Core Entrustable Professional Activities for Entering Residency Curriculum Developers' Guide

Author: Association of American Medical Colleges
Affiliation:
Publisher: Association of American Medical Colleges
Publication Date: 2014
ISBN 10: 0000901016
ISBN 13: 9780000901019
Edition: 1st

Description:

This landmark publication published by the AAMC identifies a list of integrated activities to be expected of all M.D. graduates making the transition from medical school to residency. This guide delineates 13 Entrustable Professional Activities (EPAs) that all entering residents should be expected to perform on day 1 of residency without direct supervision regardless of specialty choice. The Core EPAs for Entering Residency are designed to be a subset of all of the graduation requirements of a medical school. Individual schools may have additional mission-specific graduation requirements, and specialties may have specific EPAs that would be required after the student has made the specialty decision but before residency matriculation. The Core EPAs may also be foundational to an EPA for any practicing physician or for specialty-specific EPAs.

Table of Contents

Front Matter

  • ABOUT
  • Preface
  • Acknowledgments
  • Drafting Panel for Core Entrustable Professional Activities for Entering Residency

Background and Context for the Core EPAs for Entering Residency

  • Conceptual Framework Chosen for This Work
  • Charge to the Core EPAs for Entering Residency Drafting Panel
  • Guiding Principles
  • Relationship between the Core EPAs for Entering Residency and School or Specialty-Specific EPAs
  • The Relationships among EPAs, Competencies, and Milestones

How to Use This Document

  • Contents
  • Using the Guide for Curriculum Development and Assessment
  • Using the Guide for Developing Faculty
  • Using the Guide for Developing Learners

EPA 1: Gather a history and perform a physical examination

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 2: Prioritize a differential diagnosis following a clinical encounter

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 3: Recommend and interpret common diagnostic and screening tests

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 4: Enter and discuss orders and prescriptions

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 5: Document a clinical encounter in the patient record

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 6: Provide an oral presentation of a clinical encounter

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 7: Form clinical questions and retrieve evidence to advance patient care

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 8: Give or receive a patient handover to transition care responsibility

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 9: Collaborate as a member of an interprofessional team

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 11: Obtain informed consent for tests and/or procedures

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 12: Perform general procedures of a physician

  • Pre-Entrustable Learners
  • Entrustable Learners

EPA 13: Identify system failures and contribute to a culture of safety and improvement

  • Pre-Entrustable Learners
  • Entrustable Learners

Appendix A: Example EPA Work Sheet

Appendix B: Bulleted List of Expected Behaviors for Pre-entrustable and Entrustable Learners

Appendix C: Reference List of General Physician Competencies by Domain 10

Appendix D: Tally of Critical Competencies for the 13 EPAs

References