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Related Experiment Video

Updated: Jun 28, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

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Published on: August 1, 2019

Validity evidence for Entrustable Professional Activities assessments in surgery.

M Libby Weaver1, Ting Sun2, Cali E Johnson1

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

Academic Medicine : Journal of the Association of American Medical Colleges
|June 3, 2026
PubMed
Summary
This summary is machine-generated.

Vascular surgery Entrustable Professional Activities (EPAs) assessments show strong validity evidence, aligning faculty and trainee perceptions better than traditional workplace-based assessments (WBAs). This improves surgical training by reducing burnout and attrition.

Keywords:
Entrustable Professional Activitiesassessmentgraduate medical educationsurgical educationvalidity evidence

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Published on: August 1, 2019

Area of Science:

  • Medical Education
  • Surgical Training
  • Competency-Based Education

Background:

  • Workplace-based assessments (WBAs) in surgical training often lack alignment between faculty and trainee perceptions.
  • Misalignment can lead to trainee burnout, depression, and attrition, highlighting the need for improved assessment methods.

Purpose of the Study:

  • To evaluate the validity evidence of vascular surgery Entrustable Professional Activities (EPAs) assessments.
  • To assess response process, internal structure, and consequences using national pilot data.
  • To determine if EPAs improve alignment between faculty and trainee perceptions of clinical encounters.

Main Methods:

  • A multi-institutional pilot of vascular surgery EPAs was conducted with residencies and fellowships.
  • Paired faculty and trainee assessments of entrustment were collected and analyzed.
  • Statistical analyses included descriptive statistics, linear mixed-effects models, and intraclass correlation (ICC).

Main Results:

  • 1,620 paired assessments from 29 programs were analyzed.
  • The overall ICC for EPAs was 0.76, indicating good agreement.
  • Variance was primarily due to EPA-trainee interaction, showing EPA assessments differentiated trainee proficiency.

Conclusions:

  • Vascular surgery EPA assessments demonstrate strong validity evidence, particularly in response process and internal structure.
  • EPAs effectively align faculty and trainee perceptions, overcoming limitations of traditional WBAs.
  • Behaviorally-anchored EPA assessments are a promising tool for enhancing surgical training and reducing assessment discrepancies.