Effect of PGY Training Year on Perceived Readiness to Perform Entrustable Professional Activities

Area of Science:

• Medical Education
• Family Medicine Training
• Professional Competency Assessment

Background:

• The Family Medicine for America's Health (FMAH) collaborative established Entrustable Professional Activities (EPAs) for family medicine.
• The level of resident preparedness to perform these EPAs remains unquantified.

Purpose of the Study:

• To evaluate the self-perceived readiness of family medicine residents across all postgraduate year (PGY) levels to perform EPAs.
• To identify specific EPAs where resident confidence may be lower.

Main Methods:

• A survey was administered to 18 family medicine residents assessing readiness for 20 EPAs on a 9-point Likert scale.
• Residents also indicated their PGY training level.

Main Results:

• Fifteen residents completed the survey.
• Mean readiness scores increased from PGY1 (5.23/9) to PGY2 (7.27/9) and PGY3 (8.17/9).
• Higher readiness was reported for inpatient care and relationship building; lower readiness for mental health and obstetrical care.

Conclusions:

• Family medicine residents demonstrate a progressive increase in perceived readiness to perform EPAs with advancing PGY year.
• Readiness levels are generally consistent across most EPAs, with notable exceptions in mental health and obstetrics.