Program Director Perceptions of Proficiency in the Core Entrustable Professional Activities

Journal of Graduate Medical Education
R Ellen PearlmanGino A Farina

Abstract

The Association of American Medical Colleges describes 13 core entrustable professional activities (EPAs) that every graduating medical student should be expected to perform proficiently on day 1 of residency, regardless of chosen specialty. Studies have shown wide variability in program director (PD) confidence in interns' abilities to perform these core EPAs. Little is known regarding comparison of United States Medical Licensing Examination (USMLE) scores with proficiency in EPAs. We determined if PDs from a large health system felt confident in their postgraduate year 1 residents' abilities to perform the 13 core EPAs, and compared perceived EPA proficiency with USMLE Step 1 and Step 2 scores. The PDs were asked to rate their residents' proficiency in each EPA and to provide residents' USMLE scores. Timing coincided with the reporting period for resident milestones. Surveys were completed on 204 of 328 residents (62%). PDs reported that 69% of residents (140 of 204) were prepared for EPA 4 (orders/prescriptions), 61% (117 of 192) for EPA 7 (form clinical questions), 68% (135 of 198) for EPA 8 (handovers), 63% (116 of 185) for EPA 11 (consent), and 38% (49 of 129) for EPA 13 (patient safety). EPA ratings and USMLE 1 and 2 we...Continue Reading

References

May 26, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Olle ten Cate, Fedde Scheele
Jan 10, 2014·Journal of Graduate Medical Education·Olle Ten Cate
Mar 5, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Anne G PereiraGregory C Kane
Jul 27, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Catherine M WelcherRichard E Hawkins

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Citations

Feb 28, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Catherine R LuceyOlle Ten Cate
Feb 9, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Bridget C O'Brien
Oct 28, 2017·Journal of Graduate Medical Education·Susan Guralnick, Jamie Yedowitz-Freeman
Apr 5, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Eric G MeyerLauren A Maggio
Apr 27, 2019·Journal of Graduate Medical Education·Sheena CarlLeeManish Suneja
Jul 18, 2020·Proceedings·Julie A EnglandBobbie Ann Adair White
Oct 9, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Joseph R GeraghtyUNKNOWN Core Entrustable Professional Activities for Entering Residency Pilot Program
Jan 10, 2019·Medical Science Educator·R Ellen PearlmanGino A Farina

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