Entrustable Professional Activities (EPA)

• Entrustable Professional Activity (EPA): EPAs are units of professional practice defined as tasks or responsibilities that trainees are entrusted to perform unsupervised once they have attained sufficient specific competence. They are independently executable, observable, and measurable in their process and outcome and, therefore, suitable for entrustment decisions.
• The purpose of this assessment is to facilitate student's growth through coaching. Please give honest, accurate, objective ratings and narrative feedback that represents the level of supervision you provided today. Comments from this form may contribute to the student’s MSPE letter.

• Students should be recording 3 EPAs a week in the clinical environment for the required clerkships.
• Students are required to complete one EPA assessment in EPA1 in all core required clerkships.
• EPA requirements will be reviewed on the first day of each core required clerkship in orientation.
• Over time, and over the course of completing the core required clerkships, all students will be expected to achieve the level of (4): Indirect Supervision: “The student did it. Preceptor double-checked ALL elements,” for all 13 EPAs.
• Starting in the Spring of 2025, students are required to achieve a level of (4): Indirect Supervision: “The student did it. Preceptor double-checked ALL elements,” for EPA 1, 2, 5, and 6 to meet graduation requirements.  

• When students are completing tasks or responsibilities in the clinical setting that are observed by a clinical supervisor (resident or attending), feedback on the students performance during these activities can be submitted as an EPA assessment.
• EPA assessments are submitted through a student initiated Qualtrics survey, the survey link can be found in the student user guide. While they are student driven, EPA ratings and feedback must be provided by a clinical supervisor. After an EPA is submitted a confirmation email will be delivered to the student and assessor, that includes all of the information entered in the Qualtrics survey, and data will be visible on Tableau dashboards. 

There have been more than 75,000 EPA-based assessments with a mean number of 126 assessments per student.  Growth curves of the EPA ratings follow predicted negative exponential learning theory with baseline performance, a latent phase, subsequent rapid growth and eventual rate of learning deceleration. EPA ratings provide reliable and valid data to make entrustment decisions about students’ performance. The EPA program is a standardized learning and assessment system during clinical immersion in medical education, as well as providing evidence for curriculum and teaching improvement.