Entrustable Professional Activities – Visualization of Competencies in Postgraduate Training. Position Paper of the Committee on Postgraduate Medical Training of the German Society for Medical Education (GMA)
نویسندگان
چکیده
Quality and structure of postgraduate medical training and educational experiences in undergraduate and postgraduate training play amajor role in career decisions of young medical graduates [14], [19], [23], [28]. They consider structuredmandatory and challenging postgraduate training programmes delivered by experienced trainers with high training competencies as important factors of attractiveness and good starting of their clinical career [23]. The present postgraduate training in Germany widely differs between the medical disciplines. Best-practice examples of a structured competency-based postgraduate training that may serve as models for other clinical fields exist for anaesthesiology [24], family medicine [25], urology [11] and surgery [18]. However, a national comprehensive and binding curricular structure ensuring comparable competencies independent of training site ismissing. Certification examinations in all medical disciplines follow an unstructured oral assessment format outside of the clinical context. Thus, it neither adequately assesses clinical competencies of medical doctors at the time of certification nor does it represent professional tasks [http://www.bundesaerztekammer.de/downloads/ MWBO_07122011.pdf (accessed February 12, 2013)]. The evaluation of postgraduate training launched by the GermanMedical Association in 2009 and 2011 revealed mediocre overall satisfaction of the trainees [http:// w ww . e v a l u a t i o n w e i t e r b i l d u n g . d e / d a t a / Bundesrapport2009.pdf (accessed February 12, 2013)], [http://www.baek.de/downloads/Bundesrapport_ 2011.pdf (accessed February 12, 2013)]. Forty-five per-
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