Journal of General Internal Medicine

, Volume 29, Issue 8, pp 1177–1182 | Cite as

Entrustment and Mapping of Observable Practice Activities for Resident Assessment

  • Eric J. Warm
  • Bradley R. Mathis
  • Justin D. Held
  • Savita Pai
  • Jonathan Tolentino
  • Lauren Ashbrook
  • Cheryl K. Lee
  • David Lee
  • Sharice Wood
  • Carl J. Fichtenbaum
  • Daniel Schauer
  • Ryan Munyon
  • Caroline Mueller
Perspective

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 assessment milestones entrustable professional activities medical education 

Notes

Acknowledgements

The authors would like to thank Alisa N. Strauss PhD. for assistance with preparation of the figures.

Conflict of Interest

The authors declare that they do not have a conflict of interest.

Funding

None.

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Copyright information

© Society of General Internal Medicine 2014

Authors and Affiliations

  • Eric J. Warm
    • 1
  • Bradley R. Mathis
    • 1
  • Justin D. Held
    • 1
  • Savita Pai
    • 1
  • Jonathan Tolentino
    • 1
  • Lauren Ashbrook
    • 1
  • Cheryl K. Lee
    • 1
  • David Lee
    • 1
  • Sharice Wood
    • 1
  • Carl J. Fichtenbaum
    • 1
  • Daniel Schauer
    • 1
  • Ryan Munyon
    • 1
  • Caroline Mueller
    • 1
  1. 1.University of Cincinnati Academic Health CenterCincinnatiUSA

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