Development of a Novel Competency-Based Evaluation System for HIV Primary Care Training: the HIV Entrustable Professional Activities

J Gen Intern Med. 2020 Jan;35(1):331-335. doi: 10.1007/s11606-019-04956-1.


Background: There is an anticipated shortage of primary care providers trained to care for patients with HIV. The Yale School of Medicine developed and implemented a novel HIV training track within our Primary Care Internal Medicine Residency Program. A set of 12 Entrustable Professional Activities (EPAs) were developed to guide curriculum development and resident assessment.

Aim: To describe the process of implementing a novel EPA-based curriculum for the HIV Primary Care Training Track including EPA-based trainee evaluation tools.

Participants/settings: Two to three residents were enrolled annually from 2012 to 2017 (total n = 11). Training sites included the outpatient academic center HIV clinic and inpatient HIV ward.

Program description: An expert panel developed 12 HIV-specific EPAs. These were mapped to curricular and reporting internal medicine milestones. Curricular activities and evaluation tools were developed to guide EPA progress.

Program evaluation: Graduating residents were ready for unsupervised practice in 91% of EPAs at the end of the 3-year program.

Discussion: Development of HIV-specific training EPAs was effective for driving curricular development and resident evaluation, and served as an effective method to communicate expectations to resident participants. These HIV-specific EPAs could serve as a useful template to enhance HIV education in academic settings.

Keywords: EPA; HIV training; primary care training; residency training.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence
  • Competency-Based Education
  • Curriculum
  • HIV Infections* / diagnosis
  • HIV Infections* / therapy
  • Humans
  • Internal Medicine / education
  • Internship and Residency*
  • Primary Health Care