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Updated: Jun 10, 2025

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[Postgraduate Training: eLogbook, Entrustable Professional Activities & Co.]

Leonie Kröger, Jan-Marcus Haus, Leonie Schulte-Uentrop

    Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
    |October 11, 2024
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    Summary

    Competency-based medical education (CBME) is shifting specialist training from time-based to skills-based learning. Entrustable Professional Activities (EPAs) bridge the gap between theory and clinical practice for better physician training.

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    Area of Science:

    • Medical Education
    • Postgraduate Training
    • Healthcare Professional Development

    Context:

    • Specialist medical postgraduate training is transitioning from traditional time-bound, procedure-oriented models to competency-based medical education (CBME).
    • Germany has mandated competency-based postgraduate training, aligning with frameworks like CANMEDs that define physician competencies.
    • CBME faces criticism for being too theoretical and disconnected from clinical practice.

    Purpose:

    • To introduce and explain the concept of Entrustable Professional Activities (EPAs) as a solution to bridge the gap between theoretical CBME and clinical practice.
    • To highlight the role of EPAs in defining concrete clinical tasks that can be progressively entrusted to trainees.
    • To emphasize the importance of workplace-based assessments in supporting the decision to entrust EPAs.

    Summary:

    • CBME shifts training focus to demonstrable skills rather than time spent.
    • Entrustable Professional Activities (EPAs) are introduced as practical, real-world tasks that trainees can be entrusted with.
    • Workplace-based assessments inform the entrustment decisions for EPAs, linking learning to clinical application.

    Impact:

    • Facilitates the practical application of theoretical CBME principles in clinical settings.
    • Enhances the quality and relevance of specialty training by focusing on actionable clinical tasks.
    • Promotes collaboration and continuous dialogue among stakeholders for successful CBME implementation.