Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery.

van Lieshout, Jasper Hans; Malzkorn, Bastian; Steiger, Hans-Jakob; Karadag, Cihat; Kamp, Marcel A; Vajkoczy, Peter; Beck, Jürgen; Peschillo, Simone; Rohde, Veit; Walsh, Daniel; Lukshin, Vasiliy; Korja, Miikka; Cenzato, Marco; Raabe, Andreas; Gruber, Andreas; Hänggi, Daniel; Boogaarts, H D (2023). Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery. Acta neurochirurgica, 165(1), pp. 27-37. Springer Vienna 10.1007/s00701-022-05372-x

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BACKGROUND

Entrustable professional activities (EPAs) represent an assessment framework with an increased focus on competency-based assessment. Originally developed and adopted for undergraduate medical education, concerns over resident ability to practice effectively after graduation have led to its implementation in residency training but yet not in vascular neurosurgery. Subjective assessment of resident or fellow performance can be problematic, and thus, we aim to define core EPAs for neurosurgical vascular training.

METHODS

We used a nominal group technique in a multistep interaction between a team of experienced neurovascular specialists and a medical educator to identify relevant EPAs. Panel members provided feedback on the EPAs until they reached consent.

RESULTS

The process produced seven core procedural EPAs for vascular residency and fellowship training, non-complex aneurysm surgery, complex aneurysm surgery, bypass surgery, arteriovenous malformation resection, spinal dural fistula surgery, perioperative management, and clinical decision-making.

CONCLUSION

These seven EPAs for vascular neurosurgical training may support and guide the neurosurgical society in the development and implementation of EPAs as an evaluation tool and incorporate entrustment decisions in their training programs.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Raabe, Andreas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0001-6268

Publisher:

Springer Vienna

Language:

English

Submitter:

Pubmed Import

Date Deposited:

24 Oct 2022 12:46

Last Modified:

15 Jan 2023 00:14

Publisher DOI:

10.1007/s00701-022-05372-x

PubMed ID:

36271161

Uncontrolled Keywords:

Assessment Competency-based education Entrustable professional activities Patient care Practice-based learning and improvement Vascular neurosurgery

BORIS DOI:

10.48350/174016

URI:

https://boris.unibe.ch/id/eprint/174016

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