A Modified Delphi Consensus Approach to Define Entrustable Professional Activities for Neurocritical Care Advanced Practice Providers*
Authors' conclusion
Expert consensus was used to create EPAs for NCC APPs that reached a predefined quality standard and were important to most clinicians in different practice settings. We did not identify variables that significantly predicted entrustment expectations.
Study context
- Population
- Neurocritical care (NCC) advanced practice providers (APPs) and physicians in the US with experience in education scholarship or APP program leadership
- Outcome
- Consensus EPAs
Methodological detailsthree-round, EQual rubric, generalizability assessment by non-academic clinicians, electronic surveys
- Three-round
- EQual rubric
- Generalizability assessment by non-academic clinicians
- Electronic surveys
Recommendations
As reported in the abstract
Initial list of possible entrustable professional activities (EPAs) generated by steering committee
61
Additional EPAs proposed by the panel
30
Unique nested EPAs retained by consensus
47
Core EPAs defined (medical knowledge, procedural competencies, communication proficiency), all retained and meeting EQual rubric cut score
6
Further findings
Generalizability (non-academic clinicians)
- Most rated each of the six core EPAs as very important or mandatory
Entrustment expectations
- Did not vary by prespecified groups
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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