Entrustable professional activities in family medicine
Journal of Graduate Medical Education
|January 10, 2014
Summary
This study developed a list of entrustable professional activities (EPAs) for family medicine ambulatory practice. This list aids residency programs in adopting competency-based education and assessment.
Area of Science:
- Medical Education
- Competency-Based Assessment
- Family Medicine
Background:
- The Accreditation Council for Graduate Medical Education Outcome Project aims to assess resident competence in 6 key dimensions.
- General physician attributes were defined, but specific specialty activities (entrustable professional activities - EPAs) were not.
- EPAs describe the actual activities a competent physician performs in practice.
Purpose of the Study:
- To develop a list of EPAs for ambulatory practice in family medicine.
- To guide curriculum development and resident assessment in family medicine.
Main Methods:
- An initial list of EPAs was developed over 3 years.
- A Delphi Process involving 22 family medicine experts refined the list.
- Experts participated in two rounds of anonymous, internet-based surveys.
Main Results:
- The Delphi Process reduced 91 competency areas to 76.
- Three additional competency areas were added in the first round.
- A consensus list of EPAs for family medicine ambulatory practice was generated.
Conclusions:
- The developed list of EPAs serves as a foundation for family medicine residency programs.
- It supports the transition to competency-based resident education and assessment.
- This framework enhances the evaluation of physician competence in family medicine.
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