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Entrustable professional activities for residency in general internal medicine: a systematic review
Bastien Valding1, Matteo Monti1,2, Noëlle Junod Perron3,4
1Department of Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Swiss Medical Weekly
|December 6, 2022
Summary
This systematic review synthesized Entrustable Professional Activities (EPAs) for general internal medicine residency, creating a comprehensive reference list of 395 EPAs to guide curriculum development and improve training standards.
Area of Science:
- Medical Education
- Internal Medicine Residency Training
Background:
- Entrustable Professional Activities (EPAs) are crucial for defining physician competencies and ensuring readiness for autonomous practice.
- Establishing standardized EPA lists for general internal medicine residency is essential for setting clear expectations for trainees and supervisors.
Approach:
- A systematic review of databases and grey literature was conducted, identifying 16 articles focusing on EPAs in general internal medicine from 2005 to April 2022.
- Data extraction and quality assessment were performed by two independent reviewers, followed by synthesis and categorization of identified EPAs.
Key Points:
- The review identified 395 EPAs from 16 articles, primarily from North America.
- These EPAs were categorized into 6 domains: general adult care, specific patient needs, care coordination, management/leadership, quality/education/research, and miscellaneous.
- A significant number of disease-specific EPAs (87) did not fit the established categorization.
Conclusions:
- The synthesized list of 395 EPAs provides a valuable reference for developing and refining EPA frameworks in general internal medicine residency programs.
- This comprehensive resource aids in standardizing training objectives and enhancing the assessment of resident competence for independent practice.
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