Korean J Med Educ.  2018 Mar;30(1):1-10. 10.3946/kjme.2018.76.

A primer on entrustable professional activities

Affiliations
  • 1Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands. t.j.tencate@umcutrecht.nl

Abstract

Entrustable professional activities (EPAs) have become a popular topic within competency-based medical education programs in many countries and hundreds of publications within only a few years. This paper was written to introduce the ins and outs of EPAs. After a brief historical overview, the rational of EPAs, as a bridge between a competency framework and daily clinical practice, is explained. Next, entrustment decision-making as a form of assessment is elaborated and framework of levels of supervision is presented. For readers interested to apply the concept in practice a stepwise approach to curriculum development is proposed. The paper concludes with an overview of the state of the art of working with EPAs in across disciplines, professions and countries.

Keyword

Clinical practice; Competency; Curriculum; Medical education; Entrustable professional activities

MeSH Terms

Curriculum
Education, Medical
Organization and Administration
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