The Fate of Entrustable Professional Activities After Graduation: A Survey Study Among Graduated Physician Assistants.

Introduction: Entrustable professional activities (EPAs) are used during training but may also have significance after graduation. This domain has not yet been much explored. We investigated the use of EPAs among alumni of Master Physician Assistant programs in the Netherlands, where EPAs have been used since 2010.

Flexibility in individualized, competency-based workplace curricula with EPAs: Analyzing four cohorts of physician assistants in training.

Background: Entrustable professional activities (EPAs) were introduced as a principle for individualized physician assistant (PA) workplace curricula at the University of Applied Sciences (UAS) Utrecht in 2008. We studied how the focus on EPAs served the competency-based flexibility intention of the program.

Methods: We analyzed data of those 119 students who enrolled in the program 2010 through 2013, and completed the program before April 2016.

Routine ultrasound and limited computed tomography for the diagnosis of acute appendicitis.

Background: Acute appendicitis continues to be a challenging diagnosis. Preoperative radiological imaging using ultrasound (US) or computed tomography (CT) has gained popularity as it may offer a more accurate diagnosis than classic clinical evaluation. The optimal implementation of these diagnostic modalities has yet to be established.

US examination of the appendix in children with suspected appendicitis: the additional value of secondary signs.

This study evaluated the additional value of secondary signs in the diagnosing of appendicitis in children with ultrasound. From May 2005 to June 2006, 212 consecutive paediatric patients with suspected appendicitis were examined. Ultrasonographic depiction of the appendix was classified into four groups: 1, normal appendix; 2, appendix not depicted, no secondary signs of appendicitis; 3, appendix not depicted with one of the following secondary signs: hyperechoic mesenteric fat, fluid collection, local dilated small bowel loop; 4, depiction of inflamed appendix.

Ileoileal intussusception in children: ultrasonographic differentiation from ileocolic intussusception.

Background: The treatment of ileoileal intussusception in children differs from that of ileocolic intussusception.

Objective: To differentiate ileoileal intussusception from ileocolic intussusception using ultrasonography.

Materials And Methods: We reviewed the clinical and ultrasonographic findings in 27 patients with intussusception between September 2003 and July 2005.

US features of the normal appendix and surrounding area in children.

Purpose: To evaluate prospectively the frequency of depiction with ultrasonography (US) of the appendix in children without clinical suspicion of acute appendicitis and to evaluate the US appearance of the normal appendix.

Materials And Methods: Between March 2003 and July 2003, 146 consecutive patients (62 boys and 84 girls; mean age, 7 years; age range, 2-15 years) without clinical suspicion of acute appendicitis were examined with US. Patients with cystic fibrosis and those with acute abdominal pain were excluded from the study.