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Defining the scope of skills for family medicine residencies
Date:4/9/2013

tion may lead to vague competency categories that are not specific enough to provide definitive guidance to residents or faculty members regarding what learning needs to be accomplished and documented. In response, the EPAs provide a detailed, concrete approach to training and evaluating residents in how they provide care.

The initial EPAs presented in the paper were developed at the Tufts University School of Medicine Family Medicine Residency Program, based on the ACGME guidelines, over a two year period. Twenty-one experts were recruited to further determine and refine the EPAs that are most relevant to family medicine education. The experts participated in two rounds of anonymous, internet-based surveys to compile the final list of EPAs. The process began with 91 EPAs that were then narrowed down to 76 based on the feedback.

The EPAs in the paper are intended to be used as a starting point for family medicine residency programs that are interested in moving toward a competency-based educational approach.

"Incorporation of EPA- and competency-based education will challenge traditional residency models that have a 'one size fits all' rotation structure. Family medicine residency programs may need to be more flexible to allow residents to have rotation experiences to meet the EPAs," said Shaughnessy. "Overall, the EPAs will provide family medicine residents with a broad range of clinical experiences and will guide educators when evaluating the skill sets that residents must acquire."

Shaughnessy is also on an expert panel of the family medicine milestones project, a part of the Outcome Project that brings together review committees with specialty medical organizations and boards to develop specific benchmarks of skills and knowledge that residents in every specialty must achieve at certain identified points or stages during their residency education. The panel on which Dr. Shaughnessy serves is in the area of information master
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Contact: Siobhan Gallagher
siobhan.gallagher@tufts.edu
617-636-6586
Tufts University, Health Sciences Campus
Source:Eurekalert

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