机构：[1]National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[2]Training and Education Department, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[3]Medical Simulation Centre, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[4]School of Nursing, Li ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, People’s Republic of China[5]Department of Hematology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of China华中科技大学同济医学院附属同济医院[6]Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, People’s Republic of China江苏省人民医院[7]Department of Hematology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China浙江大学医学院附属第一医院[8]Department of Hematology, Yancheng Third People’s Hospital, Yancheng, Jiangsu, People’s Republic of China[9]Department of Hematology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People’s Republic of China[10]Department of Hematology, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Hemostasis and Thrombosis Diagnostic Engineering Research Center of Henan Province, Zhengzhou, Henan, People’s Republic of China河南省肿瘤医院[11]Department of Hematology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China[12]Medical Simulation Centre, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, People’s Republic of China
Purpose: Entrustable professional activities (EPAs), essential for competent and safe clinical practice, serve as milestones to assess trainees' readiness for independent patient care. This study aimed to develop a context-specific EPA framework for hematology residency training in China.<br /> Methods: We employed a modified Delphi method involving 35 experts from 8 academic hospitals to establish China's inaugural hematology-specific EPA framework. The development process comprised three key components: (1) a systematic literature review integrating international EPA models with China's the Standardized Training System for Residents (STSR) requirements; (2) structural validation through the EQual rubric (cut-off: 4.07); and (3) a two-round Delphi consultations evaluating importance, observability, evaluability, repeatability, feasibility and entrustment-supervision levels. Expert engagement metrics and inter-rater agreement evaluated consensus quality.<br /> Results: The preliminary 14-item framework was ultimately refined to 12 EPAs following the exclusion of "Public Health Emergency Response" (EPA 14; mean score=3.23) and "Imparting Bad News" (EPA 13; 57.1% experts advocated removing). Key revisions involved expanding the hematopoietic stem cell transplantation (HSCT) competency domain to include donor selection (EPA 7) and the provisional addition then subsequent removal of "Cellular Immunotherapy Complications Management" due to insufficient standardization of assessment criteria. The final EPAs achieved unanimous EQual compliance (>= 4.07) and strong Delphi consensus (Kendall's W: Round 1 = 0.271, Round 2 = 0.529, p< 0.001). Clinical entrustment-supervision levels were systematically stratified by training phase and expected competency at graduation.<br /> Conclusion: This study has established China's first hematology-specific EPA framework by addressing gaps in global EPA models through integration of integrating local clinical demands (high patient volume, resource constraints) and multidisciplinary coordination. The framework provides a validated tool for competency-based assessment, with future steps focusing on digital implementation and nationwide validation.
基金：
General Research Project of Hospital Management Innovation in Jiangsu Province [JSYGY-3-2021-171]; Research Program of Standardized Training for Residents of the First Affiliated Hospital of Soochow Univisity [ZPKJ20210204, ZPKJ20210105]; Research Project of Higher Education Reform of Soochow University [5731506122]
第一作者机构：[1]National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[2]Training and Education Department, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
共同第一作者：
通讯作者：
通讯机构：[1]National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[2]Training and Education Department, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[3]Medical Simulation Centre, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China[12]Medical Simulation Centre, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, People’s Republic of China
推荐引用方式(GB/T 7714)：
Tian Hong,Xu Lan,Xi Jing,et al.Developing a Framework of Entrustable Professional Activities for Residency Training in Hematology[J].ADVANCES IN MEDICAL EDUCATION AND PRACTICE.2025,16:1651-1663.doi:10.2147/AMEP.S541605.
APA：
Tian, Hong,Xu, Lan,Xi, Jing,Yin, Jie,Dai, Haiping...&Xue, Shengli.(2025).Developing a Framework of Entrustable Professional Activities for Residency Training in Hematology.ADVANCES IN MEDICAL EDUCATION AND PRACTICE,16,
MLA：
Tian, Hong,et al."Developing a Framework of Entrustable Professional Activities for Residency Training in Hematology".ADVANCES IN MEDICAL EDUCATION AND PRACTICE 16.(2025):1651-1663
