Incorporation of the Ottawa Clinical Assessment Tool Scale (OCAT) to Measure Entrustability in Clinical Clerkships

Authors

Fidelma Rigby, Virginia Commonwealth University

First Author Information

Fidelma Rigby, M.D., Department of Obstetrics and Gynecology, VCU School of Medicine

Additional Author(s) Information

Michael Ryan, M.D., MEHP, Department of Pediatrics, VCU School of Medicine

Elizabeth Waterhouse, M.D., Department of Neurology, VCU School of Medicine

Bennett Lee, M.D., MPH, Department of Internal Medicine, VCU School of Medicine

MD Brieanne Dubinsky, M.Ed., VCU School of Medicine

Joel Browning, VCU School of Medicine

Sally Santen, MD, Ph.D., Department of Emergency Medicine, VCU School of Medicine

Nicole M Deiorio, M.D., Department of Emergency Medicine, VCU School of Medicine

Steven Bishop, M.D., FACP, Department of Internal Medicine, VCU School of Medicine

Presentation Format

Oral

Type of Activity

Innovation

Original Presentation Date

2019

Date of Submission

March 2019

Abstract/Short Description

Purpose and Background:

Assessment of the Core Entrustable Professional Activities for entering residency (CEPAs) requires direct observation in the workplace to render ad hoc entrustment decisions.1 In recent years, two “entrustability” scales have been proposed as instruments for collecting entrustment data in the context of workplace-based assessments.2,3 One of these scales, the Ottawa Clinic Assessment Tool (OCAT), has been demonstrated validity evidence when used in graduate medical programs in surgery and internal medicine.4,5 As a component of our involvement in the CEPA pilot program, we incorporated OCAT across all core clerkships within our institution using a mobile-friendly workplace-based assessment (WBA) instrument. We describe the feasibility and descriptive data resulting from its adoption during the 2018-2019 academic year.

References

1. Lomis K, Amiel J, Ryan MS, et al. Implementing an entrustable professional activities framework in undergraduate medical education: Early lessons from the AAMC core entrustable professional activities for entering residency pilot. Acad Med. 2017; 92: 765-770.

2. Rekman J, Gofton W, Dudek N, et al. Entrustability scales: Outlining their usefulns for competency-based clinical assessment. Acad Med. 2016; 91: 186-190.

3. Chen HC, van den Broek WE, ten Cate O. The case for use of entrustable professional activities in undergraduate medical education. Acad Med. 2015; 90: 431-436.

4. Rekman J, Hamstra SJ, Dudek N, et al. A new instrument for assessing resident competence in surgical clinic: The Ottawa clinic assessment tool. J Surg Educ. 2016; 73: 575-82. 5. Halman S, Rekman J, Wood T, et al. Avoid reinventing the wheel: implementation of the Ottawa Clinic Assessment Tool (OCAT) in Internal Medicine. BMC Med Educ. 2018; 19: 218.

Rights

© The Author(s)

Is Part Of

VCU Medical Education Symposium