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Updated: Aug 1, 2025

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An Innovative Undergraduate Medical Curriculum Using Entrustable Professional Activities.

Anne E Bremer1, Marjolein H J van de Pol2, Roland F J M Laan3

  • 1Radboud Institute for Health Sciences, Department of Radboudumc Health Academy, Radboud University Medical Center, Nijmegen, the Netherlands.

Journal of Medical Education and Curricular Development
|May 1, 2023
PubMed
Summary
This summary is machine-generated.

Radboudumc revised its undergraduate medical curriculum using Entrustable Professional Activities (EPAs) to enhance student growth and feedback-seeking. This EPA-based approach improved learning continuity during clerkships, aligning education with daily practice.

Keywords:
EPAsclerkshipsentrustmentfeedback

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Area of Science:

  • Medical Education
  • Curriculum Development
  • Health Professions Education

Background:

  • Medical education requires adaptation to evolving healthcare environments.
  • Traditional curricula may not adequately foster continuous learning or feedback-seeking behavior.
  • The Radboudumc revised its undergraduate medical curriculum to address these needs.

Purpose of the Study:

  • To describe the development of an Entrustable Professional Activities (EPA)-based Master's curriculum at Radboudumc.
  • To evaluate how EPAs can enhance continuity in learning during medical clerkships.
  • To outline the guiding principles for curriculum revision focused on student development.

Main Methods:

  • Implementation of an EPA-based curriculum framework.
  • Integration of an e-portfolio system for student learning and feedback.
  • Adherence to four guiding principles: working with EPAs, establishing entrustment, providing learning continuity, and organizing smooth transitions.

Main Results:

  • The revised curriculum aligns well with the practical demands of clerkships.
  • Students actively utilized e-portfolios across clerkships, promoting feedback-seeking.
  • EPAs facilitated continuous learning despite frequent rotations between clerkships.

Conclusions:

  • The EPA-based curriculum effectively supports student development and integrates with clinical practice.
  • EPAs are a valuable tool for enhancing learning continuity in undergraduate medical education.
  • Further research on EPA impact on inter-clerkship transitions is recommended to optimize medical curricula.