Entrustable Professional Activities (EPA)
In 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 10 EPAs thus far. Two are applicable to the Transition to Discipline stage of competency or Springboard (1 month block) at the start of PGY1 and the eight following are applicable to the Foundations of Discipline competency stage which extends from the end of Springboard through 23 months to the end of PGY2.
Details of each EPA are included in the EPA specific cheat sheets here: