LIBRO + ANEXOS NEONATOLOGÍA

Libro Blanco de las ACES Pediátricas 2024 82 ❚ 30 APPENDIX 2: FUTURE DIRECTIONS / ENTRUSTABLE PROFESSIONAL ACTIVITIES (EPAs) The ESPR has the stated ambition to continuously improve this syllabus and keep it at the cutting edge of medical practice and education. As the ETR Neonatology seeks to define minimum requirements for training in neonatal medicine, and, through these, foster the harmonisation of neonatal education in Europe, some of the most advanced concepts had to be deliberately left aside in order to maintain applicability across EUmember states. Therefore, this section will provide a brief outlook of what to expect in the next revision of this document planned for the period 2024-2025, where some of the latest concepts will be included. One of the cornerstones of the ETR Neonatology is its adherence to the principles of Competency-Based Medical Education (CBME). This is an outcome-based approach to the development, realisation and review of educational initiatives and the assessment of trainees using competencies. In other words, this approach focuses on the transfer into practice of competence profiles (knowledge, skills and attitudes), where the majority of teaching, learning and assessment should take place in a real-life, medical environment. In the next revision of the ETR Neonatology, we envision the strengthening of the application of the CBME concept, and, in particular, the inclusion of advanced assessment instruments such as ‘Entrustable Professional Activities (EPAs)’. The EPA framework does not take competences as a starting point, but rather a task or action from everyday medical practice. This allows the EPA system to assess not one, but several competences that make up a situation and is thus even closer to real-life scenarios. In total, there are five ‘types of supervision’ according to the EPA concept. These stipulate the level of independence at which a trainee can carry out a given task. EPAs are tested by having different observers assess the trainee at different times in different situations. Please find below an overview of the EPA scaling:  Level 1: Observed  Level 2: Works under direct proactive supervision (supervisor in the room)  Level 3: Works under indirect supervision (supervisor on call at all times)  Level 4: Works without supervision (supervisor available but not on site)  Level 5: Can supervise younger colleagues As no EPAs have been defined for neonatal medicine at this stage, the ESPR will use the coming years to gather data through its educational initiatives. Based on this, we will prepare a succinct list of possible EPAs and group required competences according to these. This dataset will then provide the foundation for the next revision of the ETR Neonatology, so that it can be updated and restructured according to EPA principles.