FROM AFMRD: THE PROGRAM DIRECTOR PATIENT SAFETY AND QUALITY (PDPQ) EDUCATORS NETWORK PILOT

Meghan F. Raleigh; Christine Martino; Stephanie Calkins; Angela Cherry; Kathleen Ingraham

doi:10.1370/afm.2751

FROM AFMRD: THE PROGRAM DIRECTOR PATIENT SAFETY AND QUALITY (PDPQ) EDUCATORS NETWORK PILOT

The Annals of Family Medicine ◽

10.1370/afm.2751 ◽

2021 ◽

Vol 19 (6) ◽

pp. 570-571

Author(s):

Meghan F. Raleigh ◽

Christine Martino ◽

Stephanie Calkins ◽

Angela Cherry ◽

Kathleen Ingraham

Keyword(s):

Patient Safety ◽

Program Director

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Program Director Perceptions of Proficiency in the Core Entrustable Professional Activities

Journal of Graduate Medical Education ◽

10.4300/jgme-d-16-00864.1 ◽

2017 ◽

Vol 9 (5) ◽

pp. 588-592 ◽

Cited By ~ 15

Author(s):

R. Ellen Pearlman ◽

Melissa Pawelczak ◽

Andrew C. Yacht ◽

Salaahuddin Akbar ◽

Gino A. Farina

Keyword(s):

Patient Safety ◽

Positive Association ◽

Program Director ◽

Entrustable Professional Activities ◽

Professional Activities ◽

Medical Licensing ◽

Wide Variability ◽

Usmle Step 1 ◽

Licensing Examination ◽

Clinical Questions

ABSTRACT Background The Association of American Medical Colleges describes 13 core entrustable professional activities (EPAs) that every graduating medical student should be expected to perform proficiently on day 1 of residency, regardless of chosen specialty. Studies have shown wide variability in program director (PD) confidence in interns' abilities to perform these core EPAs. Little is known regarding comparison of United States Medical Licensing Examination (USMLE) scores with proficiency in EPAs. Objective We determined if PDs from a large health system felt confident in their postgraduate year 1 residents' abilities to perform the 13 core EPAs, and compared perceived EPA proficiency with USMLE Step 1 and Step 2 scores. Methods The PDs were asked to rate their residents' proficiency in each EPA and to provide residents' USMLE scores. Timing coincided with the reporting period for resident milestones. Results Surveys were completed on 204 of 328 residents (62%). PDs reported that 69% of residents (140 of 204) were prepared for EPA 4 (orders/prescriptions), 61% (117 of 192) for EPA 7 (form clinical questions), 68% (135 of 198) for EPA 8 (handovers), 63% (116 of 185) for EPA 11 (consent), and 38% (49 of 129) for EPA 13 (patient safety). EPA ratings and USMLE 1 and 2 were negatively correlated (r(101) = −0.23, P = .031). Conclusions PDs felt that a significant percentage of residents were not adequately prepared in order writing, forming clinical questions, handoffs, informed consent, and promoting a culture of patient safety. We found no positive association between USMLE scores and EPA ratings.

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