Journal of General Internal Medicine

, Volume 29, Issue 8, pp 1177–1182

Entrustment and Mapping of Observable Practice Activities for Resident Assessment

Authors

    • University of Cincinnati Academic Health Center
  • Bradley R. Mathis
    • University of Cincinnati Academic Health Center
  • Justin D. Held
    • University of Cincinnati Academic Health Center
  • Savita Pai
    • University of Cincinnati Academic Health Center
  • Jonathan Tolentino
    • University of Cincinnati Academic Health Center
  • Lauren Ashbrook
    • University of Cincinnati Academic Health Center
  • Cheryl K. Lee
    • University of Cincinnati Academic Health Center
  • David Lee
    • University of Cincinnati Academic Health Center
  • Sharice Wood
    • University of Cincinnati Academic Health Center
  • Carl J. Fichtenbaum
    • University of Cincinnati Academic Health Center
  • Daniel Schauer
    • University of Cincinnati Academic Health Center
  • Ryan Munyon
    • University of Cincinnati Academic Health Center
  • Caroline Mueller
    • University of Cincinnati Academic Health Center
Perspective

DOI: 10.1007/s11606-014-2801-5

Cite this article as:
Warm, E.J., Mathis, B.R., Held, J.D. et al. J GEN INTERN MED (2014) 29: 1177. doi:10.1007/s11606-014-2801-5

ABSTRACT

Entrustable Professional Activities (EPAs) and the Next Accreditation System reporting milestones reduce general competencies into smaller evaluable parts. However, some EPAs and reporting milestones may be too broad to use as direct assessment tools. We describe our internal medicine residency curriculum and assessment system, which uses entrustment and mapping of observable practice activities (OPAs) for resident assessment. We created discrete OPAs for each resident rotation and learning experience. In combination, these serve as curricular foundation and tools for assessment. OPA performance is measured via a 5-point entrustment scale, and mapped to milestones and EPAs. Entrustment ratings of OPAs provide an opportunity for immediate structured feedback of specific clinical skills, and mapping OPAs to milestones and EPAs can be used for longitudinal assessment, promotion decisions, and reporting. Direct assessment and demonstration of progressive entrustment of trainee skill over time are important goals for all training programs. Systems that use OPAs mapped to milestones and EPAs provide the opportunity for achieving both, but require validation.

KEY WORDS

resident assessmentmilestonesentrustable professional activitiesmedical education

Copyright information

© Society of General Internal Medicine 2014