INTEGRATING ENTRUSTABLE PROFESSIONAL ACTIVITIES IN SIMULATION-BASED HEALTHCARE EDUCATION: A SYSTEMATIC LITERATURE REVIEW

Isabele Pardo; Julia Messina G Ferreira; Maria Celidonio Gutfreund; Alexandre Rodrigues Marra; José Roberto Generoso Jr

Título do Trabalho

Autores

Isabele Pardo
Julia Messina G Ferreira
Maria Celidonio Gutfreund
Alexandre Rodrigues Marra
José Roberto Generoso Jr

Modalidade

Resumo

Área temática

Revisões integrativas/sistemáticas/metanálise

Data de Publicação

23/07/2026

País da Publicação

Brasil

Idioma da Publicação

pt-BR

Página do Trabalho

https://www.even3.com.br/anais/sun-brasil-2026/1465040-integrating-entrustable-professional-activities-in-simulation-based-healthcare-education--a-systematic-literatur

ISBN

978-65-272-2615-4

Palavras-Chave

Entrustable Professional Activities, Simulation training, Medical education, Competency assessment

Resumo

INTEGRATING ENTRUSTABLE PROFESSIONAL ACTIVITIES IN SIMULATION-BASED HEALTHCARE EDUCATION: A SYSTEMATIC LITERATURE REVIEW Isabele Pardo 1; Julia Messina G Ferreira, M.D.2 ; Maria Celidonio Gutfreund 3; Alexandre R Marra, M.D., Ph.D. 4; José Roberto Generoso Jr, M.D., Ph.D. 5 1. Medical Student. Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. pardoisabele@gmail.com 2. Doctor (MD). Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. julia.messina95@gmail.com 3. Medical Student. Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. mariagutfreund@gmail.com 4. Doctor (M.D., Ph.D.) Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA. alexandrerodriguesmarra@uiowa.edu 5. Doctor (M.D., Ph.D.) Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; University of Cincinnati College of Medicine, Cincinnati, OH, USA; Division of Critical Care, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA. Jose.GenerosoJunior@cchmc.org Introduction: Medical education assessment has relied on checklist-based evaluations, which describe competencies but do not directly determine clinical readiness. Entrustable Professional Activities (EPAs) transform clinical competencies into tasks to grade supervision needs, provide targeted feedback, and individualize progression. Integrating simulation and EPAs may support improvement in health professions training by linking competency development and clinical tasks in a controlled environment. Therefore, this study analyses EPAs’ usability in simulation-based education. Methods: The review search was conducted in six databases up to May 27th, 2025. Results: 22 studies, including 3,144 healthcare trainees, were included. There were fourteen observational studies, six quasi-experimental studies, and two qualitative studies. EPA-integrated simulations were well received, improving both learners’ skills and their confidence across different stages of healthcare training. It also yields moderately to highly reliable scores (ICCs 0.65–0.90, kappa 0.5–1.0, a=.84–.89) and shows emerging validity with positive correlation with other competence measures. However, there are also important practical barriers to adopting EPAs in simulation, including high resource requirements and assessment challenges such as subjective entrustment decisions, lack of rater calibration, and discrepancies between different types of raters and between simulation- and workplace-based ratings. Conclusion: EPAs in simulation-based healthcare education are valid tools to support learning, feedback, and entrustment decisions, but further research is needed to define a resource-sensitive implementation.

Título do Evento: SUN Brasil 2026
Cidade do Evento: São Paulo
Título dos Anais do Evento: Anais do Congresso de Simulação Clinica: SUN Brasil
Nome da Editora: Even3
Meio de Divulgação: Meio Digital

Como citar

PARDO, Isabele et al.. INTEGRATING ENTRUSTABLE PROFESSIONAL ACTIVITIES IN SIMULATION-BASED HEALTHCARE EDUCATION: A SYSTEMATIC LITERATURE REVIEW.. In: Anais do Congresso de Simulação Clinica: SUN Brasil. Anais...Sao Paulo(SP) Sírio-Libanês Ensino e Pesquisa, 2026. Disponível em: https//www.even3.com.br/anais/sun-brasil-2026/1465040-INTEGRATING-ENTRUSTABLE-PROFESSIONAL-ACTIVITIES-IN-SIMULATION-BASED-HEALTHCARE-EDUCATION--A-SYSTEMATIC-LITERATUR. Acesso em: 11/08/2026