How to Use Entrustable Professional Activities to Evaluate and Teach Physician Trainees

Chapter

Abstract

“Entrustable Professional Activities” (EPAs) provide a helpful framework for competency-based assessment. An EPA represents a specialty-specific task that can be entrusted to a learner who has achieved sufficient competency in that area. To be entrusted to perform each of these tasks without supervision, a physician trainee typically must be competent in multiple domains (e.g., patient care, medical knowledge, systems-based practice, practice-based learning and improvement, professionalism, and interpersonal communication). Therefore, entrusting a trainee with a specific professional activity acknowledges their competence in one or more aspects of multiple domains. Clinical teachers can use this concept to more purposefully observe their trainees and provide richer feedback grounded in the actual work expected of practicing physicians.

Keywords

Clinical teaching Entrustable professional activities Competency-based education Entrustment Supervision Feedback 

References

  1. 1.
    Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system—rationale and benefits. N Engl J Med. 2012;366(11):1051–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Ten Cate O. Entrustability of professional activities and competency-based training. Med Educ. 2005;39(12):1176–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ. 2013;5(1):157–8.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Kennedy TJ, Regehr G, Baker GR, Lingard L. Point-of-care assessment of medical trainee competence for independent clinical work. Acad Med. 2008;83(10 Suppl):S89–92.CrossRefPubMedGoogle Scholar
  5. 5.
    Shaughnessy AF, Sparks J, Cohen-Osher M, Goodell KH, Sawin GL, Gravel J. Entrustable professional activities in family medicine. J Grad Med Educ. 2013;5(1):112–8.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Boyce P, Spratt C, Davies M, McEvoy P. Using entrustable professional activities to guide curriculum development in psychiatry training. BMC Med Educ. 2011;11:96.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Caverzagie KJ, Cooney GT, et al. The development of entrustable professional activities for internal medicine residency training: a report from the Education Redesign Committee of the Alliance for Academic Internal Medicine. Acad Med. 2015;90(4):479–84.CrossRefPubMedGoogle Scholar
  8. 8.
    Rose S, Fix OK, Shah BJ, Jones TN, Szyjkowski RD. Entrustable professional activities for gastroenterology fellowship training. Gastroenterology. 2014;147:233–42.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of General Internal Medicine, Department of MedicineUniversity of Washington School of MedicineSeattleUSA

Personalised recommendations