INTRODUCTION: Interprofessional training wards (ITWs) are implemented to provide medical students with a holistic and authentic health care experience to improve their clinical competencies. Controlled outcome studies assessing students' competencies after ITW-training are uncommon. In this case-control study, we assessed final-year medical students who received ITW-training regarding entrustable professional activities (EPAs) and communicative as well as social competencies.METHODS: In March 2021, 32 final-year students, 16 with (ITW group) and 16 without (control group) a previous four-week placement on an ITW participated in a training simulating the first day of residency. The simulated patients assessed students' communication and interpersonal skills for history taking with the ComCare index after every consultation. Twelve prospective EPAs were assessed by three senior physicians after watching videos of the students' case presentations.RESULTS: While baseline characteristics and ComCare index ratings were not significantly different between the two groups, the overall mean entrustment level for the 12 EPAs was significantly higher (p < 0.001) in the ITW group compared to the control group (median = 3.15 versus 2.22). The interrater reliability for all EPAs was high and entrustment in students from the ITW group was significantly higher in 10 out of 12 EPAs.DISCUSSION: ITW training seems to prepare medical students well to practice competencies which are relevant for prospective entrustment decisions and can be deduced by senior physicians from case presentations. Further studies with larger student cohorts are needed to corroborate this finding and observable EPAs could also be defined to assess students' competencies after ITW training.",
author = "Julian Br{\"a}tz and Lisa Bu{\ss}enius and Irina Br{\"a}tz and Hanno Grahn and Sarah Prediger and Sigrid Harendza",
note = "{\textcopyright} 2022. The Author(s).",
year = "2022",
month = oct,
doi = "10.1007/s40037-022-00720-0",
language = "English",
volume = "11",
pages = "266--272",
journal = "PERSPECT MED EDUC",
issn = "2212-2761",
publisher = "Bohn Stafleu van Loghum",
number = "5",

}

RIS

TY - JOUR

T1 - Assessment of final-year medical students' entrustable professional activities after education on an interprofessional training ward: A case-control study

AU - Brätz, Julian

AU - Bußenius, Lisa

AU - Brätz, Irina

AU - Grahn, Hanno

AU - Prediger, Sarah

AU - Harendza, Sigrid

N1 - © 2022. The Author(s).

PY - 2022/10

Y1 - 2022/10

N2 - INTRODUCTION: Interprofessional training wards (ITWs) are implemented to provide medical students with a holistic and authentic health care experience to improve their clinical competencies. Controlled outcome studies assessing students' competencies after ITW-training are uncommon. In this case-control study, we assessed final-year medical students who received ITW-training regarding entrustable professional activities (EPAs) and communicative as well as social competencies.METHODS: In March 2021, 32 final-year students, 16 with (ITW group) and 16 without (control group) a previous four-week placement on an ITW participated in a training simulating the first day of residency. The simulated patients assessed students' communication and interpersonal skills for history taking with the ComCare index after every consultation. Twelve prospective EPAs were assessed by three senior physicians after watching videos of the students' case presentations.RESULTS: While baseline characteristics and ComCare index ratings were not significantly different between the two groups, the overall mean entrustment level for the 12 EPAs was significantly higher (p < 0.001) in the ITW group compared to the control group (median = 3.15 versus 2.22). The interrater reliability for all EPAs was high and entrustment in students from the ITW group was significantly higher in 10 out of 12 EPAs.DISCUSSION: ITW training seems to prepare medical students well to practice competencies which are relevant for prospective entrustment decisions and can be deduced by senior physicians from case presentations. Further studies with larger student cohorts are needed to corroborate this finding and observable EPAs could also be defined to assess students' competencies after ITW training.

AB - INTRODUCTION: Interprofessional training wards (ITWs) are implemented to provide medical students with a holistic and authentic health care experience to improve their clinical competencies. Controlled outcome studies assessing students' competencies after ITW-training are uncommon. In this case-control study, we assessed final-year medical students who received ITW-training regarding entrustable professional activities (EPAs) and communicative as well as social competencies.METHODS: In March 2021, 32 final-year students, 16 with (ITW group) and 16 without (control group) a previous four-week placement on an ITW participated in a training simulating the first day of residency. The simulated patients assessed students' communication and interpersonal skills for history taking with the ComCare index after every consultation. Twelve prospective EPAs were assessed by three senior physicians after watching videos of the students' case presentations.RESULTS: While baseline characteristics and ComCare index ratings were not significantly different between the two groups, the overall mean entrustment level for the 12 EPAs was significantly higher (p < 0.001) in the ITW group compared to the control group (median = 3.15 versus 2.22). The interrater reliability for all EPAs was high and entrustment in students from the ITW group was significantly higher in 10 out of 12 EPAs.DISCUSSION: ITW training seems to prepare medical students well to practice competencies which are relevant for prospective entrustment decisions and can be deduced by senior physicians from case presentations. Further studies with larger student cohorts are needed to corroborate this finding and observable EPAs could also be defined to assess students' competencies after ITW training.

U2 - 10.1007/s40037-022-00720-0

DO - 10.1007/s40037-022-00720-0

M3 - SCORING: Journal article

C2 - 35864296

VL - 11

SP - 266

EP - 272

JO - PERSPECT MED EDUC

JF - PERSPECT MED EDUC

SN - 2212-2761

IS - 5

ER -