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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Adv+Med+Educ+Pract
2016 ; 7
(ä): 115-24
Nephropedia Template TP
gab.com Text
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English Wikipedia
A suggested emergency medicine boot camp curriculum for medical students based on
the mapping of Core Entrustable Professional Activities to Emergency Medicine
Level 1 milestones
#MMPMID27042155
Lamba S
; Wilson B
; Natal B
; Nagurka R
; Anana M
; Sule H
Adv Med Educ Pract
2016[]; 7
(ä): 115-24
PMID27042155
show ga
BACKGROUND: An increasing number of students rank Emergency Medicine (EM) as a
top specialty choice, requiring medical schools to provide adequate exposure to
EM. The Core Entrustable Professional Activities (EPAs) for Entering Residency by
the Association of American Medical Colleges combined with the Milestone Project
for EM residency training has attempted to standardize the undergraduate and
graduate medical education goals. However, it remains unclear as to how the EPAs
correlate to the milestones, and who owns the process of ensuring that an
entering EM resident has competency at a certain minimum level. Recent trends
establishing specialty-specific boot camps prepare students for residency and
address the variability of skills of students coming from different medical
schools. OBJECTIVE: Our project's goal was therefore to perform a needs
assessment to inform the design of an EM boot camp curriculum. Toward this goal,
we 1) mapped the core EPAs for graduating medical students to the EM residency
Level 1 milestones in order to identify the possible gaps/needs and 2) conducted
a pilot procedure workshop that was designed to address some of the identified
gaps/needs in procedural skills. METHODS: In order to inform the curriculum of an
EM boot camp, we used a systematic approach to 1) identify gaps between the EPAs
and EM milestones (Level 1) and 2) determine what essential and supplemental
competencies/skills an incoming EM resident should ideally possess. We then
piloted a 1-day, three-station advanced ABCs procedure workshop based on the
identified needs. A pre-workshop test and survey assessed knowledge,
preparedness, confidence, and perceived competence. A post-workshop survey
evaluated the program, and a posttest combined with psychomotor skills test using
three simulation cases assessed students' skills. RESULTS: Students (n=9)
reported increased confidence in the following procedures: intubation (1.5-2.1),
thoracostomy (1.1-1.9), and central venous catheterization (1.3-2) (a three-point
Likert-type scale, with 1= not yet confident/able to perform with supervision to
3= confident/able to perform without supervision). Psychomotor skills testing
showed on average, 26% of students required verbal prompting with performance
errors, 48% with minor performance errors, and 26% worked independently without
performance errors. All participants reported: 1) increased knowledge and
confidence in covered topics and 2) overall satisfaction with simulation
experience. CONCLUSION: Mapping the Core EPAs for Entering Residency to the EM
milestones at Level 1 identifies educational gaps for graduating medical students
seeking a career in EM. Educators designing EM boot camps for medical students
should consider these identified gaps, procedures, and clinical conditions during
the development of a core standardized curriculum.