Table 1
Variation in context of PGME programmes
|
Variation in working environment of PGME programmes | ||||
|---|---|---|---|---|
|
Medical Specialty |
Feature of medical specialty |
Location |
Patient population |
Patient contact |
|
General practice |
General care with a holistic perspective |
Extramural |
High variety in patient population |
Intensive direct patient contact |
|
Clinical geriatrics |
Specialist care with a holistic perspective |
Intramural |
Specific patient population |
Intensive direct patient contact |
|
Obstetrics & gynaecology |
Specialist care |
Intramural |
Specific patient population |
Intensive, direct patient contact |
|
Radiology & nuclear medicine |
Specialist care |
Intramural |
High variety in patient population |
Little direct patient contact |
Table 2
Possible EPA applications
|
Possible areas of application |
Description |
|---|---|
|
Assessment of competences and entrustment decision for independent practice |
In EPAs, the competences are mapped onto activities from daily practice. In order to be able to perform an EPA, multiple competences from several domains have to be applied at the same time. Assessment of competences takes place by means of determining how much supervision the trainee needs for the specific EPA. An EPA can be entrusted to a trainee once he/she has demonstrated the competences of the EPA concerned and once he/she is able to manage the risks that are involved in the EPA under all circumstances. By gradually increasing the level of entrustment to the trainee, the level of responsibility and autonomy of the trainee can also gradually increase because of a decrease in the level of supervision |
|
Professional development |
Using the EPAs, an individual curriculum can be built, indicating the moments at which the levels of supervision are expected to be reached by the trainee. This individual curriculum can guide both trainee and trainer in learning. Knowing what level of supervision is expected at which moment, the trainee and the trainer are both given directions for learning and teaching. The addition of elective EPAs may add focus to areas of interest of the trainee, thereby further individualizing the personal development plan of the trainee |
|
Curriculum development |
A workplace curriculum can be built using a set of validated EPAs |