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Opinion Paper
Enhancing West African family medicine curriculum through entrustable professional activities
Submitted: 26 July 2024 | Published: 13 December 2024
About the author(s)
Bolatito B. Fatusin, Department of Family Medicine, Federal Medical Centre, Abeokuta, NigeriaMusa Dankyau, Department of Family Medicine, Faculty of Clinical Sciences, Bingham University, Karu, Nigeria; and Department of Family Medicine, Bingham University Teaching Hospital, Jos, Nigeria
Akye Essuman, Department of Internal Medicine, School of Medicine, University of Health and Allied Sciences, Ho, Ghana; and Family Health Centre, Ho Teaching Hospital, Ho, Ghana
Abraham N. Gyuse, Department of Family Medicine, Faculty of Clinical Sciences, University of Calabar, Calabar, Nigeria
Akinfemi J. Fatusin, Chief Tony Anenih Geriatric Centre, University College Hospital, Ibadan, Nigeria
Louis S. Jenkins, Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Primary Health Care Directorate, Department of Family, Community and Emergency Care, Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, South Africa; and Department of Family and Emergency Medicine, George Hospital, George, South Africa
Abstract
The training of Family Medicine residents in the West Africa College of Physicians (WACP) has steadily upscaled to a competency-based approach over the years. The latest review of the curriculum (2022) includes self-directed online modules on clinical postings, health management, patient safety, quality assurance research and medical education among others. The operationalisation of the revised curriculum involves the use of workplace-based tools for formative assessments. However, some shortcomings of the traditional work place based assessment (WPBA) have been observed, including a lack of standardisation, time consumption, variability in the assessors’ judgements and systematic biases. These shortcomings can be mitigated through the adoption of entrustable professional activities (EPA) along with the use of WPBA.
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