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. 2021 Jul 1;96(7S):S36-S41.
doi: 10.1097/ACM.0000000000004087.

The Role of EPAs in Creating a National System of Time-Variable Competency-Based Medical Education

Jolanta Karpinski  1 , Jason R Frank  2
Affiliations

The Role of EPAs in Creating a National System of Time-Variable Competency-Based Medical Education

Jolanta Karpinski et al. Acad Med. .

Abstract

Entrustable professional activities (EPAs) have emerged as a meaningful framework for achieving competency-based medical education (CBME). However, little is known about how to adapt EPAs to large-scale, multispecialty, system-wide implementations. The authors describe the design and experience of creating such a system based on EPAs and the Van Melle Core Components Framework for all accredited training programs under the auspices of the Royal College of Physicians and Surgeons of Canada. The resulting design is a unique configuration and use of EPAs, called Royal College EPAs. Others looking to implement EPAs for large-scale health professions education systems may want to consider this design approach.

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References

    1. Frank JR, Danoff D. The CanMEDS initiative: Implementing an outcomes-based framework of physician competencies. Med Teach. 2007; 29:642–647.
    1. Frank JR ed. The CanMEDS 2005 Physician Competency Framework. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2005.
    1. Frank JR, Snell L, Sherbino J eds. CanMEDS 2015 Physician Competency Framework. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2015.
    1. Abbott C; manager, CanMEDS, Royal College of Physicians and Surgeons of Canada. Personal communication with J. Frank, January 19, 2021.
    1. Mulder H, ten Cate O, Daalder R, Berkvens J. Building a competency-based workplace curriculum around entrustable professional activities: The case of physician assistant training. Med Teach. 2010; 32:e453–e459.

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