Table 1 The six Common Pediatric Subspecialty EPAs evaluated in this study with their abbreviations and scales for EPA level of supervision
Common Pediatric Subspecialty EPA | Abbreviation |
|---|---|
Apply public health principles and quality improvement methods to improve population health | QI |
Level 1: Trusted to observe only | |
Level 2: Trusted to contribute with direct supervision and coaching as a member of a collaborative effort to improve care at the institutional level | |
Level 3: Trusted to contribute without direct coaching as a member of a collaborative effort to improve care at the institutional level | |
Level 4: Trusted to lead collaborative efforts to improve care for populations and systems at the institutional level | |
Level 5: Trusted to lead collaborative efforts to improve care at the level of populations and systems at the regional and/or national level | |
Provide consultation to other healthcare providers caring for children and adolescents and refer patients requiring further consultation to other subspecialty providers if necessary | Consultation |
Level 1:Trusted to observe only | |
Level 2:Trusted to execute with direct supervision and coaching | |
Level 3:Trusted to execute with indirect supervision and discussion of information conveyed for most simple and some complex cases | |
Level 4:Trusted to execute with indirect supervision and may require discussion of information conveyed but only for selected complex cases | |
Level 5:Trusted to execute independently without supervision | |
Contribute to the fiscally sound, equitable and collaborative management of a healthcare workplace | Management |
Level 1:Trusted to observe only | |
Level 2:Trusted to perform with direct supervision and coaching with supervisor verifying work product for accuracy | |
Level 3:Trusted to perform with supervisor serving as a consultant for all tasks | |
Level 4:Trusted to perform with supervisor serving as a consultant but only for complex tasks | |
Level 5:Trusted to perform without supervision | |
Facilitate handovers to another healthcare provider either within or across settings | Handover |
Level 1:Trusted to observe only | |
Level 2:Trusted to execute with direct supervision and coaching | |
Level 3:Trusted to execute with indirect supervision with verification of information after the handover for most simple and some complex cases | |
Level 4:Trusted to execute with indirect supervision with verification of information after the handover for selected complex cases | |
Level 5:Trusted to execute without supervision | |
Lead an interprofessional health care team | Leadteam |
Level 1:Trusted to participate only | |
Level 2:Trusted to lead with direct supervision and coaching | |
Level 3:Trusted to lead with supervisor occasionally present to provide advice | |
Level 4:Trusted to lead without supervisor present but requires coaching to improve member and team performance | |
Level 5:Trusted to lead without supervision to improve member and team performance | |
Lead within the subspecialty profession | Leadprof |
Level 1:Trusted to observe only | |
Level 2:Trusted to contribute to advocacy and public education activities for the subspecialty profession with direct supervision and coaching at the institutional level | |
Level 3:Trusted to contribute to advocacy and public education activities for the subspecialty profession with indirect supervision at the institutional level | |
Level 4:Trusted to mentor others and lead advocacy and public education activities for the subspecialty profession at the institutional level | |
Level 5:Trusted to lead advocacy and public education activities for the subspecialty profession at the regional and/or national level | |