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Competency-based resident education: The United States perspective.

Brenessa Lindeman¹, George A Sarosi²

¹Department of Surgery, University of Alabama School of Medicine, Birmingham, AL.

|August 7, 2019

Summary

Competency-based medical education uses Entrustable Professional Activities (EPAs) to assess trainee readiness. EPAs provide a framework for evaluating physician tasks within clinical encounters, guiding supervision needs.

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Area of Science:

Medical Education
Graduate Medical Education
Surgical Education

Background:

Competency-based medical education (CBME) requires trainees to demonstrate specific competencies.
Entrustable Professional Activities (EPAs) are a key assessment framework within CBME.
EPAs evaluate physician tasks in clinical contexts, determining learner supervision levels.

Purpose of the Study:

To describe the framework and expansion of Entrustable Professional Activities (EPAs) in medical education.
To highlight the development and pilot of core EPAs for general surgery.

Main Methods:

Review of the conceptualization and application of EPAs in medical training.
Description of the Association of American Medical Colleges' Core EPAs for Entering Residency.
Overview of the general surgery EPA subset pilot across 26 institutions.

Main Results:

EPAs have been successfully expanded from medical student to graduate medical education.
A core set of general surgery EPAs is currently undergoing national piloting.
The pilot involves 26 institutions evaluating the practical application of surgical EPAs.

Conclusions:

Entrustable Professional Activities are a valuable tool for assessing competence in medical education.
Successful implementation of surgical EPAs requires attention to outcomes, faculty development, and standardized practice models.
Further evaluation of the general surgery EPA pilot is crucial for broader adoption.