Differences in perceptions of capability, autonomy, and expectations between residents and surgical team members in executing EPAs in Ethiopian medical education

• DOI: 10.1016/j.heliyon.2023.e14316
• Publication Date: 2023-03-08T07:05:27Z
• Authors: Equlinet Misganaw...; Matthias Siebeck; Tegbar Yigzaw; Martin R. Fischer; Mekdim Tadesse; Markus Berndt
• Keywords: Social sciences (General); H1-99; Q1-390; Science (General); Entrustable professional activities; Graduating surgery residents; 4. Education; Ethiopia; Surgical team; Surgical residency training; Research Article

Entrustable Professional Activities (EPAs) are units of professional practice that defined as tasks or responsibilities entrusted to an unsupervised execution by a trainee. In 2021, framework 29 EPAs was developed for surgical residency training programs in Ethiopia, with the goal residents being able perform independently time they graduate. However, studies show lack confidence and unable execute autonomously upon graduation, concerns have been raised about graduate competencies EPA execution. The this research is assess how team members judge/perceive residents' performance executing these at graduation rate their own capability autonomy order systematically introduce implement Ethiopian medical education.A survey conducted Departments Surgery four institutions Ethiopia. All eligible final-year general surgery were invited participate. Surgical asked observed group graduating each EPAs, EPAs. analysis focused on variations ratings between residents, well across members.A total 125 49 participated study. Residents competence performing higher than members, mean 4.2 (SD = 0.63) vs. 3.7 0.9). A statistically significant difference perceptions capability, autonomy, expectations two groups study (p 0.03, CI: 0.51-0.95), within < 0.001).Differences faculty seen There graduation. perceived set not yet safe (without supervision) still requires distant supervision.