Jessica E Rabski1, Ashirbani Saha2, Michael D Cusimano3. 1. Injury Prevention Research Office, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Neurosurgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada. Electronic address: jrabski@toh.ca. 2. Injury Prevention Research Office, St. Michael's Hospital, Toronto, Ontario, Canada. 3. Injury Prevention Research Office, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Abstract
BACKGROUND: Competency-based medical education requires evaluations of residents' performances of tasks of the discipline (ie. entrustable professional activities (EPAs)). Using neurosurgical Faculty perspectives, this study investigated whether a sample of neurosurgical EPAs accurately reflected the expectations of general neurosurgical practice. METHOD: A questionnaire was sent to all Canadian neurosurgery Faculty using a SurveyMonkey® platform. RESULTS: The proportion of respondents who believed the EPAs were representative of general neurosurgery competences varied significantly across all EPAs [47%-100%] (p < 0.0001). For 9/15 proposed EPAs, ≥75% agreed they were appropriate for general neurosurgery training and expected residents to attain the highest standard of performance. However, a range of 27-53% of the respondents felt the other six EPAs would be more appropriate for fellowship training and thus, require a lower standard of performance from graduating residents. CONCLUSION: The shift towards subspecialization in neurosurgery has implications for curriculum design, delivery and certification of graduating residents. Crown
BACKGROUND: Competency-based medical education requires evaluations of residents' performances of tasks of the discipline (ie. entrustable professional activities (EPAs)). Using neurosurgical Faculty perspectives, this study investigated whether a sample of neurosurgical EPAs accurately reflected the expectations of general neurosurgical practice. METHOD: A questionnaire was sent to all Canadian neurosurgery Faculty using a SurveyMonkey® platform. RESULTS: The proportion of respondents who believed the EPAs were representative of general neurosurgery competences varied significantly across all EPAs [47%-100%] (p < 0.0001). For 9/15 proposed EPAs, ≥75% agreed they were appropriate for general neurosurgery training and expected residents to attain the highest standard of performance. However, a range of 27-53% of the respondents felt the other six EPAs would be more appropriate for fellowship training and thus, require a lower standard of performance from graduating residents. CONCLUSION: The shift towards subspecialization in neurosurgery has implications for curriculum design, delivery and certification of graduating residents. Crown
Authors: Jasper Hans van Lieshout; Bastian Malzkorn; Hans-Jakob Steiger; Cihat Karadag; Marcel A Kamp; Peter Vajkoczy; Jürgen Beck; Simone Peschillo; Veit Rohde; Daniel Walsh; Vasiliy Lukshin; Miikka Korja; Marco Cenzato; Andreas Raabe; Andreas Gruber; Daniel Hänggi; H D Boogaarts Journal: Acta Neurochir (Wien) Date: 2022-10-22 Impact factor: 2.816