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Defining the Practice of the General Pediatrician: Entrustable Professional Activities Update.

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The General Pediatrics Entrustable Professional Activities (EPAs) were updated to better define pediatric practice and residency training outcomes. This revision ensures pediatricians are prepared for evolving patient needs through a competency-based framework.

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Area of Science:

  • Medical Education
  • Pediatrics
  • Competency-Based Training

Background:

  • The General Pediatrics Entrustable Professional Activities (EPAs) were established in 2013 to define general pediatrician practice.
  • EPAs serve as a framework for residency training outcomes, emphasizing patient needs and evolving healthcare demands.

Purpose of the Study:

  • To comprehensively review and update the General Pediatrics EPA framework.
  • To ensure EPAs reflect contemporary practice and support competency-based medical education.

Main Methods:

  • A multidisciplinary team, including pediatricians, program directors, trainees, and public members, conducted the revision.
  • Input was gathered through volunteer contributions and surveys from over 1000 program directors and general pediatricians.

Main Results:

  • The 17 original EPAs were revised and consolidated into 12 clear, specific, and contemporary General Pediatrics EPAs.
  • The revised EPAs, including essential cross-cutting knowledge, skills, and abilities, were approved by the American Board of Pediatrics in June 2025.

Conclusions:

  • The revised EPAs reaffirm the essential work of general pediatrics.
  • This updated framework supports a competency-based approach to training and lifelong learning focused on children's needs.