Using the framework of entrustable professional activities to promote reflective practice among medical students
DOI:
https://doi.org/10.47203/IJCH.2025.v37i03.024Keywords:
Entrustable Professional Activities, Competencies, Medical Students, Reflection, Medical education, Lifelong LearnersAbstract
Entrustable Professional Activities (EPAs) have been employed across heterogeneous settings in training medical students and preparing them to provide quality-assured clinical care to patients. In the field of medical education and healthcare delivery, reflective practice refers to the process of critical analysis of own’s experiences and actions in a systemic manner to not only learn from these but even take remedial measures to ameliorate performance in the future. The designed rubrics of milestones for individual EPAs specifically provide clear tasks and expectations from students, and based on their performances, they can reflect and even make efforts to align their progress. The decision to use EPAs to promote reflective practice in any institution has been linked with multiple challenges, nevertheless, there have been some concerns that need to be timely addressed to draw meaningful outcomes and benefit students. In conclusion, reflective writing has been associated with multiple benefits to students and makes them self-directed learners. The need of the hour is to use the framework of entrustable professional activities to promote the practice of reflective writing among medical students.
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Ten Cate O, Balmer DF, Caretta-Weyer H, Hatala R, Hennus MP, West DC. Entrustable professional activities and entrustment decision making: A development and research agenda for the next decade. Acad Med. 2021;96(7S):S96-104.
Hamui-Sutton A, Monterrosas-Rojas AM, Ortiz-Montalvo A, Flores-Morones F, Torruco-García U, Navarrete-Martínez A, et al. Specific entrustable professional activities for undergraduate medical internships: A method compatible with the academic curriculum. BMC Med Educ. 2017;17(1):143.
Jarrett JB, Berenbrok LA, Goliak KL, Meyer SM, Shaughnessy AF. Entrustable professional activities as a novel framework for pharmacy education. Am J Pharm Educ. 2018;82(5):6256.
Ross M. Entrustable professional activities. Clin Teach. 2015;12(4):223-5.
Dulloo P, Vedi N, Patel M, Singh S. Empowering medical education: Unveiling the impact of reflective writing and tailored assessment on deep learning. J Adv Med Educ Prof. 2024;12(3):163-71.
Chen I, Forbes C. Reflective writing and its impact on empathy in medical education: Systematic review. J Educ Eval Health Prof. 2014;11:20.
Lim JY, Ong SYK, Ng CYH, Chan KLE, Wu SYEA, So WZ, et al. A systematic scoping review of reflective writing in medical education. BMC Med Educ. 2023;23(1):12.
Sasek CA. Implications of entrustable professional activities for motivation and learning. J Physician Assist Educ. 2023;34(1):15-9.
Coulehan J, Granek IA. Commentary: "I hope i'll continue to grow": Rubrics and reflective writing in medical education. Acad Med. 2012;87(1):8-10.
Lefroy J, Walters B, Molyneux A, Smithson S. Can learning from workplace feedback be enhanced by reflective writing? A realist evaluation in UK undergraduate medical education. Educ Prim Care. 2021;32(6):326-35.
Schumacher DJ, West DC, Schwartz A, Li ST, Millstein L, Griego EC, et al. Longitudinal assessment of resident performance using entrustable professional activities. JAMA Netw Open. 2020;3(1):e1919316.
Ten Cate O, Chen HC, Hoff RG, Peters H, Bok H, van der Schaaf M. Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99. Med Teach. 2015;37(11):983-1002.
Bremer AE, van de Pol MHJ, Laan RFJM, Fluit CRMG. An innovative undergraduate medical curriculum using entrustable professional activities. J Med Educ Curric Dev. 2023;10:23821205231164894.
Wald HS, Borkan JM, Taylor JS, Anthony D, Reis SP. Fostering and evaluating reflective capacity in medical education: developing the REFLECT rubric for assessing reflective writing. Acad Med. 2012;87(1):41-50.
Anderson CI, Basson MD, Ali M, Davis AT, Osmer RL, McLeod MK, et al. Comprehensive multicenter graduate surgical education initiative incorporating entrustable professional activities, continuous quality improvement cycles, and a web-based platform to enhance teaching and learning. J Am Coll Surg. 2018;227(1):64-76.
Van Ostaeyen S, Embo M, Schellens T, Valcke M. Training to support eportfolio users during clinical placements: A scoping review. Med Sci Educ. 2022;32(4):921-8.
Duggan N, Curran VR, Fairbridge NA, Deacon D, Coombs H, Stringer K, Pennell S. Using mobile technology in assessment of entrustable professional activities in undergraduate medical education. Perspect Med Educ. 2021;10(6):373-7.
Nakamura K, Kanke S, Ishii A, Mori F, Hoshi G, Kanto K, et al. Impact of general practice/family medicine training on Japanese junior residents: Reflective writing analysis using text mining. Fukushima J Med Sci. 2024;70(3):133-40.
Berger S, Stalmeijer RE, Marty AP, Berendonk C. Exploring the impact of entrustable professional activities on feedback culture: A qualitative study of Anesthesiology residents and attendings. Acad Med. 2023;98(7):836-43.
Camp M, Sadler J. Moral distress in medical student reflective writing. AJOB Empir Bioeth. 2019;10(1):70-8.
Moniz T, Ng SL. Towards a culture and pedagogy of reflection. Med Educ. 2024;58(3):280-3.
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