{"doi":"10.1016/j.pecinn.2025.100433","title":"The Pediatric Ethics &amp; Professionalism Assessment Tool (Pedi-EPAT): Development and implementation of a novel, competency-based assessment","abstract":"To develop and demonstrate validation of a competency-based formative assessment tool, the Pediatric Ethics & Professionalism Assessment Tool (Pedi-EPAT). Using a multi-phased study design, a panel of national experts in pediatrics, ethics, and medical education participated in tool development and established content validity using a Delphi approach. To optimize rating accuracy and minimize inter-rater variation, the panel completed frame-of-reference training, consisting of inter-rater comparisons of 3 recorded, simulated scenarios involving parent-actors and pediatric trainees. Outcomes included degree-of-association of raters' ordinal assessments, agreement of ratings between experts and raters, and median ratings per simulated scenario. Kendall's coefficient was used to estimate consistency across raters, and a structural equation-modeling framework assessed internal reliability 11 experts participated in the 2-round Delphi. The final Pedi-EPAT achieved consensus and contained 34 items, including 2 items independent of the Delphi. During FOR training, consistency among the 6 raters by Kendall's coefficient was low-moderate (w = 0.33–0.35, p < 0.05). The tool demonstrated excellent internal reliability (composite reliability = 0.97) This novel, competency-based, formative assessment tool demonstrated content validity and internal reliability. The Pedi-EPAT could aid supervising staff in providing high-quality assessments and feedback on ethical behavior and professionalism for pediatric trainees engaging in conversations with families. • The Pedi-EPAT assesses pediatric trainees' ethical behavior & professionalism. • The Delphi & Frame-of-Reference methods for validity & reliability were utilized. • The Pedi-EPAT demonstrates excellent internal reliability and consensus among experts. • The Pedi-EPAT addresses the need for pediatric-specific performance evaluation tools. • The Pedi-EPAT aligns with ACGME milestones to provide formative feedback.","journal":"PEC Innovation","year":2025,"id":575739,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9525,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1483967,"name":"Lori R. Newman","orcid":"0000-0002-2440-1998","position":1,"is_corresponding":false},{"id":1484328,"name":"Mary Brennan","orcid":null,"position":2,"is_corresponding":false},{"id":707407,"name":"David N. Williams","orcid":"0000-0002-5278-7437","position":3,"is_corresponding":false},{"id":759523,"name":"Christy L. Cummings","orcid":"0000-0003-1579-2947","position":4,"is_corresponding":false},{"id":1484327,"name":"Omri-David Soffer","orcid":null,"position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-19T02:57:52.712371Z","pmid":"41080424","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}