導入可信賴專業活動（EPAs）於醫事檢驗師PGY學員臨床抽血技能訓練之實務分享 = Clinical Blood Drawing Skills Training for Medical Technologist PGY Trainees through Implementation of Entrustable Professional Activities (EPAs)
Journal
Journal of Biomedical & Laboratory Sciences = 生物醫學暨檢驗科學雜誌
Journal Volume
36
Journal Issue
1
Start Page
23-34
ISSN
1013-7653
Date Issued
2024-03
Author(s)
Abstract
Competency-based medical education (CBME) has gained popularity as a method of teaching and assessing clinical skills. Entrustable professional activities (EPAs) have been utilized to implement CBME, and this study focuses on the promotion of clinical blood drawing skills training using EPAs in a teaching hospital. Specifically, the study targets two-year post-graduate year (PGY) medical technologists in the Department of Laboratory Medicine. The mission of "clinical outpatient blood collection procedure" is assigned according to step-by-step process design of the EPAs, and real-time evaluation forms and multi-assessments are used to verify the entrustment scale. The eligibility criteria for the PGY medical technologists to achieve is level 4A, which signifies the ability to perform tasks independently. The results of the study are promising. The content validity index (CVI value) of the evaluation form was 100%, indicating high quality and relevance of the assessment tool. The reliability of the form was also verified through testing evaluation videos, and consensus teacher evaluations showed high agreement (Cronbach's α values of 0.84, 0.84, and 0.99). At the end of the training, all PGY students achieved the grade of 4A, demonstrating successful attainment of the targeted clinical skills. Teacher and student satisfaction with the training program was assessed through surveys. Teachers reported increased satisfaction with "students' learning effectiveness," "inter-teacher evaluation consistency," and "ease of operation of EPAs assessment tools" after the implementation of the blood drawing skills training EPAs project. Similarly, trainees rated the program highly with 9.8 on the satisfaction assessment, indicating gains in confidence with blood drawing. The positive feedback from both teachers and students suggests that the EPAs project was successful. The Clinical Competency Committee (CCC) can use the project's entrustment scale as a framework for evaluating and revising the blood drawing skills training program. This study contributes to the growing body of research supporting the use of CBME and EPAs in medical education, and highlights the potential for improving the quality of clinical skills training through targeted and effective assessments. In summary, this study provides evidence for the effectiveness of an EPAs-based approach to clinical blood drawing skills training, with high levels of satisfaction reported by both teachers and students.
Subjects
Entrustable Professional Activities (EPAs)
Clinical Blood Drawing Skills Training
Entrustment Scale
Clinical Competency Committee (CCC)
Publisher
社團法人台灣醫事檢驗學會
Type
journal article