Skip to main content

Table 2 Proposed supervision levels of EPAs for physician patient communication at the end of Round III

From: Entrustment in physician-patient communication: a modified Delphi study using the EPA approach

 

Level 1: Be present & observe

Level 2: Act with direct, pro-active supervision, i.e. with a supervisor physically present in the room

Level 3: Act under indirect supervision, supervisor distantly available Findings reviewed

Level 4: Act under

Distant supervision not directly available

(unsupervised)

Level 5: Provide supervision to junior trainees

PG-yr1

90%*

95%**

95%***

95%****

10%*

5%**

5%***

  

5%****

PG-yr 2

5%*

5%***

10%****

90%*

95%**

95%***

90%****

5%*

 

5%**

PG-yr 3

5%*

5%**

10%****

5%*

10%**

5%***

75%*

80%**

85%***

85%****

5%*

5%*

10%***

5%****

PG-yr 4

 

10%**

10%****

5%*

5%**

5%***

80%*

80%**

85%***

80%****

15%*

5%**

10%***

5%****

PG-yr 5

 

5%****

10%**

5%***

5%***

5%*

5%**

5%***

5%****

95%*

85%**

90%***

85%****

  1. *EPA 1: Providing information to the patient or their family about the patient’s diagnosis and prognosis; **EPA 2: Breaking bad news (BBN) to a patient and/ or their family; ***EPA 3: Counsel the patient regarding their disease; **** EPA 4: Resolving conflicts with patients or their families (Highest levels of agreement are highlighted in bold)