Identification and Validation of Entrustable Professional Activities in Indonesian Internal Medicine Residency Programs

Rinaldi, Ikhwan; Findyartini, Ardi; Widaty, Sandra; Hasan, Irsan

Jurnal SINTA 1

Identification and Validation of Entrustable Professional Activities in Indonesian Internal Medicine Residency Programs

ACTA MEDICA INDONESIANA · Vol. 54 No. 1 (2022)

ISSN: 2338-2732, 0125-9326
Terbit: 2022-04-08
Penerbit: The Indonesian Society of Internal Medicine
Bahasa: eng

Abstrak

Background: Entrustable professional activities (EPAs) are tasks entrusted to students who assist supervisors in determining their competencies. However, the competencies required and the end-educational stage in which each EPA item is assigned have yet to be determined by the stakeholders of internal medicine residency programs in Indonesia. This study aimed to identify and determine the activities in internal medicine residency programs which could be defined as EPAs in the competency-based curriculum of Indonesian internal medicine residency programs. Methods: A literature review was conducted to identify activities which could be examined as EPA items in Indonesian internal medicine residency programs, which were then validated by 10 educational experts. Two rounds of the Delphi method were conducted with participants consisting of the Indonesian Board of Internal Medicine professionals, residency program directors, internal medicine specialists, and internal medicine residents to evaluate the importance of the identified EPA items. The EPA items were rated on a Likert scale ranging from 1 to 5, and their variances were analyzed. The participants also rated the end-educational stage appropriate for each EPA item. The effect size was calculated between groups as (1) small, 0.8. Results: The literature review identified 29 modified items from the Royal College of Physicians and Surgeons (RCPS) and three items from other academically developed EPA designs. The expert discussion resulted in the validation of 28 EPA items (out of the 32 items in the initial EPA draft). All 28 items were accepted after two rounds of the Delphi method, and a decrease in their variances was found. Conclusion: This study formulated 28 EPA items for Indonesian internal medicine residency programs. Further collaboration between the Board of Internal Medicine and residency program directors will be needed for the application of these EPA items at each residency year.

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Juferdy Kurniawan	Afiliasi tidak diketahui	10
Hamzah Shatri	Afiliasi tidak diketahui	10
Rino Alvani Gani	Afiliasi tidak diketahui	6
Cleopas Martin Rumende	Afiliasi tidak diketahui	6
Siti Setiati	Afiliasi tidak diketahui	5
Robert Sinto	Afiliasi tidak diketahui	5
Chyntia Olivia Maurine Jasirwan	Afiliasi tidak diketahui	5
Rudi Putranto	Afiliasi tidak diketahui	4
Andri Sanityoso Sulaiman	Afiliasi tidak diketahui	4
Murdani Abdullah	Afiliasi tidak diketahui	4
Andri Sanityoso	Afiliasi tidak diketahui	3
Cosmas Rinaldi A Lesmana	Afiliasi tidak diketahui	3
Kemal Fariz Kalista	Afiliasi tidak diketahui	3
Gita Aprilicia	Afiliasi tidak diketahui	3
Alvina Widhani	Afiliasi tidak diketahui	3
Andhika Rachman	Afiliasi tidak diketahui	3
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Erni Juwita Nelwan	Afiliasi tidak diketahui	3
Noto Dwimartutie	Afiliasi tidak diketahui	3
Sally Aman Nasution	Afiliasi tidak diketahui	3
Rino A Gani	Afiliasi tidak diketahui	2
Lugyanti Sukrisman	Afiliasi tidak diketahui	2
Dadang Makmun	Afiliasi tidak diketahui	2
Rudy Hidayat	Afiliasi tidak diketahui	2
Khie Chen Lie	Afiliasi tidak diketahui	2
Marcellus Simadibrata	Afiliasi tidak diketahui	2
Esthika Dewiasty	Afiliasi tidak diketahui	2
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Eka Ginanjar	Afiliasi tidak diketahui	2
Achmad Fauzi	Afiliasi tidak diketahui	2
Maulana Suryamin	Afiliasi tidak diketahui	1
C. Rinaldi A Lesmana	Afiliasi tidak diketahui	1
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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.

Metadata asli (oai_dc)

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	<dc:title xml:lang="en-US">Identification and Validation of Entrustable Professional Activities in Indonesian Internal Medicine Residency Programs</dc:title>
	<dc:creator>Rinaldi, Ikhwan</dc:creator>
	<dc:creator>Findyartini, Ardi</dc:creator>
	<dc:creator>Widaty, Sandra</dc:creator>
	<dc:creator>Hasan, Irsan</dc:creator>
	<dc:subject xml:lang="en-US">Entrustable Professional Activities</dc:subject>
	<dc:subject xml:lang="en-US">Internal Medicine</dc:subject>
	<dc:subject xml:lang="en-US">Residency Program</dc:subject>
	<dc:subject xml:lang="en-US">internal medicine</dc:subject>
	<dc:description xml:lang="en-US">Background: Entrustable professional activities (EPAs) are tasks entrusted to students who assist supervisors in determining their competencies. However, the competencies required and the end-educational stage in which each EPA item is assigned have yet to be determined by the stakeholders of internal medicine residency programs in Indonesia. This study aimed to identify and determine the activities in internal medicine residency programs which could be defined as EPAs in the competency-based curriculum of Indonesian internal medicine residency programs. Methods: A literature review was conducted to identify activities which could be examined as EPA items in Indonesian internal medicine residency programs, which were then validated by 10 educational experts. Two rounds of the Delphi method were conducted with participants consisting of the Indonesian Board of Internal Medicine professionals, residency program directors, internal medicine specialists, and internal medicine residents to evaluate the importance of the identified EPA items. The EPA items were rated on a Likert scale ranging from 1 to 5, and their variances were analyzed. The participants also rated the end-educational stage appropriate for each EPA item. The effect size was calculated between groups as (1) small, &amp;lt;0.3; (2) moderate, approximately 0.5; and (3) large, &amp;gt;0.8. Results: The literature review identified 29 modified items from the Royal College of Physicians and Surgeons (RCPS) and three items from other academically developed EPA designs. The expert discussion resulted in the validation of 28 EPA items (out of the 32 items in the initial EPA draft). All 28 items were accepted after two rounds of the Delphi method, and a decrease in their variances was found. Conclusion: This study formulated 28 EPA items for Indonesian internal medicine residency programs. Further collaboration between the Board of Internal Medicine and residency program directors will be needed for the application of these EPA items at each residency year.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2022-04-08</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1973</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 54 No. 1 (2022): Acta Medica Indonesiana; 79</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1973/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2022 Ikhwan Rinaldi</dc:rights>
</oai_dc:dc>