Competency Based Education and Core Athletic Training Entrustable Professional Activities: A Novel Approach to Clinical Education

Abstract:
Assessment of student learning in clinical education is complex. This lecture explains how we designed and adopted a novel developmental competency-based framework (CBE) to assess student learning in clinical education based on 16 Core Athletic Training Entrustable Professional Skills (Core AT-EPAs). Effective developmental CBE requires establishing three components: competency areas common to clinical practice, ratings of competence and benchmarks (assessing student progress over time). The Core AT-EPAs are those key competency areas and serve as a bridge between the professional knowledge statements and clinical practice. The Core AT-EPAs are based on the extensive work of the Association of American Medical Colleges, which described 13 Core Entrustable Professional Activities identified as essential for undergraduate medical students to be able to perform to enter residencies. The sister work to this AAMC document in medical education is the Milestones Project developed by the Accreditation Council for Graduate Medical Education in partnership with the American Board of Medical Specialties. The Milestones Project influenced the work of Eric Sauers, Forrest Pecha, Mark Laursen and Hollie Walusz who developed milestones for athletic training, particularly advanced clinical practice areas following professional education. We reviewed the AT milestones as a potential option for our professional program; however, they were too broad and did not match well with the CAATE professional knowledge standards. Therefore, the work by AAMC for professional level education was a better fit to describe professional level education of ATs and therefore used as a foundation for our CBE approach.

Learning Objectives:

• Reflect on the efficacy of a developmental competency approach for clinical education to assess student learning based on establishing ratings of competence, benchmarks and areas of competence essential for clinical practice.
• Compare the concept of the Entrustable Professional Activities with the AT milestones as a central framework for describing key competency areas for professional athletic training education.
• Adopt a competency-based approach to assess student learning that incorporates Core-AT Entrustable Professional Activities reflective of AT practice and CAATE professional knowledge statements.

Level:
Advanced

Domain(s):
Domain 5: Health Care Administration and Professional Responsibility

CEUs:
0.5 Category A

Track: Program Administration
Format: Lecture

In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.