EPA In this practical innovation report, Canadian family medicine residency directors describe how they implemented a robust system of direct observation of their residents in support of a competency-based evaluation system charting their residents’ progress in the entrustable professional activities (EPAs) for family medicine. Impressively, they obtained an average of about 150 direct observations per resident. Faculty development to improve the reliability of clinical ratings, the development of “practical intuitive tools to capture assessment, and time for preceptors to do this work” were key to the implementation. Benefits have included the marked increase in direct observation of residents, and the earlier identification of learners in trouble. — Laura Willett, MD
Schultz K, Griffiths J.Implementing Competency-Based Medical Education in a Postgraduate Family Medicine Residency Training Program: A Stepwise Approach, Facilitating Factors, and Processes or Steps That Would Have Been Helpful.
Acad Med. 2015