An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers.

Authors

• D Michael Elnicki
• Meenakshy K Aiyer
• Maria L Cannarozzi
• Alexander Carbo
• Paul R Chelminski
• Shobhina G Chheda
• Saumil M Chudgar
• Heather E Harrell
• L Chad Hood
• Michelle Horn
• Karnjit Johl
• Gregory C Kane
• Diana B McNeill
• Marty D Muntz
• Anne G Pereira
• Emily Stewart
• Heather Tarantino
• T Robert Vu

Publication/Presentation Date

11-1-2017

Abstract

The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable Professional Activities for Entering Residency (CEPAERs). A committee comprising members of the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine applied these principles to preparing students for internal medicine residencies. The authors propose a curricular framework based on five CEPAERs that were felt to be most relevant to residency preparation, informed by prior stakeholder surveys. The critical areas outlined include entering orders, forming and answering clinical questions, conducting patient care handovers, collaborating interprofessionally, and recognizing patients requiring urgent care and initiating that care. For each CEPAER, the authors offer suggestions about instruction and assessment of competency. The fourth year of medical school can be rewarding for students, while adequately preparing them to begin residency, by addressing important elements defined in the core entrustable activities. Thus prepared, new residents can function safely and competently in supervised postgraduate settings.

Volume

32

Issue

11

First Page

1255

Last Page

1260

ISSN

1525-1497

Published In/Presented At

Elnicki, D. M., Aiyer, M. K., Cannarozzi, M. L., Carbo, A., Chelminski, P. R., Chheda, S. G., Chudgar, S. M., Harrell, H. E., Hood, L. C., Horn, M., Johl, K., Kane, G. C., McNeill, D. B., Muntz, M. D., Pereira, A. G., Stewart, E., Tarantino, H., & Vu, T. R. (2017). An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers. Journal of general internal medicine, 32(11), 1255–1260. https://doi.org/10.1007/s11606-017-4089-8

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

28634908

Department(s)

Administration and Leadership

Document Type

Article