Stages of Implementing Entrustable Professional Activities in the Process of Clinical Training in Internal Medicine

Abstract

For a medical education to be comprehensive and integrative, it is necessary to define the expected competences of the professional one wants to train and to verify whether these competences have been achieved at the end of medical graduation. But how do you know whether the student has really developed them at graduation? In this context, we present the Entrustable Professional Activities (EPAs) in Internal Medicine with their respective checklists to assist the teaching -learning process and the assessment of the competences acquired during clerkship. EPAs are defined as units of a professional activity requiring adequate knowledge, skills, and attitudes, with a recognized output of professional activity, independently executable within a time frame, observable and measurable in its process and outcome, and reflecting one or more competencies. The performance of the EPA by the student during undergraduate study process under supervision allows observing the weak points during medical training, correcting these points before entering the medical residency or the job market, and providing the student with a view of what needs to be improved in their learning.