The use of EPA assessments in decision-making

Do supervision ratings correlate with other measures of clinical performance

Bibliographic Data

ID21447469
AuthorsVictor Soukoulis (0000-0003-1373-599X, Division of Cardiovascular Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA, corresponding author), James R Martindale (0000-0002-1027-8327, University of Virginia), James Martindale (Center for Medical Education Research and Scholarly Innovation, University of Virginia School of Medicine, Charlottesville, VA, USA), Megan J Bray (0000-0003-4941-3829, Center for Medical Education Research and Scholarly Innovation and Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville, VA, USA), Elizabeth Bradley (0000-0002-4567-2543, Center for Medical Education Research and Scholarly Innovation, University of Virginia School of Medicine, Charlottesville, VA, USA), Maryellen E Gusic (0000-0002-6519-223X, Center for Medical Education Research and Scholarly Innovation and Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA)
Year2021
Volume43
Issue11
Pages1323-1329
Publication date2021-11-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2021.1947480
PMID34242113
OpenAlexW3178006542
LanguageEN
Citations received1
References cited42

BACKGROUND: Entrustable professional activities (EPAs) have been introduced as a framework for teaching and assessment in competency-based educational programs. With growing use, has come a call to examine the validity of EPA assessments. We sought to explore the correlation of EPA assessments with other clinical performance measures to support use of supervision ratings in decisions about medical students' curricular progression. METHODS: Spearman rank coefficients were used to determine correlation of supervision ratings from EPA assessments with scores on clerkship evaluations and performance on an end-of-clerkship-year Objective Structured Clinical Examination (CPX). RESULTS: = 149) showed significant correlation with students' overall mean EPA supervision rating during the clerkship year. There was significant correlation between mean supervision rating for EPA assessments of history, exam, note, and oral presentation skills with scores for these skills on clerkship evaluations; less so on the CPX. CONCLUSIONS: Correlation of EPA supervision ratings with commonly used clinical performance measures offers support for their use in undergraduate medical education. Data supporting the validity of EPA assessments promotes stakeholders' acceptance of their use in summative decisions about students' readiness for increased patient care responsibility

Correlation · Formative assessment · Medical education · MEDLINE · Objective structured clinical examination · Pedagogy · Presentation (obstetrics) · Rank correlation · Rating scale · Spearman's rank correlation coefficient · Summative assessment · Computer Science · Counseling Practices and Supervision · Innovations in Medical Education · Medicine · Psychology · Simulation-Based Education in Healthcare

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