The development of entrustable professional activities for internal medicine residency training

A report from the Education Redesign Committee of the Alliance for Academic Internal Medicine

Kelly J. Caverzagie, Thomas (Tom) Cooney, Paul A. Hemmer, Lee Berkowitz

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Purpose The Alliance for Academic Internal Medicine charged its Education Redesign Committee with the task of assisting internal medicine residency program directors in meeting the challenges of competency-based assessment that were part of the Accreditation Council for Graduate Medical Education's (ACGME's) Next Accreditation System. Method Recognizing the limitations of the ACGME general competencies as an organizing framework for assessment and the inability of the milestones to provide the needed context for faculty to assess residents' competence, the Education Redesign Committee in 2011 adopted the work-based assessment framework of entrustable professional activities (EPAs). The committee selected the EPA framework after reviewing the literature on competency-based education and EPAs and consulting with experts in evaluation and assessment. The committee used an iterative approach with broad-based feedback from multiple sources, including program directors, training institutions, medical organizations, and specialty societies, to develop a set of EPAs that together define the core of the internal medicine profession. Results The resulting 16 EPAs are those activities expected of a resident who is ready to enter unsupervised practice, and they provide a starting point from which training programs could develop assessments and curricula. The committee also provided a strategy for the use of these EPAs in competencybased evaluation. Conclusions These EPAs are intended to serve as a starting point or guide for program directors to begin developing meaningful, work-based assessments that inform the evaluation of residents' competence.

Original languageEnglish (US)
Pages (from-to)479-484
Number of pages6
JournalAcademic Medicine
Volume90
Issue number4
DOIs
StatePublished - Apr 1 2015

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Internship and Residency
Internal Medicine
Accreditation
medicine
Graduate Medical Education
Education
Mental Competency
education
Competency-Based Education
accreditation
director
resident
Curriculum
evaluation
graduate
Medicine
Organizations
general education
management counsulting
training program

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

The development of entrustable professional activities for internal medicine residency training : A report from the Education Redesign Committee of the Alliance for Academic Internal Medicine. / Caverzagie, Kelly J.; Cooney, Thomas (Tom); Hemmer, Paul A.; Berkowitz, Lee.

In: Academic Medicine, Vol. 90, No. 4, 01.04.2015, p. 479-484.

Research output: Contribution to journalArticle

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