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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.
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.
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VCU Medical Education Symposium