Roy E Strowd1, Allison McBride2, Jon Goforth3, Joseph Cristiano4, Nicholas Hartman5, Gregory Waters6, James Beardsley4, James E Johnson7, Kim Askew5. 1. Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. 2. Department of Pediatrics and Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. 3. Department of Academic Affairs, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. 4. Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. 5. Department of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. 6. Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. 7. Center for Applied Learning, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Abstract
BACKGROUND: The Association of American Medical Colleges (AAMC) guidelines on the entrustable professional activities (EPAs) expected of graduating medical students were recently published. Although perceptions of educators, residents and programme directors have been described, the voice of senior medical students is lacking. METHODS: A single-institution cross-sectional study of senior medical students was performed. Student perceptions were collected and compared with: (1) national guidelines (i.e. the 13 newly developed undergraduate EPAs); (2) resident expectations (i.e. through comparison with a recently published survey from >28 000 residents); and (3) institutional objectives. Descriptive statistics were performed. RESULTS: A total of 113 students participated. The top three EPA-based educational priorities were 'recognising a patient requiring urgent/emergent care' (EPA10), 'performing procedures of a physician' (EPA12) and 'collaborating as an interprofessional' (EPA9). Over 80 per cent of students rated 'managing time efficiently' and 'communicating around care transitions' as very important pre-internship skills. Of the institutional objectives, 87 per cent rated 'recognising critically ill patients' and 'knowing when to ask for help' as the most important pre-internship skills. The voice of senior medical students is lacking CONCLUSIONS: Although the emphasis on knowing when to ask for help and communication around care transitions differed somewhat across stakeholders, educational priorities were shared by students, residents, educators and institutional objectives. These preliminary data support national assessments of perceptions and achievements of senior medical students to guide residency readiness in the EPA era.
BACKGROUND: The Association of American Medical Colleges (AAMC) guidelines on the entrustable professional activities (EPAs) expected of graduating medical students were recently published. Although perceptions of educators, residents and programme directors have been described, the voice of senior medical students is lacking. METHODS: A single-institution cross-sectional study of senior medical students was performed. Student perceptions were collected and compared with: (1) national guidelines (i.e. the 13 newly developed undergraduate EPAs); (2) resident expectations (i.e. through comparison with a recently published survey from >28 000 residents); and (3) institutional objectives. Descriptive statistics were performed. RESULTS: A total of 113 students participated. The top three EPA-based educational priorities were 'recognising a patient requiring urgent/emergent care' (EPA10), 'performing procedures of a physician' (EPA12) and 'collaborating as an interprofessional' (EPA9). Over 80 per cent of students rated 'managing time efficiently' and 'communicating around care transitions' as very important pre-internship skills. Of the institutional objectives, 87 per cent rated 'recognising critically ill patients' and 'knowing when to ask for help' as the most important pre-internship skills. The voice of senior medical students is lacking CONCLUSIONS: Although the emphasis on knowing when to ask for help and communication around care transitions differed somewhat across stakeholders, educational priorities were shared by students, residents, educators and institutional objectives. These preliminary data support national assessments of perceptions and achievements of senior medical students to guide residency readiness in the EPA era.
Authors: Amy L Pittenger; Brenda L Gleason; Stuart T Haines; Stephen Neely; Melissa S Medina Journal: Am J Pharm Educ Date: 2019-11 Impact factor: 2.047