The EPA-based Utrecht undergraduate clinical curriculum: Development and implementation

Medical Teacher
Olle ten CateMarijke van Dijk

Abstract

As reports of the application of entrustable professional activities (EPAs) increase, not only for postgraduate but also for undergraduate medical education, there is a need for descriptions of what a UME curriculum with EPAs could look like. We provide such a description based on the experiences at University Medical Center Utrecht, the Netherlands, which can be used as an example by other curriculum developers. In a three-year process, the UMC Utrecht Curriculum Committee developed a clinical workplace curriculum with an EPA structure, taking into account examples, such as the US Core EPAs for Entering Residency, and recommendations to integrate and increase the length of clerkships. In the resulting curriculum, operational from 2016, students train to be trusted with indirect supervision before graduation in five broad EPAs: the clinical consultation; general medical procedures; informing, advising and guiding patients and families; communicating and collaborating with colleagues; and extraordinary patient care. Each of these integrates smaller (nested) EPAs that receive focused training attention in integrated clerkships at various moments and must be signed off for entrustment with indirect supervision to complete the cler...Continue Reading

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Citations

Jul 28, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Sarah E StumbarCarla S Lupi
Apr 14, 2018·Medical Teacher·Trevor Gibbs
Feb 23, 2018·Medical Teacher·Olle Ten CateUNKNOWN numerous faculty members and students involved in the subsequent Utrecht curricular reforms
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Nov 11, 2020·Medical Teacher·Olle Ten Cate, David R Taylor
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Mar 27, 2021·BMC Medical Education·Mostafa Dehghani PoudehNikoo Yamani
Apr 1, 2021·Perspectives on Medical Education·Karsten Arthur van LoonFedde Scheele
Nov 23, 2020·Academic Pediatrics·Daniel J SchumacherCarol Carraccio
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Sep 25, 2021·Medical Education·Marise Ph BornChantal E E van Andel
Aug 19, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Hannah L AndersonDaniel C West

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