An Assessment Framework for the Training of General Practitioners and Specialists Based on EPAs

Frontiers in Public Health

article

Shenshen Gao¹  Na Li¹  Xinqiong Wang¹  Yi Yu¹  Ren Zhao⁵  Virgínia Trigo³  Nelson Campos Ramalho³ 

[1]Departments of Technology Development and Pediatric, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

[2]Clinical Research and Development Center of Shanghai Municipal Hospitals, Shanghai Shenkang Hospital Development Center

[3]Department of Human Resources Management and Organizational Behavior, ISCTE Instituto Universitário de Lisboa

[4]Department of Tropical Diseases, Key Laboratory of Tropical Translational Medicine of Ministry of Education, NHC Key Laboratory of Tropical Disease Control, The Second Affiliated Hospital of Hainan Medical University, School of Tropical Medicine, Hainan Medical University

[5]Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

[6]School of Health Services Management, Southern Medical University

关键词: pediatricians;    medical service;    training;    entrustable professional activities;    structural model;   

DOI  :  10.3389/fpubh.2022.896097

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Purpose The purpose of this study is to explore the practicality and feasibility of EPA (level 4 theory) for establishing medical training and service model in China. Method We opted for a mixed qualitative and quantitative research method, considering both explanatory and exploratory sequential designs. The qualitative research comprehended focus groups and interviews conducted with two panels of experts. The quantitative research was conducted to collect data about the applicability of international entrustable professional activities (EPAs) pediatrics standards in the Chinese context by organizing a seminar with a sample of 60 pediatricians. A questionnaire was designed with EPAs and distributed within professional networks. Structural equation modeling and statistical analysis were used to process the data. Results In this study, Medical Service-Groups Model (MSGM) with four levels was successfully established to measure the correlation between specialized and general EPAs. As expected, results showed that specialized EPAs were built on top of general EPAs. There may be a mediating mechanism that general EPAs contribute to the lower level of specialization EPAs. In addition, levels 1 and 2 were primarily needed to lay the groundwork for levels 3 and 4, and these higher levels of EPAs were still the most informative for specialized Gastroenterology EPAs. Conclusions The diagnosis and treatment level of primary general practitioners, as the basis of the pediatric medical service chain, affected the clinical disposal ability of specialists. The establishment of MSGM provided a theoretical basis for the linkage training of general practitioners and specialist physicians. In future studies, scholars must explore China's EPAs based on unique national conditions.

【 授权许可】

CC BY