Entrustable Professional Activities (EPAs)

In 2015. Family Medicine for America’s Health developed 20 Entrustable Professional Activities (EPAs) for family medicine.  EPAs are the critical activities that constitute a specialty and the elements that experts and society consider to belong to that specialty.  EPAs also define the knowledge, skills, and attitudes that resident physicians must have before they graduate. 

Following the approval of the family medicine EPAs, the Association of Family Medicine Residency Directors (AFMRD) formed an EPA Task Force, comprised of program directors and associate directors from rural, community and university-based programs from around the United States. The goal was to develop resources and tools that would help family medicine residencies use EPAs to improve education and help achieve the goal of clarifying for society and practices what they can expect from graduating family medicine residents.

Below are links to various documents created by the AFMRD EPA Task Force to facilitate residency programs putting them to good use. 

Entrustable Professional Activities: Overview

EPAs Graphic Representation (PowerPoint)

EPAs Map Subcompetency with Milestone Level

EPAs Overview Presentation (PowerPoint)

EPAs as Tool for Resident Evaluation (PowerPoint)

EPAs: Resident Evaluation Overview Document

EPAs: Individual Resident Education Plans Overview Document

EPAs: Using EPAs to Develop Resident Learning Plans (PowerPoint)

EPAs: Milestone sample aspirational ILP

EPAs: Milestone sample remediation ILP

EPAs: Curriculum Development Document

EPAs: As Curriculum Tools Presentation (PowerPoint)