J. Karpinski is associate director, specialties, Office of Specialty Education, Royal College of Physicians and Surgeons of Canada, and staff physician, Division of Nephrology, Department of Medicine, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada.
J.R. Frank is director of specialty education, Office of Specialty Education, Royal College of Physicians and Surgeons of Canada, and vice chair, education, Department of Emergency Medicine, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada.
Acad Med. 2021 Jul 1;96(7S):S36-S41. doi: 10.1097/ACM.0000000000004087.
Entrustable professional activities (EPAs) have emerged as a meaningful framework for achieving competency-based medical education (CBME). However, little is known about how to adapt EPAs to large-scale, multispecialty, system-wide implementations. The authors describe the design and experience of creating such a system based on EPAs and the Van Melle Core Components Framework for all accredited training programs under the auspices of the Royal College of Physicians and Surgeons of Canada. The resulting design is a unique configuration and use of EPAs, called Royal College EPAs. Others looking to implement EPAs for large-scale health professions education systems may want to consider this design approach.
可委托的专业活动（EPAs）已经成为实现以能力为基础的医学教育（CBME）的有意义的框架。然而，对于如何将 EPAs 应用于大规模、多专业、全系统的实施，人们知之甚少。作者描述了基于 EPAs 和 Van Melle 核心组件框架为加拿大皇家内科医生和外科医生学院下属的所有认证培训项目创建这样一个系统的设计和经验。由此产生的设计是一种独特的 EPAs 配置和使用方式，称为皇家学院 EPAs。其他希望为大规模卫生专业教育系统实施 EPAs 的人可能会考虑这种设计方法。
