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  1. Article ; Online: Development and evaluation of Entrustable Professional Activities embedded in an e-portfolio for work-based assessment in community and public health dietetics.

    Bramley, Andrea / Forsyth, Adrienne / McKenna, Lisa

    Health & social care in the community

    2022  Volume 30, Issue 6, Page(s) e5445–e5456

    Abstract: Entrustable professional activities (EPAs) is a recent concept that helps operationalise competency-based education. In this paper, we report on the development of EPAs and incorporation into an e-portfolio for work-based assessment of final year ... ...

    Abstract Entrustable professional activities (EPAs) is a recent concept that helps operationalise competency-based education. In this paper, we report on the development of EPAs and incorporation into an e-portfolio for work-based assessment of final year dietetics students in a community and public health professional placement. We aimed to determine the utility of the EPAs for work-based assessment in this context. We used action research methodology to conduct broad consultation with students and supervisors using anonymous surveys and focus groups to understand their beliefs and attitudes towards work-based assessment. Consequently, 40 EPAs with an accompanying four-point entrustment scale were developed and mapped to the National Competency Standards for Dietitians in Australia. The EPAs and assessment tool were piloted and evaluated via an anonymous online user survey across three cohorts of students (n = 133) and supervisors (n = 67). Following mediocre pilot year evaluation results, EPAs were revised and reduced in number. While students positively evaluated the e-portfolio, their appraisal of the EPAs and entrustment scale was less positive compared to supervisors. Supervisor evaluation of the EPA-based e-portfolio supported the validity, feasibility and acceptability of this novel assessment method in a community and public health setting. Assessment using EPAs, and the resulting educational data collected by the tool, offers potential for individual learners to identify areas needing development during placement, as well as potential to inform curriculum improvements and increase understanding of learning opportunities and outcomes for dietetic students in community and public health settings.
    MeSH term(s) Humans ; Clinical Competence ; Dietetics ; Public Health ; Competency-Based Education/methods ; Focus Groups
    Language English
    Publishing date 2022-08-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1155902-0
    ISSN 1365-2524 ; 0966-0410
    ISSN (online) 1365-2524
    ISSN 0966-0410
    DOI 10.1111/hsc.13967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Validity and Educational Impact of Clinical Entrustable Professional Activities Linked to the Nutrition Care Process for Work-Based Assessment of Entry-Level Dietetics Students: Evaluation of a 3-Year Implementation Study in Australia.

    Bramley, Andrea / Forsyth, Adrienne / McKenna, Lisa

    Journal of the Academy of Nutrition and Dietetics

    2022  Volume 123, Issue 4, Page(s) 614–625.e7

    Abstract: Background: Entrustable professional activities (EPAs) describe key workplace activities and are increasingly being used for student work-based assessment. An EPA-based work-based assessment tool offers potential to increase understanding of dietetics ... ...

    Abstract Background: Entrustable professional activities (EPAs) describe key workplace activities and are increasingly being used for student work-based assessment. An EPA-based work-based assessment tool offers potential to increase understanding of dietetics student skill development and opportunity for standardised work-based student assessment.
    Objective: To determine construct validity and educational impact of an EPA work-based assessment tool for dietetics placement students in clinical settings.
    Design: Using a time series design, supervisor and student self-assessment data collected from an EPA-based assessment tool from three cohorts of dietetics students and supervisors from 2017-2019 was analyzed.
    Participants and setting: Dietetics students (n = 145) from an accredited dietetic training program in Australia and affiliated metropolitan and rural hospitals.
    Main outcome measures: Construct validity was determined through analysis of supervisor evaluation of student performance against EPAs over time. Educational impact was determined through comparing student performance across EPAs to predicted milestones to identify areas of least entrustment.
    Statistical analyses performed: Student performance over time and differences between student self-assessment and supervisor assessment for each EPA were investigated using Wilcoxon signed-rank tests and linear mixed-model analysis. Descriptive statistics summarised student performance against each EPA.
    Results: Performance significantly increased over time in 35 out of 37 EPAs. Significant differences between supervisor and student self-assessment were evident in 9 out of 37 EPAs. Dietetics student performance varied across EPAs with 88.2% of students achieving entrustment for nutrition management EPAs compared with 100% for professionalism EPAs.
    Conclusions: The tool's construct validity was established. EPAs identified areas of Nutrition Care Process skills development requiring additional support. Data collected by the tool can inform teaching.
    MeSH term(s) Humans ; Competency-Based Education ; Dietetics ; Curriculum ; Australia ; Educational Measurement ; Students ; Clinical Competence ; Internship and Residency
    Language English
    Publishing date 2022-09-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2646718-5
    ISSN 2212-2672
    ISSN 2212-2672
    DOI 10.1016/j.jand.2022.09.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Validity and Educational Impact of Clinical Entrustable Professional Activities Linked to the Nutrition Care Process for Work-Based Assessment of Entry-Level Dietetics Students: Evaluation of a 3-Year Implementation Study in Australia

    Bramley, Andrea / Forsyth, Adrienne / McKenna, Lisa

    Academy of Nutrition and Dietetics Journal of the Academy of Nutrition and Dietetics. 2022 Sept. 05,

    2022  

    Abstract: Entrustable professional activities (EPAs) describe key workplace activities and are increasingly being used for student work-based assessment. An EPA-based work-based assessment tool offers potential to increase understanding of dietetics student skill ... ...

    Abstract Entrustable professional activities (EPAs) describe key workplace activities and are increasingly being used for student work-based assessment. An EPA-based work-based assessment tool offers potential to increase understanding of dietetics student skill development and opportunity for standardised work-based student assessment. To determine construct validity and educational impact of an EPA work-based assessment tool for dietetics placement students in clinical settings. Using a time series design, supervisor and student self-assessment data collected from an EPA-based assessment tool from three cohorts of dietetics students and supervisors from 2017-2019 was analyzed. Dietetics students (n = 145) from an accredited dietetic training program in Australia and affiliated metropolitan and rural hospitals. Construct validity was determined through analysis of supervisor evaluation of student performance against EPAs over time. Educational impact was determined through comparing student performance across EPAs to predicted milestones to identify areas of least entrustment. Student performance over time and differences between student self-assessment and supervisor assessment for each EPA were investigated using Wilcoxon signed-rank tests and linear mixed-model analysis. Descriptive statistics summarised student performance against each EPA. Performance significantly increased over time in 35 out of 37 EPAs. Significant differences between supervisor and student self-assessment were evident in 9 out of 37 EPAs. Dietetics student performance varied across EPAs with 88.2% of students achieving entrustment for nutrition management EPAs compared with 100% for professionalism EPAs. The tool’s construct validity was established. EPAs identified areas of Nutrition Care Process skills development requiring additional support. Data collected by the tool can inform teaching.
    Keywords academic achievement ; descriptive statistics ; dietetics ; statistical models ; time series analysis ; working conditions ; Australia ; Entrustable professional activities ; Work-based assessment ; Nutrition Care Process ; Clinical dietetics education ; Competency-based education
    Language English
    Dates of publication 2022-0905
    Size p. 614-625.e7.
    Publishing place Elsevier Inc.
    Document type Article ; Online
    Note Pre-press version
    ZDB-ID 2646718-5
    ISSN 2212-2672
    ISSN 2212-2672
    DOI 10.1016/j.jand.2022.09.009
    Database NAL-Catalogue (AGRICOLA)

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  4. Article ; Online: Design, implementation and evaluation of novel work-based clinical assessment tool: An e-portfolio with embedded Entrustable Professional Activities.

    Bramley, Andrea / Forsyth, Adrienne / McKenna, Lisa

    Nurse education today

    2021  Volume 107, Page(s) 105101

    Abstract: Background: A new concept in work-based assessment, Entrustable Professional Activities (EPAs) describe key activities a work-ready practitioner can perform independently. EPAs are widely used in medicine to support competency-based education and are ... ...

    Abstract Background: A new concept in work-based assessment, Entrustable Professional Activities (EPAs) describe key activities a work-ready practitioner can perform independently. EPAs are widely used in medicine to support competency-based education and are gaining acceptance in other professions such as nursing, pharmacy and dietetics. There is currently no widely accepted work-based assessment tool for student clinical placement assessment in dietetics and EPAs offer potential to address this gap.
    Objectives: To design, implement and evaluate a work-based assessment tool using EPAs embedded in an e-portfolio for use in clinical dietetics.
    Setting: An accredited dietetic training program in Australian university and affiliated metropolitan and rural hospitals.
    Participants: Three consecutive cohorts of final year dietetic students (n = 126) and their professional placement supervisors (n = 101).
    Methods: A working party consisting of dietetic academics with experience in clinical dietetics and education developed clinical dietetic EPAs and milestones that were mapped to the National Competency Standards for Dietitians in Australia. A design model incorporating multiple rounds of user feedback was used to create an e-portfolio with the EPAs embedded. Students and supervisors were invited to complete anonymous on-line surveys with Likert responses (1 = highly dissatisfied, 5 = highly satisfied) to evaluate the face validity, acceptability and feasibility of the tool.
    Results: A total of 37 EPAs were developed with an accompanying four-point entrustment scale to measure performance. Evaluation survey response rates were high and ranged from 35 to 45% for students and 57-83% for supervisors across the study period. Both students and supervisors evaluated the tool positively with a mean overall satisfaction of 4.12 ± 0.69 and 4.03 ± 0.68, respectively. Survey items evaluating face validity, feasibility and acceptability scored >3.75 for both groups of users.
    Conclusions: The EPA based e-portfolio demonstrated face validity, feasibility and acceptability and offers potential for a widely accepted tool for work-based assessment of clinical dietetic students.
    MeSH term(s) Australia ; Clinical Competence ; Competency-Based Education ; Humans ; Internship and Residency ; Reproducibility of Results ; Surveys and Questionnaires
    Language English
    Publishing date 2021-08-19
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2021.105101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Motion of an Electric Particle in a Riemann Space.

    Bramley, A

    Proceedings of the National Academy of Sciences of the United States of America

    2006  Volume 9, Issue 8, Page(s) 289–291

    Language English
    Publishing date 2006-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.9.8.289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Gamma Radiation.

    Bramley, A

    Proceedings of the National Academy of Sciences of the United States of America

    2005  Volume 18, Issue 8, Page(s) 543–550

    Language English
    Publishing date 2005-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.18.8.543
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Radioactive Disintegration.

    Bramley, A

    Proceedings of the National Academy of Sciences of the United States of America

    2005  Volume 17, Issue 10, Page(s) 579–583

    Language English
    Publishing date 2005-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.17.10.579
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Condition that an Electron Describe a Geodesic.

    Bramley, A

    Proceedings of the National Academy of Sciences of the United States of America

    2005  Volume 10, Issue 3, Page(s) 103–107

    Language English
    Publishing date 2005-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.10.3.103
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Evidence of the reduction of acute circulating communicable viruses during the SARS-CoV-2 pandemic in London.

    Bramley, Alexandra / Crocker-Buque, Tim / Breuer, Judith / Mahungu, Tabitha W

    The Journal of infection

    2021  Volume 83, Issue 4, Page(s) 496–522

    MeSH term(s) COVID-19 ; Humans ; London/epidemiology ; Pandemics ; SARS-CoV-2 ; Virus Diseases/epidemiology
    Language English
    Publishing date 2021-08-20
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2021.08.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Maxwell's Equations and Atomic Dynamics.

    Bramley, A

    Proceedings of the National Academy of Sciences of the United States of America

    2002  Volume 12, Issue 12, Page(s) 653–657

    Language English
    Publishing date 2002-09-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.12.12.653
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