IMPLEMENTING THE CORE EPAS IN THE PEDIATRICS CLERKSHIP: CHALLENGES, OPPORTUNITIES AND LESSONS LEARNED FROM THE CORE EPA PILOT SCHOOLS
Michael S. Ryan,Virginia Commonwealth University,Richmond,VA; Travis W. Crook,Vanderbilt,,; Carrie A. Phillipi,OHSU,,; Michelle Noelck,OHSU,,; Marina Catallozzi,Columbia University Medical Center,,; Alicia Freedy,VCU-INOVA Fairfax,,; Jonathan Gold,Michigan State University College of Human Medicine,,

Rationale:

In 2014, the AAMC released the publication of the Core Entrustable Professional Activities for Entering Residency (Core EPAs).  In the years since their release, institutions throughout the US have grappled with the concepts and implications involved in this initiative.  Simultaneously, a group of 10 institutions were selected to pilot the implementation of curriculum and assessment of the Core EPAs.  In the past year, the pilot program has made progress in formulating a shared mental model around challenging issues such as entrustment decision making, curriculum development, assessment strategies, faculty development and the consequences this movement has on clerkship education.  The purpose of this workshop is to introduce pediatric educators to the guiding principles endorsed by the Core EPA pilot, to highlight the Core EPA “toolkits” recently produced by the pilot, and to discuss some of the implications and challenges of the EPA framework in the Pediatrics clerkship setting.  



Objectives:

By the conclusion of this workshop, the Pediatric educator will:

  • Define the terms entrustable professional activities, entrustment, trustworthiness, milestones, and competency-based education
  • Discuss the guiding principles endorsed by the AAMC Core EPA pilot regarding integration of Core EPAs into medical education programs
  • Appraise the Core EPA “toolkits” for their application in the Pediatrics Clerkship
  • Assess the implications the Core EPA have for curriculum, assessment, and faculty development in the Pediatrics Clerkship


Methods and Content:

This workshop will combine a large group interactive didactic with small group discussion to share perspectives around implementing the Core EPAs in the Pediatrics clerkship.  Following introductions, the session will begin with an overview didactic in which facilitators from the Core EPA pilot schools will provide an overview of key terms (e.g. entrustment, trustworthiness, milestones, etc.) and guiding principles integral to the construct of EPAs.  Each participant will then receive a copy of the recently published Core EPA “toolkits” developed by the pilot participants.  Facilitators will explain the purpose and structure of the toolkits in small group settings with a focus on the one-page schematics for each EPA and supervisory scales.  Each small group will then be assigned one of the following topic areas: entrustment, curriculum, assessment, or faculty development.  The groups will then participate in a facilitated, structured small group session to answer discussion questions pertinent to their topic area. Small groups will report their findings including key lessons learned, challenges, and ongoing questions relevant to their topic.  Facilitators will conclude the session with a discussion of key considerations and next steps for implementing the Core EPAs at participants’ home institutions.