Special Report: Entrustable Professional Activities in Sex- and Gender-Based Women's Health

Area of Science:

• Medical Education
• Women's Health
• Competency-Based Education

Background:

• The Society of General Internal Medicine (SGIM) endorsed core competencies in sex- and gender-based women's health (SGWH).
• Many residency programs lack resources for implementing SGWH curricula and assessments.
• Bridging this gap is crucial for effective physician training.

Purpose of the Study:

• To develop entrustable professional activities (EPAs) for SGIM's SGWH Core Competencies.
• To support the implementation and assessment of clinical care in SGWH.
• To provide a framework for residency programs.

Main Methods:

• Eighteen SGWH EPAs were developed by SGIM's SGWH Education Interest Group members.
• Clinician educators refined EPAs through a rigorous process, ensuring quality and curriculum alignment.
• EPAs were mapped to Accreditation Council for Graduate Medical Education (ACGME) competency domains and Milestones.

Main Results:

• A set of 18 SGWH EPAs was created for internal medicine residents.
• The EPAs are aligned with ACGME competencies and Milestones.
• Suggestions for integrating EPAs into residency training are provided.

Conclusions:

• EPAs are essential for translating broad competencies into observable clinical skills in competency-based residency education.
• The developed SGWH EPAs offer a ready-made tool for residency programs.
• These EPAs facilitate curriculum development, clinical assessment, and program evaluation in SGWH.