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Entrustable Professional Activities: Ten Things Radiologists Do.

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Entrustable Professional Activities (EPAs) provide a framework for competency-based medical education, guiding supervision and assessment for radiology residents. This study defines radiology-specific EPAs (EPA-Rs) with examples to aid educators and trainees.

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Entrustable professional activitiesmedical assessmentmedical educationmilestonesradiology education

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Area of Science:

  • Medical Education
  • Radiology Training
  • Competency-Based Assessment

Background:

  • Medical education assessment has evolved significantly over 20 years.
  • Entrustable Professional Activities (EPAs) guide faculty in competency-based supervision decisions for trainees.
  • EPAs are increasingly used for transitioning residents to clinical practice.

Purpose of the Study:

  • To define Entrustable Professional Activities for Radiology (EPA-Rs).
  • To provide radiology-specific examples of EPAs.
  • To enhance understanding of milestone assessment in radiology.

Main Methods:

  • A multi-institutional work group convened to discuss radiology EPAs.
  • Discussions were based on EPAs and milestones from the ACGME Radiology group.
  • The group developed radiology-specific EPAs and illustrative examples.

Main Results:

  • Ten radiology EPAs (EPA-Rs) and vignettes were developed.
  • These resources aim to clarify milestone assessment for educators and trainees.
  • Examples of EPA mapping to ACGME subcompetencies and assessment methods are included.

Conclusions:

  • EPAs can improve radiology training by focusing on supervision and progress assessment.
  • The developed EPA-Rs provide a framework for further discussion and development.
  • This work supports a more robust approach to assessing resident competency in radiology.