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Troika: Consult and be consulted—on your most pressing CBME or EPA-related questions

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Presentation

11:00 am

27 February 2024

M209

EPAs for effective assessment

Presentation Description

Machelle Linsenmeyer 
Maryellen Gusic 



Background
Competency Based Medical Education (CBME) is being implemented around the world. A framework being used in CBME and assessment are Entrustable Professional Activities (EPAs). Both CBME and EPAs encompass processes and principles that are not always easy to operationalize. Anyone involved in such endeavors, be it in an administrative position, in a clinical department, or as an educational or assessment specialist interested in program development, will encounter moments that beg for consultancy. This workshop draws upon the multinational community to share and learn from peer wisdom and experiences. 


Why is the topic important for research and / or practice?
CBME and the use of EPAs can change depending on the purpose, context, mission, resources and culture of the organization. This means that processes, tools, implementations, and challenges can all be different.However, there are also many challenges that are likely to beshared as well.Therefore, it is important for all of us to have tools that can be used to easily self-reflect, problem-solve, and gain input from others. The torika method is such a tool. This method can be used to advance CBME and EPAs in practice. 


Workshop format, including participant engagement methods
 After a brief introduction (15 minutes) and the formulation of a pressing, CBME or EPA- related question that touches on the work of the participant in their local context (5 minutes), the group will be divided in trios of participants who are not from the same institution or program. Each trio will then engage in the ‘Troika Peer Consultation’ exercise (45 minutes). During this exercise, participants will pose their pressing question and receive consultation from others in the trio. The process will continue until all members of the group have vetted their question. At the end, all participants will come back together to close the session with a 25 minute plenary discussion with the workshop leaders, who are all experienced with CBME and EPAs. Detailed instructions for the Troika exercise will be shared during the workshop. The approach will also be adaptable to other situations where quick input or problem-solving is needed. 


Who should participate
Intended participants should have experience and background in working with CBME or EPAs. It would be helpful if they have participated in coursework or skills training related to CBME and/or EPAs, such as being alumni from the International Course Ins and Outs of EPAs. 


Level of the workshop
Intermediate 


Take-home messages/workshop outcomes/implications for further research or practice
Participants will share and gain fresh perspectives on the challenges of CBME and EPA development and implementation. Every participant will leave with peer advice for addressing the specific pressing question they posed to their peers. Acquaintance with the live Troika exercise procedure, as a faculty development tool, is also an outcome. 




References (maximum three) 

Trokia Consulting, Liberating Structures: Including and Unleashing Everyone. Accessed online 6/21/23: https://www.liberatingstructures.com/8-troika-consulting/ . 

Henri Lipmanowicz and Keith McCandless (2014) The Surprising Power of Liberating Structures: Simple Rules to Unleash A Culture of Innovation. 

Speakers