2023 Volume 3 Issue 2 Pages 2_45-2_51
In this study, we practiced a clinic-participatory training in perioperative cardiovascular surgery physical therapy. In order for trainees to participate as members of a team, we believe it is necessary to share goals and information, assess trainees’ abilities, and clarify their roles. The trainees need to have a clear understanding of their roles as team members and be prepared to carry them out. In this training, the trainees were assigned the role of “blood pressure,” which is an important evaluation item in cardiovascular cases and is frequently performed by the trainees. The Entrustable Professional Activity (EPA) scale was used as a criterion to determine whether the role could be delegated or not. The trainees participated in 30 perioperative physical therapy sessions in three cardiovascular surgery cases. The EPA rating for the “blood pressure” role was “5: Practice supervisor did not need to be present” for both trainees. Through this training, we felt that by clearly defining the role of the “blood pressure” supervisor, what the trainees were to do became more concrete, and the supervisor was able to evaluate the trainees in a way that was observable and directly related to their clinical work. It was also suggested that by utilizing the EPA, it was possible to objectively evaluate whether or not the trainees could be entrusted with roles that had previously depended on the subjective judgment of the training supervisor.
