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<p>Entrustable Professional Activities (EPAs) have emerged as tools that translate competency-based education into clinical practice by defining discrete, assessable tasks that residents perform independently. In 2023, the Radiation Oncology Education Collaborative Study Group (ROECSG) developed 52 EPAs to establish a competency-based framework for United States radiation oncology residency training. This study aims to evaluate the effectiveness of ROECSG EPAs as discrete units of work, entrustable and essential tasks of the profession, and education-focused tools using the EQual metric. An electronic survey was distributed to subject-matter experts, including attending radiation oncologists at academic medical centers (teaching faculty) and senior residents. Participants were able to recommend revision and provide specific recommendations for modification. EPAs averaging below 4.07, a previously established threshold, were identified for revision. Results are reported as EPA mean ± standard deviation. 14/17 (82.4%) participants completed the survey including 13 radiation oncology teaching faculty and one senior resident. 4/13 (30.8%) were program directors and 5/13 (38.5%) were associate program directors. The mean rating for all EPAs was 4.39 ± 0.30. 7/52 (13.5%) EPAs scored below the cutoff of 4.07 including EPA2 (3.65 ± 0.53), 7 (3.97 ± 0.73), 18 (3.77 ± 0.68), 19 (3.56 ± 0.77), 34 (4.06 ± 0.70), 43 (3.81 ± 0.74), and 47 (3.76 ± 0.76). 12/52 EPAs scored within one standard deviation of the cutoff. Overall, 45 of the proposed EPAs were rated as high quality, and seven EPAs were recommended for revision. Further refinement and systematic implementation of these revisions are necessary.</p>

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EQual Rubric Evaluation of the Radiation Oncology Education Collaborative Study Group Entrustable Professional Activities

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Brett Wagner,
  • Steve Braunstein,
  • Ryan Brisson,
  • Alexandra De Leo,
  • Allison Garda,
  • Jillian Gunther,
  • Christina Henson,
  • Ariel E Hirsch,
  • Jordan Holmes,
  • Leah Katz,
  • Malcolm Mattes,
  • Jessica Moore Schuster,
  • Jeremy Price,
  • Kevin Shiue,
  • Horatio Thomas,
  • Daniel W. Golden

摘要

Entrustable Professional Activities (EPAs) have emerged as tools that translate competency-based education into clinical practice by defining discrete, assessable tasks that residents perform independently. In 2023, the Radiation Oncology Education Collaborative Study Group (ROECSG) developed 52 EPAs to establish a competency-based framework for United States radiation oncology residency training. This study aims to evaluate the effectiveness of ROECSG EPAs as discrete units of work, entrustable and essential tasks of the profession, and education-focused tools using the EQual metric. An electronic survey was distributed to subject-matter experts, including attending radiation oncologists at academic medical centers (teaching faculty) and senior residents. Participants were able to recommend revision and provide specific recommendations for modification. EPAs averaging below 4.07, a previously established threshold, were identified for revision. Results are reported as EPA mean ± standard deviation. 14/17 (82.4%) participants completed the survey including 13 radiation oncology teaching faculty and one senior resident. 4/13 (30.8%) were program directors and 5/13 (38.5%) were associate program directors. The mean rating for all EPAs was 4.39 ± 0.30. 7/52 (13.5%) EPAs scored below the cutoff of 4.07 including EPA2 (3.65 ± 0.53), 7 (3.97 ± 0.73), 18 (3.77 ± 0.68), 19 (3.56 ± 0.77), 34 (4.06 ± 0.70), 43 (3.81 ± 0.74), and 47 (3.76 ± 0.76). 12/52 EPAs scored within one standard deviation of the cutoff. Overall, 45 of the proposed EPAs were rated as high quality, and seven EPAs were recommended for revision. Further refinement and systematic implementation of these revisions are necessary.