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Entrustable Professional Activities (EPA) assessment

EPA assessment for Core Clerks

Starting with the Class of 2019 Core Clerks, the Phase 4 Management Team has adapted the new Association of Faculties of Medicine in Canada (AFMC) Entrustable Professional Activities (EPAs) as the framework for learning and assessment in Phase 4. As before, the 13 EPAs have been linked to the CanMEDS competencies in the MD curriculum so all CanMEDS competencies are represented by the EPAs. Each discipline has taken responsibility for assessing certain EPAs as outlined in the EPA assessment table

EPAs 1-12 have been adapted from the Association of Faculties of Medicine in Canada (AFMC) AFMC Entrustable Professional Activities for the Transition from Medical School to Residency (https://afmc.ca/medical-education/entrustable-professional-activities-epas) and EPA 13 from the AAMC Entrustable Professional Activities (EPAs) for Entering Residency. The 13 EPAs have been linked to the CanMEDS competencies in the MD curriculum so all CanMEDS competencies are represented by the EPAs.

EPAs are units of professional practice, defined as tasks or responsibilities that trainees are entrusted to perform without direct supervision.  Entrustable Professional Activities PDFs:

Complete list of EPAs
Anesthesia EPAs 
Emergency Medicine EPAs 
Internal Medicine EPAs 
Obstetrics and Gynecology EPAs 
Pediatrics EPAs 
Psychiatry EPAs 
Rural Family Medicine EPAs 
Surgery EPAs 


Key Points for Preceptors:
  • The EPAs are used when completing clinical performance assessments such Clinic eCards and ITARs.
  • The expected behaviours for the entrustable and pre-entrustable learner are outlined for each EPA.
    • Refer to the links above for the bulleted descriptors for each individual EPA or the pdf links below for the EPA descriptors specific for each discipline.
  • Preceptors should use the EPA descriptors when assessing students, e.g. to provide narrative feedback. 
    • ‚ÄčIdentify areas where the student demonstrates some or all of the the behaviours listed for an entrustable learner.
    • The behaviours listed for a pre-entrustable learner identify common areas where students often require focused coaching.
  • Medical students must be appropriately supervised at all times to ensure patient and student safety. The level of responsibility delegated to students must take into account their level of training, and the level of supervision must take into account their level of entrustability and competence. 
 

EPA Assessment for Selectives/Electives Clerks (Class of 2018)


The Class of 2018 will continue to use the AAMC Entrustable Professional Activities (EPAs) for assesssment during Selectives and Electives. 

Entrustable Professional Activities descriptions:

Adapted from Association of American Medical Colleges. (2014). Core Entrustable Professional Activities for Entering Residency. Retrieved from www.mededportal.org/icollaborative/resource/887 
Available under Creative Commons Attribution-Noncommercial license


EPA 1: Gather a history and perform a physical examination
EPA 2: Prioritize a differential diagnosis following a clinical encounter
EPA 3: Recommend and interpret common diagnostic and screening tests
EPA 4: Enter and discuss orders and prescriptions
EPA 5: Document a clinical encounter in the patient record
EPA 6: Provide an oral presentation of a clinical encounter
EPA 7: Form Clinical questions and retrieve evidence to advance patient care
EPA 8: Give or receive a patient handover to transition care responsibility
EPA 9: Collaborate as a member of an interprofessional team
EPA 10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management
EPA 11: Obtain informed consent for tests and/or procedures
EPA 12: Perform general procedures of a physician
EPA 13: Identify systems failures and contribute to a culture of safety and improvement

The expected behaviours for the entrustable and pre-entrustable learner are detailed in the AAMC EPA descriptors document. Preceptors should use those descriptors when assessing students, e.g. to use the descriptors for narrative feedback. 
Last Updated 2017-08-10 10:28:54 AM
Disclaimer: This handbook is in review.  Many sections are under development and final implementation is subject to the approval of the Office of Faculty Relations.