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Defining Activities in Neurovascular Microsurgery Training: Entrustable Professional Activities for Vascular Neurosurgery

Jasper vanœ LieshoutBastian MalzkornHans-Jakob SteigerCihat KaradagMarcel A. KampPeter VajkoczyJürgen BeckSimone PeschilloVeit RohdeDaniel WalshVasiliy LukshinMiikka KorjaMarco CenzatoAndreas RaabeAndreas GruberDaniel HänggiHieronymus Damianus Boogaarts

出版	Universität, 2022
URL	http://books.google.com.hk/books?id=pCSzzwEACAAJ&hl=&source=gbs_api

註釋Abstract: Background
Entrustable professional activities (EPAs) represent an assessment framework with an increased focus on competency-based assessment. Originally developed and adopted for undergraduate medical education, concerns over resident ability to practice effectively after graduation have led to its implementation in residency training but yet not in vascular neurosurgery. Subjective assessment of resident or fellow performance can be problematic, and thus, we aim to define core EPAs for neurosurgical vascular training.

Methods
We used a nominal group technique in a multistep interaction between a team of experienced neurovascular specialists and a medical educator to identify relevant EPAs. Panel members provided feedback on the EPAs until they reached consent.

Results
The process produced seven core procedural EPAs for vascular residency and fellowship training, non-complex aneurysm surgery, complex aneurysm surgery, bypass surgery, arteriovenous malformation resection, spinal dural fistula surgery, perioperative management, and clinical decision-making.

Conclusion
These seven EPAs for vascular neurosurgical training may support and guide the neurosurgical society in the development and implementation of EPAs as an evaluation tool and incorporate entrustment decisions in their training programs