Conceptual foundations of Entrustable professional activities for health professional education in Latin America
Por:
López M.J., Melo de Andrade M.V., Domínguez Torres L.C., Durán Pérez V.D., Durante E., Francischetti I., Gutiérrez Barreto S.E., Gutiérrez Sierra M.E., García Casallas J.C., Mora Melanchthon I.E., Sánchez Mendiola M., ten Cate O.
Publicada:
1 ene 2022
Resumen:
The concept of entrustable professional activities emerged as an attempt to overcome some of the criticisms to the competency-based medical education approach; it has had a broad impact in practice and health professions education research. It has been disseminated internationally with its English acronym: EPA. This approach proposes to orient assessment and teaching to specific activities in the profession, which allows the integration of several competencies, and to determine which responsibilities can be entrusted to the trainee, in a gradual and explicit manner. The model assumes the definition of levels of supervision that allow progressive autonomy for each EPA, in students or residents, once they demonstrate the required competencies. Practice, supervision and feedback in real clinical scenarios are key to the development of autonomy in EPA performance. The dissemination of the EPA approach is still limited in Latin America, but it has the potential to create a significant contribution to curriculum design and evaluation, and to assessment practices of health professionals across their careers. It provides a deep review of the assumptions under which healthcare professional practice decisions are made, at under and postgraduate levels. © 2022 The Authors
Filiaciones:
López M.J.:
Facultad de Ciencias Médicas, Universidad Nacional de Cuyo, Mendoza, Argentina
Melo de Andrade M.V.:
Faculdade de Medicina, Universidad Federal de Minas Gerais, Belo Horizonte, Brazil
Domínguez Torres L.C.:
Facultad de Medicina, Universidad de La Sabana, Cundinamarca, Colombia
Durán Pérez V.D.:
Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, Mexico
Durante E.:
Instituto Universitario, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Francischetti I.:
Faculdade de Medicina de Marília, São Paulo, Brazil
Gutiérrez Barreto S.E.:
Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, Mexico
Gutiérrez Sierra M.E.:
Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
García Casallas J.C.:
Facultad de Medicina, Universidad de La Sabana, Cundinamarca, Colombia
Mora Melanchthon I.E.:
Departamento de Medicina Familiar, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
Sánchez Mendiola M.:
Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, Mexico
ten Cate O.:
Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, Netherlands
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