Establishing entrustable professional activities for psychiatry residents in China – BMC Medical Education

Research Methods

We conducted a literature research and two rounds of expert consultation using the Delphi method to establish entrustable professional activities (EPAs) for psychiatry residents in China. The study was conducted in accordance with the latest version of the Declaration of Helsinki and approved by the ethics committee of Beijing Huilongguan Hospital.

Composition of the Research Group

The research group consisted of ten members, including one senior professional, four deputy senior professionals, and five intermediate professionals. One member had a doctoral degree and nine had a master’s degree. The team included the director of the education department, the ward director, and eight senior clinical front-line teachers with over ten years of teaching experience. All members of the group were psychiatrists who had undergone two rounds of training and were familiar with the EPA concept. The main responsibilities of the team included literature research, formulating the consultation form, expert selection, data analysis, and manuscript writing.

Literature Research

We conducted a literature search in five electronic databases using specific keywords. We retrieved 34 publications and screened them based on their titles and abstracts. After the screening process, we selected ten articles that were relevant to our study. These articles were written in English and were of narrative type.

1. We conducted a literature research and two expert letter consultation rounds following the Delphi method to establish EPAs for psychiatry residents in China.
2. The study was performed in accordance with the latest version of the Declaration of Helsinki and approved by the ethics committee of Beijing Huilongguan Hospital.
3. The research group consisted of ten people, including one senior professional, four deputy senior professionals, and five intermediate professionals.
4. The team included the director of the education department, the ward director, and eight senior clinical front-line teachers with over ten years of teaching experience.
5. We searched five electronic databases in January 2020 for publications from 2011 to 2020 using specific keywords.
6. We retrieved 34 publications and screened them based on their titles and abstracts.
7. We selected ten articles that were relevant to our study and written in English.
8. The ten articles contained 61 EPAs, including duplicates.
9. We removed duplicates and merged items, leading to the selection of 12 EPAs.
10. We developed a phase-based modular EPAs suitable for the three rotation stages.
11. We distributed the consultation questionnaires as Questionnaire Star and conducted two consultation rounds.
12. We calculated the mean and coefficient of variation (CV) of each index following expert opinions.
13. The index screening criteria were importance score > 3.75 and CV < 0.25.
14. The research group revised the EPAs following the questionnaire results and expert opinions.

SDGs, Targets, and Indicators

SDGs Addressed or Connected to the Issues Highlighted in the Article:

• SDG 3: Good Health and Well-being

Specific Targets Under the SDGs:

• Target 3.4: By 2030, reduce by one-third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.

Indicators Mentioned or Implied in the Article:

• Importance score
• Coefficient of variation (CV)
• Effective questionnaire recovery rate
• Authority coefficient
• Kendall harmony coefficient
• Arithmetic mean
• Full score rate

Table: SDGs, Targets, and Indicators

Explanation:

– The article discusses the establishment of entrustable professional activities for psychiatry residents in China, which is related to the promotion of mental health and well-being (SDG 3).

– Target 3.4 specifically focuses on reducing premature mortality from non-communicable diseases and promoting mental health and well-being, which aligns with the issues discussed in the article.

– The indicators mentioned in the article, such as importance score, coefficient of variation, effective questionnaire recovery rate, authority coefficient, Kendall harmony coefficient, arithmetic mean, and full score rate, can be used to measure progress towards the identified targets. These indicators reflect the opinions and evaluations of experts regarding the entrustable professional activities for psychiatry residents.

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Source: bmcmededuc.biomedcentral.com

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