A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identif
- PDF / 357,446 Bytes
- 10 Pages / 595 x 842 pts (A4) Page_size
- 10 Downloads / 158 Views
Perspect Med Educ https://doi.org/10.1007/s40037-020-00587-z
A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identify enablers and barriers to engagement John Q. Young
· Rebekah Sugarman · Jessica Schwartz · Matthew McClure · Patricia S. O’Sullivan
© The Author(s) 2020
Abstract Introduction Mobile apps that utilize the framework of entrustable professional activities (EPAs) to capture and deliver feedback are being implemented. If EPA apps are to be successfully incorporated into programmatic assessment, a better understanding of how they are experienced by the end-users will be necessary. The authors conducted a qualitative study using the Consolidated Framework for Implementation Research (CFIR) to identify enablers and barriers to engagement with an EPA app. Methods Structured interviews of faculty and residents were conducted with an interview guide based on the CFIR. Transcripts were independently coded by two study authors using directed content analysis. Differences were resolved via consensus. The study team then organized codes into themes relevant to the domains of the CFIR. Results Eight faculty and 10 residents chose to participate in the study. Both faculty and residents found the app easy to use and effective in facilitating feedback immediately after the observed patient encounter. Faculty appreciated how the EPA app forced brief, distilled feedback. Both faculty and residents expressed positive attitudes and perceived the app as aligned with the department’s philosophy. Barriers Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40037-020-00587-z) contains supplementary material, which is available to authorized users. J. Q. Young () · R. Sugarman · J. Schwartz · M. McClure Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Zucker Hillside Hospital at Northwell Health, Hempstead, NY, USA [email protected] P. S. O’Sullivan Department of Medicine, University of California at San Francisco School of Medicine, San Francisco, USA
to engagement included faculty not understanding the EPA framework and scale, competing clinical demands, residents preferring more detailed feedback and both faculty and residents noting that the app’s feedback should be complemented by a tool that generates more systematic, nuanced, and comprehensive feedback. Residents rarely if ever returned to the feedback after initial receipt. Discussion This study identified key enablers and barriers to engagement with the EPA app. The findings provide guidance for future research and implementation efforts focused on the use of mobile platforms to capture direct observation feedback. Keywords Workplace-based assessment · Competency-based assessment · Entrustable professional activities · Mobile technology · App · Consolidated framework for implementation research · Implementation science · Psychiatry · Qualitative methods
Introduction The adoption of competency-based frameworks has highlighted th
Data Loading...
