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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07655-0  |2 doi 
035 |a 3236996252 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Wen-Yin, Chen 
245 1 |a Importance-based approach to entrustable professional activities for psychiatric residency training 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundEntrustable professional activities (EPAs) are essential tools in implementing CBME and integrating milestones into clinical practice. This study aimed to develop a set of EPAs tailored to the psychiatric residency training context with local institutional needs, and to dissect the differences and factor analysis in perceived EPA importance.Methods21 customized EPAs specific to psychiatric residency training at Taipei City Psychiatric Center (TCPC) were developed based on the Taiwanese Society of Psychiatry (TSOP) framework. A two-round Delphi method was used to achieve consensus for the EPAs. The finalized EPAs were evaluated using an online questionnaire, and faculty members and residents rated each activity’s importance on a Likert scale of 0–10. Statistical analyses were performed on perceptions differences between teachers and trainees, and to cluster EPAs into meaningful competency clusters.ResultsThe finalized TCPC EPA framework included the TSOP’s original 17 EPAs and four additional EPAs to address advanced skills in psychotherapy, rehabilitation, legal applications, and innovative technologies. The total response rate was 89.6% for questionnaire assessing importance. Faculty consistently rated EPAs as more important than residents did, particularly clinical documentation, teaching and long-term care planning. Factor analysis revealed two loading factors, referring to internal knowledge and an external communication.ConclusionThe experience of adapting EPAs from global and national standards to fit the characteristics of a local training institution provides a valuable reference for the localization of EPA development. Observed differences in perceptions between trainees and teachers highlight the importance of aligning educational expectations. Enhancing awareness of the underlying dimensions associated with EPAs may help optimize psychiatric training outcomes for both trainees and instructors. 
651 4 |a Taiwan 
653 |a Polls & surveys 
653 |a Medical education 
653 |a Clinical medicine 
653 |a Discriminant analysis 
653 |a Training 
653 |a Questionnaires 
653 |a Likert scale 
653 |a Core competencies 
653 |a Physicians 
653 |a Teaching hospitals 
653 |a Mental institutions 
653 |a Validity 
653 |a Child & adolescent psychiatry 
653 |a Psychiatrists 
653 |a Delphi method 
653 |a Professional Training 
653 |a Psychological Evaluation 
653 |a Educational Development 
653 |a Competence 
653 |a Factor Analysis 
653 |a Addition 
653 |a Graduate Medical Education 
653 |a Likert Scales 
653 |a Psychiatric Hospitals 
653 |a Psychiatric Services 
653 |a Supervisors 
653 |a Educational Change 
653 |a Medical Evaluation 
653 |a Reference Materials 
653 |a Revision (Written Composition) 
653 |a Faculty Development 
653 |a Trainees 
653 |a Delphi Technique 
653 |a Institutes (Training Programs) 
653 |a Regression (Statistics) 
653 |a Educational Needs 
653 |a Content Validity 
700 1 |a Chih-Pang Chu 
700 1 |a Huang, Tzu-Fu 
700 1 |a Hu-Ming, Chang 
700 1 |a Feng-Jung, Kuo 
700 1 |a Yu-Ting, Liu 
700 1 |a Sheng-Hsun Peng 
700 1 |a Cheng-Jui, Lee 
700 1 |a Yan-Jiun Hung 
700 1 |a Yueh-Pin Lin 
700 1 |a Ming-Chyi Huang 
700 1 |a Kuo, Chian-Jue 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-11 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3236996252/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3236996252/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3236996252/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch