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Updated: Dec 30, 2025

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Entrustable Professional Activities: Do General Surgery Residents Trust Them?

Aakanksha Gupta1, Anthony C Watkins2, Thomas J Fahey3

  • 1Division of Trauma, Burns, Acute and Critical Care, Department of Surgery, Weill Cornell Medicine, New York, New York.

Journal of Surgical Education
|January 18, 2020
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Summary

General surgery residents (GSR) have limited knowledge of Entrustable Professional Activities (EPAs). Residents expressed concerns about assessment by unfamiliar attendings, but not workload or competency views.

Keywords:
CompetenciesEntrustable Professional ActivitiesGeneral Surgery ResidencyResident Education

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Area of Science:

  • Medical Education
  • Surgical Training
  • Competency-Based Assessment

Background:

  • The American Board of Surgery is piloting Entrustable Professional Activities (EPAs) for general surgery resident (GSR) training.
  • Limited data exists on GSR perceptions of EPAs.

Purpose of the Study:

  • To assess the impact of EPAs on GSR for inguinal hernia and general surgery consultation training.
  • To evaluate GSR perceptions and apprehensions regarding EPA implementation.

Main Methods:

  • A 21-question, cross-sectional survey using a Likert scale was distributed to 64 GSR.
  • The Mann-Whitney U test analyzed differences in responses by resident level (PGY 1-3 vs. PGY 4-5) and gender.
  • 41 GSR (64%) completed the survey.

Main Results:

  • Approximately 50% of GSR had limited knowledge of EPAs.
  • 57% of GSR were concerned about assessment by unfamiliar attending surgeons.
  • Junior residents (PGY 1-3) were more concerned about progression than senior residents.

Conclusions:

  • EPAs are crucial for GSR competency-based assessment and advancement.
  • Addressing concerns about assessor identity and assessment methods is necessary.
  • Further work is needed to define EPA utilization for clinical competency evaluation.