Entrustable professional activities and transitions across the continuum of training and practice
Affiliation: University Medical Center Utrecht, the Netherlands; University of California, San Francisco, USA, NL
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Affiliation: American Board of Pediatrics, US
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Affiliation: Harvard Medical School, US
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Affiliation: Cincinnati Children’s Hospital Medical Center, US
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Chapter from the book: ten Cate, O et al. 2024. Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education.
Transitions of trainees in the health professions to new contexts, to new training stages, and to unsupervised health care practice are critical learning periods where entrustable professional activities (EPAs) can play a pivotal role. For entrustment decisions, the critical questions are: are trainees prepared for a next phase, often with more autonomy, and are graduates prepared for the requirements of practice, often unsupervised?
This chapter addresses EPA-related issues from the perspective of these transitions and how they apply to the entire continuum of education and practice. Supervision plays a key role, both before transitions and after.