EPA Elements
Goals
Courses
Milestones & Roles
Rotations
Procedures
Evaluation

Practical framework for assessment of competencies

What is an EPA?

Entrustable Professional Activity (EPA) concept requires an integration of competencies within and across domains to perform

Important routine care activities that define a specialty or subspecialty

Observable and measurable

“Entrustable” refers to readiness to safely perform the activity without supervision

Why EPAs?

To implement EPAs, medical schools should identify where in the curriculum EPAs will be taught, practiced, and assessed.

Among other modalities, simulation, reflection, and standardized and structured experiences will all provide data about student competence

Entrustment implies competence but uses a lens of supervision which is a more intuitive framework for clinicians