Effects of Competency-based Education on Resident Training: A Comparative Review of Korean Neurologist’s Entrustable Professional Activities 13 on Self-evaluation and Professor's Evaluation

Abstract

Since the implementation of the Resident Training Special Act in 2018, the Training Committee of the Korean Neurological Association has made significant efforts to establish a competency-based resident training program. Through various research activities, the committee has verified the effectiveness of the competency-based training program and conducted additional studies related to the evaluation of the resident training program. In this study, we aimed to analyze the evaluation process of the Korean neurologist’s entrustable professional activities (K-NEPA 13), which outlines 13 core competencies required for neurology residents, and to explore potential improvements in training guidelines and evaluation methods related to these competencies. New evaluation guidelines for the K-NEPA 13 were developed, and a study was conducted with supervising professors and residents from seven training hospitals. The residents were asked to conduct self-assessments, while the supervising professors also evaluated each resident. The evaluation results were compared by categorizing the residents into junior and senior groups to analyze the differences between the two assessments. The results of the evaluations could be classified into several distinctive groups, and each group, based on the specific content of the questions, helped identify the current status and challenges of the training program. Based on these findings, we believe that this research serves as a sufficient foundation for more in-depth investigations and studies in the future, and continuous efforts should be made to improve the competency-based resident training program.