Gutiérrez BSE, Durán PVD, Avila AA, Sosa TE, Pacheco PJ, Gutiérrez RLM

Language: Spanish
References: 25
Page: 70-78
PDF size: 470.82 Kb.

ABSTRACT

Introduction: Competency-based education has been considered as a pedagogical proposal in medicine in recent decades. In clinical contexts, Entrustable Professional Activities (EPA) have been used for the application of competencies. The development of this strategy has been implemented in various specialties to improve the quality of postgraduate medical training.
Objective: to describe the construction process of APROC for the specialty of Geriatrics.
Method: This study used the sequential mixed method with a qualitative phase followed by a quantitative validation phase. In the first phase, in-depth interviews were conducted with geriatric physicians. Subsequently, a triangulation was performed with other sources to build the APROC. In the second phase, by means of the modified Delphi technique, a consensus of experts was made with professors of the specialty of geriatrics.
Results: The proposal to build an APC was made and ten EPA were built for the training of geriatric doctors divided into four years of training.
Conclusions: This is the beginning of an educational proposal for teachers and students of the specialty of Geriatrics in Latin America. We believe that an adaptation to the context is necessary once it is used in clinical practice. Further study of its implementation must be continued to demonstrate the effects of this proposal.

REFERENCES

1. Banco Mundial. Indicadores. 2021. Disponible en: https:// datos.bancomundial.org/indicator/SP.POP.TOTL

2. World Health Organisation. Global strategy and action plan on ageing and health. WHO. Geneva, Switzerland; 2017. 1-56 p. Disponible en: https://bit.ly/3CEW3HS

3. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923-58.

4. Sourdet S, Lafont C, Rolland Y, Nourhashemi F, Andrieu S, Vellas B. Preventable Iatrogenic Disability in Elderly Patients During Hospitalization. J Am Med Dir Assoc. 2015;16(8):674-81. Disponible en: http://dx.doi.org/10.1016/j.jamda.2015.03.011

5. Gutiérrez Robledo LM, Kershenobich Stalnikowitz D. Envejecimiento y salud: una propuesta para un plan de acción. 2nd ed. Editorial DG de P y F, editor. Envejecimiento y salud: una propuesta para un plan de acción. México: Universidad Nacional Autónoma de México; 2015. 352 p. Disponible en: https://bit.ly/2Zdi7uz

6. Meyer EG, Chen HC, Uijtdehaage S, Durning SJ, Maggio LA. Scoping Review of Entrustable Professional Activities in Undergraduate Medical Education. Acad Med. 2019;94(7):1040-9.

7. Ten Cate O. Entrustability of professional activities and competency-based training. Med Educ. 2005;39(12):1176-7.

8. Ten Cate O. Competency Based Medical Training and Evaluation. Definitions and Correlations with Real Clinical Practice. Rev Argent Cardiol. 2011;79(5):405-7.

9. Hamui-Sutton A, Varela Ruiz M, Ortiz Montalvo A, Torruco Garcia U. Las actividades profesionales confiables: un paso más en el paradigma de las competencias en educación médica. Rev la Fac Med UNAM. 2015;58(5):24-39.

10. Hamui-Sutton A, Durán-Pérez VD, García-Téllez SE, Vives- Varela T, Millán-Hernández M, Gutiérrez-Barreto SE. Avances del Modelo Educativo para Desarrollar Actividades Profesionales Confiables (MEDAPROC)¶. Educ Médica. 2018 Sep 1;19(5):294-300. Disponible en: https://bit.ly/3EHhbz1

11. Emke AR, Park YS, Srinivasan S, Tekian A. Workplace-Based Assessments Using Pediatric Critical Care Entrustable Professional Activities. J Grad Med Educ. 2019;11(4):430-8. Disponible en: https://www.jgme.org/doi/pdf/10.4300/JGME-D-18-01006.1

12. Ten Cate O, Graafmans L, Posthumus I, Welink L, van Dijk M. The EPA-based Utrecht undergraduate clinical curriculum: Development and implementation. Med Teach. 2018; 0(0):1-8. Disponible en: https://bit.ly/3nU6mDM

13. Leipzig RM, Sauvigne K, Granville LJ, Harper GM, Kirk LM, Levine SA, et al. What Is a Geriatrician? American Geriatrics Society and Association of Directors of Geriatric Academic Programs End-of-Training Entrustable Professional Activities for Geriatric Medicine (vol 62, pg 924, 2014). J Am Geriatr Soc. 2015 May;63(1):209. Disponible en: https://bit.ly/3i13Esh

14. Committee GMS. Entrustable Professional Activity Guide: Geriatric Medicine. Ottawa: Royal College of Physicians and Surgeons of Canada; 2018. p. 56. Disponible en: https://bit.ly/3o3cPMC

15. Gutiérrez-Barreto SE, Durán-Pérez VD, Flores-Morones F, Esqueda-Nuñez RI, Sánchez-Mojica A, Hamui-Sutton A. Importance of context in entrustable professional activities on surgical undergraduate medical education. AMEE MedEdPublish. 2018;1-12.

16. Hamui-Sutton A, Monterrosas-Rojas AM, Ortiz-Montalvo A, Flores-Morones F, Torruco-García U, Navarrete-Martínez A, et al. Specific entrustable professional activities for undergraduate medical internships: a method compatible with the academic curriculum. BMC Med Educ. 2017;17(1):143. Disponible en: https://bit.ly/3ELtRoD

17. Hamui-Sutton A. Un acercamiento a los métodos mixtos de investigación en educación médica. Rev Investig en Educ Médica. 2013;2(8):211-6.

18. Ten Cate O. Nuts and Bolts of Entrustable Professional Activities. J Grad Med Educ. 2013 Jun 21;157-8. Disponible en: http://link.springer.com/10.1007/s11606-012-2193-3

19. Kwan J, Crampton R, Mogensen LL, Weaver R, van der Vleuten CPM, Hu WCY. Bridging the gap: a five-stage approach for developing specialty-specific entrustable professional activities. BMC Med Educ. 2016;16(117):117. Disponible en: https://bit.ly/3CGTViy

20. Varela-Ruiz M, Díaz-Bravo L, García-Durán R. Descripción y usos del método Delphi en investigación del área de la salud. Investig en Educación Médica. 2012;1(2):90-5. Disponible en: https://bit.ly/3ELmnC0

21. Chen HC, van den Broek WESES, ten Cate O. The Case for Use of Entrustable Professional Activities in Undergraduate Medical Education. Acad Med. 2015;90(4):431-6. Disponible en: https://oce.ovid.com/

22. Touchie C, Ten Cate O. The promise, perils, problems, and progress of competency-based medical education. Med Educ. 2016;50(1):93-100.

23. ACGME. The Geriatric Medicine Milestones Project. Milestone Report. 2015;1-31.

24. Ten Cate O, Taylor DR. The recommended description of an entrustable professional activity: AMEE Guide No. 140. Med Teach. 2020;(140).

25. O’Dowd E, Sinéad L, O’connor P, Madden C, Byrne D. A systematic review of 7 years of research on entrustable professional activities in graduate medical education, 2011-2018. Med Educ. 2019;53(3):234-49.