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Incoming Interns Perceived Preparedness for Core Entrustable Professional Activities.

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Most new medical residents lack awareness of core entrustable professional activities (EPAs). Few interns experienced EPAs, with international graduates reporting lower preparedness, especially in oral presentations and evidence-based medicine.

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Health Professions Education

Background:

  • The Association of American Medical Colleges (AAMC) defined 13 core entrustable professional activities (EPAs) for graduating medical students.
  • These EPAs are essential for interns to perform proficiently at the start of residency.

Purpose of the Study:

  • To assess how prepared incoming residents feel regarding the 13 core EPAs.
  • To identify factors influencing preparedness, such as medical school type and prior experience.

Main Methods:

  • A survey was administered to 224 interns (58% response rate) from a diverse health system.
  • Data collected included medical school type, acting/sub-internship (AI/SI) participation, EPA knowledge, and EPA experience.

Main Results:

  • 67% of interns had not heard of EPAs; only 29% had prior EPA experience.
  • Interns felt prepared in most EPAs, with lower confidence in orders (60.7%) and handovers (73%).
  • Allopathic graduates reported higher awareness and experience with EPAs compared to international graduates, and felt more prepared in oral presentations and evidence-based medicine.

Conclusions:

  • A significant majority of incoming residents are unaware of EPAs, with limited prior experience.
  • International medical graduates face disparities in EPA awareness and preparedness compared to allopathic graduates.
  • Targeted interventions may be needed to ensure all graduates meet EPA proficiency standards upon entering residency.