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Validity evidence for Entrustable Professional Activities assessments in surgery.

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Related Experiment Video

Updated: Sep 19, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Entrustable professional activity assessments in vascular surgery training.

M Libby Weaver1, Brigitte K Smith2

  • 1Department of Surgery, Division of Vascular Surgery, University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT.

Seminars in Vascular Surgery
|June 16, 2025
PubMed
Summary

Entrustable professional activities (EPAs) offer holistic assessment for vascular surgery trainees, supporting competency-based medical education. National pilot implementation addressed training challenges and outlined future EPA development for independent practice readiness.

Keywords:
Competency-based medical educationEntrustable professional activitySurgical assessmentVascular surgery fellowshipVascular surgery residency

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Area of Science:

  • Medical Education
  • Surgical Training
  • Competency-Based Assessment

Background:

  • Entrustable professional activities (EPAs) integrate multiple competencies for holistic trainee assessment.
  • EPAs are crucial for the transition to competency-based medical education in healthcare professions.
  • Vascular surgery requires rigorous assessment of core competencies for safe independent practice.

Purpose of the Study:

  • To describe the national development and pilot implementation of EPAs for vascular surgery trainees.
  • To identify and address training challenges encountered during EPA implementation.
  • To outline future directions for EPA development and utilization in surgical education.

Main Methods:

  • National consensus and collaborative efforts for EPA development.
  • Pilot study implementation across various clinical settings and training phases.
  • Qualitative and quantitative data collection on implementation challenges and successes.

Main Results:

  • Successful national development and pilot implementation of vascular surgery EPAs.
  • Identification of key training challenges, including faculty development and assessment standardization.
  • Demonstrated EPA utility in evaluating core competencies for independent practice.

Conclusions:

  • Vascular surgery EPAs provide a framework for holistic competency assessment.
  • EPA implementation requires structured faculty training and ongoing refinement.
  • EPAs are a vital tool for advancing competency-based medical education in surgical specialties.