Entrustable Professional Activities in Primary Care Paediatrics
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Entrustable Professional Activities in Primary Care Paediatrics ECPCP ▪ Entrustable Professional Activities © ECPCP Curriculum Working Group 2020 ISBN: 978-84-121659-6-8 Legal deposit: M-31909-2020 Lúa Ediciones 3.0, S.L. www.luaediciones.com All rights reserved. 2 ECPCP ▪ Entrustable Professional Activities AUTHORS CURRICULUM WORKING GROUP Akos Kovacs, M.D. Beata Kartousova, M.D. Primary Care Paediatrician Primary Care Paediatrician Budapest. Hungary Bratislava. Slovakia Maria Aparicio Rodrigo, M.D., Ph.D. Manuel Katz M.D., M.P.H. Primary Care Paediatrician Primary care Pediatrics University teacher, Complutense University Past President Israel Paediatric Association and Ambulatory Madrid. Spain Pediatric Society Be‟er Sheva. Israel Shimon Barak, M.D. Primary Care Paediatrician, Maccabi Healthcare Services Innocenza Rafele, M.D. Senior Paeditrician, Dana-Dwek Children´s Hospital, TASMC Primary Care Paediatrician Tel Aviv. Israel Rome. Italy Patrizia Calamita, M.D.,Ph.D. Laura Reali, M.D. Primary Care Paediatrician Primary Care Paediatrician Rome. Italy Contractor professor, The Catholic University of the Sacred Heart Rome. Italy Katja Dejak Gornik, M.D. Primary Care Paediatrician Stephen Reingold, M.D. Ljubljana. Slovenia Medical Officer Maternal and Child Health, Preventive Health Services Folkert Fehr, M.D. Jerusalem. Israel Primary Care Paediatrician University teacher, Heidelberg University Werner Sauseng, M.D. Sinsheim. Germany Primary Care Paediatrician Kumberg. Austria Dr. Elke Jaeger-Roman, M.D. Primary Care Paediatrician Carmen Villaizán Pérez, M.D., Ph.D. Berlin. Germany Primary Care Paediatrician Chair of the ECPCP Curriculum Working Group Chief Editor Toledo. Spain 3 ECPCP ▪ Entrustable Professional Activities ACKNOWLEDGMENTS We wish to thank Professor Alfred Tenore for his invaluable feedback. His generous advices made EPA‟s development much easier for us. Thanks to the Executive Board of the ECPCP, your support and confidence have been always present. ECPCP Curriculum Working Group 4 ECPCP ▪ Entrustable Professional Activities 5 ECPCP ▪ Entrustable Professional Activities PREFACE Children represent our future. It is the firm conviction of all paediatric activities, or work, involved in actual, daily, clinical practice. Although EPAs educators that this future needs to be safeguarded by appropriately training may be considered a relatively new concept in medical education, having doctors who will guarantee, to the best of their capabilities, the health and been introduced in 2005, basically, they are nothing more than putting into well-being of all children regardless of where they live on this planet. But how words the daily clinical activities involved in patient-care that physicians have can the public be ensured that paediatric graduates are competent? Is there a intuitively done since the beginnings of the profession. better way to guarantee competence than just relying on the time spent in a training program? Evidence is quickly accumulating indicating that In focusing on the completion of its recommended training program for “expertise”, rather than “experience” underlies what is eventually required Primary care Paediatricians, ECPCP has emphasized the importance of from a professional, which is a competency-based practice. integrating the content of the previously developed curriculum and specific framework in Primary Care, with the current construction of specific EPAs, in The European Confederation of Primary Care Paediatricians (ECPCP), as the order to facilitate the translation of a competency-based framework (which voice of primary care paediatricians in Europe, has gone through great lengths could be considered too theoretical), into practical, useful, and all-inclusive to ensure, as much as possible, that paediatricians trained in primary care are clinical activities. The Entrustable Professional Activity (EPA) framework will the best possible individuals to competently take care of children. With this enhance optimal patient care and patient safety by providing a reliable and goal in mind, the ECPCP, representing paediatricians from different countries, valid approach in determining the level of supervision any clinician requires was in a unique position to recognize the need to develop a European Primary to effectively perform in their profession. Care Paediatric Training Program by creating a curriculum which represents an essential framework for professionals working with children in primary This document, in fact, represents the third and last part of the ECPCP project care. The curriculum serves to promote awareness of the competences that to delineate a Paediatric Training Program in Primary care. It is designed to primary care paediatricians need in order to provide optimal care for their present a practical and accessible means of giving readers, who are not patients. Now, the ECPCP has taken that project one step further, by focusing completely familiar with EPAs, some concrete help in understanding them and on “Entrustable Professional Activities (EPAs)” in line with the recognition that correctly utilizing them in order to improve teaching, learning, and it is not “experience” but “expertise” that defines the competency of a assessment, all working in concert towards reaching the ultimate goal of paediatrician. enhancing the competency of physicians who will be taking care of children. Entrustable Professional Activities are considered as units of professional Alfred Tenore, MD practice. They provide a framework for describing the work that doctors do Professor of Paediatrics, California University of Science and Medicine San and the skills that trainees must acquire before graduating from a training Bernardino, California, USA program. EPAs break down the work of a doctor into specific tasks, such as Past President, European Academy of Paediatrics (Paediatric Section of UEMS) taking a history, performing a physical examination, developing a differential Past Chair, Global Paediatric Education Consortium (GPEC) diagnosis, etc. In this context, EPAs represent a bridge between a competency Past Vice Chair, Council for European Specialist Medical Assessment framework that describe the qualities and capabilities of individuals, and the (CESMA-UEMS) 6 ECPCP ▪ Entrustable Professional Activities PROLOGUE The European Confederation of Primary Care Paediatricians (ECPCP) ECPCP Executive Bureau is very proud to introduce this outstanding task from represents more than 30000 Primary Care Paediatricians from 23 professional the ECPCP Curriculum Working Group (WG) that will be a future reference for organizations in 19 European countries engaged in community paediatrics and Primary Care Paediatricians and trainees. primary child and adolescent care. We wish to thank the members of the Curriculum WG, under the visionary and Our quest is the good health and wellbeing of the Children of Europe. participative leadership of Carmen Villaizan. Their tireless dedication, even in Attaining this goal relies on the development and implementation of the difficult times we are living through, made possible this outstanding attainable and accessible primary healthcare services and facilities of the project, that will undoubtedly improve the quality of Paediatric Primary Care highest standards in all countries in accordance and fulfilment of the Alma for children and adolescents. Ata declaration, the UN Convention on the right of Children and the WHO Charter. Angel Carrasco President ECPCP Community paediatrics and Primary Child Care are specific disciplines that deal comprehensively with the health and wellbeing of infants, children and On behalf of ECPCP Executive Board: adolescents in the context of their family, community and culture, respecting their autonomy and seeing in the child the prime subject of care whose Shimon Barak personal wellbeing precedes all other considerations, while at the same time Vice-President ECPCP setting the frame for the involvement of parents, guardians and/or custodians. Gottfried Huss We have been setting standards and defined knowledge and expertise needed Secretary General ECPCP to perform these tasks and hope to be regarded as models and competent assessors in these matters. To this end, the Curriculum Working Group was Andreas Werner created in 2012 to develop a competence-based common European Primary Treasurer ECPCP Care Paediatric training program, that was finally published in 2014 as the Curriculum in Primary Care Paediatrics. It has been endorsed by the Global Mario Schuhmacher Paediatric Education Consortium (GPEC) and the European Academy of Webmaster ECPCP Paediatrics (EAP), and is being used in many European and non-European countries. Elke Jaeger-Roman The Entrustable Professional Activities (EPAs) presented in this document, as a President of Honour ECPCP bridge between the competencies in ECPCP Curriculum and daily clinical practice, constitute an essential tool for training in Primary Care Paediatrics, and will define the future of our discipline. 7 ECPCP ▪ Entrustable Professional Activities ENTRUSTABLE PROFESSIONAL ACTIVITIES A PROJECT OF THE EUROPEAN CONFEDERATION OF PRIMARY CARE PAEDIATRICIANS INTRODUCTION This document presents the Entrustable Professional Activities (EPAs) in The project was developed in three phases. The first phase consisted in paediatric primary care (PPC), a project of the European Confederation of setting up the objectives, performing a bibliography research and writing a Primary Care Paediatricians (ECPCP) designed for the