醫事放射治療領域可信賴專業活動之建置與推廣—臺大醫院經驗分享

Validation and Implementation of Entrustable Professional Activities (EPAs) in Radiation Therapist Training: Experiences at National Taiwan University Hospital

從2016年開始，為使勝任能力導向醫學教育(Competency-Based Medical Education，CBME)能落實於日常整 合性的醫療行為中，本部教學團隊規劃使用可信賴專業活動(Entrustable Professional Activities，EPAs)架構建 置醫事放射治療領域於職場的訓練與評估。其中包括：以共識建立法進行職類特定EPAs之建置、EPA職場 直接觀察表單效度之建立、評分者信度之訓練及臨床能力委員會之執行。以EPAs為架構進行教學訓練的規 劃及評估系統的建置，並進一步發展以EPA為依據的職場直接觀察工具，能凝聚教師對臨床教學具體內容 的共識，完善多元客觀的評估方式收集資訊，達到職場觀察評估的效度及總結性評估的信度，且將核心能 力落實於日常醫療可觀察的任務行為中，提供學員個別化的教學回饋並提升其學習成效。

 

To implement competency-based medical education (CBME) in daily medical practice, we have, since 2016, established workplace training for radiation therapists based on the framework of entrustable professional activities (EPAs) and a system for assessing them within the same framework. These efforts have included the following: formulation of profession-specific EPAs through consensus methods, validation of EPA-based workplace direct observation and assessment tools, rater training to promote interrater reliability, and formation of a clinical competence committee. We designed our training experiences and assessment systems on the basis of the EPAs framework. Furthermore, we developed EPA-based workplace direct observation and assessment tools to build preceptors’ consensus on clinical training and optimize information gathering through multiple assessment strategies. Through these efforts, the validity of workplace observation and reliability of summative evaluation were improved and core competencies were integrated into daily observable medical practices. Trainees were