• Journal of critical care · Dec 2019

    Entrustable professional activities (EPAs) for postgraduate competency based intensive care medicine training in the Netherlands: The next step towards excellence in intensive care medicine training.

    • van Bockel Esther A P EAP Department of Critical Care, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700, RB, Groningen, the Netherlands. E, Pieter A Walstock, van Mook Walther N K A WNKA Department of Intensive Care Medicine, Maastricht University Medical Center, P. Debyelaan 25, 6202, AZ, Maastricht, the Netherlands; School of, M Sesmu Arbous, Robert Tepaske, Tina J D van Hemel, Müller Marcella C A MCA Amsterdam UMC, University of Amsterdam, Department of Intensive Care Medicine, Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands., Hans Delwig, and Jaap E Tulleken.
    • Department of Critical Care, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700, RB, Groningen, the Netherlands. Electronic address: e.a.p.van.bockel@umcg.nl.
    • J Crit Care. 2019 Dec 1; 54: 261-267.

    IntroductionThe Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assessment tool in competency-based training of intensivists. EPAs are activities to be entrusted to a trainee once he (or she) has attained competence. EPAs emphasise the role of trust between trainees and supervisors. EPAs bridge the gap between competencies and competence.MethodsAn expert panel of ICM (vice)programme directors and intensivists in The Netherlands integrated the CoBaTrICE and CanMEDS competencies into EPAsICM. Comment and feedback was sought from other ICM programme directors and educational experts and processed in the final version of EPAsICM before implementation in the Dutch ICM training programme.ResultsA list of 15 EPAsICM are considered to reflect the spectrum of clinical practice while incorporating the competencies of CoBaTrICE and CanMEDS. The grading system is designed as a 5-point entrustment scale based on the amount of supervision a trainee needs, aligning with daily judgement of trainees by intensivists.ConclusionEPAsICM is an assessment tool that formalises entrustment decisions and can be a valuable addition in international ICM training.Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

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