Entrustable Professional Activities (EPA)

CBD LogoIn CBD, Entrustable Professional Activities (EPAs) are defined by the Royal College as “authentic tasks of a discipline. A supervisor can delegate a task to a resident and observe their performance in the workplace. Over time, frequent observations of a trainee’s performance of an EPA, will provide a comprehensive image of their competence and inform promotion decisions.” EPA example: Develop and implement a management plan in a patient with a common mental health concern.

EPAs are related to each stage of training (see competency stage graphic here). EPAs are designed to be developmental — they go from smaller tasks to bigger tasks as trainees progress through stages of training. Each EPA integrates a number of milestones from different CanMEDS roles; a bigger task may include more milestones and/or more complex milestones.

The Department of Psychiatry has developed 18 EPAs thus far. Two are applicable to the Transition to Discipline stage of competency (first 1 - 3 months), seven are applicable to the Foundations of Discipline stage of competency which extends from the end of Transition to Discipline through to the end of PGY2 (e.g. the resident's first 24 months of training), and 9 are applicable to the Core of Discipline stage of competency (essentially PGY3 and PGY4).

An overview of the existing EPAs is available here: EPAs Overview. Detailed information regarding specific EPAs can be found in the Current EPAs section.

Current EPAs

Details of each Entrustable Professional Activity (EPA) are included in the EPA specific information sheets here:

Transition to Discipline #1 - Basic History

Transition to Discipline #2 - Documentation & Orders

Foundations of Discipline #1 - Common Assessment

Foundations of Discipline #2 - Common Formulation & Plan

Foundations of Discipline #3 - Risk Assessment

Foundations of Discipline #4 - Legislation

Foundations of Discipline #5 - Medical Stability

Foundations of Discipline #6 - Critical Appraisal

Core of Discipline #1 - Complex Assessment

Core of Discipline #2 - Complex Formulation

Core of Discipline #3 - Complex Plan

Core of Discipline #4 - Medical Emergency

Core of Discipline #5 - Family Meeting

Core of Discipline #6 - Agitation & Aggression

Core of Discipline #7 - Neurostimulation

Core of Discipline #8 - Psychopharmacology

Core of Discipline #9 - Teaching

Core of Discipline #10 - Psychotherapy Modalities

How are EPAs Assessed?

We are currently using PsychRocks as our EPA Tool. As of July 2020, our program will be utilizing Elentra. Stay tuned for faculty development opportunities!

EPA Observations and Achievement