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The EPA-based Utrecht undergraduate clinical curriculum: Development and implementation.
Olle Ten Cate1, Lysanne Graafmans1,2, Indra Posthumus1,3
1a Center for Research and Development of Education , University Medical Center , Utrecht , The Netherlands.
Medical Teacher
|February 23, 2018
Summary
This study outlines a clinical workplace curriculum using entrustable professional activities (EPAs) for undergraduate medical education. It details a framework for training medical students to be trusted with indirect supervision before graduation.
Area of Science:
- Medical Education
- Curriculum Development
- Health Professions Education
Background:
- Entrustable Professional Activities (EPAs) are increasingly adopted in medical education.
- There is a growing need for structured curricula incorporating EPAs for undergraduate medical training.
- Existing examples, like the US Core EPAs, inform EPA framework development.
Purpose of the Study:
- To describe a model for an undergraduate medical education (UME) curriculum based on EPAs.
- To provide a practical example for other institutions developing EPA-based curricula.
- To share experiences from the University Medical Center Utrecht's curriculum development process.
Main Methods:
- A three-year curriculum development process at UMC Utrecht.
- Integration of EPA structure into a clinical workplace curriculum.
- Consideration of existing EPA frameworks and recommendations for clerkship integration.
Main Results:
- Implementation of a UME curriculum with five broad EPAs operational since 2016.
- Students are trained for entrustment with indirect supervision in areas like clinical consultation and patient care.
- Nested EPAs within integrated clerkships require sign-off for completion.
Conclusions:
- The developed EPA framework provides a model for undergraduate medical education.
- Key considerations included supervision levels, content coverage, workplace assessment, and e-portfolio development.
- This model can guide other institutions in designing and implementing EPA-based medical curricula.
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