Pediatric Housestaff

Entrustable Professional Activities

Entrustable Professional Activities (EPAs) offer a new method of assessment that focus on whether or not learners are ready to be entrusted to perform a set of professional activities without supervision. These EPAs are still being defined by pediatrics educators through the ABP and APPD, but their goal is to capture the key activities that practicing general pediatricians need for practicing pediatrics independently.

As described in Carol Carraccio and Ann Burke’s 2010 JGME paper “Beyond Competencies and Milestones: Adding Meaning Through Context”:
EPA’s allow a “bridge to connect the [ACGME] competencies to “real world” and “real time” practice….EPAs are simply the routine professional-life activities of physicians based on their specialty and subspecialty. For example, an EPA for a pediatric hospitalist may be to “serve as the primary admitting pediatrician for previously well children suffering from common acute problems.” In order to perform this professional activity, a practitioner must (1) have knowledge of the signs and symptoms of these illnesses, (2) perform a physical examination to elicit confirmatory findings, (3) search for outcomes associated with specific therapeutic interventions, (4) communicate with the patient and the family about the management plan, (5) relate to families in a way that they understand, based on cultural background and health literacy, and (6) act as a liaison to the primary care physician who will see this patient in follow-up. Framing the 6 ACGME competencies within the clinical context of an EPA takes them out of the realm of the abstract and grounds them in a way that makes them meaningful to both learners and faculty.”

EPAs for Pediatrics (proposed by the ABP and APPD)

EPA Example

Manage information from a variety of sources for both learning and application to patient care

Example developed by Carol Carraccio, Robert Englander, Joe Gilhooly, with input from Judy Bowen on non-specialty specific EPAs and feedback from members of APPD as well as other members of the pediatrics community.

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