Entrustable Professional Activities in General Surgery: Development and Implementation

J Surg Educ. 2019 Sep-Oct;76(5):1174-1186. doi: 10.1016/j.jsurg.2019.04.003. Epub 2019 Apr 25.


Entrustable Professional Activities are a holistic assessment framework developed in the Netherlands in 2005, which have recently been adopted in undergraduate medical education in the United States. As part of an increased focus on competency-based assessment, the specialty of pediatrics has led the way in incorporating them into graduate medical education. We describe the development and initial pilot process of implementation of EPAs into the assessment of General Surgery trainees.

Keywords: Assessment; Competency-based education; Entrustable Professional Activities; Entrustment; Evaluation; Interpersonal and Communication Skills; Medical Knowledge; Milestones; Patient Care; Practice-Based Learning and Improvement; Professionalism; Systems-Based Practice.

MeSH terms

  • Clinical Competence*
  • Education, Medical, Graduate / standards*
  • Educational Measurement / methods
  • General Surgery / education*
  • Pilot Projects
  • United States