McClintock Adelaide H, Rusiecki Jennifer, Casas Rachel S, Henrich Janet B, Schwarz Eleanor Bimla, Kwolek Deborah Gomez
University of Washington School of Medicine, Seattle, WA, USA.
University of Chicago Medical Center, Chicago, IL, USA.
J Gen Intern Med. 2025 Jan;40(1):82-88. doi: 10.1007/s11606-024-08843-2. Epub 2024 Jun 10.
A set of core competencies in sex- and gender-based women's health (SGWH) has been endorsed by the Society of General Internal Medicine (SGIM), but many residencies lack the resources to implement curricula and clinical assessments that would support achievement of these competencies.
Develop entrustable professional activities (EPA) to support implementation and assessment of clinical care for SGIM's SGWH Core Competencies.
Members of SGIM's SGWH Education Interest Group developed 18 SGWH EPAs for internal medicine residents. A team of clinician educators coordinated the preparation, drafting, quality control, and curriculum alignment of the SGWH EPAs through a rigorous process aligned with best practices for EPAs. All EPAs are mapped to the larger competency domains from the Accreditation Council for Graduate Medical Education (ACGME), for use with ACGME Milestones. The authors provide suggestions for the implementation of the EPAs into residency training.
As residency education moves towards a competency-based structure, EPAs are needed to translate broad competencies into observable clinical skills. The SGWH EPAs provide a rigorously developed and ready-made tool for programs to link the SGWH core competencies to residency curriculum development, clinical assessment, and program evaluation.
普通内科协会（SGIM）已认可了一套基于性别的女性健康（SGWH）核心能力，但许多住院医师培训项目缺乏资源来实施支持这些能力达成的课程和临床评估。
制定可托付专业活动（EPA），以支持SGIM的SGWH核心能力的临床护理实施和评估。
SGIM的SGWH教育兴趣小组的成员为内科住院医师制定了18项SGWH EPA。一组临床教育工作者通过与EPA最佳实践相一致的严格流程，协调了SGWH EPA的准备、起草、质量控制和课程调整。所有EPA均映射到毕业后医学教育认证委员会（ACGME）的更大能力领域，以与ACGME里程碑一起使用。作者为将EPA纳入住院医师培训提供了建议。
随着住院医师教育朝着基于能力的结构发展，需要EPA将广泛的能力转化为可观察的临床技能。SGWH EPA为各项目提供了一个经过严格开发的现成工具，用于将SGWH核心能力与住院医师课程开发、临床评估和项目评估联系起来。
