可信賴專業活動在醫學教育的應用-以急診醫學科為例 = Application of Entrustable Professional Activities in Medical Education: A Case Study in Emergency Medicine
Journal
醫療品質雜誌
Journal Volume
19
Journal Issue
1
Start Page
006-013
ISSN
1994-5795
Date Issued
2025-01
Author(s)
Abstract
Competency-based medical education (CBME) is the global standard in medical education. Within CBME, entrustable professional activities (EPAs) are defined as units of professional tasks that learners are entrusted to perform independently after they have demonstrated sufficient competence. EPAs and entrustment decisions primarily focus on contextual competencies, enabling learners to gradually gain professional autonomy through the trust conferred by instructors in clinical settings. Currently, EPAs in emergency medicine are representative tasks in the concluding stages of training. Each EPA serves as a foundation for curriculum design for both clinical and core curricula. This approach integrates the conceptual framework of core competencies into practice, embedding CBME into routine curriculum planning, clinical training guidance, and assessment. The summative assessment of entrustment-supervision levels for EPAs requires the consensus of a clinical competency committee to determine learners' levels of entrustment. Hence, EPAs represent an operational model or framework for implementing CBME, rather than merely an assessment form. The key to implementing CBME lies in utilizing EPAs to enhance teaching and learning tailored to competencies.
Subjects
competency-based medical education (CBME)
entrustable professional activities (EPAs)
milestone
clinical competency committee
Publisher
財團法人醫院評鑑暨醫療品質策進會
Type
journal article