Development of entrustable professional activities for advanced inflammatory bowel disease fellowship training in the united states

Benjamin L. Cohen, Zane R. Gallinger, Christina Ha, Stefan D. Holubar, Jason K. Hou, Jami Kinnucan, Uma Mahadevan, Alan C. Moss, Laura E. Raffals, Migue Regueiro, Eva Szigethy, Douglas Wolf, Marla C. Dubinsky, Anish Patel, Brijen J. Shah, Orna G. Ehrlich, Stephen B. Hanauer

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The level of inflammatory bowel disease (IBD) training in general gastroenterology fellowship is often insufficient to prepare trainees to deliver advanced IBD care in practice. Advanced IBD fellowships have been developed to fill this training gap, but there is no established curriculum, and significant variability exists across programs. Entrustable professional activities (EPAs) are practical and realistic objectives that define essential tasks of a specialty that physicians should master to be competent during independent practice. The American College of Gastroenterology (ACG) and Crohn s & Colitis Foundation (Foundation) established a task force to develop and appraise EPAs for advanced IBD fellowship. Methods: Entrustable professional activities were developed using a multistep approach in a similar manner to other specialties. Initial EPAs identified via focus groups were evaluated, critiqued, and changed using an iterative model of feedback. The final EPAs were selected after the task force conducted a 3-phase modified Delphi method consisting of 2 sequential rounds of web-based voting and an in-person consensus meeting. Results: Ten EPAs for advanced IBD fellowship were established including detailed descriptions with the associated knowledge, skills, and attitudes for each that can serve as curricular milestones.

Original languageEnglish (US)
Pages (from-to)1291-1305
Number of pages15
JournalInflammatory bowel diseases
Volume26
Issue number9
DOIs
StatePublished - Sep 1 2020

ASJC Scopus subject areas

  • Immunology and Allergy
  • Gastroenterology

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