Establishment of a Comprehensive EPA Framework for Medical Radiation Technologists in Taiwan: A Consensus-Driven Approach
Journal
Journal of Medical Education》 Volume 28 Issue 4 (2024/12) Pp.
Journal Volume
28
Journal Issue
4
Start Page
209-221
ISSN
1028-2424
Date Issued
2024-12
Author(s)
Abstract
Background: This study established a comprehensive Entrustable Professional Activity (EPA) framework for Medical Radiation Technologists (MRTs) in Taiwan. Since 2019, MRTs from various teaching hospitals have collaborated to define EPAs, beginning with six activities. Given the complexity of clinical responsibilities in radiology, developing consensus-driven EPAs is crucial for effective curriculum design and competency assessment. Methods: In 2023, the Taiwan Association of Medical Radiation Technologists (TAMRT) convened consensus-building meetings with experts from three radiology subspecialties. Through focus group discussions and a modified Delphi method, participants reviewed and refined proposed EPAs and task specifications. Consensus was assessed using a 5-point Likert scale, and interquartile ranges were calculated to ensure alignment across expert ratings. Results: Fourteen EPAs and 158 detailed task specifications were validated, demonstrating high agreement levels (mean scores > 4.0; interquartile ranges < 0.6). These findings confirm the feasibility of defining a clear professional competency progression that aligns with evolving radiology practice in Taiwan. Conclusions: The consensus-building process significantly advanced competency-based medical education for MRTs. By prioritizing expert feedback, it yielded structured EPAs that serve as benchmarks for professional training. This collaborative approach to curriculum development provides a robust foundation for future educational applications, ensuring high-quality, competency-focused MRT training.
Subjects
competency-based medical education (CBME)
focus group technique
Delphi method
entrustable professional activities (EPAs)
Taiwan medical radiation technologist
Publisher
台灣醫學教育學會
Type
journal article