Journal of General Internal Medicine

, Volume 35, Issue 1, pp 331–335 | Cite as

Development of a Novel Competency-Based Evaluation System for HIV Primary Care Training: the HIV Entrustable Professional Activities

  • Dana DunneEmail author
  • Michael Green
  • Jeanette Tetrault
  • Lydia Aoun Barakat
Innovation and Improvement: Innovations in Medical Education



There is an anticipated shortage of primary care providers trained to care for patients with HIV. The Yale School of Medicine developed and implemented a novel HIV training track within our Primary Care Internal Medicine Residency Program. A set of 12 Entrustable Professional Activities (EPAs) were developed to guide curriculum development and resident assessment.


To describe the process of implementing a novel EPA-based curriculum for the HIV Primary Care Training Track including EPA-based trainee evaluation tools.


Two to three residents were enrolled annually from 2012 to 2017 (total n = 11). Training sites included the outpatient academic center HIV clinic and inpatient HIV ward.

Program Description

An expert panel developed 12 HIV-specific EPAs. These were mapped to curricular and reporting internal medicine milestones. Curricular activities and evaluation tools were developed to guide EPA progress.

Program Evaluation

Graduating residents were ready for unsupervised practice in 91% of EPAs at the end of the 3-year program.


Development of HIV-specific training EPAs was effective for driving curricular development and resident evaluation, and served as an effective method to communicate expectations to resident participants. These HIV-specific EPAs could serve as a useful template to enhance HIV education in academic settings.


HIV training EPA residency training primary care training 



We would like to acknowledge our HIV Training Track residents; the staff of Nathan Smith Clinic, John Moriarty, M.D., Stephen Huot, M.D., Onyema Ogbuagu, M.D., and David Chia, M.D.; and all our wonderful patients.


We acknowledge AIDS Education and Training Centers (AETC) grant support: H4HA22762.

Compliance with Ethical Standards

Conflict of Interest

DD—spouse holds stock in Pfizer, Inc.

Lydia Aoun Barakat served as a consultant for Gilead Sciences.

All other authors report no conflicts of interest.

Supplementary material

11606_2019_4956_MOESM1_ESM.docx (50 kb)
ESM 1 (DOCX 49.7 kb)


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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Dana Dunne
    • 1
    Email author
  • Michael Green
    • 2
  • Jeanette Tetrault
    • 2
  • Lydia Aoun Barakat
    • 1
  1. 1.Section of Infectious DiseasesYale University School of MedicineNew HavenUSA
  2. 2.Section of General Internal MedicineYale University School of MedicineNew HavenUSA

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