Entrustable professional activities for radiology residents: a case-based assessment framework.

Area of Science:

• Medical Education
• Radiology Residency Training
• Competency-Based Education

Background:

• The radiology residency program integrated Entrustable Professional Activities (EPAs) in 2024.
• Assessments aligned with Accreditation Council for Graduate Medical Education guidelines.
• The study evaluated the EPA framework's implementation and outcomes.

Purpose of the Study:

• To assess the effectiveness of the EPA framework in radiology residency.
• To analyze the implementation process and outcomes of case-based assessments.
• To evaluate resident performance and learning within the EPA model.

Main Methods:

• 26 residents across four training years participated.
• Level-appropriate EPAs and diverse teaching/assessment strategies were used.
• A minimum 80% score was required; remediation was provided for lower scores.

Main Results:

• 92% (24/26) of residents scored above the 80% passing threshold.
• Two residents scoring below the benchmark received feedback and remediation.
• Faculty and resident feedback was collected post-assessment.

Conclusions:

• The EPA framework is effective for evaluating radiology resident core competencies.
• Structured learning, systematic assessment, and feedback enhance engagement and outcomes.
• This model provides a strong foundation for improving residency training.